Health Insurance Exchanges Update: Monday, July 9, 2012

Arizona State Flag

Now that the law has been upheld, there are still some mixed feelings among politicians. Described in a write-up in the New York Times, state officials opposed to the law are turning their attention to the exchanges. Critics are trying to figure out if subsidies are still offered if a state fails to set up their own exchanges.

And now that there will be a vote on the bill in the House this coming Wednesday, critics of the bill are trying anything to strike down this law. 

In New York, Gov. Cuomo said that he is not open to revisiting health insurance exchanges according to the New York Daily News. The statement came after Republican State Senate Health Committee Chairman said that there may be legislative approval to set up the exchanges. This is relatively odd since the GOP decided not to pass a bill and when Cuomo decided to use his executive order, there
 were no objections.
 

In Arizona, the idea of health exchanges is still left for grabs according to the Arizona Capital Times. House Speaker Andy Tobin said that he would like to wait for the November election to set up the exchanges. But the Gov. Jan Brewer has decided to go the other way on this. Arizona has taken $30 million to startup the state run exchanges. Her administration had been setting up their own exchange for months but to try and persuade legislatures will be a difficult task for the governor. But by the looks of the work of the governor, she does not want the federal government to have their exchanges in Arizona.

 

In Texas, Governor and former Republican presidential hopeful Rick Perry made his stance crystal clear when he issued a statement to the U.S. Health and Human Services Secretary. Under the law, if a state refuses to set up the exchanges, they will instead have to use the plan the federal government has set up. As for the expansion of Medicaid, the Supreme Court found it unconstitutional for the government to withhold money if it is not used to expanding Medicaid. So according to the Houston Chronicle, Rick Perry like so many others have decided not to do anything regarding setting up exchanges or expanding Medicaid in his state. Perry believes that state exchanges nor Medicaid expansion will result in affordable care.

Oklahoma is doing the exact same thing when it comes to rejecting the exchanges, according to the NewsOK. Directly after the health care ruling, Rep. Michelle Bachman and Senator Jim DeMint sent a letter out to the National Governors Association telling them to not implement any of the provisions in the health care law. Sen. Tom Coburn of Muskogee in Oklahoma was one of the many state officials who signed the agreement. Reportedly, he told the co-chairman of the legislative committee back in 2011 to look into setting up an exchange program reminiscent of Utah’s. But Coburn had a change of heart and said that the state not starting up exchanges is not a cause for concerns. Governor Mary Fallin however, has not decided on what to do exactly with exchanges and Medicaid expansion. Though not a fan of the exchanges, she did at one point in time accept the money to start up an exchange program but nothing has been done since.

This November, the Health Insurance Exchange Congress will be held November 13-14, 2012 in Chicago, IL.  Here, state officials and health plans with the only opportunity to come together to discuss PPACA and strategize on how to make this a successful opportunity for all.  For more information on this year's agenda, download the program here.  As a reader of this blog, when you register to join us and mention code XP1710BLOG, you'll receive 15% off the standard rate!

Health Insurance Exchange Update: Tuesday June 19, 2012

The Supreme Court decision on universal healthcare will have a ripple effect on each state, whenever the court releases their verdict. The challenges that state legislature have is attempting to take the right amount of action in case the law is upheld. But no one seems to know just how to prepare for the possibility of an upheld ruling.

In California, it seems they are acting regardless of the ruling. The California Exchange Board will meet to discuss the next step in developing health insurance exchanges, according to California Healthline. The items that are going to be discussed include outreach, marketing, and insurance coverage assisters. But even with an aggressive approach to the law, there is still an air of uncertainty that looms over universal health care. Which is why Texas is not doing anything regarding revamping their health care until the ruling is heard in the coming days.

In Texas, they do not have an exchange set up in case of a Supreme Court ruling in favor of the law, which makes people like Anne Dunkleberg, associate director of Center for Public Policy Priority, worried about the possibility of having federally funded exchanges, according to Texas Tribune. In accordance with state Attorney General Greg Abbot, the realization for health care reform is necessary for the state. The Texas Health and Human Services Commission (HHSC) has, however, attempted to have certain measures but not Medicaid or state run exchanges.

The balance that is needed may not exist for the state. Some do not want to go as far as California, in essence taking to heart the act’s intention of providing affordable health care. Then you have states like Texas, trying to wait and see what the verdict will read and what steps they now have to take.

As a follow-up to the New Hampshire legislature entitled HB 1297, Governor John Lynch decided to sign the bill preventing state-run exchanges, according to New Hampshire Watchdog. No comment given as to why the bill was signed by the Governor, who is known for being in support of the Affordable Care Act (ACA).

This November, the Health Insurance Exchange Congress will be held November 13-14, 2012 in Chicago, IL.  Here, state officials and health plans with the only opportunity to come together to discuss PPACA and strategize on how to make this a successful opportunity for all.  As a reader of this blog, when you register to join us and mention code XP1710BLOG, you'll receive 15% off the standard rate!