Letters
Administration officials issue letters requesting information, issuing guidance, announcing progress to date, and other implementation efforts.
Letters to Secretary Sebelius from the Governors on State-Based Exchanges
Note: Persons using assistive technology may not be able to fully access information in these files. For assistance, please email healthcareweb@hhs.gov.
- Letter from the Governor of California on State-Based Exchanges (PDF – 344 KB)
- Letter from the Governor of Colorado on State-Based Exchanges (PDF – 42 KB)
- Letter from the Governor of Connecticut on State-Based Exchanges (PDF – 244 KB)
- Letter from the Mayor of the District of Columbia on State-Based Exchanges (PDF – 946 KB)
- Letter from the Governor of Kentucky on State-Based Exchanges (PDF - 64KB)
- Letter from the Governor of Hawaii on State-Based Exchanges (PDF – 565 KB)
- Letter from the Governor of Massachusetts on State-Based Exchanges (PDF – 950 KB)
- Letter from the Governor of Maryland on State-Based Exchanges (PDF – 53 KB)
- Letter from the Governor of Minnesota on State-Based Exchanges (PDF – 2.5 MB)
- Letter from the Governor of New York on State-Based Exchanges (PDF – 52 KB)
- Letter from the Governor of Oregon on State-Based Exchanges (PDF – 530 KB)
- Letter from the Governor of Rhode Island on State-Based Exchanges (PDF – 435 KB)
- Letter from the Governor of Vermont on State-Based Exchanges (PDF – 71 KB)
- Letter from the Governor of Washington on State-Based Exchanges (PDF – 62 KB)
- Learn more about these new health insurance marketplaces and how they can help you.
Letters from 2010, 2011, and 2012 Related to the Implementation of the Affordable Care Act
- Letter to University Presidents and Student Associations Regarding Health Insurance for Young Adults (May 18, 2012)
- Letter from Secretary of Health and Human Services Kathleen Sebelius and Secretary of Education Arne Duncan to the Governors (PDF - 58 KB) (August 12, 2011)
- Letter from Secretary of Health and Human Services Kathleen Sebelius to State Officials (August 12, 2011)
- Letter from Secretary of Health and Human Services Kathleen Sebelius and Secretary of Education Arne Duncan to University Presidents Regarding Health Insurance for Young Adults (April 20, 2011)
- Letter from Secretary of Health and Human Services Kathleen Sebelius and Secretary of Education Arne Duncan to Student Body Presidents Regarding Health Insurance for Young Adults (April 20, 2011)
- Letter from the Center for Consumer Information and Insurance Oversight to Superintendent Kofman Regarding the State of Maine’s Request for Adjustment to Medical Loss Ratio Standard (PDF – 411 KB) (March 8, 2011)
- Letter from Departments of Health and Human Services, Labor, and Treasury to House Speaker John Boehner Regarding the Price of Repealing the Affordable Care Act (PDF – 462 KB) (January 5, 2011)
- Letter from HHS Secretary Kathleen Sebelius to Insurance Commissioners Regarding Notice of Proposed Rulemaking on Rate Review (PDF - 48 KB) (December 21, 2010)
- Letter from CalPERS to HHS Secretary Kathleen Sebelius Regarding the Affordable Care Act Implementation (PDF – 94 KB) (December 10, 2010) Persons using assistive technology may not be able to fully access information in this file. For assistance, please email healthcareweb@hhs.gov.
- Letter from HHS Secretary Kathleen Sebelius to Consumer Groups Regarding Supplemental Guidance on Consumer Notices and Sale of New Business (PDF – 162 KB) (December 9, 2010) Persons using assistive technology may not be able to fully access information in this file. For assistance, please email healthcareweb@hhs.gov.
- Cover memo to States from HHS Secretary Kathleen Sebelius on Exchange Guidance (PDF – 148 KB) (November 18, 2010) Persons using assistive technology may not be able to fully access information in this file. For assistance, please email healthcareweb@hhs.gov.
- Cover Memo to States from OCIIO and CMS on IT for Exchanges and Medicaid (PDF – 203 KB) (November 3, 2010)
- Letter from Chairman Carter II to Secretary Sebelius Regarding How the IBEW Health & Welfare Trust Fund Supports ERRP (PDF – 28 KB) (September 30, 2010) Persons using assistive technology may not be able to fully access information in this file. For assistance, please email healthcareweb@hhs.gov.
- Letter from CEO Nancy Brown to Secretary Sebelius Regarding the American Heart Association’s Support for ERRP (PDF – 70 KB) (September 30, 2010)
- Letter from Mayor Cownie to Secretary Sebelius Regarding Des Moines, Iowa’s Support for ERRP (PDF – 189 KB)(September 30, 2010).
- Letter from Mayor Cashell Sr. to Secretary Sebelius Regarding Reno, Nevada's Support for ERRP (PDF – 249 KB) (September 30, 2010)
- Letter from Mary Miller, Ass. Director of Human Resources, to Secretary Sebelius Regarding Olathe, Kansas’s Support for ERRP (PDF – 22 KB) (September 30, 2010)
- Letter from Secretary Sebelius to Member of Congress Regarding the Six Month Anniversary of the Affordable Care Act (September 23, 2010)
- Letter from Secretary Sebelius to the Honorable Joseph R. Biden, Jr., Submitting the Interagency Access to Health Care in Alaska Task Force Report (September 17, 2010)
- Letter from HHS Secretary Sebelius and Treasury Secretary Timothy Geithner to Sen. Harry Reid Regarding Senate Amendments 4595 and 4596 (PDF – 221 KB) (September 13, 2010) Persons using assistive technology may not be able to fully access information in this file. For assistance, please email healthcareweb@hhs.gov.
- Letter from Secretary Sebelius to Governors, Celebrating the 20th Anniversary of the Americans with Disabilities Act (July 26, 2010)
- Rate Review letter from Secretary Sebelius to Governors and State Insurance Commissioners (PDF - 23 KB) (June 7, 2010)
- Letter from Secretary Sebelius to Hill Leadership outlining HHS’s Progress on Implementation Efforts (May 24, 2010)
- State High Risk Pool cover letter from Jay Angoff, Director of the Office of Consumer Information and Oversight (PDF - 24 KB) (May 10, 2010)
- Letter from Secretary Sebelius to NAIC urging the association to provide guidance by June 1 to allow for timely implementation of the law (April 12, 2010)