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  •  The federal government, HHS, will take over (2+ / 0-)
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    bobatkinson, jyssco

    full responsibility for running a Texas exchange next year. The Texas exchange is run through the Texas Department of Insurance.  Residents of Texas, already confused and angry over the ACA after being bombarded with negative propaganda for three years, will be even more confused and angry when they realize that policies offered under the Texas exchange do not have to follow the basic health benefits offered by plans through the ACA (free preventive care) and are not eligible for premium assistance from the federal government.  So even though premiums on the Texas exchange are a few dollars cheaper than those on the ACA, there is no help from the government in paying those premiums.  And of course Perry has refused to expand Medicaid, leaving almost 700,000 Texans with no coverage at all.

    "In this world of sin and sorrow there is always something to be thankful for; as for me, I rejoice that I am not a Republican." - H. L. Mencken

    by SueDe on Tue Dec 17, 2013 at 04:37:39 PM PST

    [ Parent ]

    •  Only plans which existed before 2010 are NOT (1+ / 0-)
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      subject to the PPACA regulations, including employer-provided healthcare plans.

      Just because a state (like Texas) refused the Medicaid Expansion and it's attached Federal Funding, doesn't mean they get to ignore the rest of the regulation in the PPACA.

      Point of fact: the SCOTUS case in which the Court said States could reject the Medicaid Expansion (& federal funding) ALSO said that the rest of the Act was constitutional. Keep in mind, that case came before the court because someone was trying to get them to find that the Individual Mandate to participate in the Healthcare Insurance was unconstitutional - which they determined was Constitutional. But as in a number of recent cases, the SCOTUS found something else to deliberate, instead of merely the issue brought before the Court (i.e., that States could reject just the Medicaid Expansion).

      "I like paying taxes...with them, I buy Civilization"

      by Angie in WA State on Tue Dec 17, 2013 at 06:44:36 PM PST

      [ Parent ]

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