Senate Bill 1100 aims to establish and operate a state-based health insurance exchange in Wisconsin, transitioning from the current federally facilitated exchange. The bill directs the Office of the Commissioner of Insurance (OCI) to first utilize the federal platform for the exchange and then move towards a fully state-run exchange by 2030. It also allows OCI to enter into agreements with the federal government to facilitate this transition. Additionally, the bill introduces a user fee structure for insurers offering plans through the exchange, with specific rates set for different phases of operation.

The bill amends existing statutes to include provisions for the operation of the state-based exchange, specifically under section 601.59, which outlines definitions, establishment, operation, and user fee requirements. Notably, it modifies section 20.145 (1) (g) to include the operation of the state-based exchange and creates a new subsection to account for funds received under the new exchange. The user fees will be set at 0.5 percent for the initial phase using the federal platform and will align with federally specified rates for the first two years of the fully state-run exchange, with subsequent rates determined by OCI.

Statutes affected:
Bill Text: 20.145(1)(g)(intro.), 20.145