Last week was marked by a flurry of state-level activity related to the health law's insurance exchanges: News outlets run down which states have decided to develop their own marketplaces and which will defer to the federal government. A number of states, many with Republican state executives, are still seeking more information.
Politico Pro: States Take Advantage Of Extension
They asked for more time, and now they're going to use it. Most of the states that hadn't announced an exchange decision before HHS pushed extended the deadline said Friday that they're going to take the extra month to think things over. States originally had until Friday to indicate whether they'd build their own exchanges, but HHS pushed the deadline back to Dec. 14 after the Republican Governors Association requested more time -- and much more guidance from the feds. For the most part, governors were grateful for the bonus time, but also strongly suggested that HHS would be well-served to quickly clear up states' major exchange questions (Millman, 11/16).
Reuters: Five Republican Governors Reject State-Run Health Markets
Five Republican governors rejected on Friday a major provision of President Barack Obama's health care reform law that calls on states to set up online health insurance markets where consumers can purchase private coverage at federally subsidized rates. That makes it likely that the federal government will establish its own markets, known as health care exchanges, in those states and potentially supplant state control of private individual insurance markets (Morgan, 11/16).
The Associated Press: GOP Govs Of Iowa, Neb. Differ On Health Exchanges
Iowa and Nebraska are turning down different paths to comply with the federal health care overhaul, which reflects the broader struggle many Republican governors face now that they must submit to a law they feverishly oppose. Iowa Gov. Terry Branstad said Friday that his administration will continue to work on a state-based exchange, but he left open the possibility of defaulting to a federal exchange or some combination of the two (Schulte, 11/19).
Politico Pro: Iowa To Build Exchange, But Wants Details
Iowa will pursue a state-run health insurance exchange -; even though it's annoyed at the Department of Health and Human Services and might still change its mind. In a letter to HHS Friday, Gov. Terry Branstad, a Republican, swam against a tide of GOP governors refusing to proactively implement the Affordable Care Act, permitting the feds to set up an exchange in their backyard instead. "I write you today to inform you that Iowa will continue on its path to creating an Iowa-based exchange that is intended to protect the health of Iowans … I continue to have concerns that an intrusive federal exchange would raise costs on individuals and businesses, making it harder for them to create jobs and raise family incomes in Iowa," he wrote in a letter to Sebelius (Cheney, 11/16).
Politico Pro: GOP Governors Open Doors To ACA
Bobby Jindal's got a funny way of showing how much he hates Obamacare and Washington bureaucracy: The Louisiana governor's about to invite the feds to set up a health insurance exchange right in his backyard. So is Rick Perry in Texas. Ditto for John Kasich in Ohio. And Scott Walker in Wisconsin. These Republican governors, and more than a dozen others in red states around the country, have decided it's better to have Obamacare forced on them than to legitimize it by setting up their own exchanges, even if that means empowering the federal government at the expense of the states. It's a stick in the eye of a just reelected president whose health care plan is still opposed by about half the country -- and an indication that some Republican governors have no intention of backing down just because President Barack Obama won another four years (Allen, 11/16).
Los Angeles Times: California Works to Get Word Out On Health Insurance Exchange
With the presidential election over and the nation's health care overhaul moving forward, California officials have less than a year to clear up widespread uncertainty about future medical coverage options (Gorman and Terhune, 11/ 19).
California Healthline: Long Busy Day For The Exchange Board
The Health Benefit Exchange board issued a draft establishment grant proposal Wednesday, which is basically a blueprint of the exchange's business and operational plan through 2017, the year it is supposed to become self-sufficient. The board also took on a number of other issues on Wednesday, including imminent submission of its quality health plans proposal to the Office of Administrative Law. The eight-hour meeting had a get-down-to-business tone, partly in response to the reelection of President Obama, which ensures a smoother track for implementation of the Affordable Care Act (Gorn, 11/16).
The Hill: Health Law Author Calls On Christie To Set Up Exchange
An author of the health care law is calling on New Jersey Gov. Chris Christie (R) to set up his state's insurance exchange and not leave the task to the federal government. Christie has not announced his decision. The deadline for states to say if they will run their own exchanges was pushed back from Friday to Dec. 15 to accommodate Republican governors. Rep. Frank Pallone Jr. (D-N.J.) wrote to Christie on Thursday as the original deadline loomed, urging him to sign a bill passed by the State Legislature that authorizes a New Jersey-run exchange (Viebeck, 11/16).
The Associated Press: Walker's Health Care Decision Ripped By Democrats
Gov. Scott Walker's decision to hand off creation of an online marketplace to connect Wisconsin consumers with private health insurance providers riled Democrats and others who hoped he would support a state-run exchange despite his opposition to the federal law. But Walker stayed true to his longtime opposition to President Barack Obama's Affordable Care Act, derided by Republicans as "Obamacare," with his decision Friday to join with other Republican governors in ceding authority for creating the exchanges to the federal government (Bauer, 11/16).
Milwaukee Journal Sentinel: Many Decisions Remain On Wisconsin's Health Care Exchange
Judy Neary of Brookfield has mixed feelings about the Affordable Care Act and knows little about the online marketplaces, or exchanges, for health insurances that are to be in place by late next year under the law. But she knows the frustration of shopping for health insurance and the idea of an exchange intrigues her. "I would definitely use that," Neary said. The exchanges, a key component of the Affordable Care Act, have the broad goal of making it easier for people and small businesses to compare health plans, potentially increasing competition and helping to slow the rise in premiums and health care costs (Boulton, 11/17).
St. Louis Beacon: Missing Deadline Won't Prevent Missouri From Setting Up A Health Exchange
Today marked the first major deadline for states planning to set up their own health-insurance exchanges as mandated by the Affordable Care Act. And Missouri Gov. Jay Nixon followed through with a letter Friday to the federal government stipulating that the state will be unable to meet the deadline, and won't be setting up a state exchange. But missing the deadline, as Missouri is doing, doesn't mean a state can't create an exchange in a later year. Kathleen Sebelius, secretary of health and human services, made that point in a letter Thursday to some state lawmakers, saying "A state may apply at any time to run an exchange in future years." Observers say that's one of the overlooked issues surrounding the controversial health reform law (Joiner, 11/16).