On June 11, the PA House voted 198-1 for House Bill 3 (Cutler-R-Lancaster; Dermody-D-Allegheny). State-Based Exchange & Reinsurance Act transits PA from a federally-facilitated marketplace (exchange) to a state-based exchange. Although continuing Affordable Care Act requirements on coverage, first-dollar preventive care, minimum benefits, etc., the state-based exchange would be run by Pennsylvania and not by healthcare.gov. This assumes that a waiver request under section 1332 of the Affordable Care Act is granted by the Center for Medicare Medicaid Services (CMS). The legislation is on a fast track for consideration of and passage by the PA Senate this June. HB 3 was referred to the Senate Banking & Insurance Committee who-who approved the measure. The Bill will likely be passed by the Senate this week.