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GAO Report: Status of Federal and State Efforts to Establish ACA Health Insurance Exchanges for Small Businesses
U.S. Government Accountability Office [GAO] Link to more items from this source
June 19, 2013
37 pages. "Much progress has been made, but much remains to be accomplished by CMS and states within a relatively short amount of time. CMS's timelines for the remaining key activities provide a roadmap for completion; however, factors such as the still-evolving scope of CMS's required activities in each state and the many activities yet to be completed -- some close to the start of enrollment -- could suggest the potential for future challenges. And while missed interim deadlines may not affect implementation, additional missed deadlines could do so. CMS said it is working on strategies in each state to address contingencies. Whether CMS's contingency planning will assure the timely and smooth implementation of the exchanges by October 2013 cannot yet be determined." [GAO-13-614, Jun. 19, 2013]

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