Insurers and industry representatives will occupy up to half the seats on governing boards for state health insurance exchanges, according to the final rules
issued by the Department of Health and Human Services.
The final rules, released Monday, also specify that a minimum of one seat be reserved for a consumer representative.
The final rules are 644 pages long and include some “interim” rules which could be altered after a 45-day public comment period. Interim rules include timetables for how quickly states must determine Medicaid
or Children’s Health Insurance Program eligibility for applicants, as well as details on how insurance brokers can help low- and middle-income applicants for federal subsidies.
Exchanges will begin taking applications in Oct. 1, 2013 and policies purchased through them would take effect Jan. 1, 2014. States that are allowed to operate their own exchanges must have approval or conditional approval from HHS by Jan 1, 2013, the rules said.