mr. kissel? >> a little over $8.5 million. >> thank you. mr. lee? >> our current fiscal year total budget is about $330 million. segregating which part of that is operational versus establishment, i don't have off the top of my head. >> mr. watley, would you know? >> our total operation -- total budget for the year is $28 million and roughly $18 million of that is dedicated to operational costs. >> so with all this, and i would appreciate this committee would appreciate if we got more detail audited information in terms of what your costs are for establishment and operational, i'm curious, has any of your states worked out what it's cost per enrollee, what you've done in terms of operation and establishment? mr. allen, do you know? >> yes. our exchange is funded entirely through an assessment on -- >> i mean in terms of how many enrollees does your state have now? >> oh, right now we have about 107,000. >> 107,000. and how much have you spent so far for operational and establishment expenses state and federal money? >> are you referring to since the

mr. kissel, what's been the -- excuse me, mr. gutierrez, what's been the impact on premiums in your state from the assessmen assessments? >> if i made a statement on that, i think i would be speaking without firsthand knowledge so i'd like to respond to that more fully in writing. >> that's fine. ms. o'toole? >> thank you, congressman. last year we saw rate increases on average of about 4%. our department of commerce in minnesota reviews that so we don't -- that's an independent review process aside from our organization. they have not released rates for this year. that happens later this week. >> okay. would you advise after that happens? >> i'm happy to do so. >> thank you. given the short amount of time i don't have time for another question so i yield back the balance of my time. >> gentleman yields back. >> thank you, mr. chairman, for calling this hearing on this substantial reductions in the rate of uninsured americans under the affordable care act and thank you to all the witnesses here today and what you're doing for fam

mr. kissell, i guess i have a question for both of you. do you know whether cms posteripermits transitional cost dollars? and if you could tell me what transitional cost dollars are. >> i don't know the answer to that. we would have to get that directly to the commissioner. >> i have a check on it status, i believe it has been approved. these are for the enrollment of

mr. kissel? >> not to my knowledge, but the governor has very courageously taken on the burden of this exchange by embedding it in all of the departments. >> mr. gutierrez? >> not under the current administration. >> got it. ms. o'toole? >> thank you, congressman. i have no information about that. >> i think mr. allen knows potentially the answer to this question in oregon. >> well, congressman, i was not directly involved in the management or operation of the exchange at that point and have no direct experience with that kind of involvement. >> all right. good answer on your part. however, i want to introduce into the record, mr. chairman, a series of newspaper articles that were acquired that investigative reporting that was done that clearly indicate that our governor at the time used his outside political campaign staff to manage and coordinate the messaging on cover oregon and may be worse than that based on e-mails that have been made available from foya. i just think it's important for the

mr. kissel? >> that's a guess, but there's a detailed self reporting and certification and auditing, but it relies on our records. so they don't go to the next love and look at our contractors records to be sure that what we say has actually been done. >> mr. leahy? >> yes, there is reduce both by cms as well as by state level of our spending. >> mr. wadley? >> same thing. >> ms. capps, you're recognized for five minutes. >> turn one. states created and run their own state based market places are testing new models for enrollment come insurance market oversight and consumer protection. serving as hubs of innovation. the work being done can serve as a model for other states and the federal government as the ac continues to be implemented. mr. lilly, telephone has been a leader in the quote active purchaser model. can you explain what this is and how does this help california, cover california usher access? >> thank you very much, and thankfully leadership. three things that underscore by being an

mr. kissel. mr. lee, did your exchange have problems? >> absolutely not.our model student, mr. wadleigh. if you want to talk about what access health connecticut, very briefly, what problems you saw and what you've done to move through those. i think that would be very instructive for us. >> thank you for the question. so i think, as we've looked at the challenges from the onset of this very large project, which really, it was. we saw some of the challenges being time wise. we saw some of the challenges being management of scope. could we deliver everything that we needed to deliver for me in a ten-month period? no, the answer was we couldn't. so we went back to the drawing board a number of times to review everything that we needed to implement for the october 1st, 2013 time frame and deferred functionality out to later months for us that we knew that would not impact our customers. and ultimately that came back around as some of our key decisions that we made, unbeknownst to us, that's really -- >> and are you continuing to try to refine and improve the

mr. jeff kissel. the director of the hawaii health. >> you are recognized for five minutes. >> thank you. good morning. honorable members of the oversight and investigation subcommittee. it's a pleasure to come before you to report on the activities of the exchange, but before doing so, i'd like to explain the health care environment in hawaii to help you understand the context of my remarks. yes, hawaii has among the lowest insurance rates in the nation. this is, however, because of the passage of the hawaii prepaid health care act of 1974. at that point, the state undertook as a matter of policy the responsibility for providing access to health care and wellness resources for virtually every employed resident of our state. over the past half century, both democratic and republican administrations in hawaii have not only supported the provisions of the act, they've developed substantial resources and focussed on leading the insurance and health care industry to actually delivering these services to a