Obamacare Premiums Will Vary Widely By State And City: Report
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Timeframe: 2013Data View: TextLocations: United States, States
State Decisions on Health Insurance Exchanges and the Medicaid Expansion, as of September 3, 2013
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Location
Status of State Exchange Decision
Current Status of Medicaid Expansion Decision
United States 17 Declared State-based Exchange; 7 Planning for Partnership Exchange; 27 Default to Federal Exchange 25 Moving Forward at this Time; 22 Not Moving Forward at this Time; 4 Debate Ongoing
Alabama Default to Federal Exchange Not Moving Forward at this Time
Alaska Default to Federal Exchange Not Moving Forward at this Time
Arizona Default to Federal Exchange Moving Forward at this Time
Arkansas Planning for Partnership Exchange Moving Forward at this Time1
California Declared State-based Exchange Moving Forward at this Time
Colorado Declared State-based Exchange Moving Forward at this Time
Connecticut Declared State-based Exchange Moving Forward at this Time
Delaware Planning for Partnership Exchange Moving Forward at this Time
District of Columbia Declared State-based Exchange Moving Forward at this Time
Florida Default to Federal Exchange Not Moving Forward at this Time2
Georgia Default to Federal Exchange Not Moving Forward at this Time
Hawaii Declared State-based Exchange Moving Forward at this Time
Idaho Declared State-based Exchange3 Not Moving Forward at this Time
Illinois Planning for Partnership Exchange Moving Forward at this Time
Indiana Default to Federal Exchange Not Moving Forward4
Iowa Planning for Partnership Exchange Moving Forward at this Time1
Kansas Default to Federal Exchange5 Not Moving Forward at this Time
Kentucky Declared State-based Exchange Moving Forward at this Time
Louisiana Default to Federal Exchange Not Moving Forward at this Time
Maine Default to Federal Exchange5 Not Moving Forward at this Time
Maryland Declared State-based Exchange Moving Forward at this Time
Massachusetts Declared State-based Exchange Moving Forward at this Time
Michigan Planning for Partnership Exchange Moving Forward at this Time1
Minnesota Declared State-based Exchange Moving Forward at this Time
Mississippi Default to Federal Exchange6 Not Moving Forward at this Time
Missouri Default to Federal Exchange Not Moving Forward at this Time
Montana Default to Federal Exchange5 Not Moving Forward at this Time2
Nebraska Default to Federal Exchange5 Not Moving Forward at this Time
Nevada Declared State-based Exchange Moving Forward at this Time
New Hampshire Planning for Partnership Exchange Debate Ongoing2
New Jersey Default to Federal Exchange Moving Forward at this Time
New Mexico Declared State-based Exchange7 Moving Forward at this Time
New York Declared State-based Exchange Moving Forward at this Time
North Carolina Default to Federal Exchange Not Moving Forward at this Time
North Dakota Default to Federal Exchange Moving Forward at this Time
Ohio Default to Federal Exchange5 Debate Ongoing
Oklahoma Default to Federal Exchange Not Moving Forward at this Time
Oregon Declared State-based Exchange Moving Forward at this Time
Pennsylvania Default to Federal Exchange Debate Ongoing
Rhode Island Declared State-based Exchange Moving Forward at this Time
South Carolina Default to Federal Exchange Not Moving Forward at this Time
South Dakota Default to Federal Exchange5 Not Moving Forward at this Time
Tennessee Default to Federal Exchange Debate Ongoing1
Texas Default to Federal Exchange Not Moving Forward at this Time
Utah Default to Federal Exchange8 Not Moving Forward at this Time
Vermont Declared State-based Exchange Moving Forward at this Time
Virginia Default to Federal Exchange5 Not Moving Forward at this Time
Washington Declared State-based Exchange Moving Forward at this Time
West Virginia Planning for Partnership Exchange Moving Forward at this Time
Wisconsin Default to Federal Exchange Not Moving Forward at this Time
Wyoming Default to Federal Exchange Not Moving Forward at this Time
notes
Notes
Data are as of September 3, 2013. It is important to note that per CMS guidance, there is no deadline for states to implement the Medicaid expansion. Requirements for legislation to implement the Medicaid expansion vary across states; some state will require authorizing language and/or budgetary authority to implement the expansion while others will not.
Coverage through the exchanges will begin in every state on January 1, 2014, with enrollment beginning October 1, 2013. States can elect to build a fully state-based exchange, enter into a state-federal partnership exchange, or default into a federally-facilitated exchange. The Affordable Care Act (ACA) directs the Secretary of Health and Human Services (HHS) to establish and operate a federally-facilitated exchange in any state that is not able or willing to establish a state-based exchange. In a federally-facilitated exchange, HHS will perform all exchange functions. States entering into a state-federal partnership exchange may administer plan management functions, in-person consumer assistance functions, or both, and HHS will perform the remaining exchange functions.
The ACA expands Medicaid coverage for most low-income adults to 138% of the federal poverty level (FPL) ($15,415 for an individual or $26,344 for a family of three in 2012). Following the June 2012 Supreme Court decision, states face a decision about whether to adopt the Medicaid expansion. For additional information on the cost and coverage implications of the Medicaid expansion, see the following KCMU resources: The Cost of Not Expanding Medicaid (July 2013) and Analyzing the Impact of State Medicaid Expansion Decisions (July 2013).
Sources
Exchange Decisions: Data compiled through review of state legislation and other exchange documents by the Kaiser Family Foundation. For more detailed descriptions of states’ health insurance exchange planning and implementation efforts, please visit State Exchange Profiles.
Current Status of Medicaid Expansion Decisions: Based on KCMU analsyis of recent news reports as well as executive and legislative activity in states.
http://www.huffingtonpost.com/2013/09/05/obamacare-premiums_n_3869782.html