The Congressional Budget Office (CBO) has taken another look at how federal health insurance subsidies might perform in a health exchange environment, and the National Association of Insurance Commissioners (NAIC) has updated an exchange governance draft.

Provisions in the Patient Protection and Affordable Care Act (PPACA) are supposed to create a new system of health insurance exchanges in 2014. Individuals are supposed to be able to use a new tax credit subsidy system to buy coverage through the exchanges.

PPACA opponents are trying to block implementation of part or all of the act, but members of Congress asked the CBO to look at how changes in the federal exchange subsidies might compare with the overall Consumer Price Index if the exchange and subsidy provisions take effect as written and work as expected.

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Allison Bell

Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.