States may be first in line to start changing Obamacare.
That’s what Brookings Institution economist Stuart Butler told me. Butler, who previously worked for the conservative Heritage Foundation, was one of the first to suggest requiring a mandate that individuals buy health insurance.
The Affordable Care Act includes a provision allowing the administration to approve waivers for states to make sweeping changes to the law if the health care provided is at least as comprehensive and affordable as what would be provided without the waivers, if a comparable number of people are covered and if the changes don’t increase the federal deficit.
“A state could come forward with a proposal that gets rid of the mandates on individuals and employers,” Butler told me. Other examples that states could implement include abolishing the ACA exchanges and making major changes to the Medicaid program, Butler said.
Using the so-called Section 1332 provision of the ACA has the added advantage that the incoming Trump administration could approve the changes without having to garner 60 votes to overcome a possible filibuster in the Senate for a replacement plan.
The “Better Way” health-care plan put forward by House Speaker Paul Ryan (R-Wis.) includes provisions to empower states and give them more flexibility in implementing health-care reform.
A Brookings paper released in December outlined key components of a replacement plan that Republicans have called for or may be inclined to favor. Included in the suggestions:
The paper was co-authored by Butler, Alice Rivlin—who was director of the Office of Management and Budget under President Bill Clinton, and Brookings health-care analyst Loren Adler—who is a supporter of the ACA.
“This is a credible way to go if there really is going to be a bipartisan negotiation,” Rivlin told me.
Read my full story here.
Stay on top of new developments in health law and regulation with a free trial to the Health Law Resource Center.
Learn more about Bloomberg Law and sign up for a free trial.
All Bloomberg BNA treatises are available on standing order, which ensures you will always receive the most current edition of the book or supplement of the title you have ordered from Bloomberg BNA’s book division. As soon as a new supplement or edition is published (usually annually) for a title you’ve previously purchased and requested to be placed on standing order, we’ll ship it to you to review for 30 days without any obligation. During this period, you can either (a) honor the invoice and receive a 5% discount (in addition to any other discounts you may qualify for) off the then-current price of the update, plus shipping and handling or (b) return the book(s), in which case, your invoice will be cancelled upon receipt of the book(s). Call us for a prepaid UPS label for your return. It’s as simple and easy as that. Most importantly, standing orders mean you will never have to worry about the timeliness of the information you’re relying on. And, you may discontinue standing orders at any time by contacting us at 1.800.960.1220 or by sending an email to firstname.lastname@example.org.
Put me on standing order at a 5% discount off list price of all future updates, in addition to any other discounts I may quality for. (Returnable within 30 days.)
Notify me when updates are available (No standing order will be created).
This Bloomberg BNA report is available on standing order, which ensures you will all receive the latest edition. This report is updated annually and we will send you the latest edition once it has been published. By signing up for standing order you will never have to worry about the timeliness of the information you need. And, you may discontinue standing orders at any time by contacting us at 1.800.372.1033, option 5, or by sending us an email to email@example.com.
Put me on standing order
Notify me when new releases are available (no standing order will be created)