In states where Republicans control the government, they are clashing over how to handle the healthcare reform law.
The debate focuses on the state-sponsored health insurance exchanges that are slated to begin 2014 for people who are unable to obtain insurance through other means. If states don’t produce a plan by Dec. 14, the federal government will set up exchanges instead.
So Republicans are stuck between a rock and a hard place in states such as Idaho, Tennessee, and Mississippi, Politico reports
. They can implement a policy they oppose or cede their authority to the Department of Health and Human Services (HHS).
The discord is particularly intense in Mississippi. The state’s Insurance Commissioner, Mike Chaney, told the HHS Nov. 14 that he will implement a health insurance exchange, despite Gov. Phil Bryant’s opposition.
But on Monday Bryant informed the department in a private letter that he “feels compelled to notify you of my complete disagreement with this move,” according to Politico.
So far 17 states have decided against setting up their own exchanges. Arizona GOP Gov. Jan Brewer explained her rationale for rejection on Fox News Thursday night.
“We know that the Affordable Care Act is going to be the law of the land, but the bottom line is that it's way too expensive, she said. “We’re not going to know what's going to happen because the federal government will come in and rewrite rules. They won't fund it, so in 2015 it will cost my citizens between $27 million and $40 million.”
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