IBJNews

Indiana awaits ruling before starting health exchange

Back to TopCommentsE-mailPrint

Indiana has spent the past year and a half planning for its own health insurance exchange in case the U.S. Supreme Court upholds President Barack Obama's health care law, but the state still could end up being forced into the federal exchange.

Gov. Mitch Daniels ordered state agencies to investigate the cost and feasibility of an online health insurance marketplace in January 2011. Although Indiana appears to be ahead of some states that say they want to create their own exchanges, it's still possible Indiana may not be ready in time.

"We've completed cost estimates, legal analysis, surveys and other requirements," Daniels spokeswoman Jane Jankowski said Tuesday. However, she added, "No decision about establishing a state exchange has been made."

Indiana hasn't enacted a law creating its own exchange and Daniels told the agencies to keep their work in the planning stages.

The court, expected to rule Thursday, could uphold it or overturn all or part of it. Insurance exchanges, a key part of the law, would allow residents to comparison shop online for insurance starting in 2014. States can run their own exchange, form a state-federal partnership to create one, or have the federal government step in and take over.

Daniels gave himself broad power to create an exchange, via an executive order he wrote in 2011 and enabling legislation approved by lawmakers. However, that power could be muted because Daniels is term limited from seeking re-election in November.

A spokesman for Democratic candidate John Gregg did not immediately return a request for comment Tuesday. Christy Denault, a spokeswoman for Republican gubernatorial candidate Mike Pence, said the campaign is waiting to see what the court does. Pence has made clear in numerous campaign speeches that he would fight the law, much as Daniels and Indiana Attorney General Greg Zoeller have.

Even with Indiana's extensive preparation, which has included meetings with small focus groups and legislative panels over the last 18 months, the state could still find itself in a rush to build an exchange if the court upholds the law. The Department of Health and Human Services has set a deadline of Nov. 16 to submit plans. If the plans are not approved, the state could be forced into the federal exchange being crafted.

Daniels has pursued a dual path since the health care law was passed, consisting of blasting the law publicly while preparing for it in the case the justices do uphold the law, said David Roos, executive director of Covering Kids and Families of Indiana.

"I hope and fully expect the state of Indiana will continue to move down parallel paths that keep open reasonable options for the future that includes the implementation of at least parts of the Affordable Care Act," Roos said.

Within the Indiana Legislature, there has been a somewhat successful push for a conservative alternative to the health law, called the Health Care Compact, which would remove health care decisions from the federal government and set them with the states. While a half dozen states have approved this alternative, however, it would still need to win approval in Washington before taking effect.

According to the Indiana Family and Social Services Administration, 850,000 Hoosiers are uninsured. That's about 13 percent of the state population.

The law includes many pieces that would change how states administer health care, including a requirement that states expand their Medicaid roles. (Daniels lost a prior battle with President Barack Obama's administration when it rejected Indiana's request to expand the state's health savings account plan to cover more Medicaid recipients. Federal officials said last September that request was premature.)

For the states, however, the requirement of setting up an insurance exchange may be the most daunting piece of the law.

Indiana has received roughly $8 million in federal grants to complete its planning. That money has been used to determine, in part, how insurers and businesses would enter the exchange, Seema Verma, the health care consultant helping Indiana navigate the federal law, told lawmakers in October.

Where that money ends, however, is in the actual construction of an exchange, specifically the IT infrastructure, she said.

"We do not have funding though to pursue the systems that would be required to support an exchange," Verma told the General Assembly's Health Finance Commission.

ADVERTISEMENT

Post a comment to this story

COMMENTS POLICY
We reserve the right to remove any post that we feel is obscene, profane, vulgar, racist, sexually explicit, abusive, or hateful.
 
You are legally responsible for what you post and your anonymity is not guaranteed.
 
Posts that insult, defame, threaten, harass or abuse other readers or people mentioned in IBJ editorial content are also subject to removal. Please respect the privacy of individuals and refrain from posting personal information.
 
No solicitations, spamming or advertisements are allowed. Readers may post links to other informational websites that are relevant to the topic at hand, but please do not link to objectionable material.
 
We may remove messages that are unrelated to the topic, encourage illegal activity, use all capital letters or are unreadable.
 

Messages that are flagged by readers as objectionable will be reviewed and may or may not be removed. Please do not flag a post simply because you disagree with it.

Sponsored by
ADVERTISEMENT

facebook - twitter on Facebook & Twitter

Follow on TwitterFollow IBJ on Facebook:
Follow on TwitterFollow IBJ's Tweets on these topics:
 
Subscribe to IBJ
  1. Saw the Indy Men's Chorus "Music of Gilbert & Sullivan" at the Indiana Historical Society on Sunday evening.

  2. Temporary workers are not "tools" they are people and companies that keep large amounts of temp staff are cheating.

  3. I miss having them around. I hope one of their stores is in the general Meridian/86th Street area. I will make good use of it.

  4. The Fringe! Plus, the simple fact that there are so many local faves in such close proximity to each other.

  5. I remenber, watching the toll road, being built, through South Bend, when I was 10 years old. I believe, back then that it was estimated, that the toll road, would be paid for in 20 years and then it would be free. I am now 71, what happened? Since the power is in the people, by that, I mean that, we the people are in total control of everything. I, suggest that no one ever use the toll road again, let it go broke. We the people can control the price of everything, from groceries to gas, if we would just do it. If we don't pay the asking price, the sellers will lower the price and if we wait awhile, they will lower the price to what we accept as reasonable. I would like to know why a highway like interstate 94, is so well maintained, a much better highway, than the toll road, but has no tolls. I would also like to know why, a sitting governor, with a term limit, maximum of eight years, can lease, public property, for 75 years. Even though I have transponders in both of my trucks and will not be affected by the increase, I have been and will contine to avoid using the toll road. I make many trips from northern Indiana to Chicago, every year, and I prefer the better highway, I94!

ADVERTISEMENT