State flexibility in operation and enforcement of Exchanges and related requirements
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(a) Establishment of standards
(1) In generalThe Secretary shall, as soon as practicable after March 23, 2010, issue regulations setting standards for meeting the requirements under this title,[1] and the amendments made by this title, with respect to—
(A)
the establishment and operation of Exchanges (including SHOP Exchanges);
(B)
the offering of qualified health plans through such Exchanges;
(C)
the establishment of the reinsurance and risk adjustment programs under part E; and
(D)
such other requirements as the Secretary determines appropriate.
The preceding sentence shall not apply to standards for requirements under subtitles A and C (and the amendments made by such subtitles) for which the Secretary issues regulations under the Public Health Service Act [42 U.S.C. 201 et seq.].