• Having states tailor the health plan choices for their exchange by running plan management functions including the collection and analysis of plan information, plan monitoring and oversight and data collection and analysis. Under this option, HHS would coordinate with the state regarding plan oversight — such as consumer complaints and enrollment — and help to ensure that exchanges meet all of the required standards;
• Having states assist consumers' access to exchange plans by overseeing in-person consumer assistance, managing the Navigator program that will help provide direct assistance to help people sign up for insurance and conducting outreach and education. HHS would run more centralized consumer assistance functions such as call center operations, the consumer website and written correspondence with consumers; or
• Having states run both the plan management and consumer assistance functions.
States and other stakeholders have until Sept. 28 to comment on the proposal.