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In reply to the discussion: Sanders revs up ‘public option’ fight after Aetna leaves ObamaCare [View all]ConservativeDemocrat
(2,720 posts)21. Section 1332 would be negotiated by HHS, but ultimately the President signs off on it
By the way, single payer can also be implemented this way, if a State so chooses. In fact, in Colorado there is an initiative to do exactly that.
http://healthaffairs.org/blog/2014/12/05/section-1332-waivers-and-the-future-of-state-health-reform/
The Affordable Care Act (ACA) turbocharges state innovation through a number of provisions, such as the creation of the Center for Medicare & Medicaid Innovation, funding for states to establish customized insurance exchanges, and Medicaid reforms such as health homes and projects geared toward the dual eligible population. Yet another component of the law holds even more potential for broad reform. Buried in Section 1332 of the law is a sparkplug for innovation called the State Innovation Waivers program.
Also known as 2017 waivers or Wyden waivers, 1332s offer wide latitude to states for transforming their health insurance and health care delivery systems. According to the statute, states can request that the federal government waive basically every major coverage component of the ACA, including exchanges, benefit packages, and the individual and employer mandates. But the cornerstone of 1332 waivers is the financing. To fund their reforms, states can receive the aggregate amount of subsidiesincluding premium tax credits, cost-sharing reductions, and small business tax creditsthat would have otherwise gone to the states residents. Depending on the size of the state, the annual payment from the federal government for alternate coverage reform could reach into the hundreds of millions or even billions of dollars.
A better name for this program might be Waivers for State Responsibility, because they dont exempt states from accomplishing the aims of the ACA, but give them the ability (and responsibility) to fulfill the aims in a different manner while staying between certain guardrails. State reforms must ensure affordability, cover a comparable number of people as statutory ACA implementation would have, and not increase the federal deficit.
Also known as 2017 waivers or Wyden waivers, 1332s offer wide latitude to states for transforming their health insurance and health care delivery systems. According to the statute, states can request that the federal government waive basically every major coverage component of the ACA, including exchanges, benefit packages, and the individual and employer mandates. But the cornerstone of 1332 waivers is the financing. To fund their reforms, states can receive the aggregate amount of subsidiesincluding premium tax credits, cost-sharing reductions, and small business tax creditsthat would have otherwise gone to the states residents. Depending on the size of the state, the annual payment from the federal government for alternate coverage reform could reach into the hundreds of millions or even billions of dollars.
A better name for this program might be Waivers for State Responsibility, because they dont exempt states from accomplishing the aims of the ACA, but give them the ability (and responsibility) to fulfill the aims in a different manner while staying between certain guardrails. State reforms must ensure affordability, cover a comparable number of people as statutory ACA implementation would have, and not increase the federal deficit.
- C.D. Proud Member of the Reality Based Community
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Sanders revs up ‘public option’ fight after Aetna leaves ObamaCare [View all]
grahamhgreen
Aug 2016
OP
I was unaware the law allowed insurers to withdraw from obamacare. Seems like a fatal flaw.
grahamhgreen
Aug 2016
#2
But it seems you can force consumers to pay big mark-ups for health financing
HereSince1628
Aug 2016
#40
They don't even exist unless we allow it. We can force them to do what we will.
grahamhgreen
Aug 2016
#53
Read their announcement and the law. They are not "withdrawing from the ACA".
George II
Aug 2016
#37
I suspect most of this problem is due to states that were against the expanded Medicaid, and never
still_one
Aug 2016
#49
A public option is more likely to occur before single payer, unless the political landscape changes
still_one
Aug 2016
#60
All I am doing is trying to point out the differences between the public option verses
still_one
Aug 2016
#68
you are right, unfortunately on both points. Still it is important they hear our feedback
still_one
Aug 2016
#70
She has said she would. Hillary Clinton is one of America's most honest politicians.
SunSeeker
Aug 2016
#11
I agree that Politifact leans conservative. All the more reason that chart is impressive. nt
SunSeeker
Aug 2016
#50
Maybe she was not your favorite candidate, but if you're a Democrat she now IS your candidate.
George II
Aug 2016
#39
Please stop accusing people of hating. As MY idol said in Two Cheers for Democracy:
cali
Aug 2016
#30
Yes. And that bill is just one example of her advocacy over the last 25+ years.
George II
Aug 2016
#41
Good news! Can she provide a waiver as President, or is it given by some other entity?
grahamhgreen
Aug 2016
#19
Section 1332 would be negotiated by HHS, but ultimately the President signs off on it
ConservativeDemocrat
Aug 2016
#21
Yup. The ACA gave the insurers a chance to show they could manage this. If they can't,
pnwmom
Aug 2016
#26
Go Bernie! These billion dollar corporations don't give a shit about us or health.
Initech
Aug 2016
#65