8.16.2011

Battle brews over state's plan to implement federal health law

A group of legislators are criticizingadministration for what they call its “go-it-alone” approach to building a pillar of last year’s federal health care act.
The criticism comes days after the Minnesota Department of Commerce announced it’s getting federal funds to design Minnesota’s health-insurance exchange, a pivotal provision of the health care act.
The federal act requires states to have insurance exchanges operating by 2014. Under the act, millions of Americans — especially individuals and small businesses — would use the exchanges to compare coverage and obtain subsidies to purchase insurance.
But the federal act provides few guides on how states must design the exchanges, according to a Mayo Clinic expert on the law.
And policymakers disagree on what shape the exchanges should take, and how restrictive they should be.
is among the legislators criticizing the Dayton administration. In a release today, Gottwalt and other Republican lawmakers said the administration is buildingthe exchange without their input.We call on Governor Dayton to stop building an Obamacare exchange behind closed doors the release.
the exchange would affect the entire health care industry, and requires “a broader conversation than just announcing you’re moving ahead.”
“They’re building this, and nobody else is looking over their shoulder,
the Commerce Department is only starting to build a blueprint for the exchange.“The administration is working, and wants to work, with all interested parties, including legislators, to design an exchange,”

The lead senator on health care issuesone of two lead representatives on health care issues, the Times he hadn’t contemplated legal action.
took broadsides from tea party groups earlier this year for sponsoring a bill to set up Minnesota’s insurance exchange. That bill received a House committee hearing but didn’t progress to a vote in the full House.
The tea party groups want state leaders to resist setting up an
exchange, at least untilSupreme Court rules on the constitutionality of provisions of the health care act.
they want Minnesota to move ahead with the exchange, because the federal health care act says if states fail to establish their own exchanges, federal officials can do so for them.
Douglas Wood is director of strategy and policy at the Center for Innovation at Mayo Clinic.
the health care act provides few restrictions on how states must design the insurance exchanges — or which state officials are in the driver’s seat to design them.
Wood also questioned why those who oppose federal control of health care would reject an opportunity to customize the insurance exchanges at the state level.
“If you are really a states’ rights advocate
“it seems to me paradoxical that you would keep your hands out of this.”



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