States Get More Time to Work on Health Care Plans
By THE ASSOCIATED
PRESS
Published: November 9, 2012 at 4:34 PM ET
WASHINGTON (AP) — Trying to show flexibility without
slowing down President Barack Obama's health
care law, the administration said Friday states can have more time to work
out their roles in providing health care to millions of uninsured Americans.
In a letter to governors, Health and Human Services
Secretary Kathleen Sebelius said she still wants to hear by the end of next week
if states will be setting up health insurance markets under the law. But
governors can now take another month, until mid-December, to submit detailed
blueprints.
The new insurance exchanges will allow households and
small businesses to buy a private health plan, and many will get help from the
government to pay their premiums. Under the law, states that can't or won't set
up exchanges will have theirs run by Washington.
But many governors and state lawmakers were on the
fence, awaiting the outcome of the presidential election. And the lost time left
them fewer options.
In a concession to procrastinators, Sebelius said
states considering a partnership with the federal government to run their
exchanges can now have until mid-February to make a decision and submit their
blueprints.
The partnership option allows states to handle
consumer relations and oversight of health plans, while the federal government
does the heavy lifting, taking care of enrollment, and figuring out any taxpayer
help that consumers may be entitled to.
Sebelius stressed, however, that she is not waiving
any hard deadlines under the law.
"Consumers in all fifty states and the District of
Columbia will have access to insurance through these new marketplaces on January
1, 2014, as scheduled, with no delays," she wrote. Open enrollment for exchange
plans will start in about 11 months, Oct. 1, 2013.
A check by The Associated Press found 17 states and
the District of Columbia on track to setting up their own exchanges, while 10
have decided not to do so.
The states on track include California, Colorado,
Connecticut, Hawaii, Kentucky, Maryland, Massachusetts, Minnesota, Mississippi,
Nevada, New York, Oregon, Rhode Island, Utah, Vermont, Washington, and West
Virginia.
Not setting up exchanges are Alaska, Florida,
Louisiana, Maine, New Hampshire, South Carolina, South Dakota, Texas, Virginia,
and Wisconsin. Missouri and others are likely to join the list. The federal
government could end up running the show in half or more of the states.