(Bloomberg) — Mississippi’s application to run its own health-insurance exchange was denied by the Obama administration, which cited a dispute between the state’s insurance commissioner and governor over the Patient Protection and Affordable Care Act.
The Department of Health and Human Services will reject the application and encourage the state to instead join a federal partnership for running the exchanges, Gary Cohen, director of the department’s Center for Consumer Information and Insurance Oversight, said in a letter to Mississippi Insurance Commissioner Mike Chaney. Exchanges are marketplaces to sell health insurance to people without it, set to open Oct. 1.
The rejection of Mississippi’s application is the first time the administration has turned down a state’s request to set up its own exchange. Seventeen states and the District of Columbia have been approved to create state exchanges. About 7 million people are expected to get insurance through a state or federal exchange in 2014.
“With a lack of support from your governor and no formal commitment to coordinate from other state agencies, we do not see a feasible pathway to conditionally approving a state-based exchange,” Cohen writes Mississippi’s insurance commissioner.
Chaney had submitted a bid to build one of the insurance markets as part of PPACA without the support of Gov. Phil Bryant, who opposes the health law and didn’t want to help enact it. Chaney and Bryant are both Republicans.
Chaney argues that Mississippi would be better off controlling the exchange itself, rather than allowing the federal government to build one in the state. The dispute between Chaney and Bryant appears to be unique in the country.
The Obama administration indicated last year that Chaney could pursue an exchange without Bryant’s support. Bryant said in a letter to Health and Human Services Secretary Kathleen Sebelius on Dec. 28 that only he — as governor — could decide whether Mississippi would build its own exchange. Mississippi’s attorney general, Jim Hood, issued a legal opinion on Jan. 15 that Chaney could proceed on his own, according to the Jackson, Miss., Clarion-Ledger.
The exchanges “are not free market” and will cause higher taxes and swelling enrollment in state Medicaid programs for the poor, Bryant says in a statement.
“I firmly maintain my position that Mississippi will not willfully implement a mechanism that will compromise our state’s financial stability,” he says.
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4 Comments
Posted by: The Dude | February 12, 2013 3:44 PM
A Mississippi governor digging in his heels against federal intrusion into state affairs? Haven't I seen this movie before?
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Posted by: Ron D | February 12, 2013 3:07 PM
The Governor is out there by himself on this huge blunder. The Insurance Commissioner did a fine job of bringing Mississippi Insurance Brokers and numerous quality insurance carriers together in a well designed plan that would have fulfilled the aims of the Affordable Care Act, the needs of the citizens of Mississippi and also maximize the positive economic benefits for the state. The Governor all but told HHS that he would do all in his power to prevent and undermine anything and everything associated with "Obamacare." I think HHS loved the plan submitted by Commissioner Chaney, but they felt it was destined to fail with a governor committed to making it fail and blocking cooperation from other state agencies. Governor Bryant can change his mind and accept the law of the land or he can deprive the citizens of a robust, state-run Health Insurance Marketplace. It's his call.
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Posted by: msmox | February 12, 2013 3:03 PM
Bryant is correct-exchanges are not markets, merely listings of companies selected by the government. Sounds like old style Communist Russia doesn't it? The Party chose the few items a store could sell to its citizens and they had to be happy with the paltry selection. The real market went underground and there you had a better selection for everyone. Obamacare will ultimately penalize employers more than you think and price insurance too high for most people. The only solution is to let market forces work to provide the cheapest policies to the most people-unfortunately we have not had a true free market in a century.
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Posted by: armandmarius | February 12, 2013 9:30 AM
The School Bond Guarantee Program provides credit enhancement to voter-approved general obligation (GO) a href="http://jootix.com/"bonds/a issued by school districts. The program provides savings to state taxpayers by pledging the full faith and credit of the state to the payment of voter-approved school district GO bonds.
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