March 16 -- NE awarded $6.4M for health information exchange -- from fed stimulus bill http://journalstar.

com/news/local/govt-and-politics/article_cdf483b6-35c9-11df-a053001cc4c03286.html March 22 -- AG Bruning says health reform violates Constitution http://journalstar.com/news/local/govt-and-politics/article_cdf483b6-35c9-11df-a053001cc4c03286.html March 23 -- Obama signs health care reform bill April 27 -- Heineman Turns down health insurance program (high-risk pool) http://journalstar.com/news/state-and-regional/govt-and-politics/article_6ded464e-5237-11df-88c1001cc4c03286.html April 29 -- LJS Editorial -- Right Call on High-Risk Pool http://journalstar.com/news/opinion/editorial/article_000d021c-5323-11df-bf5d-001cc4c002e0.html July 31, Lincoln Journal Star Dave Heineman may not seek $1M health care reform grant August 6: The Hill: States implement reforms of healthcare as lawsuits proceed August 17: Think Progress The Wonk Room: 19 of the 22 States Suing Government Over Reform Willing to Accept Grant Money From Law August 17: California Health LIne: States Receive Grants To Boost Regulation of Health Rate Plans August 16: The Hill Democrats tout healthcare reform's insurance rate review grants August 20 Governor Heineman's press release: Medicaid Costs To Soar Under Federal Health Care Law August 27: Bloomberg Businessweek: Neb. education groups urged to fight health care reform August 31: The Hill In Nebraska, Nelson Slams GOP governor for 'intimidating' educators over health reform August 31: Huffington Post: Health Care Reform Hypocrisy: States Suing Government Willing To Claim Subsidies From Law August 31: Lincoln Journal Star: Heineman will apply for health care reform funds September 1: Lincoln Journal Star Nebraska applies for health care grant September 9: Wall Street Journal -- Health care Tease -- Article re Pawlenty http://online.wsj.com/article/SB10001424052748704358904575478160851816780.html Below links to govt. summary of “Hotel CA” medicaid expansion Pawlenty turned down https://www.cms.gov/smdl/downloads/SMD10005.pdf More on Pawlenty turning this down http://www.medicalnewstoday.com/articles/192810.php

As of May, only Conn. And D.C. Had decided to expand Medicaid early http://www.medicalnewstoday.com/articles/189622.php September 13: Sebelius has a list -- Thuggery from HHS http://online.wsj.com/article/SB10001424052748703597204575483900330728436.html ObamaCare gives Ms. Sebelius's regulators the power to define "unreasonable" premium hikes, which will mean whatever they decide it will mean later this fall. She promised to keep a list of insurers "with a record of unjustified rate increases" and then to bar them from ObamaCare's subsidized "exchanges" when they come on line in 2014. In other words, insurers must accept price controls now or face the retribution of a de facto ban on selling their products to consumers four years from now. http://www.empirejustice.org/issue-areas/health/medicaid/general-information/medicaid-expansion-infederal.html New Financial Funding – but Only for Benchmark Coverage? Section 2001 of PPACA temporarily increases the federal medical assistance percentage (FMAP) for newly eligible Subsection VIII populations. Enhanced Federal Funding for newly eligible Subsection VIII individuals is 100% for the first three years of the mandatory program (2014-2017). Enhanced matching funds will ramp down gradually to the level of 90% in the year 2020 and thereafter. States like New York that already cover some of the newly eligible with state funds or through a waiver will receive the increase in federal funding at a lower rate (75%) initially, ramping up to the same level (90%) as other states by 2020. The gift of enhanced federal funding does not come without strings. PPACA § 2001(b) prohibits states from imposing any eligibility standards, methodologies or procedures that would be more restrictive than what existed in their Medicaid or SCHP programs on the date the new federal law was enacted. This Maintenance of Effort (MOE) requirement continues for adults until 2014, although coverage can be modified for certain adults (e.g. parents) starting in 2011 based on the State’s certification of a budget deficit. MOE continues for children, under CHP and Medicaid, until 2019. While the MOE provisions generally benefit our clients here in New York, another string in the federal funding provisions may work in the opposite direction. Under §2001(a)(2), the new federal matching funds will not be available for the VIII group unless they are receiving what federal law refers to as “benchmark” or “benchmark-equivalent” coverage. 4 Some groups are exempted from enrollment in benchmark coverage, including those who qualify for Medicaid as disabled. In addition, benchmark coverage includes an option for “Secretary approved coverage.” States that elect the early coverage option prior to 2014 may be permitted to provide full Medicaid coverage for Section VIII individuals. New York’s Medicaid coverage is currently more comprehensive than the benchmark coverage defined in federal law. It will be very important for New York State to opt for Secretary-approved coverage in order that we not lose precious ground in ensuring that Medicaid covers all medically-necessary services. PPACA §1331 allows states to offer a “Basic Health Program” for individuals between 134% and 200% of the FPL through the exchange. Given that prior to the adoption of the PPACA, New York requested a federal waiver to raise the Family Health Plus (FHP) income levels for childless adults and those living with minor children to 200% of the FPL, whether FHP can become New York’s Basic Health Program should be explored.

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