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Feds to run most state exchanges

By Jay MacDonald · Bankrate.com
Tuesday, December 25, 2012
Posted: 10 am ET

Based on widespread nonresponse from states that spent years fighting President Barack Obama's landmark health care reform law, the federal government will be involved in the new health insurance marketplaces called exchanges in more than two-thirds of the 50 states beginning in 2014.

The Obama administration had hoped opposing states would see that it's in their best interest to run their own exchanges as Congress intended after the U.S. Supreme Court upheld most of the Affordable Care Act last summer and the president's re-election effectively ended efforts to repeal Obamacare.

But even after the deadline to submit a plan was extended until Dec. 14, just 18 states and the District of Columbia had come forward to run their own exchanges, according to Kaiser's StateHealthFacts.org.

States face three exchange options: a state-run exchange; a federal-state partnership exchange; or a federally run exchange. All models are required by law to provide easy-to-use online shopping for affordable health insurance for small businesses and individuals, with open enrollment slated to begin next October.

Last week, Health and Human Services Secretary Kathleen Sebelius gave preliminary approval to Colorado, Connecticut, Maryland, Massachusetts, Oregon and Washington to create and run their own state-based exchanges, and conferred conditional approval upon New York and Kentucky. Other states already on board to run their own show include California, Hawaii, Idaho, Minnesota, Mississippi, Nevada, New Mexico, Rhode Island, Utah and Vermont.

Other states now have until Feb. 15 to sign on for the federal-state partnership option. So far, seven states have partnership plans, including Arkansas, Delaware, Illinois, Iowa, Michigan, North Carolina and West Virginia.

According to media reports, Gary Cohen, who oversees the exchange project as director of the Center for Consumer Information and Insurance Oversight, says work is well under way on a customer service call center, interactive website capable of interfacing with each state's technology system, and a central data services hub that will determine an online applicant's eligibility.

The Congressional Budget Office estimates that 26 million people, including as many as half of the estimated 30 million uninsured Americans, will eventually be insured through the exchanges. Under health care reform, most Americans will be required to obtain health insurance or face a fine beginning in 2014.

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36 Comments
Jim C
December 27, 2012 at 4:37 am

Thanks Mr. President, for getting a healthcare plan that I can afford.I am one of the many millions that can't afford health insurance because it costs too much, but my wages are above the poverty lines! I can now have some dignity if I need to go to the hospital and not be destroyed by financial disaster if my needs are catastrophic in nature!I don't want to be a burden on the other taxpayers to make up for the difference for me, and now I can!Again, thanks for something that should have been fixed decades ago!
Joe..... Respectfully, ... You don't have a clue do you?

A DiMaggio
December 27, 2012 at 4:04 am

the veterans health care system thats made to induce stress in the vet.poor care,and a bunch of pill pushers woried about there own retirement stiffle the trutr that were treated as guinny pigs and our questions and checks and balances for decent care is a maze of confusion with a system wide hidden truth where the vet is left uninformed.used catagorized and wharehoused with bad drugs,raw meat test subjects,for no maybe going to be doctors.complaints have these draft dodgers pointing fingers at those who served our country.

CAROLE MCMAHON
December 27, 2012 at 3:45 am

THIS IS GREAT BECAUSE WE WILL NO LONGER HAVE TO SHELTER THE
DEBT OF INDIVIDUALS & COMPANIES EMPLOYEES ON THE AMOUNT WE PAY
FOR HEALTH CARE. IT MAY NOT SOLVE ALL THE PROBLEMS OF COST BUT
AT LEAST THIS PRESIDENT IS TRYING TO DO SOMETHING AND LATER WE
CAN WORK TO IMPROVE WHAT IS NEEDED. FOUR MORE YEARS, IF ONLY
THE HOUSE OF REPRESENTATIVES WOULD CO-OPERATE WITH HIM - THE
COUNTRY WOULD GET BACK TO PROSPERITY...

francis x brougham
December 27, 2012 at 3:02 am

if the post office is and indication of how health care will be administered may god have mercy on all americans.

Way Out There
December 27, 2012 at 3:00 am

What chu talkin bout Willis???

Just one voice
December 27, 2012 at 1:52 am

"Under health care reform, most Americans will be required to obtain health insurance or face a fine beginning in 2014" but the U.S. Supreme Court called it a tax and not a fine.

phillip
December 27, 2012 at 1:49 am

hey joe, where you goin with that gun in your hand?

i dont think any one understands bob's post (including bob)

bob
December 27, 2012 at 1:42 am

how is paying for an additional 30 million uninsured going to going to lower the codst of health care? how long does it take to get an appointment now Are you sure it will be better with out adding doctors to see the additional 30 million new patients in the pool. What about hospital beds and diagnostic equipment. Just try to have a test done when it all starts. O by the way this state is broke now so just wait till the state gets involved in your health care and see what happens. Dr can not get paid in a timly manor now. And the new cosat are adding up with fees per employee starting this year to busniss. Large tax hits when you sell a house. things hidden away in the heath care bill that come into effect after the election is over.

If our elected officials had the same health care plan as us it would get fixed. Thats long overdue. Make our represenatives live by the laws they pass.

Chris
December 27, 2012 at 12:42 am

Do you have health insurance? Mine has gone up 20% every year over the last several years. I am very healthy and have not needed to see a doctor in many years. I would love to have the option to shop around and buy other insurance. This means a lot to my family and our ability to save for the future. I think this could save our country!

joe
December 27, 2012 at 12:11 am

another obama ploy to slowly make our country weaker.