Exchanging control 

In the wake of the federal health care law being upheld by the U.S. Supreme Court, Oklahoma must ensure a health care exchange.

BY CLIFTON ADCOCK

The U.S. Supreme Court ruling last week upholding the federal Affordable Care Act prompted no small amount of frustration from Oklahoma government and business leaders opposed to President Barack Obama’s signature program.

Among the most immediate concerns is the state’s requirement to have a health care exchange. Under ACA, all states must have an electronic database that connects people buying insurance coverage to insurance providers, as well as information about what federal subsidies are available to them.

Failure to create an exchange by Jan. 1, 2014, would cause the state to be subject to a federally created health care exchange.

The State Chamber of Oklahoma was one of several groups that assailed the high court’s 5-4 decision upholding ACA, derided by its opponents as “Obamacare.”

“We are extremely disappointed in this decision,” said Chamber President Fred Morgan. “We now face a situation where a health insurance exchange crafted by bureaucrats in Washington, D.C., will now be forced upon Oklahomans. We cannot let this happen and must take swift action to create a private-sectordriven health insurance marketplace in order to avoid a federally mandated system.”

The state last year accepted a $54.6 million federal grant to help pay for setting up the system, but Gov. Mary Fallin later decided to return the money after criticism from conservative groups and lawmakers.

Meanwhile, the Legislature declined to take action on a bill to set up a partial health care exchange (excluding the connection service of insurance buyers to federal subsidies), Senate Bill 1629, instead opting to wait until a Supreme Court ruling on the issue.

Now that a ruling has been handed down on what Fallin called “a bad day for all Americans,” the governor said she probably will not call a legislative special session to create an exchange. While a number
of states are in the same position as Oklahoma, a few have had the
governor’s office establish such exchanges.

An exchange crafted by bureaucrats in D.C. will be forced upon Oklahomans.

—Fred Morgan

Fallin said she and her legal team will evaluate the state’s options. In
the meantime, she said she hopes Republicans win both the presidency
and Congress in the November elections so the law can be repealed.

According to the Oklahoma Hospital Association, around 18 percent of the state’s population is uninsured.

Supporters
of the Affordable Care Act say the law will help the uninsured obtain
coverage, as well as prevent insurance companies from denying coverage
to individuals with pre-existing medical conditions or dropping coverage
if the individual gets sick.

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