Today the federal government announced that it would be taking grant applications for $67 million for navigators to link consumers to federally-facilitated and state-based health insurance exchanges. 

The speakers on the conference call characterized the announcement and posting as part of the "regular grant process" but one has to wonder if this is a sign of the administration's confidence that the Supreme Court will find in their favor in the King v. Burwell case.

The Cleveland Clinic, one of the nation’s largest hospitals, reported a 40 percent drop in charity care and credited the good news to Ohio’s Medicaid expansion, according to Kaiser Health News. Free care costs fell from $171 million in 2013 to $101 million in 2014.

Approximately 7.7 million people living in states with a federally run health insurance exchange purchased health insurance and qualified for monthly premium tax subsidies during the 2014-15 open enrollment period, according to newly released data. The estimated annual value of those tax subsidies tops $24 billion, according to calculations by The Council of State Governments. These premium subsidies are at risk in the King v. Burwell case currently before the U.S. Supreme Court.

I learned a few things last week when I was visiting with Indiana Rep. Ed Clere, one of the new co-chairs of CSG’s Health Public Policy Committee.

  • That week, the state announced the 100,000th person enrolled in the Medicaid expansion waiver, called HIP 2.0 in Indiana, after the program opened less than a month before. Indiana had three Medicaid managed care organizations already engaged in the state and the state Medicaid office and the
  • ...

For Justice Kennedy it was his questions, for Chief Justice Roberts it was his silence…

Today the Supreme Court heard oral argument in King v. Burwell, where it will decide whether federal health insurance exchanges, operating in 34 states, can offer subsidies to middle and low income purchasers of insurance under the Affordable Care Act (ACA). 

Simply put, the Court must decide whether it agrees with the Internal Revenue Service (IRS) that the following statutory language, “established by the State,” can include federal exchanges too.

March 4 is an important date for anyone who cares about health policy. The Supreme Court justices will hear oral arguments in the case King v. Burwell, challenging tax subsidies for health insurance purchase in states that are not running their own health insurance exchanges.

The potential impact of the case is clear. Approximately 7.5 million Americans in 34 states receive subsidies to offset the cost of health insurance purchased through the federally-run exchange.

On Friday, Feb. 6, the Wyoming Senate voted 19 to 11 to reject a bill to expand Medicaid, WyoFile.com reported.

Majority Floor Leader Sen. Eli Bebout said, according to Wyo.File reporting, “Now is not the time. I think being cautious, and doing it the Wyoming way is the way we do things.”

The Senate Health Committee defeated Gov. Bill Haslam’s proposal to expand Medicaid in a 7-4 vote yesterday, according to the Times Free Press. Later in the day, both the House and Senate voted to adjourn the special session that had been called to consider the measure.

Gov. Mike Pence announced today federal approval of his state’s Medicaid waiver to expand eligibility to all persons with incomes below 138 percent of the federal poverty level, according to the Indy Star newspaper.

Pence has lobbied hard for what he calls HIP 2.0, expanding a smaller consumer-driven health plan called Healthy Indiana Plan, rather than expand the traditional Medicaid program.

“The expanded and updated HIP 2.0 is based on a program that has been serving 60,000 low-income Hoosiers in our state for seven years,” said Governor Pence in a press release. “It is a proven model for Medicaid reform across the nation.”

Up to 350,000 people will be eligible according to the press release. The state will start taking applications today, Jan. 27, for coverage to begin on Feb. 1, 2015.

New Arkansas governor, Asa Hutchinson, will ask the legislature to continue to fund the private option Medicaid expansion through the end of 2016, according to the Arkansas Times. Then he intends to come up with a new plan for 2017 and beyond.

Gov. Hutchinson alluded to Section 1332 waivers, sometimes called waivers on steroids, that will be available to states in 2017 to implement wholesale reforms of Medicaid while releasing an approved state from many, if not all, of the requirements of the Affordable Care Act.

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