SCOTUS “What If” Scenarios - Key Issues for States

2012 National Leadership Conference

CSG Health Policy Task Force
Moving Forward on Health Care Reform: With or Without the Affordable Care Act
May 18, 2012

Reform, whether mandated by the Affordable Care Act or not, is needed to address citizens' demands for quality health care services. Medicaid, state employee health care and now, health insurance exchanges are potential policy levers to increase quality, improve states' health outcomes and hold the line on costs. This session highlighted replicable initiatives undertaken by states to build an improved health care system responsive to today's fiscal policy context.

Presentation by Joan Gardner, Executive Director of State Services, Blue Cross Blue Shield Association

SCOTUS “What If” Scenarios - Key Issues for States

Also thinking about the future was Joan Gardner, executive director of state services for Blue Cross Blue Shield.  When the U.S. Supreme Court decides the constitutionality of the Affordable Care Act in June, she said, state policymakers are going to have to be quick on their feet.

For instance, if the act is upheld, states will have to be ready to begin open enrollment in health care exchanges in the fall of 2013 and be ready to implement the system on Jan. 1, 2014. If states aren’t poised to act quickly, they will cede authority to the federal government, who will run state health exchanges if states elect not to do so themselves. If the ACA is overturned, states also face decisions around whether to preserve health insurance reforms that have already been put in place and how to proceed in the future.

Joan Gardner
Gardner is the executive director of state Services at the Blue Cross Blue Shield Association. The Association regulates the Blue brand, administers licenses, and helps coordinate national programs to the Blue Cross and Blue Shield companies so they may provide local leadership and solutions to promote safe, high quality and affordable care. Ms. Gardner previously held a position as vice president, Government Affairs Counsel at Blue Cross Blue Shield of Virginia. She has a law degree from Washington and Lee University and a Bachelor’s Degree from the University of Arkansas at Fayetteville.