"Gov. Rick Perry might have rejected the opportunity to run a state health insurance exchange outlined in the federal health care law, but that doesn't mean state agencies won't work closely with Washington regulators to offer Texans a way to buy insurance.
Anne Dunkelberg, associate director of the Center for Public Policy Priorities, an advocacy group for low- and moderate- income Texans, said the Patient Protection and Affordable Care Act outlines several areas in which the state and federal governments must collaborate on the exchanges, including on regulatory issues, information sharing and consumer assistance.
"There has to be interaction under the law," she said.
Stephanie Goodman, a spokeswoman for the Texas Health and Human Services Commission, said the federally run health insurance exchange will have to connect to the state's eligibility system.
The federal government will determine who qualifies for federal subsidies to buy insurance on the exchanges, while the state will figure out who qualifies for the Children's Health Insurance Program and Medicaid, the federally subsidized, state-run health care programs for low-income children and the state's poorest adults, respectively.
Texas Health and Human Services Commission officials are waiting to hear from the U.S. Department of Health and Human Services about many of the details on how to proceed ahead of the planned rollout of the exchange in 2014, Goodman said.........."The feds anticipate working with states," she said.............State agencies expected to work with feds in health exchanges
... it is about picking one or more states that will do some simple homework to prove beyond a shadow of a doubt that the Obamacare law is not applicable in their state. If we do this, we can proactively take control of the narrative to announce that Obamacare is irrelevant because the state is already compliant.
Kissing Obamacare Goodbye