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States Leaving Insurance Exchanges to Federal Government

Almost half of the United States’ governors have decided not to implement the Obama administration’s new healthcare law. In effect, the insurance markets will be left to run by the federal government.

Health Insurance ExchangesBut now, according to the Los Angeles Times, “What was once viewed as a setback for the Affordable Care Act is increasingly seen as a blessing by consumer advocates, many of whom doubt that officials in some Republican-controlled states are committed to implementing a law they fervently oppose.”

South Carolina Appleseed Legal Justice Center’s Director Sue Berkowitz was quoted in the Times regarding SC’s decision to opt out:

“I’m happy this will be run by the federal government. With such an obstructionist governor and our inability to work with Washington, I just don’t have confidence South Carolina would do right by our uninsured.”

These exchanges allow consumers who currently are not insured to essentially “shop” for healthcare and compare plan benefits easily.

For much more on this new development, please go here:

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…)

Despite Bad Economy, S.C. Makes Progress In Enrolling Kids

Press Release:

New Analysis Shows State, National Progress in Extending Coverage

Columbia – South Carolina made significant progress in reducing the number of uninsured children from 2008 to 2010, according to a new report released by the South Carolina Appleseed Legal Justice Center and authored by the Georgetown University Health Policy Institute’s Center for Children and Families.  South Carolina’s rate of uninsured kids declined from 11.7% in 2008 to 9.4% in 2010, meaning more than 23,000 additional children had coverage in 2010, despite challenging unemployment and increases in child poverty.  Nationwide, the rate of uninsured children went from 9.0% in 2008 to 8.0% in 2010.

“The progress on children’s health insurance is due to the success of Medicaid and Healthy Connection Kids, which have continued to fill the void created by a decline in employer-based health insurance, high unemployment, and the increasing cost of private health insurance,” said Sue Berkowitz of the South Carolina Appleseed Legal Justice Center.

“Now we call on the General Assembly to build on this progress by granting the Department of Health and Human Services the additional $35 million it has requested, in order to provide coverage to another 70,000 children in South Carolina who are currently shut out of our healthcare system.”

Analyzing newly available data from the Census Bureau, the Georgetown researchers examined the changes in coverage rates for children from 2008 through 2010.

In 2008, South Carolina had about 124,900 uninsured children according the report, which uses data from the Census Bureau’s American Community Survey.  By 2010, that number had declined to 101,900.  South Carolina’s improvement in coverage for kids of 2.3 percentage points over three years was enough to put it into the top ten among states for improvement over that period.

While state-specific demographic data are not available, nationally there are some important differences worth noting among demographic groups.  Hispanic and Native American children remain disproportionately uninsured, older children are less likely to be covered than younger children, and uninsured rates are higher for children living in families earning below 50 percent of the poverty line.

“This report highlights a rare piece of good news at a challenging time for children. Poverty has gone up, but more kids are insured,” said Joan Alker, Co-executive Director of the Georgetown Center for Children and Families. “State leaders, with strong federal support through Medicaid and CHIP, have provided some much needed peace of mind to many families struggling to meet their children’s health care needs during perilous economic times.  These gains are fragile and could quickly be reversed if state or federal support erodes.”

See the full report here.

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