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(b) The exchange shall monitor actual to projected revenues and 1 make necessary adjustments in expenditures or carrier assessments to 2 ensure expenditures do not exceed actual revenues. 3 (c) Payments made from general fund—state appropriation and 4 health benefit exchange account—state appropriation shall be 5 available for expenditure for no longer than the period of the 6 appropriation from which it was made. When the actual cost of 7 materials and services have been fully determined, and in no event 8 later than the lapsing of the appropriation, any unexpended balance 9 of the payment shall be returned to the authority for credit to the 10 fund or account from which it was made, and under no condition shall 11 expenditures exceed actual revenue. 12 (3) $1,939,000 of the health benefit exchange account—state 13 appropriation and $6,189,000 of the general fund—federal 14 appropriation are provided solely for the modernizing 15 healthplanfinder project. These amounts are subject to the 16 conditions, limitations, and review provided in section 701 of this 17 act. 18 (4)(a) $100,000,000 of the state health care affordability 19 account—state appropriation is provided solely for the exchange to 20 administer a premium assistance program, beginning for plan year 21 2023, as established in RCW 43.71.110. An individual is eligible for 22 the premium assistance provided if the individual: (i) Has income up 23 to 250 percent of the federal poverty level; and (ii) meets other 24 eligibility criteria as established in RCW 43.71.110(4)(a). 25 (b) $260,000 of general fund—state appropriation for fiscal year 26 2024 is provided solely for a study, in consultation with the health 27 care authority and office of the insurance commissioner, of how the 28 exchange's current section 1332 waiver could be amended to generate 29 federal pass-through funding to support the affordability programs 30 established in RCW 43.71.110. The actuarial study must focus on 31 methods that could be most readily leveraged in Washington, 32 considering those being used in other public option programs. Study 33 findings must be reported to the appropriate committees of the 34 legislature by December 1, 2023. 35 (5) $10,000,000 of the state health care affordability account— 36 state appropriation is provided solely to provide premium assistance 37 for customers ineligible for federal premium tax credits who meet the 38 p. 245 ESSB 5187.SL