General Guidance on Federally-Facilitated Exchanges

This document outlines the Department of Health and Human Services’ (HHS) approach to implementing a Federally-facilitated Exchange (FFE) in any State where a State-based Exchange is not operating. This report also provides general guidance on how states can partner with HHS to implement selected functions in an FFE, key policies organized by Exchange function, and how HHS will consult with a variety of stakeholders to implement an FFE.