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The Multi-State Plan Program
To spur competition among plans, the ACA created the Multi-state Plan Program (MSPP). The Office of Personnel Management (OPM), which administers health insurance programs for federal employees and members of Congress, will certify and oversee health insurance issuers to offer at least two plans in every state exchange. This policy brief explores the background of the MSPP, the challenges facing OPM in administering it, and the issues associated with offering health insurance plans in multiple states.