Officials warn of Obamacare insurance exchange delays
Wed, Jul 17 2013
By Patrick
Temple-West and Kim
Dixon
WASHINGTON (Reuters) - Two U.S. government officials warned on Wednesday that
the launch of new state healthcare exchanges could potentially be delayed,
raising further doubts about the implementation of President Barack Obama's
signature legislation.
Alan Duncan, an auditor with the Treasury Inspector General for Tax
Administration, an Internal Revenue Service agency that monitors performance,
said testing the systems needed to implement the exchanges "will be difficult to
complete" by the October 1 start date.
"The lack of adequate testing could result in significant delays and errors
in accepting and processing ... applications for health insurance coverage," he
told the House of Representatives Oversight and Government Reform committee.
At the same hearing, Government Accountability Office official John Dicken
said the amount of work the federal government needs to do in each state has yet
to be determined, raising the risk of missing deadlines. He added that the
federal government and the states have already missed some deadlines.
The House on Wednesday approved a one year delay to the law.
However, Obama administration officials offered assurances that they were on
track.
"We are on target to have our new systems ready for deployment when open
enrollment in the marketplace begins on October 1," Acting Internal Revenue
Service chief Danny Werfel told the committee.
At a separate hearing, Mark Iwry, a health policy senior adviser at the
Treasury Department, told lawmakers the administration's healthcare work was on
time.
HEALTHCARE'S PATH AHEAD
Beginning in October, individuals will be able to buy health insurance
through the new exchanges to comply with the Patient Protection and Affordable
Care Act, which is also sometimes called Obamacare.
The exchanges are essential to the healthcare law's "individual mandate,"
which requires people to have insurance or pay a fine. The exchanges will extend
coverage to millions of uninsured Americans by offering subsidized insurance
through online marketplaces in all 50 states.
Many states have refused to set up the exchanges, adding to the federal
government's burden in implementing the law, which begins for individuals next
year. The federal government has to set up exchanges for individuals in 34
states.
The U.S. Treasury and White House said earlier this month that businesses
would not be required to offer health coverage, or pay a fee, for 2014 to give
businesses more time to comply.
Businesses complained that IRS instructions on how to comply were not
published and they would not have time to prepare. The new fee affects
businesses with more than 50 full-time employees.
Congressional Republicans, who have taken more than three dozen votes to
repeal the law since it was signed in 2010, are using the delay to argue that
the entire law is flawed.
Also on Wednesday, the Republican-controlled House Appropriations Committee
approved a 24 percent budget cut for the IRS in fiscal 2014. The bill prohibits
the agency from spending funds to implement the healthcare law's individual
mandate.
Republican efforts to repeal or defund the law have little chance of passing
in the Democratic-controlled Senate.
(Reporting By Patrick Temple-West; Editing by Kim Dixon, Leslie Gevirtz and
Andre Grenon)
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