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    Gov. Bevin Ltr to Ldr McCarthy Re Health Care

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    Gov. Bevin Ltr to Ldr McCarthy Re Health Care

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    Gov. Bevin Ltr to Ldr McCarthy Re Health Care

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    19 views5 pages

    Gov. Bevin LTR To LDR McCarthy Re Health Care

    Uploaded by

    Rebecca Beitsch
    Gov. Bevin Ltr to Ldr McCarthy Re Health Care

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 5
    CComcnwencin oF Kenrveny Orricr oF THE GoVeRNOR Marrsew &. Brant 700 Camron Avene January 6, 2017 Fos (502) 9642517 “The Honorable Kevin McCarthy ‘Majority Leader United States House of Representatives H-107, US. Capitol Building ‘Washington, 0. 20515 Dear Majority Leader McCarthy: | want to personaly thank you for reaching out to states for thelr Input on potential health care reforms, As was noted in your leter dates December 2, 2016, Obamacare has created fewer choices, higher costs, and burde some mandates. That has indeed been the case here in Kentucky where we have witnessed the number of on-exchange insurance carriers decrease from 7 insurers to3 insurers (1 statewide) and average premium increases of 25 percent. The mysad of mandates, created by Obamacare are burdening employers and providers alike. Additionally, asa result of “Medicaid expansion authorized under the ACA, nearly one in three Kentuckians are now envolled in Medicaid. We need a more sustainable solution focused less on mere enrollment and more on actualy improving health outcomes. We are very encouraged to know that Congress, along withthe incoming Trump Administration, I ow well-positioned to pursue health care reforms that will improve quality while curbing the cost curve of delivering healthcare inthis country. ‘As a general matter, would encourage Congress to ensure any reforms maximize state flexibility to {esign polices that address the unique needs of our states distinct populations and demographics. “The one-sze-its.all approach in Obamacare s fling our country—states must be empowered to be the epicenters of innavation. This was the oblectve of certain established waiver programs such as Section 1115 and Section 1332 waivers. However, such waivers have been interpreted ina very limiting manner by the Obama administration, thereby effectively handcutfing the ablity of states ‘to develop and receive approvalfor creative and innovative health policies aimed at lowering cost and improving health outcomes. I's time for the federal government to get out ofthe insurance business and return management of this industry tothe states. Below you will find detalled answers to speci questions posed in your December 2 letter. Kentucki™ ertutyntridedSprt com neue Sn [An Eoual portunity Employer MFI 1. What changes should Congress consider to grant more fiexiiltyto states to provide insurance ‘options that expand choices and lower premiums? Congress should repeal the ACA in its entirety and permit Kentucky to returnto regulating the health insurance market under its existing state authority, the Kentucky Insurance Code (KRS Chapter 304), that was preempted by the ACA, The ACA has created unprecedented market ‘olatity an in several cases has caused insurance companies to withdraw from market participation altogether. Elements such as tered medal plans, rigid rate fling deadlines, the unfunded risk corridor program, the uncertainties of the rsk adjustment program, 9010 fees and other unknown contingencies. increased essential health benefits and federal minimum meteal loss ratios have contributed to fewer options and inereased premiums for Kentuckians and should be repealed as soon as possible. The individual mandate isnot working as irtended, and the ‘employer mandate sa dlsincentive for small businesses to grow. The ACA isa collection of poorly incentivized policies that are wreaking havoc on insurance markets in Kentudky and acrss the country. States shouldbe given maximum flexibly to regulate insurance companies and to promote and. ‘manage our insurance markets to meet the unique needs of our populations—to design plans tailored to the needs of individual purchasers, to makes costs more affordable by maximizing ‘consumer.driven options and to develop strategies to mitigate risk and stablize markets, 2. _ What legislative and regulatory reforms should Congress and the incoming administration

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