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And Here We Thought Gov. Haley Was Acting In Good Faith

From The Post & Courier:

Haley dictated panel finding

Outcome ordered before health committee met

By Renee “Little Girl” Dudley

rdudley@postandcourier.com

Wednesday, December 14, 2011

Gov. Nikki Haley dictated the conclusions of a committee charged with deciding how the state should implement federal health care reform before the group ever held its first meeting, public documents show.

Now, some of those involved in the dozens of meetings are calling the entire planning process a sham that wasted their time and part of a $1 million federal grant.

In a March 31 email thread that included Haley, her top advisers and the committee member who eventually wrote the report, Haley wrote, “The whole point of this commission should be to figure out how to opt out and how to avoid a federal takeover, NOT create a state exchange,” which is eventually what happened.

A central part of the federal health care overhaul, an exchange is a marketplace where various insurance plans eventually will be sold.

The emails were released to the newspaper Friday afternoon in response to a Nov. 16 public records request to the S.C. Department of Health and Human Services.

The newspaper had made a nearly identical request of the governor’s office in May, but the office did not include the emails in its response.

The documents show a first-term Republican administration focused on public perception of its handling of the Democratic health care reform law. They also reveal the tight control Haley and her top aides exercise over other state agencies, requiring media inquiries to various state departments to pass through the governor’s office for inspection.

“Oh my God, we just threw $1 million away here,” said Frank Knapp, who participated in the meetings as president of the S.C. Small Business Chamber of Commerce. “This confirms this whole thing was an effort to justify the million-dollar grant, but the reality is they had no intention of even exploring whether the state should establish an exchange — which is exactly what the grant called for.” (more…)

Haley’s Panel: No State Health Insurance ‘Exchange’ For S.C.

From The Post & Courier:

By Renee Dudley

rdudley@postandcourier.com

Friday, November 18, 2011

South Carolina should not manage its own “exchange” where health coverage will be sold once the new federal health care law takes full effect in 2014, a state panel is expected to recommend today.

The S.C. Health Planning Committee wants private companies to create their own exchanges to sell insurance, an option critics said will face resistance and likely lead to a federal takeover of the process.

If Gov. Nikki Haley approves the recommendations, South Carolina would join a handful of other states in declining to set up its own exchange — the website and hotline where health coverage will be sold to residents who qualify for subsidized insurance as part of federal health care reform.

Instead of a single state-managed website, members of the Health Planning Committee, who include state Health and Human Services Director Tony Keck, said private entities should set up their own sites to sell insurance.

Keck said small businesses or insurers could band together to build their own exchanges. The resulting sites would be similar to having a choice of Travelocity, Orbitz and Kayak for buying discounted airline tickets, he said.

Advocates for the uninsured, however, said buying health insurance is a complicated transaction. Allowing private companies to manage exchanges could open the door for insurers to take advantage of the poor, they said. (more…)

Haley To Reject Federal Money For ACA Implementation

From The Spartanburg Herald Journal:

“This is going to mean instead of the fox guarding the henhouse, the fox would be designing the henhouse.” -Rep. Harold Mitchell

By Stephen Largen
stephen.largen@shj.com

COLUMBIA — Gov. Nikki Haley has decided South Carolina won’t pursue any more grant money from the federal health care overhaul to fund a possible state-run health insurance exchange.

“The governor has said she’s going to evaluate these opportunities as they come as to what’s best for South Carolina,” said Tony Keck, the director of the state Department of Health and Human Services. “The one decision she’s already made is that there is no reason for South Carolina to apply for additional money related to health insurance exchanges.”

Keck made the comments on Thursday after the second meeting of the South Carolina Health Planning Committee, a group established by a Haley executive order that’s looking at setting up a state-run health insurance exchange and other opportunities to improve access to and reduce the cost of health care.

A health insurance exchange is an online marketplace where consumers can shop for and compare health insurance policies.

The federal health care overhaul dictates that states must set up their own exchanges to go live when the law goes into full effect in 2014 or have the federal government step in and set up one for them. (more…)

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