Government Technology

Obama Win Means Big Health-Care Decisions for States



November 8, 2012 By Christine Vestal and Michael Ollove, Stateline Staff Writers

Since the day it was enacted, many of the Affordable Care Act’s opponents have preferred to treat it as provisional. First, they argued, the Supreme Court might overturn the whole law. When that didn’t happen in June, opponents turned to the hope that maybe Mitt Romney would win the presidency and repeal it.

Now, there are no more maybes. “With an Obama victory one has to come to terms that the Affordable Care Act is the law of the land,” says Henry Aaron, a senior fellow at the Brookings Institution. “Maybe it’s time to start living in reality rather than fantasy.”

Still, in the new reality, there remain some significant uncertainties in the immediate future of the ACA, particularly in how Republican governors, who have vociferously opposed the law until now, will react in the wake of President Obama’s victory. The ACA is indeed the law of the land and will remain so for the foreseeable future, but that doesn’t mean that Republican governors have to be full participants.

If they decline to be involved, however, they have to be willing to forego billions of federal dollars while at the same time inviting more federal involvement in their state health policies.

At issue is whether states will be willing and able to run their own health insurance exchanges — the ACA’s envisioned online marketplaces where some 30 million Americans will be able to comparison shop for private insurance plans and apply for Medicaid and federal tax credits. If states choose not to run their own exchanges, the law requires the federal government to do it for them.

States must also decide whether they want to accept generous federal funding to expand their Medicaid programs to cover millions more people. In addition to the political liability that may represent for Republicans, the expansion also comes with a future price tag some states are taking very seriously.


View Full Story


| More

Comments

Jeremy Engdahl-Johnson    |    Commented November 9, 2012

Which states will get on the exchange bandwagon in wake of the U.S. Supreme Court ruling on PPACA? http://www.healthcaretownhall.com/?p=5658

Joe Smith    |    Commented November 12, 2012

Question not a comment, The article mentions Texas as probably being to late withits exchange creation. It does not mention what action the federal government has taken in the wake of Texas or other states inaction. It as if the feds are doing nothing also.


Add Your Comment

You are solely responsible for the content of your comments. We reserve the right to remove comments that are considered profane, vulgar, obscene, factually inaccurate, off-topic, or considered a personal attack.

In Our Library

White Papers | Exclusives Reports | Webinar Archives | Best Practices and Case Studies
Public Safety 2019
Motorola conducted an industry survey on the latest trends in public safety communications. The results provide an outlook of what technology is in store for your agency in the next five years. Download the results to gain this valuable insight.
Improving Emergency Response with Digital Communications
Saginaw County, Mich., increases interoperability, communication and collaboration with a digital voice and data network, as well as modern computer-aided dispatch.
Reduce Talk Time in Your Support Center by 40%
As the amount of information available to citizens and employees grows each year, so do customer expectations for efficient service. Contextual Knowledge makes information easy to find, dropping resolution times and skyrocketing satisfaction.
View All

Featured Papers