Declares an intent to: (1) Leverage the provider networks used by private insurers offering coverage to state and school employees to ensure private insurance coverage is available in all counties where those insurers offer coverage to those employees; and

(2) Until the coverage is available, make coverage in the state health insurance pool more affordable to persons residing in counties where no private insurance is available.

Requires, for plan years beginning January 1, 2020, at least one health carrier in an insurance holding company system to offer in the exchange at least one silver and one gold qualified health plan in a county in which a health carrier in that system offers a fully insured health plan that was approved, on or after the effective date of this act, by the school employees' benefits board or the public employees' benefits board to be offered to employees and their covered dependents.

Addresses maximum rates and rate deductions in the state health insurance pool.