text: SECTION 1. EXCHANGE OVERSIGHT.
  
      Subtitle D of title I of the Patient Protection and Affordable Care 
  Act (42 U.S.C. 18021 et seq.) is amended by adding at the end the 
  following:
  
                        ``PART 6--EXCHANGE OVERSIGHT
  
  ``SEC. 1351. BOARD OF DIRECTORS AND CEO.
  
      ``(a) In General.--There is established the Marketplace Health 
  Insurance Corporation headed by a Chief Executive Officer and directed 
  by a Board of Directors, to oversee management of the Federal Exchange 
  and State Exchanges, and to provide health insurance oversight.
      ``(b) CEO.--
              ``(1) In general.--The President shall appoint a Chief 
          Executive Officer, by and with the consent of the Senate, who 
          shall be responsible for administering the Federal Exchange, 
          for overseeing State Exchanges, and for health insurance 
          oversight.
              ``(2) Authorities and duties.--The Chief Executive Officer 
          shall--
                      ``(A) report directly to the President;
                      ``(B) be accountable for implementation of the 
                  Federal Exchange and oversight of the State Exchanges;
                      ``(C) be responsible for all Federal health 
                  insurance oversight; and
                      ``(D) serve the public interest of individuals 
                  seeking health insurance, serve businesses seeking 
                  access to health coverage through the Exchanges, and 
                  ensure the efficient operation and function of the 
                  Exchanges.
              ``(3) Requirement.--To be eligible for appointment as Chief 
          Executive Officer, an individual shall have a background in 
          health care issues and private-sector management experience.
      ``(c) Board of Directors.--
              ``(1) Establishment.--There is established a Board of 
          Directors of the Marketplace Health Insurance Corporation.
              ``(2) Duties.--The Board of Directors shall advise the 
          Chief Executive Officer on the operation of the Federal 
          Exchange, implementation of the State Exchanges, and health 
          insurance oversight, including--
                      ``(A) the functionality of healthcare.gov (or any 
                  subsequent Internet site), including SHOP exchanges;
                      ``(B) ensuring that enrollment information is 
                  properly transferred from healthcare.gov (or any 
                  subsequent Internet site) to State Medicaid agencies;
                      ``(C) accuracy of enrollee information submitted 
                  through the Exchanges;
                      ``(D) ensuring the accuracy of advanced premium tax 
                  credits;
                      ``(E) ensuring the accuracy of payment to insurers;
                      ``(F) enhancement of the consumer experience when 
                  comparing plans, including out-of-pocket costs, and 
                  searching for a specific provider or drug formulary;
                      ``(G) overseeing the selection of plans offered on 
                  the Federal Exchange, including sufficient network 
                  adequacy and transparency requirements;
                      ``(H) providing recommendations to the Secretary of 
                  the Treasury with respect to the implementation of 
                  section 4980H of the Internal Revenue Code of 1986 and 
                  potential policy changes with respect to such section 
                  and associated reporting requirements;
                      ``(I) creating an automated appeals system for 
                  healthcare.gov (or any subsequent Internet site);
                      ``(J) overseeing the transition from a State 
                  Exchange to the Federal Exchange;
                      ``(K) enabling online enrollment in health 
                  insurance plans through the Exchanges for small 
                  businesses and employee choice for employees of small 
                  businesses;
                      ``(L) overseeing the Federal contracting related to 
                  healthcare.gov (or any subsequent Internet site);
                      ``(M) providing recommendations to the Office of 
                  Personal Management on the oversight and administration 
                  of the multi-State plan program; and
                      ``(N) additional matters, as determined by the 
                  Secretary of Health and Human Services, the Chief 
                  Executive Officer, or President.
              ``(3) Membership.--The Board of Directors shall be 
          comprised of the following:
                      ``(A) The Secretary of Health and Human Services.
                      ``(B) The Administrator of the Centers for Medicare 
                  & Medicaid Services.
                      ``(C) The Commissioner of the Internal Revenue 
                  Service.
                      ``(D) The Administrator of the Small Business 
                  Administration.
                      ``(E) Three representatives of the private sector 
                  who have demonstrated knowledge in individual health 
                  care coverage, small employer health care coverage, 
                  administering a public or private health care delivery 
                  system, operating complex information system 
                  technologies, or promoting health and wellness, 
                  appointed by the Comptroller General of the United 
                  States.
              ``(4) Terms.--
                      ``(A) Officers of the federal government.--Each 
                  member of the Board of Directors described in 
                  subparagraphs (A) through (D) of paragraph (3) shall 
                  serve for a term that is concurrent with the member's 
                  term as an officer within the Federal department or 
                  agency.
                      ``(B) Other members.--Each member of the board 
                  described in paragraph (3)(E) shall be appointed for a 
                  term of 3 years and may be reappointed for a term of an 
                  additional 2 years.
              ``(5) Chairperson.--The Secretary of Health and Human 
          Services shall serve as Chair of the Board of Directors.
      ``(d) Technical Advisory Committee.--
              ``(1) In general.--To assist the Chief Executive Officer 
          and Board of Directors in carrying out their duties, the Board 
          of Directors shall establish a technical advisory committee.
              ``(2) Membership.--The technical advisory committee shall 
          be comprised of the following:
                      ``(A) One technical expert from the Centers for 
                  Medicare & Medicaid Administration.
                      ``(B) One representative of the health insurance 
                  industry.
                      ``(C) One representative of health care consumer 
                  groups.
                      ``(D) One representative of the National 
                  Association of Insurance Commissioners.
                      ``(E) One representative of the State Medicaid 
                  agencies.
                      ``(F) One representative from the small business 
                  community.
                      ``(G) One representative of Federal information 
                  technology contractors involved in the operation and 
                  development of healthcare.gov (or any subsequent 
                  Internet site).
                      ``(H) At the discretion of the Chair of the Board 
                  of Directors, up to 2 additional members, selected by 
                  the Chair and approved by the Chief Executive Officer.
              ``(3) Chair.--The Chair of the Board of Directors shall 
          appoint one member of the technical advisory committee to serve 
          as Chair of such committee.
              ``(4) Terms.--Each member of the technical advisory 
          committee shall be appointed for a term of 3 years and may be 
          reappointed for a term of an additional 2 years.
      ``(e) Work Plan and Report.--
              ``(1) Work plan.--Not later than 3 months after the date of 
          enactment of this section, the Chief Executive Officer, in 
          cooperation with the Board of Directors, shall develop a work 
          plan with respect to duties described in subsection (c)(2), 
          indicating the priority and schedule the Board of Directors 
          will take in addressing such duties. The work plan shall be 
          displayed on healthcare.gov (or any subsequent Internet site).
              ``(2) Annual report.--Not later than February 1 of each 
          year, the Chief Executive Officer, in consultation with the 
          Board of Directors, shall submit an annual report to the 
          President and Congress on the status of the Federal Exchange 
          and related insurance oversight, including progress made on the 
          duties of the Chief Executive Officer and Board of Directors 
          under subsection (c)(2) and remaining issues to be addressed to 
          enhance the functionality of healthcare.gov (or any subsequent 
          Internet site).''.
target: Amends the Patient Protection and Affordable Care Act to establish the Marketplace Health Insurance Corporation, with a Chief Executive Officer (CEO) and Board of Directors, to oversee health care exchanges and health insurance. Directs the President, with the consent of the Senate, to appoint as CEO an individual with a background in health care issues and private-sector management experience. Requires the Board of Directors to advise the CEO on issues including: (1) the functionality of healthcare.gov, (2) the selection of federal exchange health plans, (3) ensuring the accuracy of premium subsidies, and (4) the transition from a state exchange to the federal exchange. Requires the Board of Directors to establish a technical advisory committee to assist the Board of Directors and CEO in carrying out their duties.
feat_title: A bill to establish a board of directors and CEO to oversee the Federal Exchange and State Exchanges, and to provide health insurance oversight.