Sunday, November 25, 2012

State Health Insurance Exchanges

ARRA News Service: ObamaCare Exchanges Are NOT A Done Deal! Our Partners at Americans For Limited Government are tracking updates as they occur. Changes being posted to NetRight Daily linked below.

The following is the most current information as of 3:16 PM Eastern on November 19.

By John Vinci — Governors and other state officials, across the states, are deciding whether their state will establish a Health Insurance Exchange. The Department of Health and Human Services has given States until Friday, December 14, 2012 to decide. We have been following this issue closely and here’s the status of the states as best as we can tell.

States NOT establishing a State Exchange (20):
ALABAMA
ALASKA
GEORGIA
INDIANA
KANSAS
LOUISIANA
MAINE
MISSOURI
MONTANA
NEBRASKA
NEW HAMPSHIRE
NORTH DAKOTA
OHIO
OKLAHOMA
SOUTH CAROLINA
SOUTH DAKOTA
TEXAS
VIRGINIA
WISCONSIN
WYOMING
Undecided States (11):
ARIZONA
ARKANSAS
FLORIDA
IOWA
IDAHO
MICHIGAN
NEW JERSEY
PENNSYLVANIA
TENNESSEE
UTAH
WEST VIRGINIA
States establishing a federal “partnership” Exchange(3):
DELAWARE
ILLINOIS
NORTH CAROLINA
States plan to establish a State Exchange (16):
CALIFORNIA
COLORADO
CONNECTICUT
HAWAII
KENTUCKY
MARYLAND
MASSACHUSETTS
MINNESOTA
MISSISSIPPI
NEVADA
NEW MEXICO
NEW YORK
OREGON
RHODE ISLAND
VERMONT
WASHINGTON
Notes:
AL: Gov. Bentley says Alabama won’t set up exchange, expand Medicaid, AL.com (11/14/2012)

AR: Arkansas governor says state-run health insurance exchange still an option, The Republic (Columbus, IN)(November 16, 2012) h/t PoliticoPro

AZ: Brewer picks essential benefits under federal health law, Arizona Daily Star (10/28/2012)

CA: Letter from Gov. Edmund Brown, Jr. to Kathleen Sebelius, Secretary, Department of Health and Human Services (July 10, 2012).

CO: Letter from Gov. John Hickenlooper to Steve Larsen, Deputy Administrator and Director of CCIIO at the Centers for Medicare and Medicaid Services (July 7, 2012).

CT: Letter from Gov. Dannel Malloy to Kathleen Sebelius, Secretary, Department of Health and Human Services (July 10, 2012).

DE: State Exchange Profiles: Delaware, KFF.org (Sept. 24. 2012)

FL: Florida Gov. Rick Scott Ready To Negotiate State Exchange Kaiser Health News (November 16, 2012).

GA: Office of Governor Nathan Deal, Press Release, Deal: Georgia will not set up state exchange, (11/9/2012)

HI: Letter from Gov. Neil Abercrombi to Steve Larsen, Deputy Administrator and Director of CCIIO at the Centers for Medicare and Medicaid Services (July 7, 2012).

ID: Office of Butch Otter, Governor of the State of Idaho, News Release, DELAYED EXCHANGE DEADLINE GIVES IDAHO MORE TIME TO GET ANSWERS, WEIGH OPTIONS (11/16/2012)

IL: Illinois moves ahead on health insurance exchange, BloombergBusinessWeek (11/6/2012)

IA: Gov. Branstad tells HHS Iowa is planning an exchange, but because he says in his letter that he makes no commitment to turning in the blueprint for Iowa’s exchange, we’re changing Iowa to “undecided” and not “Establishing an Exchange.” Letter from Gov. Terry Branstad to Kathleen Sebelius, Secretary, Department of Health and Human Services (November 16, 2012).

IN: Pence not ruling out health partnership with feds, WSBT.com (11/14/2012)

KY: Letter from Gov. Steven Beshear to Kathleen Sebelius, Secretary, Department of Health and Human Services (July 10, 2012).

MA: Letter from Gov. Deval Patrick to Mike Hash, Interim Director of CCIIO at the Centers for Medicare and Medicaid Services (July 10, 2012).

MD: Letter from Gov. Martin O’Malley to Kathleen Sebelius, Secretary, Department of Health and Human Services (July 10, 2012).

ME: Maine may give warmer embrace to Obama health law, The Boston Globe (11/10/2012)
On eve of PPACA exchange deadline, many governors still balk, Employee Benefit News (11/15/2012)

MI: Gov. Snyder has filed an application for a grant to establish a “partnership” Exchange. We are, however, leaving Michigan’s “undecided” status unchanged because according to the governor’s press release, he says the state may yet consider its own exchange and “has not yet filed a declaration letter formally choosing Michigan’s path.” Office of Gov. Rick Snyder, Press Release, Michigan moves toward state-federal partnership health exchange, leaves door open for MI Health Marketplace (11/16/2012)

MN: Election clears path for health exchange, Winona Daily News (11/9/2012)

MO: Missourians passed a referendum this month that prohibits its governor [who supports a state exchange] from acting unilaterally

MT: PoliticoPro reported on 11/16/2012 that a state official confirms Montana’s governor will not be establishing a state exchange.

NC: Press Release Gov. Perdue Chooses State-Federal Partnership (11/15/2012)

ND: ND direction on health care exchange to emerge next year, Prarie Business Magazine (11/15/2012)

NE: Press Release: Gov. Heineman on Federal Health Care Law: $646 Million State Exchange Too Costly (11/15/2012)

NH: New Hampshire’s new governor may attempt to move towards establishing an exchange but we have left it in the “No state Exchange” category based on past legislation signed by the governor that blocked the Exchange. See CATO: New Hampshires Democratic Governor Signs GOP bill blocking Obamacare exchange .

NM: New Mexico moves ahead with health exchange, CBS News (11/15/2012)

NY: Letter from Gov. Andrew Cuomo to Mike Hash, Interim Director of CCIIO at the Centers for Medicare and Medicaid Services (July 9, 2012).

OH: Ohio to let federal government run insurance exchange required by health care law, The Plain Dealer (11/13/2012)

OK: Office of Gov. Mary Fallin, Press Release, Gov. Fallin: Oklahoma Will Not Pursue a State-Based Exchange or Medicaid Expansion (11/19/2012)

OR: Letter from Gov. John Kitzaber to Steve Larsen, Deputy Administrator and Director of CCIIO at the Centers for Medicare and Medicaid Services (July 6, 2012).

PA: PA: State still shaky on exchange, Medicaid expansion, Watchdog.org (11/14/2012)

RI: Letter from Gov. Lincoln Chafee to Kathleen Sebelius, Secretary, Department of Health and Human Services (July 5, 2012).

SC: Letter from Gov. Nikki Haley to Kathleen Sebelius, Secretary, Department of Health and Human Services (November 15, 2012).

SD: Press Release from the Office of Gov. Dennis Daugaard: South Dakota Will Not Build Health Insurance Exchange, (9/26/2012)

UT: Utah faces deadline for decision on health exchange, The Salt Lake Tribune (11/15/2012)

TN: Tenn.-run health exchange faces GOP roadblock, CBS News (11/14/2012)

VA: Post-election, McDonnell says Virginia will default to federal health insurance exchange, The Washington Post (11/8/2012)

VT: Letter from Gov. Peter Shumlin to Steve Larsen, Deputy Administrator and Director of CCIIO at the Centers for Medicare and Medicaid Services (July 9, 2012).

WA: Letter from Gov. Christine Gregoire to Mike Hash, Interim Director of CCIIO at the Centers for Medicare and Medicaid Services (July 10, 2012).

WI: Letter from Gov. Scott Walker to Kathleen Sebelius, Secretary, Department of Health and Human Services (November 16, 2012).

WV: West Virginia is expected to announce 11/15/2012 that it will NOT establish a state exchange, “‘The governor continues to evaluate all options available to him,’ said Amy Goodwin, a Tomblin spokeswoman.” Tomblin’s office mum on insurance exchange, The Charleston Gazette (11/14/2012)

WY: See Feds To Control Wyoming Health Care, Wyoming Tribune-Eagle (11/14/2012).

John Vinci is a staff attorney with Americans for Limited Government and is the editor in chief for the obamacarewatcher.org website.

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