U.S. Health and Human Services (HHS) Secretary Kathleen Sebelius today awarded a new round of Affordable Insurance Exchange Establishment Grants to Arkansas, Colorado, Kentucky, Massachusetts, Minnesota and the District of Columbia amid turbulent times in many states as they set up exchanges.
All but one of these states received Level One Exchange Establishment Grants—one-year grants awarded to states to build exchanges. The District of Columbia received a Level Two Exchange Establishment Grant—a multi-year grant awarded to states further along in building their exchanges.
In Nebraska, confusion reigns, as well.
Nebraska Republican Gov. Dave Heineman has expressed doubt that the state would really retain that much control over its own exchange, even if it were state run, reportedly stated at a hearing. “We can’t make one single decision without getting approval from the federal government,” according to McKenna Long’s write-up. However, as it points out, exchange planning continues under the director of insurance with a draft RFP written for the all-important—and expensive—exchange IT system.