WASHINGTON BUREAU — Susan Voss, president of the National Association of Insurance Commissioners (NAIC), says it is the duty of state regulators to move forward with implementation of the Patient Protection and Affordable Care Act (PPACA), regardless of their political views.

Voss made that statement here this weekend at the spring meeting of the National Conference of Insurance Legislators (NCOIL), Troy, N.Y.

State regulators are waiting for a great deal of information from the U.S. USADepartment of Health and Human Services (HHS) as they proceed with implementation, and HHS will be looking over the proposed regulations states promulgate to implement PPACA, Voss said.

States are now developing guidance to implement the Navigator provision of PPACA, Voss said.

If PPACA takes effect as written, the Navigator provision will create an advisory system to help consumers and small employers use the health insurance subsidy tax credits and the health insurance exchange distribution programs that will be created by PPACA in 2014.

State regulators also are working on insurance exchange system, the PPACA employee choice provision, and strategies for preventing adverse selection, Voss said.

PPACA could be reversed by the

courts or repealed by Congress, Voss said.

Some states have prepared by adopting PPACA “wind down” provisions that will take effect if PPACA or parts of PPACA are found to be unconstitutional, Voss said.

Also at the NCOIL meeting, Voss said state regulators are watching the efforts of the new Financial Stability Oversight Council to deal with insurance regulation “very closely.”

But, because of the confidentiality rules the FSOC is using, the new council “is a black hole right now,” Voss said.

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