Amended by section 10104 of the Manager’s Amendment. Directs HHS to establish the Consumer Operated and Oriented Plan (CO-OP) program under which qualified nonprofit health insurance issuers – subject to specified criteria, excluding organizations that were health insurance issuers on July 16, 2009 – will offer Qualified Health Plans in the individual and small group markets.
Provides for HHS to furnish loans for start-up costs and grants for assistance in meeting state solvency requirements and specifies several conditions for the awarding of loans and grants. Stipulates that loans and grants are to be awarded not later than July 1, 2013, before which HHS is to issue regulations regarding repayment, generally within 5 years for loans and 15 years for grants, in a manner that is consistent with State solvency regulations and other similar applicable State law.
Creates a tax exemption for qualified nonprofit health insurance issuers under Section 501(c) of the Internal Revenue Code. Appropriates $6B for HHS to carry out this section. Requires the GAO to conduct an ongoing study on competition and market concentration in the health insurance market that includes an analysis of new issuers.