Page:United States Statutes at Large Volume 124.djvu/202

124 STAT. 176 PUBLIC LAW 111–148—MAR. 23, 2010 (d) REQUIREMENTS.— (1) IN GENERAL.—An Exchange shall be a governmental agency or nonprofit entity that is established by a State. (2) OFFERING OF COVERAGE.— (A) IN GENERAL.—An Exchange shall make available qualified health plans to qualified individuals and qualified employers. (B) LIMITATION.— (i) IN GENERAL.—An Exchange may not make available any health plan that is not a qualified health plan. (ii) OFFERING OF STAND-ALONE DENTAL BENEFITS.— Each Exchange within a State shall allow an issuer of a plan that only provides limited scope dental bene- fits meeting the requirements of section 9832(c)(2)(A) of the Internal Revenue Code of 1986 to offer the plan through the Exchange (either separately or in conjunction with a qualified health plan) if the plan provides pediatric dental benefits meeting the require- ments of section 1302(b)(1)(J)). (3) RULES RELATING TO ADDITIONAL REQUIRED BENEFITS.— (A) IN GENERAL.—Except as provided in subparagraph (B), an Exchange may make available a qualified health plan notwithstanding any provision of law that may require benefits other than the essential health benefits specified under section 1302(b). (B) STATES MAY REQUIRE ADDITIONAL BENEFITS.— (i) IN GENERAL.—Subject to the requirements of clause (ii), a State may require that a qualified health plan offered in such State offer benefits in addition to the essential health benefits specified under section 1302(b). (ii) STATE MUST ASSUME COST.—A State shall make payments to or on behalf of an individual eligible for the premium tax credit under section 36B of the Internal Revenue Code of 1986 and any cost-sharing reduction under section 1402 to defray the cost to the individual of any additional benefits described in clause (i) which are not eligible for such credit or reduction under section 36B(b)(3)(D) of such Code and section 1402(c)(4). (4) FUNCTIONS.—An Exchange shall, at a minimum— (A) implement procedures for the certification, recertifi- cation, and decertification, consistent with guidelines devel- oped by the Secretary under subsection (c), of health plans as qualified health plans; (B) provide for the operation of a toll-free telephone hotline to respond to requests for assistance; (C) maintain an Internet website through which enrollees and prospective enrollees of qualified health plans may obtain standardized comparative information on such plans; (D) assign a rating to each qualified health plan offered through such Exchange in accordance with the criteria developed by the Secretary under subsection (c)(3); (E) utilize a standardized format for presenting health benefits plan options in the Exchange, including the use Web site. Hotline. Procedures. Payments.