Skip to comments.Final state tally for health insurance exchanges: 15 out of 50 States
Posted on 12/14/2012 8:14:03 AM PST by SeekAndFind
Only 15 states have told HHS that they will develop their own online insurance exchanges. This means the government has to design 35 different sites, with 35 different criteria for coverage -- all by next year.
Only 15 states have told the federal government they plan to operate health insurance exchanges under President Barack Obama's reform law, leaving Washington with the daunting task of creating online marketplaces for two-thirds of the country.
On the eve of a federal deadline for states to say whether they will run their own exchanges, a top health care policy official told lawmakers that the exchanges will start enrolling eligible families starting on Oct. 1.
"I am confident that states and the federal government will be ready in 10 months, when consumers in all states can begin to apply," Gary Cohen, director of the Center for Consumer Information and Insurance Oversight, told a House panel.
Cohen was among federal officials who testified alongside state health authorities at a hearing of the House Energy and Commerce Subcommittee on Health.
In written testimony, Cohen said that while 15 states have told the administration they will operate exchanges, 11 others have opted for versions that will require major involvement by the federal government.
Experts say the number of states planning to operate their own exchanges could reach 18, plus the District of Columbia, by the time the deadline arrives Friday.
But the administration would still be left to set up exchanges in at least 30 states, a challenge that is raising questions about how successfully U.S. officials can implement a key provision of the health care reform law.
(Excerpt) Read more at americanthinker.com ...
Who are the “do-be’s”?
As the new system sinks under it’s own weight..Obama will be looking to save it with a single payer system. Count on it.
As a programmer, I can tell you it’s not going to happen in a timely fashion.
It will be screwed up and incomplete for years.
And since the gubmint will keep changing its mind, it will never be done right. Ever.
RE: Who are the do-bes?
See the first page of this report:
From the comments, AltoonaBound wrote:
The deadline is today, but what I’ve gleaned here are the yes states: WA, OR, CA, NV, HI, MN, CO, NM, KY, NY, VT, CT, MA, RI, DE, ID I count 16, but everyone says 15, one of ‘em must have switched.
Could you please re-post that? The image is not rendering.
According to Obamacare Watcher.org (a nice site, by the way):
States NOT establishing a State Exchange (24):
Undecided States (5):
States establishing a federal “partnership” Exchange(4):
States planning to establish a State Exchange (17):
States can easily muck this up -
1. Charge the federal government exorbitant fees for operating in the state.
2. Make the feds operate according to state law.
3. Sends hoards of state bureaucrats to federal offices and make them comply with impossible building, environmental and work regulations.
It looks fine here.
Try refreshing and let me know if it comes up.
That kind of money would have to be appropriated by the House, and that's why it's such a kick in the stomach that Republicans don't control the House, because since the communist rat scumbags control the House that money WILL be approp...
Anyone in Fla. contact Gov. Scott and tell him not to set up the state exchange:
Congress should create a bill that says either everything is 100% complete and signed off on by the participating states by October 1 or the state exchanges are thrown out and the company hired to do the work doesn’t get paid. However, the project team gets paid.
We all know that the award for this contract more than likely already went to an Obama donor which means this is going to be a big fail.
What is up in Mississippi?
I am not sure what goat rope means, but there is an article in the WSJ about the exchanges and the difficulties of setting them up for the states. It sounds as though the Obama administration has been making plans for the federal exchange since May and the plan is not to make the exchanges easy to use, but rather to make them more difficult, requiring that everything be on paper, not computer generated. The idea seems to be to create a system that is so labor intensive that it will be a make work system in itself.
Department of Healthcare with a budget bigger than defense and an armed enforcement wing.
Interesting. Thanks to all posters/linkers/researchers/educators. BTTT!
Mi moved into the absolutely NOT column within the last week or two.
The governors of the states that will not set up exchanges or a fed co-op program are engaging in the best kind of civil disobedience/passive-aggressive actions to collapse this thing of its own weight. They are showing the kind of protection for state and citizen rights that the SCOTUS failed to do.
The Republicans will fund it, just like they will fund everything else. The House holds the purse strings, but somehow we're supposed to ignore that inconvenient fact, according to the GOP lovers on FR.
Don Gaetz contact info for Florida House:
Bingo! And at least 47% of the people want single payer.
Yep. That's the endgame, here.
While my first inclination is: "Yeah! Stick it to the Fed!", that's really the wrong take on this entire thing. In truth, though, a state-run exchange is merely feeding the alligator in hopes that it will eat you last.
I think, at this point, about the only possible decent outcome is for the whole unwieldy plan to fall on itself before it gets implemented. That, or for it to be so ungainly and utterly unimplementable, that it largely gets ignored.
They can do it — they’ve desgned 35 different blends of gasoline.
The fault lines for the coming “separation” are being drawn...
In most cases, states are lining up on either the “red” or “blue” side of the line.
Kentucky and Mississippi are unusual — will they “come around” at a later date?
“I am confident that states and the federal government will be ready in 10 months, when consumers in all states can begin to apply,”
As a guy who has worked at software companies for over 28 years, I promise you they will not be ready. I can’t get my IT department to deliver a 10 screen system properly in 10 months. Forget 35 states. There aren’t enough programmers, there’s no design ready, there’s not enough time.
I’ve read this as well from:
“That might explain why the IRS is literally rewriting the statute. On May 24, the IRS finalized a regulation that says the laws $800 billion insurance-industry bailout will not be conditional on states creating Exchanges. With the stroke of pen, the IRS (1) stripped states of the power Congress gave them to shield employers from that $2,000 per-worker tax, (2) imposed that illegal tax on employers whom Congress exempted, and (3) issued up to $800 billion of tax credits and direct subsidies to private health insurance companieswithout any congressional authorization whatsoever.”
Don’t worry the GOP congress will raise a ruckus and put a stop to those illegal acts. /Sarc