Commissioner of Insurance; require to establish a state health insurance exchange.

HB 605 requires Mississippi's Commissioner of Insurance to establish a state-run health insurance exchange by 2026. This exchange would allow residents to compare and purchase health insurance plans through an online portal, using funds from a new "Mississippi Health Insurance State Exchange Trust Fund" (financed by up to 3.5% of insurer fees). The bill directs the transfer of existing risk pool association funds to this trust by June 2026 and authorizes the Commissioner to use the current risk pool association's resources to operate the exchange. It directly affects Mississippi residents seeking health insurance, insurers selling plans through the exchange, and the state's existing risk pool association.