YoungConserv
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I'm curious I remember a big deal being made about some states refusing to set up exchanges but now it doesn't seem to matter what's the deal?
When Obamacare was created, it was done so with the idea the state would create their own exchange, and the federal website would basically be a portal to the state sites. You'll notice how the state exchanges have worked relatively well. However, due mostly (I believe) to politics, a large number of states refused to create their own and instead forced the federal government to build their exchange for them. This is one of the reasons (I believe) the federal website has had so many problems.I'm curious I remember a big deal being made about some states refusing to set up exchanges but now it doesn't seem to matter what's the deal?
When Obamacare was created, it was done so with the idea the state would create their own exchange, and the federal website would basically be a portal to the state sites. You'll notice how the state exchanges have worked relatively well. However, due mostly (I believe) to politics, a large number of states refused to create their own and instead forced the federal government to build their exchange for them. This is one of the reasons (I believe) the federal website has had so many problems.
To make a short answer shorter, the deal is the states which did not set up their own use the federal site.
But I thought the bill was worded that the states had to set up their own exchanges with no provision for a federal exchange.When Obamacare was created, it was done so with the idea the state would create their own exchange, and the federal website would basically be a portal to the state sites. You'll notice how the state exchanges have worked relatively well. However, due mostly (I believe) to politics, a large number of states refused to create their own and instead forced the federal government to build their exchange for them. This is one of the reasons (I believe) the federal website has had so many problems.
To make a short answer shorter, the deal is the states which did not set up their own use the federal site.
I'm curious I remember a big deal being made about some states refusing to set up exchanges but now it doesn't seem to matter what's the deal?
I'm not sure if it was required for the states to set up their own or not. I remember another poster who said it was required, but the Supreme Court overturned that provision, meaning it was optional for states to set them up.But I thought the bill was worded that the states had to set up their own exchanges with no provision for a federal exchange.
But I thought the bill was worded that the states had to set up their own exchanges with no provision for a federal exchange.
They had to and expand medicaid or their residents couldn't get the subsidy and the state lost all medicaid funding, but the SCOTUS reined in that hammer.
So they changed the law?
See I thought only the states could create these exchanges is there a provision allowing the Feds to make a exchange for the states?Fischer is completely confused between the issue of expanding Medicaid and the establishment of state exchanges for insurance
ACA contained a provision that made fed financing of Medicaid contingent upon the states expanding Medicaid coverage. That provision was struck down by the Supreme Court
ACA contained other provisions which offered grants to states that agreed to set up their own exchanges. Some states took advantage of those grants and set up their own exchanges. Others did not, so the fed set up an exchange for them under provisions of the ACA.
See I thought only the states could create these exchanges is there a provision allowing the Feds to make a exchange for the states?
To my understanding it is like pension plans in Canada, states can have one if they want one but they do not have to.
See I thought only the states could create these exchanges is there a provision allowing the Feds to make a exchange for the states?
I'm curious I remember a big deal being made about some states refusing to set up exchanges but now it doesn't seem to matter what's the deal?
Under the ACA, those states not creating an exchange, necessitating the creation of a federal exchange for the state(s) has the apparent unintended consequence of those people in those states not qualifying for the subsidy. Under the ACA, state exchanges qualified for subsidies to individuals to assist in the purchase price of insurance but the ACA doesn't authorize subsidies for those using the federal exchange to buy insurance. Ooppss!
That is not true
There is no federal exchange. There are state exchanges which were built by the feds.
It is true. Read the freaking law! Federal exchanges created on behalf of the states not making their own isn't eligible for subsidies. Read the statute for heavens sake!
I have read it. No exchanges are eligible for subsidies. Individuals are eligible for subsidies
You should pay better attention to what I said. I reject your strawman argument. I didn't say exchanges were eligible for subsidies. I said "people" wouldn't get the subsidy. I applaud your effort to construe my statement to say something it never did! Bravo you may now exit stage right!
People who buy on the exchange, and meet the eligibility guidelines are eligible for subsidies regardless of who is running the website.
Under the ACA, those states not creating an exchange, necessitating the creation of a federal exchange for the state(s) has the apparent unintended consequence of those people in those states not qualifying for the subsidy. Under the ACA, state exchanges qualified for subsidies to individuals to assist in the purchase price of insurance but the ACA doesn't authorize subsidies for those using the federal exchange to buy insurance. Ooppss!
Fed or state exchange makes no difference. We will still get affordable real HC.
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