Title I, SEC. 1203. STATE RESPONSIBILITIES RELATING TO HEALTH PLANS. (a) Criteria for Certification. (1) In general. For purposes of this section, a participating State shall establish and publish the criteria that are used in the certification of health plans under this section. (2) Requirements. Such criteria shall be established with respect to (A) the quality of the plan, (B) the financial stability of the plan, (C) the plan's capacity to deliver the comprehensive benefit package in the designated service area, (D) other applicable requirements for health plans under parts 1, 3, and 4 of subtitle E, and (E) other requirements imposed by the State consistent with this part. (b) Certification of Health Plans. A participating State shall certify each plan as a regional alliance health plan that it determines meet the criteria for certification established and published under subsection (a). (c) Monitoring. A participating State shall monitor the performance of each State-certified regional alliance health plan to ensure that it continues to meet the criteria for certification. (d) Limitations on Authority. A participating State may not (1) discriminate against a plan based on the domicile of the entity offering of the plan; and (2) regulate premium rates charged by health plans, except as may be required under title VI (relating to the enforcement of cost containment rules for plans in the State) or as may be necessary to ensure that plans meet financial solvency requirements under section 1408. (e) Assuring Adequate Access to a Choice of Health Plans. (1) General access. (A) In general. Each participating State shall ensure that (i) each regional alliance eligible family has adequate access to enroll in a choice of regional alliance health plans providing services in the area in which the individual resides, including (to the maximum extent practicable) adequate access to a plan whose premium is at or below the weighted average premium for plans in the regional alliance, and (ii) each such family that is eligible for a premium discount under section 6104(b) is provided a discount in accordance with such section (including an increase in such discount described in section 6104(b)(2)). (B) Authority. In order to carry out its responsibility under subparagraph (A), a participating State may require, as a condition of entering into a contract with a regional alliance under section 1321, that one or more certified regional alliance health plans cover all (or selected portions) of the alliance area. (2) Access to plans using centers of excellence. Each participating State may require, as a condition of entering into a contract with a regional alliance under section 1321, that one or more certified health plans provide access (through reimbursement, contracts, or otherwise) of enrolled individuals to services of centers of excellence (as designated by the State in accordance with rules promulgated by the Secretary). (3) Use of incentives to enroll and serve disadvantaged groups. A State may provide (A) for an adjustment to the risk-adjustment methodology under section 1542(c) and other financial incentives to regional alliance health plans to ensure that such plans enroll individuals who are members of disadvantaged groups, and (B) for appropriate extra services, such as outreach to encourage enrollment and transportation and interpreting services to ensure access to care, for certain population groups that face barriers to access because of geographic location, income levels, or racial or cultural differences. (f) Coordination of Workers' Compensation Services and Automobile Insurance. Each participating State shall comply with the responsibilities regarding workers' compensation and automobile insurance specified in title X. (g) Implementation of Mandatory Reinsurance System. If the risk adjustment and reinsurance methodology developed under section 1541 includes a mandatory reinsurance system, each participating State shall establish a reinsurance program consistent with such methodology and any additional standards established by the Board. (h) Requirements for Plans Offering Supplemental Insurance. Notwithstanding any other provision of this Act a State may not certify a regional alliance health plan under this section if (1) the plan (or any entity with which the plan is affiliated under such rules as the Board may establish) offers a supplemental health benefit policy (as defined in section 1421(a)(1)) that fails to meet the applicable requirements for such a policy under part 2 of subtitle E (without regard to the State in which the policy is offered); or (2) the plan offers a cost sharing policy (as defined in section 1421(a)(2)) that fails to meet the applicable requirements for such a policy under part 2 of subtitle E.