WI SB1100

Office of the Commissioner of Insurance (OCI) must establish a state-based health insurance exchange by plan year 2029 using the federal HealthCare.gov platform, then transition to a fully state-run exchange by plan year 2030

Wisconsin currently uses the federally facilitated exchange; this shifts control to the state while maintaining ACA compliance

User fees on insurers offering plans through the exchange: 0.5% of total monthly premiums while using the federal platform, matching the federal rate (currently 1.5%) for the first two years of the fully state-run exchange, then set by OCI rule thereafter

OCI is authorized to enter agreements with the federal government as needed to implement the exchange

User fee revenue is appropriated to OCI's general program operations account, with unencumbered balances exceeding 10% of annual expenditures lapsing to the general fund