The National Association of Insurance Commissioners plans to start a 2-day meeting on health system change implementation July 22 in Washington.

The interim health system change meeting will include sessions on fraud fraud and consumer information, and it also include 6.5 hours of sessions on efforts to set up the new health insurance distribution exchanges.

The new Affordable Care Act, the legislative package that includes the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act, calls for states to create the exchanges, to help individuals and small groups get information about health coverage products, and to provide subsidies.

Topics to be discussed during the exchange sessions at the NAIC meeting include the functions of the exchanges, key design issues, state flexibility, and lessons learned from exchange efforts in Utah and Massachusetts.