The Joplin Globe, Joplin, MO

Top Stories

November 15, 2012

GOP-led states start warming up to health care law

WASHINGTON — From the South to the heartland, cracks are appearing in the once-solid wall of Republican resistance to President Barack Obama’s health care law.

Ahead of a federal deadline Friday for states to declare their intentions, Associated Press reporters interviewed governors and state officials around the country, finding surprising openness to the changes in some cases. Opposition persists in others, and there is a widespread, urgent desire for answers on key unresolved details.

The law that Republicans have derided as “Obamacare” was devised in Washington, but it’s in the states that Americans will find out if it works, delivering promised coverage to more than 30 million uninsured people.

States have a major role to play in two of the overhaul’s main components: new online insurance markets for individuals and small businesses to shop for subsidized private coverage, and an expanded Medicaid program for low-income people.

Friday is the day states must declare if they’ll build the new insurance markets, called exchanges, or let Washington do it for them. States can also opt for a partnership with the feds to run their exchanges, and they have until February to decide on that option.

Some glimpses of grudging acceptance across a shifting scene:

— One of the most visible opponents of Obama’s overhaul, Florida Republican Gov. Rick Scott, now says “if I can get to ‘yes,’ I want to get to ‘yes.”’

Florida was a leader in the failed effort to overturn the law in the Supreme Court, and a group formed by Scott ran TV ads opposing it before it passed Congress. But the governor told the AP this week he wants to negotiate with the federal government to try to help the nearly 4 million uninsured people in his state.

— In Iowa, GOP Gov. Terry Branstad says he is postponing a decision because Washington has not provided enough information about key details. But his spokesman, Tim Albrecht, said Iowa is exploring a partnership exchange that could include several states. Albrecht said they’re confident they can get to a state option if needed.

Ohio, like Florida and Iowa a state Obama carried in the election, is leaning toward a partnership with the federal government despite GOP officials’ continued misgivings about the law.

— In Mississippi, Republican insurance commissioner Mike Chaney formally notified Washington on Wednesday that his agency will proceed with a state-run exchange, disappointing GOP Gov. Phil Bryant, who remains staunchly opposed to Obama’s law.

Chaney, too, says he wishes the law could be repealed, but he worries that “if you default to the federal government, you forever give the keys to the state’s health insurance market to the federal government.”

As for trying to fight the feds, Chaney observed: “We tried that 150 years ago in the South, and it doesn’t work.”

— In New Mexico, the administration of Republican Gov. Susana Martinez had been quietly working to put the law into place as the political storm swirled. With a fifth of its population uninsured, the state is planning to run its own exchange.

“The party is over. The opposition is over,” New Mexico Human Services Secretary Sidonie Squier told the AP. “Whatever states didn’t think they were going to do it, I think they’re going to have to do it whether they like it or not. It’s a done deal now.”

Policy experts in Washington are noticing the shift.

“I think it’s a very practical decision for states now,” said Alan Weil, executive director of the nonpartisan National Academy for State Health Policy. “We are going to have a significant number of states running their own exchanges, a significant number where the federal government is running the exchange, and a significant number of partnerships. The bottom line is we are going to have to figure out how to make all three models work.”

Although the public remains divided about the health care law, the idea of states running the new insurance markets is popular, especially with Republicans and political independents. A recent AP poll found that 63 percent of Americans would prefer states to run the exchanges, with 32 percent favoring federal control.

The breakdown among Republicans was 81-17 in favor of state control, while independents lined up 65-28 for states taking the lead. Democrats were almost evenly divided, with a slim majority favoring state control.

There are several potential benefits to a state operating its own exchange, experts say.

The biggest advantage may be that states would be more closely involved in coordinating between the exchanges and Medicaid programs. Because many people are going to be going back and forth between Medicaid and private coverage in the exchanges, states would probably be better served by a hands-on role.

States can also decide whether to allow open access to all insurers, or work only with a panel of pre-screened companies that meet certain requirements.

Also, the exchanges will offer coverage to people buying in the individual and small business markets, areas that states have traditionally regulated. Without a state-run exchange, states could be dealing their own regulators out of the equation, as Mississippi’s insurance commissioner Chaney noted.

When the legislation was being considered in Congress, Democrats in the House wanted to have a national exchange administered by the federal government. But they lost the argument with their centrist Democratic counterparts in the Senate, who wanted state exchanges in order to preserve a state role.

Despite signs of movement toward going along with implementation of the overhaul, some major Republican-led states are holding fast. In Texas, the election results did not change any of the opposition to expanding Medicaid or to setting up insurance exchanges. The same holds for Louisiana, South Carolina, Missouri, Kansas and others.

“Adding more people to an already sinking ship with money that is either being borrowed from China or coming out of taxpayers’ pockets is bad policy and bad for Texans,” said Catherine Frazier, spokeswoman for Gov. Rick Perry. Twenty-seven percent of that state’s residents are uninsured, the largest percentage for any state.

Many Republican state officials complain that the Obama administration simply hasn’t given them enough information. Indeed, several major regulations affecting the exchanges have yet to be released. But that doesn’t seem to have stopped states that made an early decision to proceed.

Virginia, a Republican-led state that voted for Obama on Nov. 6 and also elected a Democratic U.S. senator, is among those defaulting to Washington. But a spokesman for Gov. Bob McDonnell said things may change.

“This is not a final decision,” said Jeff Caldwell. “The fact is, states still need far more information before any final decisions can be made on behalf of Virginia’s taxpayers.” The final call, he added, belongs to the state Legislature.



 

Text Only
Top Stories
  • r061713council.jpg Joplin City Council to move forward on $130 million recovery proposal; curbside recycling election resurrected

     Residents kept the house packed to the end of a 2 1/2-hour meeting of the Joplin City Council on Monday night to encourage the panel to resurrect some kind of curbside recycling proposal and to hear the details or support a $130 million recovery plan.

    June 18, 2013 2 Photos

  • Swimmers join worldwide effort to try for world record

    A group of youngsters was part of a worldwide attempt Tuesday to set a record for the world’s largest swimming lesson.

    June 18, 2013

  • Board chairwoman: Bruce Speck out as MSSU president

    Bruce Speck is “no longer president” of Missouri Southern State University, the Board of Governors disclosed Monday. The announcement was made late Monday afternoon following a unanimous vote taken during a closed board meeting Friday.

    June 17, 2013

  • Former disaster relief worker, others indicted for fraud following Joplin tornado

    A federal grand jury has indicted a former employee of the Economic Security Corp. in Joplin, her boyfriend and a third alleged conspirator in connection with the defrauding of the government via tornado relief funds. A sealed, three-count indictment was returned June 11 in U.S. District Court in Springfield against Herlana L. Latham, 31, and Christopher L. Smith, 36, both of Memphis, Tenn., and John L. Williams, 30, of Cairo, Ill. T

    June 17, 2013

  • Kelly Maddy.jpg Back on the books: Reassessment numbers reflect rebuilding after 2011 tornado

    Owners of nearly 8,000 properties in Jasper County have been notified that the value of real property they own has increased, and rebuilding from the Joplin tornado represents a significant share of that number. Officials in the county assessor’s office recently mailed out notices of higher property values, raised as a result of countywide reassessment.

    June 16, 2013 1 Photo

  • Joplin to proceed with $130 million recovery plan, recycling election

    The Joplin City Council on Monday night agreed to go forward with formal consideration of a $130 million recovery plan and revived a bill to hold an April vote of the people on the question of whether to institute curbside recycling.

    June 17, 2013

  • Bruce Speck.jpg Missouri Southern without president

    Bruce Speck is “no longer president” of Missouri Southern State University, the Board of Governors disclosed Monday.

    June 17, 2013 1 Photo

  • Tim Kellogg.jpg Crop-duster takes to skies again after walking away from crash

    RIVERTON, Kan. — Two minutes after John “Tim” Kellogg flew over his rural Cherokee County home and waved at his wife on their porch, the oil pressure in his crop-dusting plane dropped and the engine began smoking. “I knew I was going to be on the ground in 15 to 20 seconds, and I knew it was going to be a hard landing,” he said. A former mechanic on F-16s, F-15s and F-4s for the U.S. Air Force, Kellogg, 48, had to make a split-second decision.

    June 16, 2013 1 Photo

  • Council to hear public comments on recycling issue

    A curbside recycling initiative that was defeated earlier this month will resurface tonight when several Joplin residents will ask for further consideration and two vendors will offer their services.
    Representatives of two recycling businesses, one in Bentonville, Ark., and one in Tulsa, Okla., have filed requests to speak to the City Council. As of Friday morning, four residents also had submitted requests.

    June 16, 2013

  • Ken La Near Mission No. 22: Son experiences flight with father

    The engines on the B-17 rumble to life one after another. The smell of smoky oil filters into the radio room through the bomb bay doors. Overhead, cables vibrate like strings on a cello. The vibration intensifies and the plane lumbers forward to the runway. Before takeoff, the pilot stops the plane and puts it at full throttle. The massive propellers rock the plane. The plane is then thrust down the runway for a takeoff that is as smooth as silk.

    June 15, 2013 2 Photos

Facebook
Poll

President Barack Obama recently made a decision to arm the rebels in Syria's civil war, in which nearly 100,000 people have been killed. Do you support the decision to arm the rebels fighting President Bashar Assad's regime?

A. Yes.
B. No.
     View Results
Parade
Magazine

Click HERE to read all your Parade favorites including Hollywood Wire, Celebrity interviews and photo galleries, Food recipes and cooking tips, Games and lots more.
NDN Video
RAW: NSA Director Says 50 Plots Foiled Boeing, Airbus Battle for Sales Supremacy NYC 911 Call Lasts for 8 Hours Obama: US Has Helped Syrian Rebels Afghan Forces Take Afghanistan Security Lead Raw: 100K Protesters Flood Brazilian Streets California Cops Cruise on Stand-up Paddle Patrol Transgender Candidate Running in NYC Obama: NSA Secret Data Gathering 'Transparent' Man Who Disrupted Flight Ranted About CIA Feds: 7-Eleven Stores Exploited Immigrants Fla. Teen Catches Ride With Whale Shark Iran's Rowhani Urges 'Path of Moderation' Investigators Probe Origin of Colo. Wildfire Ex-NFL Star Chad Johnson Out of Jail Family Tweets Say Kim Kardashian Gives Birth