money deal

TN Among 13 States Approved for Fed Grant to Create Health Care Exchange | Humphrey on the Hill |

This is a very bad day for Medical Freedom in Tennessee. Tennessee has buckled under pressure. First, Tennessee chose not to join the 26 states that were suing the federal government over the unconstitutionality of obamacare, and now they have taken federal money with strings attached.

Once this is implemented the government will have even more control over your health. Nothing good will come of this.
TN Among 13 States Approved for Fed Grant to Create Health Care Exchange | Humphrey on the Hill |

TN Among 13 States Approved for Fed Grant to Create Health Care Exchange

News release from U.S. Department of Health and Human Resources:
The Department of Health and Human Services (HHS) today awarded nearly $220 million in Affordable Insurance Exchange grants to 13 states to help them create Exchanges, giving these states more flexibility and resources to implement the Affordable Care Act.

The health care reform law gives states the freedom to design Affordable Insurance Exchanges – one-stop marketplaces where consumers can choose a private health insurance plan that fits their health needs and have the same kinds of insurance choices as members of Congress.

The Department also released several Frequently Asked Questions providing answers to key questions states need to know as they work to set up these new marketplaces. Critical among these are that states that run Exchanges have more options than originally proposed when it comes to determining eligibility for tax credits and Medicaid.

And states have more time to apply for “Level One” Exchange grants.

Today’s awards bring to 29 the number of states that are making significant progress in creating Affordable Insurance Exchanges.  States receiving funding today include: Alabama, Arizona, Delaware, Hawaii, Idaho, Iowa, Maine, Michigan, Nebraska, New Mexico, Rhode Island, Tennessee, and Vermont.

“We are committed to giving states the flexibility to implement the Affordable Care Act in the way that works for them,” HHS Secretary Kathleen Sebelius said.  “Exchanges will give consumers more choices and make it easy to compare and shop for insurance plans.”

In the new Exchanges, insurers will provide new information such as an easy-to-understand summary of benefits and costs to consumers. The level of detail will sharpen competition between carriers which will drive costs down.

HHS also released today a set of Frequently Asked Questions (FAQs) in anticipation of state legislative sessions beginning in January. Answers will help advance state policy development for Exchanges.

For example, they clarify that Exchange grants can be used to build a state Exchange that is operational after 2014; that state-based Exchanges will not be charged for accessing Federal data needed to run Exchanges in 2014; and that state insurance rules and operations will continue even if the Federal government is facilitating an Exchange in the state.  HHS will also allow greater flexibility in eligibility determinations, allowing, for example, a state-based Exchange to permit the Federal government to determine eligibility for premium tax credits.

Of the 13 states awarded grants today, 12 are receiving Level One grants, which provide one year of funding to states that have already made progress using their Exchange planning grant.  The 13th state, Rhode Island, is receiving the first Level Two grant, which provides multi-year funding to states further along in the planning process.

Forty-nine states and the District of Columbia have already received planning grants, and 45 states have consulted with consumer advocates and insurance companies.  Thirteen states have passed legislation to create an Exchange.

States have many opportunities to apply for funding. To accommodate state legislative sessions and to give states more time to apply, HHS also announced a six-month extension for Level One establishment grant applications.  Applications now will be accepted until June 29, 2012 (the original deadline was December 30, 2011).

For the FAQs, visit
For more information on Affordable Insurance Exchanges, visit
For more information on the states receiving grants, visit

9 responses

This money only pays for one year of the exchange. Is that worth all the strings attached? So many states didn’t respond (the ones with backbones) that they have extended the date to apply another six months. How come we aren’t just fighting the bad legislation instead of caving in? I guess we don’t need the Healthcare Compact now.

Hi Ralph,
thanks for the reply! Can you give me an idea of the typical Canadian who’s used Medibid. I mean Canadians come to the US for complex issues, cancer, cardiac care, orthopedic care, and immune diseases as well as for diagnostic check ups and biopsies. Quite a few in Canada believe Americans without insurance are left to die and Insurance companies are these evil monsters who leave people to die. Fact is in Canada, provincial governments are also bean counters who’re corrupt (many of them) and deny access to the most effective drugs or treatment options for people. So there’s no reason for this self righteousness many Canadians are known for.

Hi Katrik,
Many are Canadians on a medical waiting list. We had one Canadian who needed triple by-pass surgery get it in the US for $14,000, we have a lot come for hip replacements, whcih average $12,000, and knee replacements are also about $12,000. We’ve had people come for bunionectomy for about $2,800. There are some medical brokers who will add a fee of about $4,000 to $12,000 for their “services”, and I suppose there is a market for that too, but any doctor caught doing that can lose his license. I personally left Canada after my wife waited for over 2 years and was crippled by the wait.

Many cancer patients go south to get either an accurate diagnosis or treatment. Many go on their own while a decent proportion get government funding!

It is possible, but difficult to get funding. I prefer not to call it “government funding”, because at the beginning of the day, you and I earned the money from which the government took taxes, so I prefer to call it “giving us back our money”. The government takes our money because they are incapable of creating anything on their own

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