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

This bill establishes a state-based health insurance exchange that will operate on the federal platform by 2029 and transition to a standalone state-run exchange by 2030. It authorizes the state insurance commissioner to collect user fees from insurers offering plans through the exchange, starting at 0.5 percent of monthly premiums for the federal platform phase and adjusting rates for the standalone phase. The legislation also creates a specific appropriation account for exchange operations, with any unspent funds exceeding 10 percent of annual expenditures returning to the state's general fund at the end of each fiscal year.