Current Weather
The Spy FM

Health Exchange Activity Heats Up As Deadline Is Extended

Filed by KOSU News in US News.
November 15, 2012

There’s nothing quite like a deadline to focus the mind. Even a deadline that’s not quite real.

Friday was originally the day that states were supposed to not only tell the federal government whether they planned to run their own health exchanges, but also how they planned to do it.

Last week, however, the feds extended that deadline, so states would have to only say yay or nay by Friday on the issue of running their own exchanges. If they want to partner with the federal government, they can wait until as late as February to speak up.

And no matter what, if a state fails to act, the federal government will set up an exchange in that state for it.

Thursday night, shortly after this story was posted, that deadline got extended again. Health and Human Services Secretary Kathleen Sebelius told states in a letter they could now wait until Dec. 14 to submit both their decision and their plans if they want to do an exchange themselves.

Still, flimsy or not, Friday’s deadline prompted considerable activity this week from states that had been waiting to see what impact last week’s election might have on the Affordable Care Act. (Answer: Full speed ahead.)

Thursday afternoon alone, three governors — South Carolina Republican Nikki Haley, Nebraska Republican Dave Heineman and outgoing North Carolina Democrat Bev Perdue — all announced their decisions. The Republicans said they would not be pursuing exchanges in their states; Perdue said North Carolina would likely pursue the partnership model, a hybrid state-federal exchange.

Haley announced her decision in a letter to Health and Human Services Secretary Kathleen Sebelius. “The law fails to give South Carolina any flexibility and decision-making authority that would enable us to truly construct the program in a manner that would offer the most meaningful benefit to our citizens,” Haley wrote.

Nebraska’s Heineman echoed those sentiments. “The reality is that the federal health care law is being totally dictated and totally controlled by the federal government,” he said in a statement.

Heineman also said that building the exchange would cost the state too much money, even though federal funds are available to offset those costs.

In Indiana, Gov.-elect Mike Pence, currently a Republican member of the U.S. House, sent a letter to outgoing Gov. Mitch Daniels, also a Republican, urging that the state not establish its own exchange.

Some governors who previously said they would not participate are reaffirming those decisions, including Texas Republican Rick Perry. His spokeswoman told The Texas Tribune today that the state won’t design its own exchange because there is “really no such thing as a ‘state exchange.’ “

But others appear to be changing their tune, most notably Rick Scott, Florida’s Republican governor. After vowing to have no part of the health law, Scott earlier this week told The Associated Press he wants “to get to yes” and is ready to negotiate with federal officials. [Copyright 2012 National Public Radio]

Leave a Reply

12AM to 5AM The Spy

The Spy

An eclectic mix of the Spy's library of more than 10,000 songs curated by Ferris O'Brien.

Listen Live Now!

5AM to 9AM Morning Edition

Morning Edition

For more than two decades, NPR's Morning Edition has prepared listeners for the day ahead with two hours of up-to-the-minute news, background analysis, commentary, and coverage of arts and sports.

View the program guide!

9AM to 10AM The Takeaway

The Takeaway

A fresh alternative in morning news, "The Takeaway" provides a breadth and depth of world, national and regional news coverage that is unprecedented in public media.

View the program guide!

Upcoming Events in your area (Submit your event today!)

Streaming audio and podcasts

Stream KOSU on your smartphone

Phone Streaming

SmartPhone listening options on this page are intended for many iPhones, Blackberries, etc. with low-cost software applications available to listen to our full-time web streams, both News on KOSU-1 and Classical on KOSU-2.

Learn more about our complete range of streaming services

We're perfecting the patient experience - Stillwater Medical Center