Concerning the health plan certification process.

Changed references from 'following plan year' to 'upcoming plan year' in the sections regarding market condition reviews and the development of certification criteria.

Updated the certification timeline to apply to plan year 2028 and later, removing the separate procedural clause for 2027.

Strengthened the prohibition on actuarially unsound premiums to explicitly include conflicts with rate review, network adequacy, solvency, and federal/state laws.

Expanded the required annual report to include specific data points by county, such as total enrollment, subsidized/unsubsidized enrollment, weighted average rates, and enrollment without coverage gaps.

Broadened the intervention requirement for counties with limited competition to include those with zero carriers and added 'health care referral region' to the list of stakeholders.

Added a provision allowing the exchange to reference existing reports from other agencies as an alternative to replicating data in the annual submission.

Removed the specific deadline for submitting preliminary criteria to the commissioner and governor (December 15th) and the specific objection deadline (January 15th) from the main text, likely due to the restructuring of the timeline.