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Obamacare Ruling May Have Just Killed State-Based Exchanges
The New York Times ^ | 25 June 2015 | Margot Sanger-Katz

Posted on 06/25/2015 8:28:26 AM PDT by Theoria

Now that the Supreme Court has ruled that health insurance consumers can receive federal subsidies regardless of their state’s role in running their insurance market, fewer states may stay in the game.

When the Affordable Care Act passed in 2010, most people expected that each state would want to run its own health insurance marketplace. That never really happened, as many states opted to let the federal system, HealthCare.gov, do the work for them. Many of those states that did try running their own marketplaces are starting to think twice.

Now, with the Supreme Court ensuring that every state’s consumers will have equal access to federal subsidies, it is becoming clear that more of those states will revert to a federal system for enrolling people in health insurance.

“There may be a little bit of buyers’ remorse going on in some state capitals right now,” said Sabrina Corlette, the director of the Center on Health Insurance Reforms at Georgetown University. She said states underestimated the difficulty and expense of building and maintaining state marketplaces. Now, she said, many officials are asking: “What did we get ourselves into?”

As the law envisioned, state exchanges would provide an opportunity for state insurance regulators to oversee their markets, a role they have long performed. The state exchange system would also allow a greater degree of policy flexibility and control, so state officials could customize the marketplaces for local conditions. What few people grasped was the technical and logistical challenge of building a complex website and customer service operation from scratch.

(Excerpt) Read more at nytimes.com ...


TOPICS: Business/Economy; Government; Politics/Elections
KEYWORDS: 0carenightmare; abortion; deathpanels; exchanges; healthcare; obamacare; scalia; scotus0caredecision; scotuscare; scotusobamacare; scotussubsidies; singlepayer; states; zerocare
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To: Yosemitest

Battle Flag of the Republic of the United States

41 posted on 06/25/2015 9:37:46 AM PDT by Ray76 (Obama says, "Unlike my mum, Ruth has all the documents needed to prove who Mark's father was.")
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To: XenaLee
Conservatives didn’t leave the Republican Party. The Republican Party left conservatives. More like, drove them out.

According to Limbaugh that's been their goal since he was still getting invites to their cocktail parties in the late 80's.


42 posted on 06/25/2015 9:41:09 AM PDT by Buckeye McFrog
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To: Lorianne

But the same subsidies exist, from the same source, in the state exchanges. What is the difference? Migrating to a different platform to buy the same insurance with the same subsidy is not an ADDITIONAL step toward a single payer.
The step that is Obamacare in the first place was already a big one, though, that is for sure.


43 posted on 06/25/2015 9:45:54 AM PDT by babble-on
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To: LRoggy

In no universe will the demonrats ever be held responsible for anything. Soros, shill for Rothschild (wrathchild) owns voter software. Free and fair elections are a delusion.
JESUS coming back is only cure.


44 posted on 06/25/2015 9:47:21 AM PDT by Cats Pajamas (Wonder what Slick and Cankles did with the rent a dogs now they have grandbaby for optics?)
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To: 2harddrive
More like "eminent tribunal".

Lincoln warned us about this in his First Innaugural when he said:

"............if the policy of the Government upon vital questions affecting the whole people is to be irrevocably fixed by decisions of the Supreme Court, the instant they are made in ordinary litigation between parties in personal actions the people will have ceased to be their own rulers, having to that extent practically resigned their Government into the hands of that eminent tribunal."

I maintain that we have ceased to be our own rulers

45 posted on 06/25/2015 10:46:01 AM PDT by HandyDandy (Don't make-up stuff. It just wastes everybody's time.)
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To: LRoggy
Particularly because the business side of the effects are going to come through by then.

Doubt it. I fully expect the employer mandate to be postponed yet again until after the election. There is absolutely no mechanism in place to stop the usurpation of power by the Executive Branch.

46 posted on 06/25/2015 11:36:34 AM PDT by randita (...Our First Lady is a congenital liar - William Safire, 1996)
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To: Theoria
When the Affordable Care Act passed in 2010, most people expected that each state would want to run its own health insurance marketplace.

They expected it because it was implied in the law.

47 posted on 06/25/2015 11:49:30 AM PDT by Mike Darancette (Barack Obama is not inarguably sane.)
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To: randita
There is absolutely no mechanism in place to stop the usurpation of power by the Executive Branch.

I think those have to be created on an as-needed basis via a process called "mustering".

48 posted on 06/25/2015 11:55:37 AM PDT by tacticalogic ("Oh, bother!" said Pooh, as he chambered his last round.)
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To: cydcharisse
Just another step to a one payer system...

We are really quite a long way from that.

49 posted on 06/25/2015 12:19:31 PM PDT by Mike Darancette (Barack Obama is not inarguably sane.)
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To: babble-on

Well, on the bright side, subsidies from the Federal ‘exchanges’ perhaps pass through fewer sticky fingers at the State level before reaching the insurance companies.


50 posted on 06/25/2015 3:24:07 PM PDT by Lorianne
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