Kaiser Foundation resources on health exchanges: On July 11, 2011, the Department of Health and Human Services released proposed federal rules governing health exchanges (ofr.gov/ofrupload/ofrdata/2011-17610_pi.pdf), a key element of health care reform. The Kaiser Family Foundation has gathered a number of resources on its Web site (www.kff.org), including a primer on health exchanges, an analysis of what deductibles might look like in the exchanges, a report describing the 24 million Americans who are expected to purchase insurance through exchanges, and an interactive map providing a status report for each state. As described in the Kaiser primer, these exchanges will create an online one-stop shopping mall where consumers can compare competing health insurance plans. Consumers who qualify for assistance will also use the exchanges to gain access to Medicaid or receive federal subsidies or tax credits to purchase insurance. Every state must establish an exchange by January 1, 2014, or default to a federal program. The proposed rules grant states more flexibility in designing and regulating the exchanges than some consumer advocates desired. Under the rules, the marketplaces must post information online about price and quality, offer specific standardized plans, and set an annual open enrollment period. However, states will not be required to negotiate with plans on price or benefit offerings, and insurers will be allowed to hold seats on exchange oversight boards, even though consumer groups opposed their doing so. Industry groups, consumer advocates, and others have 75 days to submit comments on the proposed rules (www.regulations.gov/#!home). Final rules are expected later this year.