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Or it is really intrinsic it is health care law these help it care exchanges of various states could set out.
A lot of -- complaining you know this is hard to do an -- and we can't do right away Friday the deadline for states say whether there there are not.
Odd sort of Republican governor Nathan.
Government's greatest state stands odds governor where do you stand on this album stands -- whether you can move forward.
Well of course we don't know the answer all the questions that we've ask about how the exchanges will be operated.
We do know that they say -- they want to answer promised by the end of the week.
Republican governors are having a conference this week and I'm sure will be one of the major topics of discussion.
When when they say -- they want an answer what does that mean I mean they just want to know why you're coming along are you on board.
You have the power to I'll I -- what.
-- They they wanna know whether or not we're gonna set up -- state exchange -- and that's a very difficult question to answer because it appears.
That all of the flexibility that we originally thought we were gonna have has now vanished which without the flexibility.
I don't see -- states have any real incentive to do so.
Is there anything compelling -- -- my legal ignorance or governors or apologize upon but is there and it could tell you that you mosques that you must be and that's.
Well -- there's only one provision in it relates to whether or not.
If thought an individual buys insurance as they are and go to be mandated to do.
Whether or not they would be eligible for a federal subsidy.
Unless if they bought it through a federal exchange as opposed to a state exchange.
There's language that would indicate that if they bought it only through a federal exchange they would not be entitled to a subsidy.
But that really needs to be clarified through the federal legislation.
I'm you know -- -- you think about it sir have a lot of power that is an appreciated because.
Well everyone -- the Supreme Court decision that essentially said -- you can mandate.
People -- to.
Get health insurance.
You guys ultimately control spigot -- to set this all up right.
Well we do in terms of first of all deciding whether or not to.
Operator state exchange for individuals to purchase through it but also with regard to.
The increase of these eligibility for Medicaid itself.
In our say for example we would have been mandated.
Prior to the Supreme Court opinion to increase our eligibility rolls up to a 138%.
Of the federal poverty level.
Which have been a about a 350000.
Population increase our Medicaid rolls a huge increase bottom line governor with the president reelected.
And the sad it -- widen and it's democratic -- -- on a couple of seats.
Health care train is often running as an.
Well it appears so and they're the real question I think is does the federal government have the money to keep the train running.
Because they -- incentive to the states is not that great for the states to.
Be an active vote participant.
And if -- -- going to assume a 100% of the cost of Medicaid expansion.
Well the first three years that is a huge expanse to the federal government and if they're gonna really be serious -- -- about try to balance the federal budget.
Adding that kind of additional expenditure quite frankly doesn't seem to be very plausible.
Governor will be watching thank you sir.
-- thank you are.
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