The extended deadline for the 51 States and the District of Columbia to each declare their choice from among the Health Insurance Exchanges authorized by the Affordable Care Act, was this past Friday, December 14, 2012. The authorized choices were a State-run Health Insurance Exchange, a State-and-Federal partnership HIE, or an Exchange that is run totally by the Federal Government.
Reportedly, 17 of the 51 'States' elected to implement State-run Health Insurance Exchanges. Robert Pear, "Majority of Governors Refuse to Set Up Health Exchanges" p. A13, col. 1 (New York Times Nat'l ed., Saturday, December 15, 2012). After due and diligent research, no list has been located identifying the 17 States which have reportedly elected to implement State-run Health Insurance Exchanges. However, the following 9 'States' have been identified as making the choice of State-run Health Insurance Exchanges in the past week:
- District of Columbia.
- New York.
- Oregon, and
It is also reported that in this initial year of Health Insurance Exchanges, "more than half the states" have apparently elected to have the Federal Government run the HIEs in their States. Again, no list identifying such States has been found as yet.
To reiterate, "[t]he exchanges are online supermarkets where people can shop for private health insurance and obtain federal subsidies to help defray the cost. The Congressional Budget Office has estimated that 25 million people will eventually receive coverage through the exchanges. Federal officials an federal contractors will set up and run the exchange in any state that is unable or unwilling to do so." Robert Pear, New York Times, supra.
In any case, the States' choices among the authorized HIEs are not choices which are set in concrete by any means. All States have the choice each year to implement any Health Insurance Exchange they may choose. See Dennis J. Wall & John K. DiMugno, "Health Insurance Exchanges and Deadlines Under the ACA: Part 1 of 2: What are the Choices?" posted on Westlaw Insider Blog on November 27, 2012, and id., "Part 2 of 2: What are the Deadlines Now?", posted on Westlaw Insider Blog on November 29, 2012.
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