This cooperative agreement Funding Opportunity Announcement is intended to assist Territories with initial implementation activities related to the health insurance Exchanges (?Exchanges?).

?Territories? means American Samoa, Guam, Northern Mariana Islands, Puerto Rico and the United States Virgin

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This announcement provides funding to Territories that comply with Section 1323(a)(1) and 1323 (b) of the Affordable Care Act (P.L.

111-148) by (1) electing to establish an Exchange and (2) establishing an Exchange in accordance with part 2 of Subtitle D of Title I of the Affordable Care Act.

The Affordable Care Act provides that, consistent with Sections 1323 and 1311(b) of the Affordable Care Act, each Territory may elect to establish an Exchange that:
1) facilitates the purchase of qualified health plans (QHP); 2) provides for the establishment of a Small Business Health Options Program (?SHOP Exchange?) designed to assist qualified employers in facilitating the enrollment of their employees in QHPs offered in the SHOP exchange; and 3) meets other requirements specified in the Act.