Establishing a state health insurance marketplace study committee

This bill requires the department of health and human services (department) to establish a study committee to evaluate the feasibility of a state-based health insurance marketplace. The department shall conduct a survey of each state that has adopted a state-based health insurance marketplace that operates either on a separate platform from the federal health insurance marketplace, or on the same platform as the federal health insurance marketplace. The bill requires the department to submit a report to the general assembly with the committee’s findings and recommendations by January 1, 2025. The report shall include an analysis of the impact of each surveyed state’s state-based exchanges on the cost of health insurance premiums; an analysis of the quality of health plan coverage in each surveyed state; a description of any state-based premium tax credits that a surveyed state has implemented to subsidize the cost of health plan premiums; an assessment of the opportunities and challenges the state of Iowa may face in implementing a state health insurance marketplace; and an assessment of the cost to the state and the potential reduction in cost to the state, of implementing a state health insurance marketplace outside of the federal platform in Iowa.