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Bill - HR3200

This Document was obtained from The Library of Congress Thomas System as of July 14th, 2009

SEC. 206. OTHER FUNCTIONS.

[a] Coordination of Affordability Credits- The Commissioner shall coordinate the distribution of affordability premium and cost-sharing credits under subtitle C to QHBP offering entities offering Exchange-participating health benefits plans.

[b] Coordination of Risk Pooling- The Commissioner shall establish a mechanism whereby there is an adjustment made of the premium amounts payable among QHBP offering entities offering Exchange-participating health benefits plans of premiums collected for such plans that takes into account [in a manner specified by the Commissioner] the differences in the risk characteristics of individuals and employers enrolled under the different Exchange-participating health benefits plans offered by such entities so as to minimize the impact of adverse selection of enrollees among the plans offered by such entities.

[c] Special Inspector General for the Health Insurance Exchange-

[1] ESTABLISHMENT; APPOINTMENT- There is hereby established the Office of the Special Inspector General for the Health Insurance Exchange, to be headed by a Special Inspector General for the Health Insurance Exchange [in this subsection referred to as the 'Special Inspector General'] to be appointed by the President, by and with the advice and consent of the Senate. The nomination of an individual as Special Inspector General shall be made as soon as practicable after the establishment of the program under this subtitle.

[2] DUTIES- The Special Inspector General shall--

[A] conduct, supervise, and coordinate audits, evaluations and investigations of the Health Insurance Exchange to protect the integrity of the Health Insurance Exchange, as well as the health and welfare of participants in the Exchange;

[B] report both to the Commissioner and to the Congress regarding program and management problems and recommendations to correct them;

[C] have other duties [described in paragraphs [2] and [3] of section 121 of division A of Public Law 110-343] in relation to the duties described in the previous subparagraphs; and

[D] have the authorities provided in section 6 of the Inspector General Act of 1978 in carrying out duties under this paragraph.

[3] APPLICATION OF OTHER SPECIAL INSPECTOR GENERAL PROVISIONS- The provisions of subsections [b] [other than paragraphs [1] and [3]], [d] [other than paragraph [1]], and [e] of section 121 of division A of the Emergency Economic Stabilization Act of 2009 [Public Law 110-343] shall apply to the Special Inspector General under this subsection in the same manner as such provisions apply to the Special Inspector General under such section.

[4] REPORTS- Not later than one year after the confirmation of the Special Inspector General, and annually thereafter, the Special Inspector General shall submit to the appropriate committees of Congress a report summarizing the activities of the Special Inspector General during the one year period ending on the date such report is submitted.

[5] TERMINATION- The Office of the Special Inspector General shall terminate five years after the date of the enactment of this Act.

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