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UPDATE: Pence unveils Healthy Indiana Plan expansion

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Indiana's effort to cover uninsured residents through a state-run health program instead of an expansion of Medicaid took another step forward Thursday when Gov. Mike Pence unveiled a proposal that he said would cover 350,000 residents if approved by the federal government.

Pence's "HIP 2.0" proposal is an altered version of the state's Healthy Indiana Plan, which currently provides health savings accounts to about 40,000 people. Indiana has been seeking federal approval to use the program, which was established in 2008 under former Gov. Mitch Daniels, as its vehicle to cover more uninsured residents.

Pence has long objected to an expansion of Medicaid, which he calls "broken" and a "fiscal monstrosity." Indiana has been seeking a waiver from President Barack Obama's health reform law to use the Healthy Indiana Plan instead, but federal officials have objected to some of the program's requirements, including a provision that recipients contribute the first $1,100 toward their care. A one-year extension of the Healthy Indiana Plan expires Dec. 31.

"Medicaid is not a program we need to expand," Pence said. "It is a program we need to change. Nobly created 50 years ago to help the poor and those with disabilities access quality health care, Medicaid has morphed into a bureaucratic and fiscal monstrosity that does less to help low-income people than its advocates claim."

The revised proposal, which Pence unveiled at Indiana University Health's Methodist Hospital in Indianapolis, would offer two tiers of coverage. The first would provide very limited coverage at little or no cost to those below 100 percent of the federal poverty level. A higher level dubbed HIP Plus would include dental and vision coverage, a comprehensive drug program and maternity services. Participants would pay $3 to $25 per month, based on income.

A third option would give workers who can't afford their employers' health care can help with their premiums from the state.

The proposal would use federal funds and expand the state's hospital assessment fee to cover the cost.

Pence said the expansion of the Healthy Indiana Plan would help low-income residents be personally responsible for their health, unlike traditional Medicaid. The plan also includes a program that will connect HIP recipients with state-sponsored job training and job search programs.

"HIP is not intended to be an entitlement. It is a safety net program that aligns incentives with human aspirations," Pence said.

He described his visits with patients around the state, including a woman named Diana who had held off going to the hospital for treatment because she lacked health care before.

"I think Diana is like a lot of Hoosiers who don't want a handout; they want a hand up," he said.

The proposal needs approval from the Centers for Medicare and Medicaid Services, which administers the federal health reform law. Pence said Indiana will submit its plan by the end of June.

Indiana Democrats, who have been asking Pence to expand Medicaid for well more than a year, gave the proposal a tepid response Thursday.

"I respect that this plan aligns with his personal beliefs, but I have serious concerns that it is an untested proposal that will still fail to provide critical health coverage to thousands of Hoosiers," said U.S. Rep. Andre Carson, D-Indianapolis, in a prepared statement.

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  • Common Sense
    This may be better than nothing, but Governor Pence's program can't even process applications within its own 45 day requirements now. About 60 days and still running here. How much worse will it be if this gets approved? Then HIP 2.0 has a work training requirement for people at or below 138% of poverty level and apply for the insurance. According to indeed.com the average police office in Indiana makes $25,000 a year. So, if I have a job making equivalent money that offers no health insurance than I have to get job training for affordable healthcare.
  • A Proven Approach?
    The link which describes HIP 2.0 has this quote: "The Healthy Indiana Plan uses a proven, consumer-driven approach that was pioneered in Indiana" All this concept has proven is that high deductible policies force low income families to avoid preventive care until they have to stumble into the emergency room. Consumer directed proposals assume consumers will become more price conscious and thus promote market efficiency. But Wall has presented evidence in this column that hospital prices do not reflect costs, rather they are set to maximize revenue. Unlike the proponents of this approach, these prices are not transparent.
  • Regifting?
    Sounds like someone just rewrapped Obamacare.
  • Personally responsible?
    This new program that Pence has come up with will make poorer Hoosiers "personally responsible" for their health?? In other words if they need medical care he's implying that it's their fault if they are sick. And it's kind of hard to exercise and eat expensive, healthy foods if you don't have enough money. Our governor has such a way of putting a zinger into something that is some times beyond most people's control and that is getting a disease or developing an illness. It's their fault that they are poor and their fault if they get sick. And if they need help and seek help why do the Republicans always label this as a "handout"? So what should they do exactly? Crawl off and die instead of seeking medical care? Callous attitude that only people who can afford to get sick are justified if they do. This is Christian?
  • Political Stunt
    Pathetic political stunt.
  • Political Stunt
    Pathetic political stunt.

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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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