Posted by AzBlueMeanie:
Elections have consequences, and the most important consequence of the 2012 election is that the Affordable Care Act (aka "ObamaCare") is the law of the land and will now be fully implemented.
The Obama administration will allow states additional time to plan
health insurance exchanges, and
to set up the marketplaces at the heart of the Affordable Care Act (ACA). For hurried states, Obama administration extends health law deadlines:
States now have an extra month to send the federal government
“blueprints” for how they will have the health exchange up and running
by 2014, according to a letter Health and Human Services Secretary
Kathleen Sebelius sent to governors Friday.
They must still inform the Obama administration whether they plan to
set up an exchange by the original deadline of Nov. 16. Planning
documents must follow by Dec. 14.
Many states have already decided they will not build the insurance marketplaces, leaving the task to the federal government.
The governors of Florida, Virginia and Kansas announced Thursday they
would take this route. As many as 17 states are expected to have the
federal government run their exchanges, according to an analysis from
consulting firm Avalere Health.
* * *
Sebelius wrote to governors that the agency had “heard from many
states that additional time would allow you to submit a more
comprehensive, complete Blueprint application for your Exchange.”
“We are committed to providing you with the flexibility, resources,
and technical assistance necessary to help you achieve successful
implementation of your state’s Exchange,” she wrote.
States also have the option of pursuing a “partnership” exchange.
Under that model, the state and federal governments would each take
partial responsibility for running parts of the insurance marketplace.
States pursuing that model must notify the federal government in just over three months, by Feb. 15.
The Obama administration must certify that all states planning to
administer their own exchanges have made sufficient progress by Jan. 1.
Next October, the marketplaces will need to launch for open-enrollment
periods.
* * *
“If states don’t make this decision in the next 15 to 30 days, it’s
going to be really hard to catch up,” said Sam Gibbs, senior vice
president of sales at eHealthInsurance, which is helping states build
insurance exchanges. “That’s why Sebelius is saying, ‘You can give me
your plans later, but I still need to know which direction you’re
going.’ ”
The extended deadlines will not affect the overall implementation
timeline: Health insurance exchanges are still slated to launch at the
start of 2014.