In short, the big takeaway from Beebe’s meeting with U.S. Health and Human Services Secretary Kathleen Sebelius over the weekend was that Arkansas does have permission to explore using Medicaid expansion funds in its forthcoming health insurance exchanges.
Both enterprises are components of the controversial federal health care law. Last year’s U.S. Supreme Court ruling on the law’s constitutionality gave states the ability to opt in or out of expanding Medicaid with the feds paying all of the expenses for the first three years. The state would eventually have to pick up the tab for 10% of the costs by the end of seven years.
The health insurance exchanges that the Affordable Care Act created would allow for the uninsured to shop for subsidized health care plans in an open market system with private insurance carriers.
Medicaid expansion and the health insurance exchanges would begin in 2014.
Arkansas Dept. of Human Services Director John Selig said that Medicaid expansion would have brought uninsured Arkansans up to 138% of the federal poverty level under the program’s care. With the fed’s new position, which he said was “a surprise,” that population could obtain private insurance through the health exchanges with help from the same pot of federal funding.
It could require subsidizing plans or creating co-pays for certain medical situations.
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