MINNESOTA: When the
legislature convened the first half of its 2011-2012 biennium last
month, Republicans controlled both legislative chambers for the first
time since 1972. And, Republican lawmakers wasted little time
introducing bills to repeal measures passed by the 2010 legislature
to fund state medical assistance, general assistance medical care,
and MinnesotaCare. In his first official act as Governor, Mark Dayton
signed an executive order implementing early Medicaid expansion (to
133 percent of the federal poverty level) for Minnesota, which is
expected to make 95,000 more state residents eligible. Minnesota's
$188 million investment is expected to bring about $1.2 billion in
matching federal funds. Governor Dayton also signed an executive
order removing the ban on applications for federal PPACA-related
grants. Minnesota is expected to receive an exchange planning grant
soon. While Governor Dayton cleared the way for the state to seek
grants for implementing federal health reform, it is unlikely that
state legislators will be passing bills to implement the federal
health reform law unless absolutely necessary. Other pending bills of
interest include anti-PPACA legislation, a bill requiring guaranteed
issue in the individual market, creation of a defined contribution
program for childless adults with incomes at or above 133 percent of
FPL (reduction from current level of 250 percent), the prohibition of
dental plan fee schedules for non-covered services, and an autism
coverage mandate. In addition, Governor Dayton named a new
Commissioner of the Department of Commerce, Minneapolis attorney
Michael Rothman.
NEVADA: The legislature convened on February 7 with a scheduled adjournment date of June 6. Governor Brian Sandoval will sponsor an exchange bill, although he opposes federal health care reform. His reasons include not wanting the federal government to take action in the state and the fact that the legislature will not meet in 2012. The Division of Insurance (DOI) has indicated that it will pursue federal reform measures, including external review. Other legislation of interest includes the establishment of a statewide health information exchange system and amending the requirements for reimbursement of out-of network services to comply with the PPACA.
TEXAS: Governor Rick Perry delivered his State of the State speech last week, which included plans to suspend the State Historical Commission and the Commission on the Arts in addressing the state's $27 billion budget deficit. Speaking to a joint session of the legislature, Perry said the time has finally come to streamline state government. Perry's speech focused heavily on how strong the state's economy is, despite the deficit. According to Perry, Texas added more jobs in 2010 than any other state in the nation. That state-wide job growth occurred in the sectors of business, health care, manufacturing, hospitality, construction and energy. Perry's speech was highly critical of national politics, and he threatened to push back when Washington encroaches on states' rights. His budget proposal calls for cutting more than $2 billion in state spending on public education and another $2 billion in higher education, plus more than $2 billion in health and human services programs. Those cuts would come with much larger reductions in federal dollars, because states draw federal funding for programs such as Medicaid by spending state money.
VERMONT: Newly-elected Governor Peter Shumlin's focus has been on reducing the state's projected $100 million budget deficit. Proposals to deal with the deficit include changes to the administration of the state's Catamount program, changes to Catamount reimbursement, imposing an assessment on managed care organizations, increasing the provider tax on hospitals, and imposing an assessment on dentists. The legislature is also considering a number of bills that would create a single-payer, government-run health care plan and require rate reviews. The bills include:
Supported by the governor, H.B. 202 would establish Green Mountain Care and the Vermont Health Benefit Exchange, through which all state residents would be eligible for health benefits. After implementation of the Green Mountain single-payer system, private insurance companies would be prohibited from selling health insurance policies in that cover services also covered by Green Mountain
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Herbal Toothpaste products |NEVADA: The legislature convened on February 7 with a scheduled adjournment date of June 6. Governor Brian Sandoval will sponsor an exchange bill, although he opposes federal health care reform. His reasons include not wanting the federal government to take action in the state and the fact that the legislature will not meet in 2012. The Division of Insurance (DOI) has indicated that it will pursue federal reform measures, including external review. Other legislation of interest includes the establishment of a statewide health information exchange system and amending the requirements for reimbursement of out-of network services to comply with the PPACA.
TEXAS: Governor Rick Perry delivered his State of the State speech last week, which included plans to suspend the State Historical Commission and the Commission on the Arts in addressing the state's $27 billion budget deficit. Speaking to a joint session of the legislature, Perry said the time has finally come to streamline state government. Perry's speech focused heavily on how strong the state's economy is, despite the deficit. According to Perry, Texas added more jobs in 2010 than any other state in the nation. That state-wide job growth occurred in the sectors of business, health care, manufacturing, hospitality, construction and energy. Perry's speech was highly critical of national politics, and he threatened to push back when Washington encroaches on states' rights. His budget proposal calls for cutting more than $2 billion in state spending on public education and another $2 billion in higher education, plus more than $2 billion in health and human services programs. Those cuts would come with much larger reductions in federal dollars, because states draw federal funding for programs such as Medicaid by spending state money.
VERMONT: Newly-elected Governor Peter Shumlin's focus has been on reducing the state's projected $100 million budget deficit. Proposals to deal with the deficit include changes to the administration of the state's Catamount program, changes to Catamount reimbursement, imposing an assessment on managed care organizations, increasing the provider tax on hospitals, and imposing an assessment on dentists. The legislature is also considering a number of bills that would create a single-payer, government-run health care plan and require rate reviews. The bills include:
Supported by the governor, H.B. 202 would establish Green Mountain Care and the Vermont Health Benefit Exchange, through which all state residents would be eligible for health benefits. After implementation of the Green Mountain single-payer system, private insurance companies would be prohibited from selling health insurance policies in that cover services also covered by Green Mountain
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