Showing posts with label Stephen Sweeney. Show all posts
Showing posts with label Stephen Sweeney. Show all posts

Wednesday, July 10, 2019

Sweeney's amendment to ACA exchange bill: Moar Medicaid enrollment integration?

Some clarification about what New Jersey state Senate president Stephen Sweeney was seeking when he held up passage of the bill to create a state ACA exchange -- other than leverage in bigger battles with Gov. Phil Murphy. 

After threatening not to allow a floor vote on the bill, Sweeney relented at the last minute after negotiating an amendment concerning integration of Medicaid processing in the platform. If the bill had not passed by the end of the legislative session, there would not have been time to meet federal requirements to get the exchange up and running in the fall of 2020 for enrollment in 2021.

Sweeney's amendment changed the language concerning Medicaid integration, directing the state to pursue federal funding for the integration. The text to be replaced is in brackets.

Friday, June 28, 2019

New Jersey Senate passes bill to establish state-based ACA exchange: What was the holdup about?

Updated in 7/10/19 post: the question was how much Medicaid integration to seek, and when.

After an alarming delay,  the New Jersey Senate passed a bill late yesterday afternoon to create a state-based exchange. State Senate President/boss Stephen Sweeney had held the bill (S3807/A5499) up, and if it had not passed by the end of this month, when the legislative session ends, it would likely not have been possible to get the exchange up and running in time for Open Enrollment 2021, i.e. by November 1, 2020 (which may prove difficult in any case).

The state exchange is Gov. Murphy's initiative, and Sweeney may just have been holding it as a pawn in their death match over the state budget. But Sweeney claimed to have a substantive point that he needed fixed, and he appears to have got what he said he wanted -- though why anyone would object, I don't know.  Here is a statement he put out yesterday:
“We are in the process of amending the legislation creating the state health care exchange to include Medicaid eligibility. This is a significant improvement that will provide a single front door access point for enrollees and a single eligibility process for health insurance coverage.