Updated: 10/21/2010 
Browse a list of Health Care Reform grants awarded to the state by the federal government

Level Two Establishment Grant

Status: Awarded
Application Submitted: November 2012
Grant Awarded: January 2013
Category: Exchanges
Affordable Care Act Section: 1311
Grant Amount: $182,707,738
Agency Who Applied: Other

Thursday, January 17, 2013


The Affordable Care Act creates new competitive private health insurance markets called Exchanges providing access to affordable insurance coverage for individuals and small businesses. Exchanges will help individuals and small employers shop for, select and enroll in high-quality, affordable health plans that specifically meet their needs. Exchanges will also determine eligibility for premium tax credits and cost sharing reductions. In accordance with the law, Exchanges must be certified by Jan. 1, 2013, fully operational by Jan. 1, 2014 and self- sustaining after Jan. 1, 2015.


On November 15, 2012, the Office of the Kentucky Health Benefit Exchange submitted a Level Two Establishment grant to achieve the activities necessary to meet certification requirements, delivery of coverage to participants by January 1, 2014, and self-sustainability by January 2015. Level Two Establishment grants provide funding for up to three years after the date of award. Additionally, states must demonstrate legal authority to operate an Exchange, establish a governance structure and submit an initial plan for long-term operational costs.

Kentucky's Grant Application

Kentucky's Budget Narrative