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Pence, Sebelius to meet on health care expansion proposals

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Indiana Gov. Mike Pence is scheduling a meeting with U.S. Health and Human Services Secretary Kathleen Sebelius about the state’s request to use its own health care plan in place of a traditional Medicaid expansion.

Sebelius said in a letter received by the state Wednesday that her office is willing to work with the state to make the Healthy Indiana Plan comply with federal rules for expanded coverage. But she made clear that a number of HIP’s rules are not acceptable to federal officials.

Pence had requested the meeting in a letter Nov. 15. In her response, Sebelius did not mention an in-person meeting. But Pence’s staff said the offices are working to set one up for February when Pence will be in Washington, D.C., for a National Governors Association event.

I am grateful for the timely response from Secretary Sebelius and for her willingness to meet to discuss this matter further,” Pence said in a prepared statement. “We remain committed to good-faith negotiations with the Obama Administration to determine whether Indiana can use our proven consumer-driven health care model to expand health care coverage in Indiana.”

The federal Affordable Care Act required states to expand Medicaid so that it served more people with higher incomes. But the U.S. Supreme Court ruled that Congress couldn’t order the states to make the change.

Since then, Indiana has been trying to convince federal officials to let it use the Healthy Indiana Plan – which requires recipients to share the cost of health coverage – as its Medicaid expansion.

So far, federal authorities have only OK’d a one-year expansion of HIP. Sebelius said in her letter that the state will have to submit a request by June 30 to extend HIP beyond 2014.

But she said the federal law doesn’t allow Indiana to receive full Medicaid reimbursement for the plan because it requires some of the poorest Hoosiers to contribute to the cost of the insurance and puts caps on enrollment.

However, the secretary said new rules would allow the state to use co-pays for Hoosiers who earn more than the federal poverty level, which is $11,490 for a single person.

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  1. In reality, Lilly is maintaining profit by cutting costs such as Indiana/US citizen IT workers by a significant amount with their Tata Indian consulting connection, increasing Indian H1B's at Lillys Indiana locations significantly and offshoring to India high paying Indiana jobs to cut costs and increase profit at the expense of U.S. workers.

  2. I think perhaps there is legal precedence here in that the laws were intended for family farms, not pig processing plants on a huge scale. There has to be a way to squash this judges judgment and overrule her dumb judgement. Perhaps she should be required to live in one of those neighbors houses for a month next to the farm to see how she likes it. She is there to protect the people, not the corporations.

  3. http://www.omafra.gov.on.ca/english/engineer/facts/03-111.htm Corporate farms are not farms, they are indeed factories on a huge scale. The amount of waste and unhealthy smells are environmentally unsafe. If they want to do this, they should be forced to buy a boundary around their farm at a premium price to the homeowners and landowners that have to eat, sleep, and live in a cesspool of pig smells. Imagine living in a house that smells like a restroom all the time. Does the state really believe they should take the side of these corporate farms and not protect Indiana citizens. Perhaps justifiable they should force all the management of the farms to live on the farm itself and not live probably far away from there. Would be interesting to investigate the housing locations of those working at and managing the corporate farms.

  4. downtown in the same area as O'malia's. 350 E New York. Not sure that another one could survive. I agree a Target is needed d'town. Downtown Philly even had a 3 story Kmart for its downtown residents.

  5. Indy-area residents... most of you have no idea how AMAZING Aurelio's is. South of Chicago was a cool pizza place... but it pales in comparison to the heavenly thin crust Aurelio's pizza. Their deep dish is pretty good too. My waistline is expanding just thinking about this!

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