Even as federal officials push states to expand Medicaid programs, at least a dozen states are not ready or not willing to set up state-based health exchanges -- another aspect of the health law that is key to expanding insurance coverage.
The New York Times: Administration Advises States To Expand Medicaid Or Risk Losing Federal Money
The Obama administration is putting pressure on states to expand Medicaid, telling them they may lose federal money if they delay. But at the same time, federal health officials have also told states that if they choose to expand Medicaid, they are free to reverse the decision at any time (Pear, 10/2).
The Washington Post: Many States Not Prepared For Health-Care Law
More than three dozen states could be unprepared or unwilling to set up the insurance marketplaces called for under the 2010 health-care law, leaving at least part of the task up to the federal government, according to a new report. But many of the rest of the states are behind in their planning or have decided not to operate exchanges on their own, according to a report from the Health Research Institute (Somashekhar, 10/2).
Meanwhile, various news outlets report on developments related to essential health benefits -
Politico Pro: EHB Drug Coverage Bests ACA Minimums So Far
Patient advocates and House Democrats have complained the skimpy one-drug-per-class standard HHS pitched in December's EHB bulletin falls short of the Affordable Care Act's promise for comprehensive coverage. But an Avalere analysis of eight of the plans already submitted to HHS showed that states' benchmarks cover a much broader scope of drugs than the administration's minimum requirement (Millman, 10/1).
The Associated Press/Register-Herald: W. Va. Questions HHS On Essential Benefits
West Virginia officials are questioning another major provision of the federal health care overhaul, this one calling on states to set basic levels for 10 categories of services that many insurance policies must cover. Gov. Earl Ray Tomblin wrote U.S. Health and Human Services Secretary Kathleen Sebelius on Friday, posing seven questions regarding benchmarks for essential health benefits (Messina, 10/1).
Related, earlier KHN story: States Move Ahead On Defining 'Essential' Health Insurance Benefits (Galewitz, 9/30)
And a California report forecasts a not-so-positive view of the future -