Ohio to let feds run health exchange

Ohio officials on Thursday confirmed the state's intentions not to run its own health insurance exchange but, instead, have the federal government operate the new online marketplace under President Barack Obama's health care law.
Associated Press
Feb 16, 2013

A letter sent Thursday to the Obama administration reiterates what Republican Gov. John Kasich told federal officials in November — that Ohio will keep its authority to regulate health plans in and out of the exchange, but leave running it to the federal government.

Exchanges can be run by the states, the federal government, or a state-federal partnership.

Consumers can get private health insurance, subsidized by the government, through the online health insurance marketplaces in each state. Small businesses will have access to their own exchanges. Open enrollment starts Oct. 1, and coverage takes effect Jan. 1, 2014.

The federal government initially instructed Ohio officials to submit a more detailed blueprint of its plan, which is required of those pursing a federal-state partnership. But recent conversations between officials clarified that Ohio no longer fit into that category.

Kasich told the Obama administration in a Nov. 16 letter that setting up a state-based exchange is too costly and states have little control over how to operate exchanges.

"Regardless of who runs an exchange, the end product is the same," he said at the time.

The state's letter on Thursday to Gary Cohen of the U.S. Department of Health and Human Services restates Ohio's intentions to let the federal government be responsible for the exchange.

Lt. Gov. Mary Taylor, who is also the director of the state's insurance department, stipulated in the letter that Ohio would have regulatory authority over the insurance business in Ohio as well as the capacity to oversee the certification of qualified health plans.

She said the department would continue to collect and analyze information on plan rates, covered benefits, and cost-sharing requirements. It would also ensure ongoing plan compliance and resolve consumer complaints.

"Continuing this regulation at the state level, as Ohio has done for decades, will preserve the high quality oversight of the industry for which Ohio is known, and also help provide stability to our state's insurance market at this time of considerable volatility," Taylor wrote.

Kasich has decided to proceed with another key part of Obama's law: expanding Medicaid coverage for more low-income Ohioans.



The Big Dog's back

sam, if something Obama did that helped you, you wouldn't admit it in a 1000 years.


Sure, I would. I criticized all of the Bush administration's mistakes (and there were plenty) in the same way I criticize the Obama administration's mistakes (and there are even more). But the bottom line is that you don't have an answer, DO you. Didn't think so.

The Big Dog's back

sam, I would have to know all of your personal criteria to tell you exactly.


Kasich is smart. He wants nothing to do with Obamacare and the mess it will soon create.


No way I want the gov't to run anything; it screws up everything (although the gov't seems to do okay on defense and helping with natural disasters, space exploration, funding vital research and . . . ). I'd much rather leave all aspects of society and business up to the men who ran Enron, MCI Worldcom, Health South, the Wall Street firms that tanked our economy and pensions/savings of millions, the NRA, . . . Will gov't sponsored health care work? Don't know, but we'll find out. I do know that millions now have a shot at some basic health coverage that many of the rest of us have had for many years.


9299 writes: "Enron, MCI Worldcom, Health South,"

Yep! Many of the execs are or have served prison terms.

Wall St. and Washington is a revolving door. How many have been sent to prison over the financial crisis?

Why did Anthony Mozilo (Countrywide) pay only a $50M fine? Why didn't Barney Frank and Chris Dodd call him before Congress to testify?

Fraud, waste and abuse stems from Washington out.

"Will gov't sponsored health care work?" Look at the track record:

They've already bankrupted SS, Medicare, Medicaid, Fannie, Freddie, Amtrak, et al.

There's your answer.


Dont forget USPS......Obamacare will be bankrupt and the Dems will be crying for a whole new slew of taxes to support it.

I foresee more and more people moving OUT of the US than into the US over the next 50 years. It will come to a point one day where you are working only to take home 25% of what you make. The rest will be going to taxes and supporting government waste.


Jack Lew, Pres. BHO's choice for Treas'y Sec'y oversaw Cayman Is. accounts for Citi.

His confirmation hearings should be fun!


The Big Dog's back

The USPS is not bankrupt. Another right wing lie.


Maybe not legitimately bankrupt but is billionssssssssssss of dollars in the red just like every gov't entity! To trust the gov't with one's money is like having the devil give a Sunday sermon in a Catholic church.


No, the USPS isn't bankrupt. Technically. Unfortunately, a government regulation requires the post office to have sufficient funds to cover pension liabilities, present and future. It doesn't require that of anybody else, but the USPS is stuck. And the red ink you hear so much about is less about operating expenses than it is about the increasing pension liability without a corresponding increase in set-asides to cover same.

So far, Congress has refused to modify the pension requirement, so the Post Office is literally sitting on billions it's not permitted to touch. Meanwhile, inefficiencies (don't get me started on some of the nonsense that goes on within the bureaucracy!) mean it's sinking further and further under its own weight.

Discount the pension savings (which you have to, since they're untouchable), and the Post Office is, indeed, well into the red!

The Big Dog's back

Unfortunately sam, your Repub congress put that unrealistic burden on the USPS. Why? To try to destroy it.


No argument. Did you notice I said CONGRESS and not "Democrats" or "Republicans?" They all played a role. How does political ideology make the end result any more right or wrong?

The Big Dog's back

How many private businesses are required to fund their pensions 75 years out? None!

The Big Dog's back

Oh, and it happened when Repubs controlled all 3, HOR, Senate and the Presidency.


Phew! Thanks BD! I'd been under the impression that there was big money problems for quite a while for USPS. I feel so much better you've cleared that up! Perhaps you will be kind enough to give us a little more information on how this is a lie?

looking around

@arnmcrmn And where exactly is this utopia that everyone will be leaving America and moving located?


The literal translation for Utopia in Greek is.... NOWHERE...

The Big Dog's back

The conservative translation for Utopia- Haiti. No taxes, no regulations, No Gov interference.


You win BD.
You've won me over with your undeniable logic. With new and extensive information I'd never consider before and may not have without your patient tutelage.
I've noticed that you use no strawmen, you don't attack others that of are a different opinion, but study their arguments with a simple concern for truth and try to steer them on the right path with brief pearls of wisdom. You are a true Renaissance Man... Enlightened beyond the visual spectrum.


obamacare is unconstitutional .... but then obama doesn't care about the constitution anyway.

The Big Dog's back

The SCOTUS already ruled on Obamacare. Constitutional!


They only ruled that is constitutional as a tax. It could not stand on its own as a legit healthcare plan.

The Big Dog's back

Another right wing lie.


So, lemming is a type of dog.


Heh. Who knew!?! It all makes sense now!


I see Obozocare's high risk pools for pre-existing conditions is running out of money already, turning some people away. Death Panels due to high cost??

The Big Dog's back

So goof, should Congress appropriate more money? Call boehner.


Typical leftist response, throw more money on a dying proposition, I've told you libs all along you couldn't fund a losing proposition!!!

The Big Dog's back

So just let them die? Sounds like a Death Panel to me.