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Health Exchange Alert Weekly Report - 03/20/2019

CMS Zeroes Exchange Budget, Proposes User Fees For All Operations

March 18, 2019
CMS’ fiscal 2020 budget includes no funding authority for exchange operations, but does request a legislative proposal that would allow the agency to use exchange “user fees” collected from issuers participating in exchanges that use the federal platform for all exchange-related operations. The agency expects to collect about $1.8 billion in user fees in 2020, according to CMS’ budget justification released Monday (March 18). “Currently, activities that CMS conducts on behalf of all Exchanges are not eligible to be paid...


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