Thursday, April 24, 2014
FAIRFIELD-SUISUN, CALIFORNIA
99 CENTS

Obama’s health care law advances in the states

Chris Christie

FILE - This Nov. 13, 2012 file photo shows New Jersey Gov. Chris Christie during a news conference in Trenton, N.J. (AP Photo/Mel Evans, File)

WASHINGTON — Threatened with repeal just weeks ago, President Barack Obama’s health care law now appears on track in close to half the states, with others playing catch-up and the administration readying a fallback for states not wishing to participate.

Friday was the original deadline for states to notify Washington if they would play a role in building new health insurance markets through which the uninsured can get coverage starting in 2014. Though the administration granted a month’s extension, most states have already made their intentions known.

As of Friday, 23 states plus Washington, D.C., were proceeding; 15 said they’d defer to the federal government to run their markets and 12 were still mulling over their options. The mostly blue group proceeding included five Republican-led states. The undecided included several states that seemed to be moving toward an active role.

“Postelection it’s really been ‘game on,’” said Kelly Barnes, leader of the health care group at the PricewaterhouseCoopers consulting firm.

Republican presidential candidate Mitt Romney had vowed to begin dismantling “Obamacare” his first day in office. But Romney lost, and instead GOP governors are scrambling to see if they can find an accommodation with the administration after two years of fighting the president’s signature law.

“The president won the election…and New Jersey is going to comply with the Affordable Care Act,” Republican Gov. Chris Christie said Friday. Christie said he still has questions about costs and is weighing his decision. Earlier this year he vetoed legislation creating a state exchange, as the new insurance markets are called.

A check by The Associated Press found that 16 states plus Washington, D.C., want to build their own exchanges. Starting Jan. 1, 2014, individuals, families and small businesses will be able to buy private coverage through an exchange in their state, with most consumers getting government assistance to pay premiums.

The exchanges will also help steer low-income, uninsured people into expanded Medicaid programs in many states.

Another seven states have indicated they want to partner with Washington to build their exchanges. Ohio joined this group Friday and West Virginia officials said they’re heading in the same direction.

Fifteen mostly Republican-led states say they’ll defer to the federal government to build and run their markets. Georgia and Wisconsin formally joined that group Friday. However, New Hampshire, where Democrats won control of the state House in the election, is taking a second look at its decision to default to the feds.

Finally, another 12 undecided states now have until Dec. 14 to determine what role, if any, they’ll play.

Obama’s election victory guaranteed the survival of his health care law, which is eventually expected to provide coverage to more than 30 million people through the exchanges and expanded Medicaid programs. It was the final hurdle, after the Supreme Court upheld a legal challenge from 26 states. In the aftermath of the election, some Republican state leaders say it’s time to accept the law.

“I don’t like it; I would not vote for it; I think it needs to be repealed. But it is the law,” said Mississippi Insurance Commissioner Mike Chaney, after announcing that his state wants to set up its own exchange. “If you default to the federal government, you forever give the keys to the state’s health insurance market to the federal government.”

Traditionally, states have regulated the private health insurance market.

But other Republican-led states say they don’t have enough information to make a decision at this point and are clamoring for the Obama administration to release major regulations bottled up for months.

“States are struggling with many unanswered questions and are not able to make comprehensive far-reaching decisions prudently,” Govs. Bob McDonnell of Virginia and Bobby Jindal of Louisiana wrote Obama earlier this week.

Some of their main concerns are hidden costs of operating the exchanges and the sheer bureaucratic complexity of the new system. The Obama administration has steadfastly maintained it will not postpone the Jan. 1, 2014, launch date for the law’s coverage expansion, and it will go ahead in all 50 states. Open enrollment will begin even sooner, Oct. 1, 2013.

Although the public remains divided about the health care law, the idea of states running the new insurance markets is popular, especially with Republicans and political independents. A recent AP poll found that 63 percent of Americans would prefer states to run the exchanges, with 32 percent favoring federal control.

The breakdown among Republicans was 81 percent to 17 percent in favor of state control, while independents lined up 65-28 for states taking the lead. Democrats were almost evenly divided, with a slim majority favoring state control.

The Associated Press

The Associated Press

LEAVE A COMMENT

Discussion | No comments

The Daily Republic does not necessarily condone the comments here, nor does it review every post. Read our full policy

.

Solano News

 
Congressman talks Travis, water

By Barry Eberling | From Page: A1, 2 Comments | Gallery

Travis lines up 2 days of aviation excellence

By Ian Thompson | From Page: A1 | Gallery

 
Appreciate how good we have it now

By Angela Borchert | From Page: A2

Garamendi talks love, pro football and Peace Corps

By Ryan McCarthy | From Page: A3, 1 Comment | Gallery

 
Author to sign books at Vacaville Museum

By Amy Maginnis-Honey | From Page: A3

 
Kroc Center women schedule inaugural Taster Tea

By Amy Maginnis-Honey | From Page: A3

 
 
Dixon May Fair has deals on advance tickets

By Amy Maginnis-Honey | From Page: A3

 
Juneteenth committee extends vendors, exhibitors deadline

By Amy Maginnis-Honey | From Page: A4

Congressional Art Competition is back

By Susan Hiland | From Page: A4

 
Spilled tomato juice case set for trial

By Ryan McCarthy | From Page: A4, 3 Comments

 
Theme park welcomes seal pup

By Adrienne Harris | From Page: A4

 
Docents to lead paddling tour in marsh

By Adrienne Harris | From Page: A4

 
Weather for Thursday, April 24, 2014

By Daily Republic staff | From Page: B12

 
Fairfield police log: April 22, 2014

By Susan Hiland | From Page: A12

Suisun City police log: April 22, 2014

By Susan Hiland | From Page: A12

 
Suisun City police log: April 21, 2014

By Susan Hiland | From Page: A12

Fairfield police log: April 21, 2014

By Susan Hiland | From Page: A12

 
.

US / World

Syrian activists accuse Assad of new gas attacks

By The Associated Press | From Page: A1

 
Murder charge for Vallejo man in head-on crash

By The Associated Press | From Page: A5

California bill reignites affirmative action fight

By The Associated Press | From Page: A5, 1 Comment

 
Andy Lopez protest leads to school campus lockdown

By The Associated Press | From Page: A5, 2 Comments

Navy Cross bestowed on heroic Marine

By The Associated Press | From Page: A5

 
Airport official: Teen had no clue he was in Maui

By The Associated Press | From Page: A5

First lady announces one-stop job site for vets

By The Associated Press | From Page: A6, 1 Comment

 
Rail safety effort marred by squabbling

By The Associated Press | From Page: A6

Small Wyoming town evacuated after gas explosion

By The Associated Press | From Page: A6

 
Bashtag: NYPD Twitter campaign backfires

By The Associated Press | From Page: A6

Soldier convicted in WikiLeaks case gets new name

By The Associated Press | From Page: A6

 
US weighs clemency for inmates jailed for 10 years

By The Associated Press | From Page: A6

Gun carry rights expanded in Ga. under new law

By The Associated Press | From Page: A6, 3 Comments

 
Palestinian rivals to try again for unity deal

By The Associated Press | From Page: A10

Camilla’s brother dies in US after head injury

By The Associated Press | From Page: A10

 
Lawyer: US man held in Cuba seeks to go home soon

By The Associated Press | From Page: A10

Captain who left doomed ferry had 40 years at sea

By The Associated Press | From Page: A10

 
Russian social media CEO quits, flees country

By The Associated Press | From Page: A10

Amid Russia warning, Ukraine is in a security bind

By The Associated Press | From Page: A10, 1 Comment

 
State senators get ethics training after scandals

By The Associated Press | From Page: A12, 4 Comments

.

Opinion

Be the first and give specifics

By Letter to the Editor | From Page: A11, 1 Comment

 
What we can do about crime

By Kelvin Wade | From Page: A11, 7 Comments

Castro at odds with mentor on deportations

By Ruben Navarrette | From Page: A11

 
Some Earth Day boos and cheers

By Jay Ambrose | From Page: A11

Question of the week: Will Flight 370 be found?

By Daily Republic | From Page: A11

 
.

Living

Today in History for April 24, 2014

By The Associated Press | From Page: A2

 
Community Calendar: April 24, 2014

By Susan Hiland | From Page: A2

When Joe’s mad at me, he also ignores my 7-year-old son

By Kathy Mitchell and Marcy Sugar | From Page: A9

 
Horoscopes for April 24, 2014

By Holiday Mathis | From Page: A9

.

Entertainment

TVGrid

By Daily Republic Syndicated Content | From Page: B5

 
Singer Chris Brown’s DC trial delayed for months

By The Associated Press | From Page: A7

Performing dogs go big after $1 million TV prize

By The Associated Press | From Page: A7

 
Amazon snares classic shows in deal with HBO

By The Associated Press | From Page: A7

Jodie Foster weds artist Alexandra Hedison

By The Associated Press | From Page: A7

 
.

Sports

Girls soccer update: Armijo, Vanden on way to playoffs

By Paul Farmer | From Page: B1 | Gallery

 
Mustangs swim to sweep of Indians

By Marcus Lomtong | From Page: B1 | Gallery

Warriors, Clippers to meet in Oakland for Game 3

By The Associated Press | From Page: B1

 
Sharks confident with chance to sweep LA Kings

By The Associated Press | From Page: B1

Prep softball: Vanden rolls to 14-0 win over Fairfield

By Daily Republic staff | From Page: B2

 
Prep badminton: Unbeaten Mustangs cruise past Crushers

By Daily Republic staff | From Page: B2

Prep boys golf: Vikings suffer SCAC loss to Panthers

By Daily Republic staff | From Page: B2

 
Sanchez’s slam in 11th helps Giants beat Rox 12-10

By The Associated Press | From Page: B2 | Gallery

Prep track: Armijo girls get win in MEL 4-way meet

By Daily Republic staff | From Page: B2

 
Perez helps Rangers sweep A’s with 3-0 win

By The Associated Press | From Page: B2 | Gallery

Party a century in the making for Wrigley Field

By The Associated Press | From Page: B2

 
A’s reject 10-year Coliseum lease offer

By The Associated Press | From Page: B2

 
Seahawks to open NFL season vs. Packers

By The Associated Press | From Page: B3

Emmert supports more efficient, effective NCAA

By The Associated Press | From Page: B3

 
Phelps having fun in his return to swimming

By The Associated Press | From Page: B3 | Gallery

Suns’ Dragic honored as NBA’s Most Improved Player

By The Associated Press | From Page: B3

 
Oldest living ex-MLB player dies in Cuba at 102

By The Associated Press | From Page: B12

 
.

Business

Wellness programs grow more popular with employers

By The Associated Press | From Page: B5

 
Buffett disapproves of Coca-Cola’s pay plan

By The Associated Press | From Page: B6

Amazon snares classic shows in deal with HBO

By The Associated Press | From Page: B6

 
US stocks edge lower after a six-day rise

By The Associated Press | From Page: B6

Facebook 1Q results soar; CFO to step down

By The Associated Press | From Page: B6

 
Apple increases stock buyback, will split stock

By The Associated Press | From Page: B6, 1 Comment

Sales of new US homes plunge 14.5 percent in March

By The Associated Press | From Page: B6

 
.

Obituaries

Phyllis J. Miller

By Nancy Green | From Page: A4

 
Jean Sophia Ruckdeshel

By Nancy Green | From Page: A4

Robert James Carty Sr.

By Nancy Green | From Page: A4

 
Dondi Martin

By Nancy Green | From Page: A4

.

Comics

Beetle Bailey

By Daily Republic Syndicated Content | From Page: A8

 
Sally Forth

By Daily Republic Syndicated Content | From Page: A8

B.C.

By Daily Republic Syndicated Content | From Page: A8

 
Frank and Ernest

By Daily Republic Syndicated Content | From Page: A8

Get Fuzzy

By Daily Republic Syndicated Content | From Page: A8

 
Zits

By Daily Republic Syndicated Content | From Page: A8

Rose is Rose

By Daily Republic Syndicated Content | From Page: A8

 
Garfield

By Daily Republic Syndicated Content | From Page: A8

Pickles

By Daily Republic Syndicated Content | From Page: A8

 
For Better or Worse

By Daily Republic Syndicated Content | From Page: A8

Peanuts

By Daily Republic Syndicated Content | From Page: A8

 
Wizard Of Id

By Daily Republic Syndicated Content | From Page: A8

Dilbert

By Daily Republic Syndicated Content | From Page: A8

 
Baldo

By Daily Republic Syndicated Content | From Page: A8

Blondie

By Daily Republic Syndicated Content | From Page: A8

 
Baby Blues

By Daily Republic Syndicated Content | From Page: A8

Crossword

By Daily Republic Syndicated Content | From Page: A9

 
Word Sleuth

By Daily Republic Syndicated Content | From Page: A9

Bridge

By Daily Republic Syndicated Content | From Page: A9

 
Sudoku

By Daily Republic Syndicated Content | From Page: A9

Cryptoquote

By Daily Republic Syndicated Content | From Page: A9