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My Opinion

November 21, 2013

My Opinion: November 21, 2013

RAYMOND - The Democrats plan for Obamacare Medicaid Expansion is wrong for New Hampshire.

1. Important things to remember.

Medicaid Expansion is part of the “Affordable” Care Act a.k.a. Obamacare, a law that before it is even implemented is having significant issues, unanticipated costs, problems and economic impacts.

Many states have said “No” to expansion or opted to propose their own solutions to providing health care access to low income citizens, including helping them get on high quality private insurance rather than government insurance (Medicaid).

2. The special session House bill SSHB1’s dangerous divergence from Medicaid commission recommendation.

Repeals the prohibition on a state health insurance exchange/marketplace (Section 12) and establishes a state health insurance exchange/marketplace (Section 8). Contrary to a bipartisan unanimous vote by the House Commerce Committee less than one month ago to kill a bill proposing to undo the prohibition, the same provision has been slipped into SSHB1. This was NOT part of the commission’s recommendation.

HIPP waiver required but not as a precondition for starting the program, which will go into effect on 1/1/14, regardless of whether the HIPP waiver has been granted. (Relative to RSA 126-A:71 - page 5, line 9). If this waiver is not in place prior to 1/1/14, we will run the risk of thousands of citizens moving from private, employer sponsored to government funded Medicaid. This will cause a number of individuals to possibly churn back and forth from Medicaid to private insurance. This is contrary to the commission’s recommendation. {HIPP or “Health Insurance Premium Program” means the program established by the Department pursuant to Section 1906 of the Social Security Act of 1935, as amended, (42 USC, Section 1396e), to purchase employer-sponsored group health care coverage. This is the part that uses government dollars to help pay for staying on their employer-sponsored insurance, rather than jump on to Medicaid}.

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