Posted: 03/22/15 01:14
by Dave Mindeman
Rep. Tara Mack voted against the creation of a health care exchange. She worked to delay its implementation. When the state hurried its way into making an exchange, she offered no suggestions or help. When MNSure had its rollout problems, she was quick to criticize but offered no solutions. When the exchange successfully enrolled 183,000 Minnesotans, she focused on the software issues and glitches. When studies showed that Minnesota's uninsured rate declined by 40%, she said nothing.
But now we are supposed to believe that Rep. Tary Mack is going to work on fixing the system and "make it better".
Rep. Tara Mack, R-Apple Valley....sponsors House File 5, which would direct the commerce commissioner to ask the federal government for a 1332 waiver under the Patient Protection and Affordable Care Act. The waiver would allow qualified health plans to be sold outside of MNsure -- but eligible consumers would still receive federal subsidies. We should expand choice without making insurance purchasing as "frustrating, awkward and inconvenient" as MNsure has made it, Mack said.
In other words, Mack is working to give the power back to the insurance companies.
If, as Mack suggests, we take enrollment outside of MNSure, then insurers would have to have access to eligibility data to allow for tax subsidies. That would require them to have IRS data. Some have suggested that MNSure could still determine eligibility, but that outside insurers could then offer the plans with the subsidies. If we just let insurers get access to our private financial data, how can our data be protected? And if we use MNSure to determine that eligibility, then why would we even need the fix? The determination of eligiblity has been the main problem for MNSure from the beginning. Once the eligibility has been verified, MNSure becomes a simple shopping exchange.
Frankly, we have already been working to fix the initial problems that plagued MNSure - an IT nightmare. During the second enrollment, many of those problems went away. We still have things to fix, but what Rep. Mack is proposing is to make another major change in how this system operates....and what guarantee do we have that more software and data privacy issues don't occur?
Having our own state exchange has increased importance as the Supreme Court makes its determination on the ACA language involving those exchanges. We need to protect the Minnesotans that now have health insurance that they couldn't get before the ACA.
Rep. Mack is not going to give that protection. And her past record on MNSure has never been involved with support for the exchange - it has always been an effort to destroy it.
How can we trust someone like that to offer new legislation on this issue?