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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. Socialized medicine works great for white people in Scandanavia. It works well in Costa Rica for a population that is partly white and partly mestizo. I don't really see Obamacare as something aimed against whites. I think that is a Republican canard designed to elicit support from white people for republican candidates who don't care about them any more than democrats care about the non-whites they pander to with their phony maneuvers. But what is different between Costa Rica nd the Scandanavian nations on one hand and the US on the other? SIZE. Maybe the US is just too damn big. Maybe it just needs to be divided into smaller self governing pieces like when the old Holy Roman Empire was dismantled. Maybe we are always trying the same set of solutions for different kinds of people as if we were all the same. Oh-- I know-- that is liberal dogma, that we are all the same. Which is the most idiotic American notion going right back to the propaganda of 1776. All men are different and their differences are myriad and that which is different is not equal. The state which pretends men are all the same is going to force men to be the same. That is what America does here, that is what we do in our stupid overseas wars, that is how we destroy true diversity and true difference, and we are all as different groups of folks, feeling the pains of how capitalism is grinding us down into equally insignificant proletarian microconsumers with no other identity whether we like it or not. And the Marxists had this much right about the War of Independence: it was fundamentally a war of capitalist against feudal systems. America has been about big money since day one and whatever gets in the way is crushed. Health care is just another market and Obamacare, to the extent that it Rationalizes and makes more uniform a market which should actually be really different in nature and delivery from place to place-- well that will serve the interests of the biggest capitalist stakeholders in health care which is not Walmart for Gosh Sakes it is the INSURANCE INDUSTRY. CUI BONO Obamacare? The insurance industry. So republicans drop the delusion pro capitalist scales from your eyes this has almost nothing to do with race or "socialism" it has to do mostly with what the INSURANCE INDUSTRY wants to have happen in order to make their lives and profits easier.

  2. Read the article - the reason they can't justify staying is they have too many medicare/medicaid patients and the re-imbursements for transporting these patient is so low.

  3. I would not vote for Bayh if he did run. I also wouldn't vote for Pence. My guess is that Bayh does not have the stomach to oppose persons on the far left or far right. Also, outside of capitalizing on his time as U. S. Senator (and his wife's time as a board member to several companies) I don't know if he is willing to fight for anything. If people who claim to be in the middle walk away from fights with the right and left wing, what are we left with? Extremes. It's probably best for Bayh if he does not have the stomach for the fight but the result is no middle ground.

  4. JK - I meant that the results don't ring true. I also questioned the 10-year-old study because so much in the "health care system" has changed since the study was made. Moreover, it was hard to get to any overall conclusion or observation with the article. But....don't be defensive given my comments; I still think you do the best job of any journalist in the area shedding light and insight on important health care issues.

  5. Probably a good idea he doesn't run. I for one do not want someone who lives in VIRGINIA to be the governor. He gave it some thought, but he likes Virginia too much. What a name I cannot say on this site! The way these people think and operate amuses me.

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