The Government Accountability Office will examine the role of the Centers for Medicare and Medicaid Services in helping state health insurance exchanges transition from state-based information systems to the federal program. The House Energy and Commerce Committee requested the study.

The Affordable Care Act authorized CMS to provide federal grants to states for planning and establishing their own health insurance marketplaces, including websites and related IT systems. However, with about $5.5 billion in Obamacare grants already awarded to states, Republican leaders of the committee are concerned whether states will be able to financially sustain their marketplace IT systems, putting further taxpayer dollars at risk.

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