This Funding Opportunity Announcement (FOA) provides States, the District of Columbia, and consortia of States with financial assistance for the establishment of State-operated health insurance Exchanges (Exchanges).

States may choose whether to apply for Level One Establishment or Level Two Establishment

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based on their progress.

States can also choose at what point to apply for grant funding based on their own needs and planned expenditures.

Throughout this announcement, States, the District of Columbia, and consortia of States will all be referred to as ?State(s).? If there are any activities that are distinct for the District of Columbia or consortia, these will be identified separately.

This cooperative agreement funding opportunity is designed to give States multiple opportunities to apply for funding as they progress through Exchange establishment, which helps support their progress toward the establishment of an Exchange.

States may initially apply in this announcement for either Level One or Level Two Establishment grants.

Level One Establishment grantees may reapply for another year of funding in the Level One Establishment category.

Level One Establishment grantees may apply for Level Two Establishment awards once sufficient progress has been made in the initial Level One Establishment project period and they are able to satisfy the eligibility criteria for Level Two Establishment defined in Section III.

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