,,ii #aacth ,,congress #b;d ,session ,s4 #bgdi ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,july #ca1 #bjad ,mrs4 ,shaheen introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to establish a board of directors and ,,ceo to oversee the ,federal ,exchange and ,state ,exchanges1 and to provide health insurance oversight4 #a4 ,exchange oversight ,subtitle ,d of title ,i of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjba et seq47 is amended by adding at the end the following3 #f ,exchange ,oversight #acea4 ,board of directors and ,,ceo 7a7 ,in general ,there is established the ,marketplace ,health ,insurance ,corporation headed by a ,chief ,executive ,officer and directed by a ,board of ,directors1 to oversee management of the ,federal ,exchange and ,state ,exchanges1 and to provide health insurance oversight4 7b7 ,,ceo 7#a7 ,in general ,the ,president shall appoint a ,chief ,executive ,officer1 by and with the consent of the ,senate1 who shall be responsible for administering the ,federal ,exchange1 for overseeing ,state ,exchanges1 and for health insurance oversight4 7#b7 ,authorities and duties ,the ,chief ,executive ,officer shall-- 7,a7 report directly to the ,president2 7,b7 be accountable for implementation of the ,federal ,exchange and oversight of the ,state ,exchanges2 7,c7 be responsible for all ,federal health insurance oversight2 and 7,d7 serve the public interest of individuals seeking health insurance1 serve businesses seeking access to health coverage through the ,exchanges1 and ensure the efficient operation and function of the ,exchanges4 7#c7 ,requirement ,to be eligible for appointment as ,chief ,executive ,officer1 an individual shall have a background in health care issues and private-sector management experience4 7c7 ,board of ,directors 7#a7 ,establishment ,there is established a ,board of ,directors of the ,marketplace ,health ,insurance ,corporation4 7#b7 ,duties ,the ,board of ,directors shall advise the ,chief ,executive ,officer on the operation of the ,federal ,exchange1 implementation of the ,state ,exchanges1 and health insurance oversight1 including-- 7,a7 the functionality of healthcare4gov 7or any subsequent ,internet site71 including ,,shop exchanges2 7,b7 ensuring that enrollment information is properly transferred from healthcare4gov 7or any subsequent ,internet site7 to ,state ,medicaid agencies2 7,c7 accuracy of enrollee information submitted through the ,exchanges2 7,d7 ensuring the accuracy of advanced premium tax credits2 7,e7 ensuring the accuracy of payment to insurers2 7,f7 enhancement of the consumer experience when comparing plans1 including out-of-pocket costs1 and searching for a specific provider or drug formulary2 7,g7 overseeing the selection of plans offered on the ,federal ,exchange1 including sufficient network adequacy and transparency requirements2 7,h7 providing recommendations to the ,secretary of the ,treasury with respect to the implementation of section #dihj;,h of the ,internal ,revenue ,code of #aihf and potential policy changes with respect to such section and associated reporting requirements2 7,i7 creating an automated appeals system for healthcare4gov 7or any subsequent ,internet site72 7,j7 overseeing the transition from a ,state ,exchange to the ,federal ,exchange2 7,k7 enabling online enrollment in health insurance plans through the ,exchanges for small businesses and employee choice for employees of small businesses2 7,l7 overseeing the ,federal contracting related to healthcare4gov 7or any subsequent ,internet site72 7,m7 providing recommendations to the ,office of ,personal ,management on the oversight and administration of the multi-,state plan program2 and 7,n7 additional matters1 as determined by the ,secretary of ,health and ,human ,services1 the ,chief ,executive ,officer1 or ,president4 7#c7 ,membership ,the ,board of ,directors shall be comprised of the following3 7,a7 ,the ,secretary of ,health and ,human ,services4 7,b7 ,the ,administrator of the ,centers for ,medicare ,medicaid ,services4 7,c7 ,the ,commissioner of the ,internal ,revenue ,service4 7,d7 ,the ,administrator of the ,small ,business ,administration4 7,e7 ,three representatives of the private sector who have demonstrated knowledge in individual health care coverage1 small employer health care coverage1 administering a public or private health care delivery system1 operating complex information system technologies1 or promoting health and wellness1 appointed by the ,comptroller ,general of the ,united ,states4 7#d7 ,terms 7,a7 ,officers of the ,federal ,government ,each member of the ,board of ,directors described in subparagraphs 7,a7 through 7,d7 of paragraph 7#c7 shall serve for a term that is concurrent with the member's term as an officer within the ,federal department or agency4 7,b7 ,other members ,each member of the board described in paragraph 7#c77;,e7 shall be appointed for a term of #c years and may be reappointed for a term of an additional #b years4 7#e7 ,chairperson ,the ,secretary of ,health and ,human ,services shall serve as ,chair of the ,board of ,directors4 7d7 ,technical advisory committee 7#a7 ,in general ,to assist the ,chief ,executive ,officer and ,board of ,directors in carrying out their duties1 the ,board of ,directors shall establish a technical advisory committee4 7#b7 ,membership ,the technical advisory committee shall be comprised of the following3 7,a7 ,one technical expert from the ,centers for ,medicare ,medicaid ,administration4 7,b7 ,one representative of the health insurance industry4 7,c7 ,one representative of health care consumer groups4 7,d7 ,one representative of the ,national ,association of ,insurance ,commissioners4 7,e7 ,one representative of the ,state ,medicaid agencies4 7,f7 ,one representative from the small business community4 7,g7 ,one representative of ,federal information technology contractors involved in the operation and development of healthcare4gov 7or any subsequent ,internet site74 7,h7 ,at the discretion of the ,chair of the ,board of ,directors1 up to #b additional members1 selected by the ,chair and approved by the ,chief ,executive ,officer4 7#c7 ,chair ,the ,chair of the ,board of ,directors shall appoint one member of the technical advisory committee to serve as ,chair of such committee4 7#d7 ,terms ,each member of the technical advisory committee shall be appointed for a term of #c years and may be reappointed for a term of an additional #b years4 7e7 ,work plan and report 7#a7 ,work plan ,not later than #c months after the date of enactment of this section1 the ,chief ,executive ,officer1 in cooperation with the ,board of ,directors1 shall develop a work plan with respect to duties described in subsection 7c77#b71 indicating the priority and schedule the ,board of ,directors will take in addressing such duties4 ,the work plan shall be displayed on healthcare4gov 7or any subsequent ,internet site74 7#b7 ,annual report ,not later than ,february #a of each year1 the ,chief ,executive ,officer1 in consultation with the ,board of ,directors1 shall submit an annual report to the ,president and ,congress on the status of the ,federal ,exchange and related insurance oversight1 including progress made on the duties of the ,chief ,executive ,officer and ,board of ,directors under subsection 7c77#b7 and remaining issues to be addressed to enhance the functionality of healthcare4gov 7or any subsequent ,internet site74 4