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Health care exchanges growing in spite of GOP opposition

Posted On Thu, August 9, 2012

Despite public outcries from several GOP governors declaring a refusal to implement the "optional"  facets of the Patient Protection and Affordable Care Act (PPACA) in their states, the federal government may soon step in and do it for them.

Texas Governor Rick Perry, a former presidential hopeful, and Governor Rick Scott, along with a handful of others, are refusing to carry out certain optional sections of the PPACA, including expanding Medicaid coverage and building public insurance exchanges. 

However, if President Obama is re-elected in November, those contrary states may find that the result of the refusal is a loss of control when the federal government steps in and implements those aspects anyway.

Part of the reason why such a step is causing so much controversy is because the new government-controlled markets would include aspects previously controlled by the state. Those include mandated insurance rate reviews and adjustments, the design and regulation of health insurance plans and handling all customer complaints.

States whose governors accepted the switch may be allowed to maintain control of the exchange, but states wherein such a system has not already been implemented - i.e. states that refused to implement - will have to sit back and watch as new insurance markets crop up in their state under federal control.

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