CONCORD, N.H. (AP) — When it comes to rolling out the federal health overhaul law in New Hampshire, a lot remains up in the air, and there’s a lot of confusion on the ground, according to members of a committee appointed to advise the state.
The Health Exchange Advisory Board, whose members represent consumers, health care providers, insurers and businesses, held its monthly meeting Friday, where they learned that the next step in implementing the law will be getting permission next week from the Legislature’s Fiscal Committee to accept federal grant money. Until that funding is approved, the state can’t move forward with setting up a consumer assistance program to help individuals explore their options under the new law, Insurance Commissioner Roger Sevigny told the group.
“The meaningful work is yet to begin,” he said. “We at the department have not spent a whole lot of time to developing a whole lot of things in regards to consumer assistance because we didn’t know if it would be approved, we didn’t know if we’d get the grant, and we still don’t know if the fiscal committee is going to allow us to accept it. We don’t have the resources to be spending a whole lot of time on things we don’t know about it.”
Under the new health care law, middle class people will be eligible for tax credits to help pay for private insurance plans purchased through a new marketplace, or exchange, while low-income people will be steered to safety-net programs such as Medicaid. Enrollment begins Oct. 1 for coverage that takes effect Jan. 1, the day when a mandate that nearly all Americans carry health insurance kicks in.
Because a state law prohibits New Hampshire from building its own marketplace, the state will have a federally run system, though the state will partner with the federal government to regulate insurers and provide consumer assistance. But many details have yet to be worked out.