IBJNews

Indiana legislative leaders ponder health costs

Back to TopCommentsE-mailPrintBookmark and Share

Indiana's top lawmakers said Monday they're not sure what to expect from the federal health care law other than greater costs at a time the state's budget is already stretched thin.

Republican Senate President Pro Tem David Long said the state no doubt would have to absorb some hidden expenses, even if the federal government sets up Indiana's online exchange allowing consumers and businesses to shop for insurance. That coupled with a potential Medicaid expansion could make the law a long-term burden on Indiana taxpayers, he said.

"It's absolutely a freight train coming down the tracks that's going to be shoved off on the states. And a lot of the cost has to do with the situation in Washington," he said, adding that Washington's budget woes make it more likely states will bear the burden of the sweeping law.

The Republican and Democratic leaders of the General Assembly spoke Monday at a forum hosted by the Indiana Chamber of Commerce.

Gov.-elect Mike Pence opposes the state running its own insurance exchange. The federal government would build one for the state if he declines a partnership with the federal government by February.

But even though his rhetoric against President Barack Obama's signature legislation remains sharp, Pence may not be ruling out a state-run exchange long-term. Republican House Speaker Brian Bosma says Pence has told him the state could retake control of the exchange after a year if it works well.

The Legislature will have a full plate when it begins work in earnest starting January. Besides questions about health care, lawmakers must craft the next biennial budget, address educations and jobs proposals and consider whether to write Indiana's gay marriage ban into the state constitution.

Lawmakers enter the 2013 session with roughly $2 billion in cash reserves and a proposal from Pence to use at least part of that money to cut the personal income tax by 10 percent. But Long cautioned that gambling income from the state's riverboat casinos and slots operations has been declining, and Bosma said it would be hard to commit to very much new spending or tax cuts because "the fiscal fog is thick."

The actuary hired by the state, Milliman, estimated in September that even if the state decided not to expand Medicaid coverage, the health care law could cause poor residents not already covered by Medicaid to be forced out of the "woodwork" by the requirement that they be insured. That alone would cost roughly $612 million over seven years.

"I think there has been some discussion about whether those figures are completely accurate, whether they take into account some of the savings that also might be reaped from the implementation," said Democratic Senate Minority Leader Tim Lanane. "There is controversy as to exactly how reliable those figures are."

Republicans in control of the Senate and House also will have to deal with a new school superintendent who campaigned against many of the education changes approved the last few years. Democrat Glenda Ritz is replacing Republican Tony Bennett, a staunch advocate of the GOP's education overhaul.

Bosma pointed out that many of those new changes, including a sweeping school voucher system and merit pay for teachers, are already in the books. But she could have sway over how those laws are placed into practice, he said.

"The reforms will not be rolled back," he said. "That doesn't mean we can't have a conversation about how they will be implemented. I think we've all had some reservation about them."

One proposal being considered by lawmakers would make the state school superintendent a position appointed by the governor, but Bosma cautioned the day after the election that he would like to talk to Ritz first before making any changes.

ADVERTISEMENT

  • health care law
    Why is there never any mention of how the health care law is going to HELP the residents of Indiana? People who are uninsured will now have access to insurance. This is a good thing. Pence never once mentions the upside to this law. He is only against it because it was put in place by a democratic president.

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. So much for Eric Holder's conversation about race. If white people have got something to say, they get sued over it. Bottom line: white people have un-freer speech than others as a consequence of the misnamed "Civil rights laws."

  2. I agree, having seen three shows, that I was less than wowed. Disappointing!!

  3. Start drilling, start fracking, and start using our own energy. Other states have enriched their citizens and nearly elminated unemployment by using these resources that are on private land. If you are against the 'low prices' of discount stores, the best way to allow shoppers more choice is to empower them with better earnings. NOT through manipulated gov mandated min wage hikes, but better jobs and higher competitive pay. This would be direct result of using our own energy resources, yet Obama knows that Americans who arent dependent of gov welfare are much less likely to vote Dem, so he looks for ways to ensure America's decline and keep its citizens dependent of gov.

  4. Say It Loud, I'm Black and Ashamed: It's too bad that with certain "black" entertainment events, it seems violence and thuggery follows and the collateral damage that it leaves behinds continues to be a strain on the city in terms of people getting hurt, killed or becoming victims of crimes and/or stretching city resources. I remember shopping in the Meadows area years ago until violence and crime ended make most of the business pack you and leave as did with Lafayette Square and Washington Square. Over the past 10 to 12 years, I remember going to the Indiana Black Expo Soul Picnic in Washington Park. Violence, gang fights and homicides ended that. My great grandmother still bears the scares on her leg from when she was trampled by a group of thugs running from gun fire from a rival gang. With hundreds of police offices downtown still multiple shootings, people getting shot downtown during Black Expo. A number of people getting shots or murdered at black clubs around the city like Club Six on the west side, The Industry downtown, Jamal Tinsley's shot out in front of the Conrad, multiple fights and shootings at the skating rinks, shootings at Circle Center Mall and shooting and robberies and car jackings at Lafayette Mall. Shootings and gang violence and the State Fair. I can go on and on and on. Now Broad Ripple. (Shaking head side to side) Say It Loud, I'm Black and I'm Ashamed.

  5. Ballard Administration. Too funny. This is the least fiscally responsive administration I have ever seen. One thing this article failed to mention, is that the Hoosier State line delivers rail cars to the Amtrak Beech Grove maintenance facility for refurbishment. That's an economic development issue. And the jobs there are high-paying. That alone is worth the City's investment.

ADVERTISEMENT