HB 91 was just introduced, The Health Care Freedom Act.  As Joseph pointed out, that’s a bizarre view of freedom.  I propose we call it something else:

The Ohio Single Payer Act.

First, let me explain how things are, then how HB 91 would impact the way things will be.  In 2014, there’ll be (basically) 2 categories of private health insurance in Ohio:

  • large group insurance, offered on the open market, regulated by the Ohio Department of Insurance
  • Qualified Health Plans (QHPs), offered on the Federally Facilitated Exchange (FFE), regulated by the federal government.  366,000 people will get thousands of dollars with which to buy these plans.

These two categories will have separate regulatory structures and separate markets.  Large group insurance plans will be certified by Ohio, while QHPs will be certified according to federal criteria.  The Ohio General Assembly can pass laws to set limitations on QHPs, but they can’t do much to affect the certification process.

They had the opportunity to take over the certification process by setting up their own exchange.  To make a political statement, they abdicated their jurisdiction over QHP selection.

Enter HB 91.  HB 91 basically says that no company can sell insurance on both markets.

That is, a company that issues a QHP (federal) will lose its certification to sell large group insurance (state).  This would, understandably, keep the big insurance companies from offering QHPs.

And there we have the Tea Party’s plan.  Nobody will sell on the exchange, and Obamacare will be ruined.

There’s a catch.

Their bill has no effect on a company that has no interest in selling large group insurance.  That company (we’ll call it Hypothetical Insurance, Inc) will be guaranteed 366,000 enrollees, each of them paid thousands of dollars to pick Hypothetical.  Competitors would, in fact, be illegal.

With a patient base that size, Hypothetical would be able to set their rates and demand compliance (probably in the neighborhood of Medicare, though Medicare is about 5 times larger).  There would be no administrative costs (marketing is done by Navigators, enrollment is done by the federal government, reinsurance is done by the federal government).

In short, it would be Medicare for all, paid for with sharply progressive premiums.

Could Lt. Gov. Taylor refuse to certify their QHP?  Perhaps, but that refusal would almost certainly violate the exchange plan submitted in February, giving the federal government the authority to certify the plan.

So, Representatives Young, Thompson, Adams, Beck, Becker, Boose, Brenner, Buchy, Butler, Gonzales, Green, Hood, Huffman, Lynch, Maag, Retherford, Roegner, Rosenberger, Scherer, Stebelton, and Wachtmann:

Please proceed.

  • Natasha

    Geez, these guys mentioned above must have majored in Circular Studies with a minor in Circle Jerking. Don’t they ever get tired of the constant Tea-Bagging in their political-mutual-masturbation club.

  • Red Rover

    That’s hilarious!

    But I don’t get the point about competition with Hypothetical Insurance being illegal. What stops all of the major insurance companies from creating wholly-owned subsidiaries or some-such to sell the QHP’s?

  • TJsClone


  • duckmonkeyman

    Does HB91 regulate interstate commerce for insurance companies as well?

  • Governor John Kasich used his state of the state address to pitch many policy changes that have been met with mixed reviews by members of both parties. He began his address by describing unemployed Ohioans, struggling to get by, leading to a then and now scenario that ends in jobs and prosperity. Also the governor referred to his proposal to extend Medicaid as an” unprecedented opportunity to brin…g federal dollars back into Ohio to help poor families ” We need to get them primary care basic coverage ,” Kasich told the joint session of the Ohio House and Senate. ” My personal faith and the lessons I. Learned from the Good Book, they are important to me ” He continued that he is unwilling to turn to turn his back on”. Those who live in the shadows of life… those who live with least among us” What a colossal phony!!! Will someone please tell me, when did the governor have this epiphany? You may recall that not long after Kasich took office , that Ohio was awarded $176 million in federal aid. This money was earmarked to extend jobless benefits , provide job training, aid children of the unemployed, and help victims of domestic abuse. Sound familiar? Bringing federal dollars back to Ohio to help poor families. However, John Kasich “The Great Humanitarian” had no qualms about turning his back on the needy then. He refused the money. His reason? Too much federal involvement. Like those same struggling unemployed Ohioans that he alluded to earlier, I’m sure there were many that were in dire need of that federal aid. But that was then and this is now! John Kasich is already in full reelection mode! John Kasich . Not just a colossal phony, also a shameless liar.

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