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keepingSCORE January 2012 - BIPAC

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Budget Energy Environment Health Care Infrastructure Labor Legal Tax Workforce<br />

DEFINING SUCCESS<br />

Adopt basic health plans.<br />

Allow association health plans.<br />

Oppose health care mandates.<br />

Promote Health Savings Accounts.<br />

Balance access to innovative therapy with cost-effectiveness.<br />

Require fair health care provider contracting.<br />

Adopt quality measures.<br />

Expand health information technology.<br />

Utilize best practices.<br />

Enact malpractice reform.<br />

Retire the MCARE Fund.<br />

Increase physicians in underserved areas.<br />

Encourage careers in science.<br />

In November of 2011, Governor Tom Corbett announced that the Commonwealth was moving ahead with<br />

the implementation of a key provision of the Patient Protection and Affordable Care Act, the creation of a<br />

state-run insurance exchange. An insurance exchange is an on-line method of shopping for healthcare<br />

insurance intended to make it easier for the millions of people who get coverage individually or who are<br />

covered by small businesses. One advocate who testified in favor of the state-run exchange characterized<br />

health exchanges as ―an Expedia-type of computer function where you would go to shop for health care<br />

from a large variety of providers and then purchase coverage that best fits the needs and budget of the<br />

individual consumer.‖ In addition to being a one-stop shopping spot for health insurance, the exchanges<br />

are the only place where many of the newly eligible health care consumers will be able to apply for the tax<br />

credits that are intended to make the coverage affordable. The existence of an exchange in Pennsylvania<br />

was never in doubt. The Affordable Care Act requires the creation of exchanges in all 50 states but give the<br />

states a choice of either running their own exchange or a Federally-run exchange. After receiving input from<br />

stakeholders at three separate public hearings around the state, it was clear that the preferred choice was<br />

a state-run exchange. Governor Corbett also prefers the state-run exchange over a Federally-run exchange.<br />

Under the federal health care law, states are required to have their exchanges up and operating by <strong>January</strong><br />

1, 2014 or else opt into the Federal exchange. The State Insurance Department is currently working on<br />

a multi-million dollar Federal grant proposal to plan how the exchange would work. The entire process of<br />

establishing a health care exchange is proceeding under the shadow of the United States Supreme Court<br />

agreeing to hear a case challenging the constitutionality of the Patient Protection and Affordable Care Act.<br />

Earlier in December, the Court agreed to hear a challenge brought by the attorneys general for 26 states,<br />

including Pennsylvania.<br />

GETTING IN THE GAME<br />

Click here to download and review an extensive (247 pages)<br />

report on health exchange planning compiled for the Commonwealth<br />

by KPMG.<br />

Pennsylvania Business Council 116 Pine Street, Suite 201 Harrisburg, Pennsylvania 17101 717-232-8700 www.pabusinesscouncil.org

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