FL S1498

Establishes the Florida Health Access Marketplace as a state-based health insurance exchange under the Affordable Care Act, contingent on a U.S. Supreme Court ruling in King v. Burwell that limits tax credits to state-based exchanges only.

Creates the Small Business Health Options Program (SHOP) to help small employers (100 or fewer employees) facilitate employee enrollment in qualified health plans and dental benefit plans.

Requires the Agency for Health Care Administration to certify health benefit plans meeting federal standards and establish procedures for plan recertification and decertification, with authority to contract with eligible entities for marketplace functions.

Mandates marketplace responsibilities including operating a toll-free hotline, maintaining a public website with plan comparisons, establishing enrollment periods, determining eligibility for tax credits and cost-sharing reductions, and providing annual reports to state officials beginning January 1, 2018.

Prohibits the marketplace from excluding plans based on fee-for-service structure or imposing premium price controls, and requires qualified health plans to be available at bronze, silver, gold, and platinum coverage levels across all state regions by January 1, 2017.