Valentine’s Day Surprise: Senate Democrats Blast Obamacare Implementation

Senate Democrats on Thursday showed little love to the Obama administration for how it is implementing the federal health law.

Testifying before the powerful Senate Finance Committee, who helped push through聽the 2010 federal health overhaul — among them Chairman Max Baucus of Montana and Sens.聽Ron Wyden of Oregon, Bill Nelson of Florida and Maria Cantwell of Washington.

Baucus questioned how well the online health insurance marketplaces would interact with what he called聽鈥渁rchaic鈥 computer systems at Social Security and the Internal Revenue Service.

Cantwell聽criticized the administration for failing to meet a 2014 deadline to start a so-called Basic Health Program鈥攁n optional program聽that would allow聽states to offer a cheaper alternative to the聽individual health policies sold聽in new online聽marketplaces to lower-income people. 鈥淵ou are overwhelmed by the details and technology, I get that point. 鈥 It seems as if the agency is taking pages out of the law,鈥 she said. Washington state, which聽has a program similar to this,聽was hoping to聽have the federal聽Basic Health Program running next year when its program expires.

Cantwell聽also questioned whether the administration聽was delaying the Basic Health Program聽until 2015 as a way to increase the number of people who buy policies in the online markets.聽 That聽prompted a quick denial from Gary Cohen, deputy administrator and director of the Center for Consumer Information and Insurance Oversight.聽 Cohen said the agency was working with states to come up with聽alternatives in the interim.

Nelson, meanwhile,聽faulted the administration for cutting funding for聽new consumer-owned insurance co-operatives that supporters said could help provide more affordable policies.

The fiscal cliff deal, approved by Congress on New Year鈥檚 Day, 聽in remaining funding for the program.聽 Nearly $2 billion in funding had already been awarded to co-ops in 24 states, but聽those in other states, including Florida, were shut out.

鈥淭he people of Florida are going to suffer,鈥 he told Cohen. 鈥淚 want someone to be held accountable for this.”

Cohen said he didn鈥檛 know why the聽White House聽had agreed to聽cut the funding as part of the deficit deal.

Finally, Wyden pressed Cohen to help find ways to resolve a glitch in the law which may result in the denial of federal assistance to millions of Americans of modest means who could be priced out of family health coverage at work.聽He referred to聽the Internal Revenue Service ruling last month聽that workers cannot get federal tax credits to help them purchase coverage in health insurance marketplaces,聽unless the cost of the individual’s coverage through their workplace exceeds 9.5 percent of the worker鈥檚 household income. The ruling ignores the fact that the cost of family coverage聽would be聽much higher.

鈥淲e鈥檝e got millions of people 鈥 working-class, middle-class people 鈥 who are going to be pushed into a regulatory health coverage no man鈥檚 land,鈥 Wyden said. 鈥淭hey are unable to afford the family coverage through their employer and ineligible for the subsidy that could be used by dependents on the exchange.鈥

Cohen said he would respond to Wyden in writing next month with ideas about how states could help such workers.

Cohen also told the committee that every state will have a new online insurance marketplace operating by Oct. 1 with coverage effective in January 2014鈥攔egardless聽of whether聽the markets are聽run by the state, the federal government or a partnership of the two.

The administration has given conditional approval to 17 states and the District of Columbia to run the marketplaces. But it is unclear聽whether all those states will be ready. Idaho, for example, has yet to hire an information technology vendor to set up its website. In January, CMS聽gave Idaho until Feb. 15 to have a vendor in place to get final聽approval. State officials say that deadline has been extended.

States have until Friday to apply to run an exchange in partnership with the federal government. Health insurers start submitting premiums and benefits to the federal exchange March 28 and the federal government hopes to approve them this summer.

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