Officials will use complaint and performance data to pick the targets.

New draft regs also would pump up exchange plan profit guarantees.

Carriers would have to make sure buyers had major medical coverage.

The staff notes that an extension can lead to adverse selection.

States can have employers enroll in SHOP plans directly through the insurers.

Provider groups are fighting to stay out of a discrimination compliance program.

"Full Medicare integration" could erase most of the unfunded liability.

She declines to give SHOP enrollment numbers or development timeline.