Last week, Washington and Oregon were two of the first six states to get initial (conditional) approval from the federal government for their plans to set up state-based insurance exchanges. Idaho is rapidly approaching a final decision point on whether to start.
An Oregon statement on the plan called Cover Oregon says: “Cover Oregon is a central online marketplace where individuals and small businesses can shop for and compare health coverage options and access financial assistance, starting in October 2013. Coverage for plans purchased through Cover Oregon will be effective January 1, 2014. Through Cover Oregon, individuals and families will be able to easily compare plans, see quality grades for carriers and plans, and access financial assistance to help pay for premiums.”
Doesn't, in truth, sound much like tyranny, and actually sounds more like a free marketplace.
That aspect of it – the federal requirement for a setup notwithstanding – may have resonated with free marketeer Idaho Governor C.L. “Butch” Otter, who (a day after the federal approval for the neighbors) said he would support establishment of a state-run exchange in Idaho. (Failure to set one up on the state level would result in establishment of a federal-run program.) But actual setup takes action as well by the state legislature, and that's where things get complicated, and political.
A comparable proposal died earlier this year in the legislature but, partly because of personnel changes, chances may be better in 2013. An early spate of news stories on key players in the health and welfare committees suggest the proposal has at least a reasonable chance of getting to the floor in either chamber.
But whether it passes remains an open question, and so is its impact on Idaho Republican politics.
The insurance exchange easily could turn into a purity test for Idaho conservatives, with “squishes” – presumably including, improbably, Otter – being distinguished from the purists who simply say: hell no. It might (we don't know yet if it will) pit parts of Republican leadership (not all of it) against large parts of the caucuses. It could split Republican leaders against each other. (more…)