Relating to: a state-based insurance exchange and making an appropriation. (FE)

This bill establishes a state-based health insurance exchange and provides funding for its operation. It requires the state insurance commissioner to set up an exchange that joins the federal platform by 2029 and transitions to a fully state-run system by 2030. The legislation creates a new fee structure where insurers using the exchange pay a 0.5 percent charge on premiums during the federal platform phase, with different rates applying after the transition. Additionally, it sets rules for how unspent funds from the exchange program must be handled at the end of each fiscal year.