The purpose of this report is to develop a Virginia specific proposal for a Facilitated Enrollment Program, to promote and maximize access to comprehensive health insurance coverage for all Virginians.

Pursuant to SB 732/HB 1428, The Virginia Health Benefit Exchange, Enactment Clause number three, the General Assembly directed,

That the Secretary of Health and Human Resources shall convene a work group that includes representatives from the State Corporation Commission, the Department of Medical Assistance Services, the Department of Social Services, and the Department of Taxation and a consumer advocate with expertise in health program eligibility and enrollment to develop systems, policies, and practices to leverage state income tax returns to facilitate the enrollment of eligible individuals in insurance affordability programs through the Virginia Health Benefit Exchange established by this act. The Secretary shall report the work group's recommendations to the Governor and the General Assembly by September 15, 2020.

The charge of the Work Group was technical in nature to develop an operational proposal. As such, the Work Group was comprised of the following state agencies and organizations:

• Virginia State Corporation Commission, Health Benefit Exchange, and the Bureau of Insurance (SCC, HBE, BOI)

• Department of Medical Assistance Services (DMAS)

• Department of Tax (TAX)

• Department of Social Services (DSS)

• Enroll Virginia

• The Commonwealth Institute

The Work Group first met on September 24, 2020 with four meetings between then and October 22, 2020. A group work plan to guide the discussion was provided to the group and feedback was sought to inform the plan. The resulting report explains the plan in detail.

Work Group members from each agency provided input to develop a legislative proposal for General Assembly consideration that would be necessary in order to operationalize the plan for Facilitated Enrollment. DMAS, TAX, and DSS each submitted budget requests to the Department of Planning and Budget for funding that is needed in order to implement the suggested legislation. These items were included in the Governor’s 2021 introduced budget.