,,ii  #aac? ,,congress  #b;d ,session   
,s4 #bgdi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #ca1 #bjad ,mrs4 
,%ahe5 introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to e/abli% a bo>d (         
directors & ,,ceo to ov]see ! ,f$]al    
,ex*ange & ,/ate ,ex*anges1 & to provide
 heal? insurance ov]sight4  #a4 ,ex*ange
 ov]sight ,subtitle ,d ( title ,i ( !   
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahjba et seq47 is  
am5d$ by add+ at ! end ! foll[+3  #f    
,ex*ange ,ov]sight  #acea4 ,bo>d (      
directors & ,,ceo  7a7 ,9 g5]al ,!re is 
e/abli%$ ! ,m>ketplace ,heal? ,insurance
 ,corporation head$ by a ,*ief          
,executive ,(fic] & direct$ by a ,bo>d (
 ,directors1 to ov]see managem5t ( !    
,f$]al ,ex*ange & ,/ate ,ex*anges1 & to 
provide heal? insurance ov]sight4  7b7  
,,ceo  7#a7 ,9 g5]al ,! ,presid5t %all  
appo9t a ,*ief ,executive ,(fic]1 by & )
 ! cons5t ( ! ,s5ate1 :o %all be        

responsible = adm9i/]+ ! ,f$]al         
,ex*ange1 = ov]see+ ,/ate ,ex*anges1 & =
 heal? insurance ov]sight4  7#b7        
,au?orities & duties ,! ,*ief ,executive
 ,(fic] %all-- 7,a7 report directly to !
 ,presid5t2  7,b7 be acc\ntable =       
implem5tation ( ! ,f$]al ,ex*ange &     
ov]sight ( ! ,/ate ,ex*anges2  7,c7 be  
responsible = all ,f$]al heal? insurance
 ov]sight2 &  7,d7 s]ve ! public int]e/ 
( individuals seek+ heal? insurance1    
s]ve bus9esses seek+ access to heal?    
cov]age ?r\gh ! ,ex*anges1 & ensure !   
effici5t op]ation & function ( !        
,ex*anges4  7#c7 ,requirem5t ,to be     
eligible = appo9tm5t z ,*ief ,executive 
,(fic]1 an individual %all h a backgr\nd
 9 heal? c>e issues & private-sector    
managem5t exp]i5ce4  7c7 ,bo>d (        
,directors  7#a7 ,e/abli%m5t ,!re is    
e/abli%$ a ,bo>d ( ,directors ( !       
,m>ketplace ,heal? ,insurance           
,corporation4  7#b7 ,duties ,! ,bo>d (  
,directors %all advise ! ,*ief          
,executive ,(fic] on ! op]ation ( !     

,f$]al ,ex*ange1 implem5tation ( ! ,/ate
 ,ex*anges1 & heal? insurance ov]sight1 
includ+-- 7,a7 ! functionality (        
heal?c>e4gov 7or any subsequ5t ,int]net 
site71 includ+ ,,%op ex*anges2  7,b7    
ensur+ t enrollm5t in=mation is prop]ly 
transf]r$ f heal?c>e4gov 7or any        
subsequ5t ,int]net site7 to ,/ate       
,m$icaid ag5cies2  7,c7 accuracy (      
enrollee in=mation submitt$ ?r\gh !     
,ex*anges2  7,d7 ensur+ ! accuracy (    
advanc$ premium tax cr$its2  7,e7 ensur+
 ! accuracy ( paym5t to insur]s2  7,f7  
enhancem5t ( ! consum] exp]i5ce :5      
comp>+ plans1 includ+ out-(-pocket co/s1
 & se>*+ = a specific provid] or drug   
=mul>y2  7,g7 ov]see+ ! selection (     
plans (f]$ on ! ,f$]al ,ex*ange1 includ+
 suffici5t network adequacy & transp>5cy
 requirem5ts2  7,h7 provid+             
recomm5dations to ! ,secret>y ( !       
,treasury ) respect to ! implem5tation (
 section #dihj;,h ( ! ,int]nal ,rev5ue  
,code ( #aihf & pot5tial policy *anges )
 respect to su* section & associat$     

report+ requirem5ts2  7,i7 creat+ an    
automat$ appeals sy/em = heal?c>e4gov   
7or any subsequ5t ,int]net site72  7,j7 
ov]see+ ! transition f a ,/ate ,ex*ange 
to ! ,f$]al ,ex*ange2  7,k7 enabl+ onl9e
 enrollm5t 9 heal? insurance plans ?r\gh
 ! ,ex*anges = small bus9esses &        
employee *oice = employees ( small      
bus9esses2  7,l7 ov]see+ ! ,f$]al       
contract+ relat$ to heal?c>e4gov 7or any
 subsequ5t ,int]net site72  7,m7 provid+
 recomm5dations to ! ,(fice ( ,p]sonal  
,managem5t on ! ov]sight & adm9i/ration 
( ! multi-,/ate plan program2 &  7,n7   
additional matt]s1 z det]m9$ by !       
,secret>y ( ,heal? & ,human ,s]vices1 ! 
,*ief ,executive ,(fic]1 or ,presid5t4  
7#c7 ,memb]%ip ,! ,bo>d ( ,directors    
%all be compris$ ( ! foll[+3 7,a7 ,!    
,secret>y ( ,heal? & ,human ,s]vices4   
7,b7 ,! ,adm9i/rator ( ! ,c5t]s =       
,m$ic>e  ,m$icaid ,s]vices4  7,c7 ,!    
,commission] ( ! ,int]nal ,rev5ue       
,s]vice4  7,d7 ,! ,adm9i/rator ( !      
,small ,bus9ess ,adm9i/ration4  7,e7    

,?ree repres5tatives ( ! private sector 
:o h demon/rat$ k 9 individual heal? c>e
 cov]age1 small employ] heal? c>e       
cov]age1 adm9i/]+ a public or private   
heal? c>e deliv]y sy/em1 op]at+ complex 
in=mation sy/em te*nologies1 or promot+ 
heal? & wellness1 appo9t$ by !          
,comptroll] ,g5]al ( ! ,unit$ ,/ates4   
7#d7 ,t]ms  7,a7 ,(fic]s ( ! ,f$]al     
,gov]nm5t ,ea* memb] ( ! ,bo>d (        
,directors describ$ 9 subp>agraphs 7,a7 
?r\gh 7,d7 ( p>agraph 7#c7 %all s]ve = a
 t]m t is concurr5t ) ! memb]'s t]m z an
 (fic] )9 ! ,f$]al dep>tm5t or ag5cy4   
7,b7 ,o!r memb]s ,ea* memb] ( ! bo>d    
describ$ 9 p>agraph 7#c77;,e7 %all be   
appo9t$ = a t]m ( #c ye>s & may be      
reappo9t$ = a t]m ( an additional #b    
ye>s4  7#e7 ,*airp]son ,! ,secret>y (   
,heal? & ,human ,s]vices %all s]ve z    
,*air ( ! ,bo>d ( ,directors4  7d7      
,te*nical advisory committee  7#a7 ,9   
g5]al ,to assi/ ! ,*ief ,executive      
,(fic] & ,bo>d ( ,directors 9 c>ry+ out 
_! duties1 ! ,bo>d ( ,directors %all    

e/abli% a te*nical advisory committee4  
7#b7 ,memb]%ip ,! te*nical advisory     
committee %all be compris$ ( ! foll[+3  
7,a7 ,"o te*nical exp]t f ! ,c5t]s =    
,m$ic>e  ,m$icaid ,adm9i/ration4  7,b7  
,"o repres5tative ( ! heal? insurance   
indu/ry4  7,c7 ,"o repres5tative ( heal?
 c>e consum] gr\ps4  7,d7 ,"o           
repres5tative ( ! ,national ,association
 ( ,insurance ,commission]s4  7,e7 ,"o  
repres5tative ( ! ,/ate ,m$icaid        
ag5cies4  7,f7 ,"o repres5tative f !    
small bus9ess community4  7,g7 ,"o      
repres5tative ( ,f$]al in=mation        
te*nology contractors involv$ 9 !       
op]ation & developm5t ( heal?c>e4gov 7or
 any subsequ5t ,int]net site74  7,h7 ,at
 ! discretion ( ! ,*air ( ! ,bo>d (     
,directors1 up to #b additional memb]s1 
select$ by ! ,*air & approv$ by ! ,*ief 
,executive ,(fic]4  7#c7 ,*air ,! ,*air 
( ! ,bo>d ( ,directors %all appo9t "o   
memb] ( ! te*nical advisory committee to
 s]ve z ,*air ( su* committee4  7#d7    
,t]ms ,ea* memb] ( ! te*nical advisory  

committee %all be appo9t$ = a t]m ( #c  
ye>s & may be reappo9t$ = a t]m ( an    
additional #b ye>s4  7e7 ,"w plan &     
report  7#a7 ,"w plan ,n lat] ?an #c    
mon?s aft] ! date ( enactm5t ( ?is      
section1 ! ,*ief ,executive ,(fic]1 9   
coop]ation ) ! ,bo>d ( ,directors1 %all 
develop a "w plan ) respect to duties   
describ$ 9 subsection 7c77#b71 indicat+ 
! priority & s*$ule ! ,bo>d ( ,directors
 w take 9 address+ su* duties4 ,! "w    
plan %all be display$ on heal?c>e4gov   
7or any subsequ5t ,int]net site74  7#b7 
,annual report ,n lat] ?an ,febru>y #a (
 ea* ye>1 ! ,*ief ,executive ,(fic]1 9  
consultation ) ! ,bo>d ( ,directors1    
%all submit an annual report to !       
,presid5t & ,congress on ! /atus ( !    
,f$]al ,ex*ange & relat$ insurance      
ov]sight1 includ+ progress made on !    
duties ( ! ,*ief ,executive ,(fic] &    
,bo>d ( ,directors "u subsection 7c77#b7
 & rema9+ issues to be address$ to      
enhance ! functionality ( heal?c>e4gov  
7or any subsequ5t ,int]net site74  4