Filed Under:Health Insurance, Individual Health

Angoff: Medicaid expansion "great deal" for states

President Obama signs PPACA. (AP Photo/J. Scott Applewhite)
President Obama signs PPACA. (AP Photo/J. Scott Applewhite)

The Medicaid expansion provision of the Patient Protection and Affordable Care Act (PPACA) "is a great deal for the states," and will ultimately be implemented by most, if not all, the former head of the federal agency overseeing implementation of PPACA said today.

"The irony of those states that decide we are not going to sign on to the Medicaid expansion is that the governors who are doing so are saying, 'We're not going to insure our uninsured people, but we are still going make our taxpayers pay federal taxes to insure uninsured people in other states,'" said Jay Angoff, a lawyer with Mehri & Skalet in Washington and the first head of the Center for Consumer Information and Insurance Oversight (CCIIO) at the U.S. Department of Health and Human Services (HHS).

Keiser said that under the law, states can go back to create their own exchanges as of 2017, but it makes little sense to do it, for a host of reasons.

Both noted that as of 2015, the exchanges have to be self-supporting, which means that states that want to go back in 2017 to establish their own exchanges after opting out the first time have to pay for it themselves.

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Nichole Morford

Nichole Morford
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