State Meddling, High-Risk Pool Inertia Challenging Health Care Law

By: Friday November 5, 2010 5:16 pm

There are a lot more Republican governors now. And they’re going to be very aggressive on the health care law, from trying to de-fund state participation in Medicaid to simply not building the state insurance exchanges that are central to the law. Many will also seek to join lawsuits arguing against the constitutionality of the individual mandate.

In addition, many state insurance commissioners are appointed, and new Governors may appoint regulators who do not see regulation as their primary responsibility.

But a big problem for supporters of the health care law, aside from the state meddling, is that the provisions they’ve implemented thus far just aren’t having the impact they expected.


Some States Lack Authority to Enforce Health Care Regulations

By: Monday August 16, 2010 8:00 am

During the health care debate, one of the biggest question marks that I had was whether the insurance regulations, which would be handled by the states and not a federal regulator, would be enforceable. Countless examples of insurance companies getting off scot-free, or of state insurance commissioners lacking the will or the resources to stop them, raised my concern. Now, Robert Pear and Kevin Sack at the New York Times add to that concern by discovering that some state insurance commissioners don’t even have the authority to uphold the regulations in the Affordable Care Act.

Health Care Reform: Where Do We Go from Here?

By: Monday March 22, 2010 12:35 pm

I have said before that I think this bill is deeply flawed and, most importantly, does not provide an clear pathway to eventually getting real reform. But now that this bill is the new reality, now is not the time to stop fighting. I do not plan to stop fighting until we have achieved real health care reform. Like it or not, we are effectively forced to work from this new starting point. All the groups that were saying this bill must pass because it is a “positive first step” now need to quickly begin preparing for the next step.

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