NASI-Designing an Exchange: A Toolkit for State Policymakers

The NASI toolkit offers options in these key areas:

• Exchange governance
• Establishment of a Small Business Health Options Program (SHOP) for small employers
• Eligibility determination and enrollment, certification of qualified health plans, and coordination with Medicaid and the Children’s Health Insurance Program

The toolkit also provides a section-by-section guide that documents NASI’s additions to the National Association of Insurance Commissioners (NAIC) language and a narrative discussion of the concerns that motivated the alternatives presented.