DOI Bruce Rauner Governor Anne Melissa Dowling, Acting Director

Health Insurance Exchanges

An important component of Health Care Reform is the availability of a health insurance exchange. An exchange is a transparent, centralized marketplace that will offer a choice of affordable, high-quality health insurance plans to individuals and small businesses. Plan enrollments are to begin October 1, 2013 with a coverage effective date of January 1, 2014.

Illinois Health Care Reform Implementation Council

The Illinois Healthcare Reform Implementation Council issued its report to Governor Quinn on March 1, 2011. The Council, comprised of directors of state agencies and departments responsible for implementing the Affordable Care Act (ACA), received input from consumers, providers, legislators and organizations throughout Illinois on how best to implement the ACA for the benefit of Illinois residents. Among the key recommendations is the establishment of a health insurance exchange for Illinois.

Illinois Health Benefits Exchange Law

On July 14, 2011, Governor Quinn signed Public Act 97-0142, the Illinois Health Benefits Exchange Law PDF. This legislation, effective immediately, enables Illinois to establish its own health insurance exchange for individuals and businesses with 50 or fewer employees.

An Amendment to the Illinois Health Benefits Exchange Law was introduced during the Illinois General Assembly veto session on October 26, 2011. The Amendment to SB1313 includes provisions on specific aspects of the structure, function and financing of the Exchange.

The Amendment has been referred to the House Insurance Committee. The next meeting of the Committee is scheduled for November 8, 2011 at 2 pm.

Illinois Health Benefits Legislative Study Committee

The recently enacted Illinois Health Benefits Exchange Law (Public Act 97-0142) called for the creation of a 12-member Legislative Study Committee to issue a report to the General Assembly and the Governor on establishment of the Illinois Health Benefits Exchange. The final report PDF of its findings was forwarded to Governor Quinn and the leadership of the General Assembly on October 18, 2011.

For a list of committee members, meeting notices and agendas for future meetings, as well as ongoing developments, visit the Illinois Health Insurance Exchange Legislative Study Committee.

Federal Regulations and Guidance

Proposed Rules

Final Rules

Federal Exchange Planning and Establishment Grants

Illinois has been awarded the following grants by HHS to assist in planning and implementing the health insurance exchange in Illinois.

Reports Funded through Federal Grants

Background Resources

Other State Exchange Legislation