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Review of Affordable Care Act Establishment Grants for State Marketplaces

The Patient Protection and Affordable Care Act authorized Establishment Grants to States that elected to establish their own marketplaces. We will determine whether seven States complied with Federal requirements related to the development and implementation of a State marketplace in accordance with the terms and conditions of Federal cooperative agreements. For some of the reviews, we will assess whether Federal funds were used as intended and whether the State agencies' procurement process and internal controls for monitoring and oversight were effective. We will also review policies and procedures issued by Centers for Medicare & Medicaid Services to State agencies relating to Establishment Grants for marketplaces.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
Completed (partial) Centers for Medicare & Medicaid Services Review of Affordable Care Act Establishment Grants for State Marketplaces Office of Audit Services A-07-16-02804; W-00-16-59034 2018