Iowa to thousands: HealthCare.gov didn’t work, you’re uninsured, please try our site

posted at 2:31 pm on December 31, 2013 by Mary Katharine Ham

When we were coming up on the doldrums of the December news cycle, I knew we could count on Obamacare to keep breaking down in new and spectacular ways. This time, there are a bunch of Iowans who think they’re being processed by Iowa’s Medicaid system, but they’re not:

Nearly 16,000 Iowans who tried to apply for coverage via the trouble-plagued federal health-insurance website are being told to apply separately through the state Department of Human Services.

The Friday afternoon announcement is the latest bout of bad news about the website, which is a key part of the Affordable Care Act.

The announcement affects people who entered their information into healthcare.gov and received a notice that they might qualify for Medicaid. The federal computer system was supposed to transfer their applications to a state computer system, but that transfer has been complicated by technical problems. The timing is critical, because the new insurance coverage is supposed to take effect on New Year’s Day, which is Wednesday.

That’s 16,000 low-income Iowans who spent hours getting through the system, thought they were successful, got a notice that they might be Medicaid eligible and that their applications were being taken care of by Iowa. But their applications can’t get to Iowa, of course. Because FAIL.

Iowa made the announcement about this snafu Friday, Dec. 27, when so many people are thinking about their insurance applications and whether they went through after being told they would. They’re also attempting phone calls and e-mails. The state hopes to have this worked out by Jan. 31 and says coverage would be retroactive as of Jan. 1, but a) I never count on anyone telling me they’re going to cover me retroactively and b) Medicaid-eligible Iowans aren’t the segment of the population that can easily drop money on a doctor’s appointment until the state gets its act together or they wouldn’t be Medicaid-eligible.

But there’s a whole other set of people in this cohort who may have been told they were Medicaid eligible and their stuff had been sent to Iowa, when in fact they are neither Medicaid eligible nor had their stuff been sent to Iowa. Those people— are you ready for this?— are going to be told to go back to the federal exchange after Iowa determines they’re ineligible. How might that go for them?

Jesse Patton, a West Des Moines insurance agent who has helped numerous clients sign up for coverage on healthcare.gov, said he was not surprised by Friday’s announcement. “I’m not happy about it,” he said. “For a lot of these people, I spent three or four hours to get them through the process, and now they’re back in limbo.”

What’s the root of the problem with this data transfer?

Aaron Albright, a spokesman for the Centers for Medicare and Medicaid Services, which is implementing Obamacare, said his agency is working with states to get them the information they need to determine whether applicants are eligible for public programs. He said federal officials have been sending information to states in something called a “flat file,” but he said not all states are accepting those.

McCoy, the Iowa human-services spokeswoman, said the flat-file format is different from what Iowa was told to expect. She also said many of the files Iowa has received from the federal system are missing crucial information, such as Social Security numbers and income reports.

Who could have predicted that the federal government would have trouble synching up all these computer systems to seamlessly interact in under a year in one of the biggest tech undertakings it had ever attempted?

The Washington Post piece assumes the federal data hub itself will work perfectly, even though it’s meant to cull an incredible amount of data and pair it with an incredibly complex set of eligibility requirements. I think even that’s an open question, but here’s the bottom line: This is a giant tech undertaking which will need to serve many localities with different needs, link existing technologies and personnel with a new, giant federal hub, and somehow make sure all of them work together to smoothly to guide consumers who have no idea what to expect in subsidies or services through a brand new web portal for health insurance. They have less than a year to accomplish this. It seems there has been no pilot program, no training, and no beta testing. This thing is ORCA on steroids.

Oh, and there’s a 30-60 day public commenting period before HHS even finalizes the rules it proposed Tuesday. So, make it nine months to implementation. Here’s hoping.

A little over a year later:

Some 4 million people lost health coverage due to cancellation, according to Associated Press coverage. The Obama administration reversed course and said these substandard plans could exist for another year, but not all states and insurers agreed to this fix.

That means it’s possible the United States is entering the first year of Obamacare with a net loss of 2 million insured, according to the law’s critics.

But anyone worried about their insurance coverage can just call a number (nope) or visit someone in person (nope) or be assured that the federal website transferred your info (a thousand times nope), or be satisfied that Michelle Snyder is hanging out at the bar with Lois Lerner and the rest of Obama’s well-paid forced retirees in charge of national Charlie Foxtrots, and they all have insurance (yep).

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Oh dear, when obama hears about this he is going to be so very angry.

HumpBot Salvation on December 31, 2013 at 2:34 PM

LOLZ!

OmahaConservative on December 31, 2013 at 2:35 PM

And Medicaid. Again.
 
Obamacare was passed to solve the free rider problem:
 

“So that’s why the individual mandate’s important,” Obama explained in a speech on Aug. 15, 2011.
 
“Because the basic theory is, look, everybody here at some point or another is going to need medical care, and you can’t be a free-rider on everybody else,” said Obama.
 
http://abcnews.go.com/m/blogEntry?id=14952502&sid=77&cid=77

 

The tax/fine on a person making $43K who doesn’t want or can’t afford insurance will only equal about $860 (vs. thousands in premiums and deductibles), and $860 will barely cover any actual medical procedure.
 
Hospitals will still be required by law to provide care regardless of insurance coverage or ability to pay.
 
Can any (D) explain how Obamacare does anything to change the free rider problem?
 
Give us specifics, please.

rogerb on December 31, 2013 at 2:37 PM

“Iowa” Iowa fortune for my deductible.

VegasRick on December 31, 2013 at 2:40 PM

Truly unbelievable. But, then again…

Sabercat2 on December 31, 2013 at 2:41 PM

drink ethanol cornholers

DanMan on December 31, 2013 at 2:43 PM

Aaron Albright, a spokesman for the Centers for Medicare and Medicaid Services, which is implementing Obamacare, said his agency is working with states to get them the information they need to determine whether applicants are eligible for public programs. He said federal officials have been sending information to states in something called a “flat file,” but he said not all states are accepting those.

McCoy, the Iowa human-services spokeswoman, said the flat-file format is different from what Iowa was told to expect. She also said many of the files Iowa has received from the federal system are missing crucial information, such as Social Security numbers and income reports.

Well of course the flat files would be “malformed” when the questions may or not be included in the online questionaire and subject to change on a daily basis.

Take a gander at this draft from last march:

http://waysandmeans.house.gov/uploadedfiles/pdf_cms_1_031313.pdf

Appendix A: List of Questions in the Online Application to Support Eligibility Determinations for Enrollment through the Health Insurance Marketplace and for Medicaid and the Children’s Health Insurance Program

AH_C on December 31, 2013 at 2:44 PM

But, But, Obama promised us that Obamacare would show us that Government can do big things, and do them well! Like going to the moon!

Of course, in that project Eisenhowser and Kennedy and Johnson were smart enough to put engineers in charge… and give themselves a ten year deadline.

Vanceone on December 31, 2013 at 2:45 PM

I’m sure Tom Harkin will straighten out this whole mess. I think all of those voters should thank him for forcing this down their troats.

bflat879 on December 31, 2013 at 2:46 PM

Well howdy, Iowans! Listen here, you don’t need no gol-darn new-fangled Obamacare! Nosiree! What you need is Doctor Subsidee’s Curative Cornucopia of Health Elixir! Yessiree, A dose of the good Doctor’s in the morning and in the evening will set you on the path to a healthy life! Why it’s based on your natural corn grown right there in I-OH- WOW! Why it’s got ETHANOL! That’s Right! ETHANOL! Well, you folks have been prescribing this for Americans everywhere for years, and now it’s time you found out how good it is for you! …

M240H on December 31, 2013 at 2:46 PM

But anyone worried about their insurance coverage can just call a number (nope) or visit someone in person (nope) or be assured that the federal website transferred your info (a thousand times nope), or be satisfied that Michelle Snyder is hanging out at the bar with Lois Lerner and the rest of Obama’s well-paid forced retirees in charge of national Charlie Foxtrots, and they all have insurance (yep).

Nicely done. :)

Midas on December 31, 2013 at 2:48 PM

Dog Eater is going to kick all sorts of Iowan azz in Des Moines.

Bishop on December 31, 2013 at 2:54 PM

Great.

Instead of glitchnado.gov or missionaccomplished.gov, try ethanol.gov

22044 on December 31, 2013 at 2:56 PM

Even so this is Iowa we’re talking about here, they got the first flush toilet in the entire state installed in the capitol building barely a month ago; people come from all over the Iowa to marvel at the swirling water. It’s not like a computer file of any sort would have a chance of being properly utilized.

Bishop on December 31, 2013 at 2:58 PM

Who could have predicted that the federal government would have trouble synching up all these computer systems to seamlessly interact in under a year in one of the biggest tech undertakings it had ever attempted?

They should have consulted the Who’s Who of computer geekeze…the NSA.

timberline on December 31, 2013 at 3:02 PM

I see. A federal flat file fail.

SacredFire on December 31, 2013 at 3:04 PM

If only Obama could write code . . .

SoRight on December 31, 2013 at 3:05 PM

The technical expertise of the Obama administration makes clear to me that if they decided to compete with the Chinese and return a man to the moon, we’d have a lunar landing in Newark in 2032, the black, lesbian afronauts would denounce the white patriarchy for the failure, and the Rover would be jacked.

And a gray dreadlock-becrowned Eric Holder would come of retirement to defend the Rover-jackers.

M240H on December 31, 2013 at 3:08 PM

Is it time yet, where we can start suing the feds for failing to provide the insurance that they promised. Normal insurance companies would have to be complient

ConservativePartyNow on December 31, 2013 at 3:16 PM

This whole thing in Iowa is corny.

docflash on December 31, 2013 at 3:21 PM

He said federal officials have been sending information to states in something called a “flat file,”

That’s a pretty generic term these days but it usually means a file than is human-readable, i.e. a very simple file format.

Kafir on December 31, 2013 at 3:21 PM

Flat file is just a generic term for a text file. All the stuff being passed around is a flat file. The trick is the format it’s in, whether they zipped it up first, etc.

Now, the format is already setup in the ANSI standards. But some organizations play more loosely with the standards than others. Odds are the files are getting corrupt, the feds changed things at the last moment or Iowa setup their system incorrectly (or all three…).

WitchDoctor on December 31, 2013 at 3:23 PM

This whole thing in Iowa is corny.

docflash on December 31, 2013 at 3:21 PM

Alright you, get out!

Bishop on December 31, 2013 at 3:23 PM

MeanWhile,…………………………….

United States
3h
Official: More than 2 million Americans have enrolled in health care coverage through Healthcare.gov, state health care websites – @Reuters
read more on trust.org

http://one.trust.org/item/20131231165949-ioa1k

canopfor on December 31, 2013 at 3:28 PM

And,….ComradInski HealthCareCzar Sebelious, states:

“Its a Glorious Day in HopeyLand Utopia”!
(snark)
=========

Barack Obama
49m
===

Obama administration says 2.1 million have enrolled in private health coverage, 3.9 million Medicaid, 3 million on parents’ insurance plans – @petermaercbs
see original on twitter.com
===========================

health care
1h
===

Health and Human Services Secretary Kathleen Sebelius calls Jan. 1 a ‘new day in health care for millions of Americans’ – @lesleyclark
===================================================================

http://www.breakingnews.com/topic/obama-health-care-law/

canopfor on December 31, 2013 at 3:31 PM

Look, if it’s a simple text file, then a series of regular expressions should sort it out. Heck, grab an old mac from 1992 and hypercard and do some text parsing.

This isn’t that hard…. unless the “flat file” is different every single time! Even then, put it into xml. As long as it’s keyword based, it shouldn’t matter if things move around.

This shouldn’t be that hard. But Obama’s involved so yeah.

Vanceone on December 31, 2013 at 3:31 PM

The federal computer system was supposed to transfer their applications to a state computer system, but that transfer has been complicated by technical problems.

I imagine that the Iowa Medicaid system was expecting a 834 file from the federal government and instead got a flat file of data.

An 834 file is a file that contains multiple entries (lines of data), and each line has a certain layout depending on what kind of data is on that line (name line, address line, SS# line etc.).

And each line starts with a “code” that identifies what kind of data is in that line.

The accepting computer (Iowa Medicaid system) expects a file that is laid out in this manner.

A flat file is a file with lines of data where each line contains ALL the data. Name, address, SS# etc. all on one line.

The accepting computer (Iowa Medicaid system) does not know how to import the flat file, it’s not expecting the data to be laid out in that manner.

That leads me to the conclusion that Healthcare.gov is still not creating 834 files correctly and the programmers decided to collect the data in a flat file layout.

They have had trouble with the 834 file format from the beginning, and after all these months, I suspect it’s still not working correctly.

If my analysis is correct this Iowa problem is only the tip of the iceberg. If they can’t compile an 834 file for the Iowa Medicaid system, they can’t compile an 834 file correctly for the private insurance companies.

I’ve programmed systems that create and except 834 files. They are not simple files and evidently there is no one at the HHS that understand what they are doing.

Walter L. Newton on December 31, 2013 at 3:33 PM

Even so this is Iowa we’re talking about here, they got the first flush toilet in the entire state installed in the capitol building barely a month ago; people come from all over the Iowa to marvel at the swirling water. It’s not like a computer file of any sort would have a chance of being properly utilized.

Bishop on December 31, 2013 at 2:58 PM

Hey! They built the first corn palace in America in 1887. An Iowan invented the Eskimo Pie. Ashton Kutcher was born in Iowa.

They might not have fancy gas grills and dishwashers, cell phones, electric instruments or micro chips yet but they got good diners , Midwestern charm, crows, and lots of wrestling – so their!

BoxHead1 on December 31, 2013 at 3:34 PM

THere!

BoxHead1 on December 31, 2013 at 3:34 PM

Ashton Kutcher was born in Iowa.

You sure you want to be talking about that in public?

M240H on December 31, 2013 at 3:35 PM

ObamaCare: We put the OW in Iowa.

Ronnie on December 31, 2013 at 3:40 PM

Perhaps if they weren’t so obsessed with the Renewable Fuel Standard, they would have been able to pay more attention to getting the website right?
You can have Ethanol, or BarryCare; you can’t have both!

Another Drew on December 31, 2013 at 3:41 PM

Oh dear, when obama hears about this he is going to be so very angry.

HumpBot Salvation on December 31, 2013 at 2:34 PM

Yes, he’ll probably cancel his holiday (Obama would never use the word Christmas) vacation. After all, there’s no time for golf when 16,000 Iowans are uninsured. After all, Iowa voted for Obama twice. Stupid b@st@rds.

bw222 on December 31, 2013 at 3:44 PM

This whole thing in Iowa is corny.

docflash on December 31, 2013 at 3:21 PM

That’s quite an earful.

22044 on December 31, 2013 at 3:47 PM

That’s quite an earful.

22044 on December 31, 2013 at 3:47 PM

aw shucks

DanMan on December 31, 2013 at 3:53 PM

The flat file flat-lined. #sorry

Philly on December 31, 2013 at 3:55 PM

Well nobody is madder than Obama.

Look, these liars declared that Healthcare.gov was up and running on 1 October (turned out anything over six users crashed it).

Then they spent a month claiming that the system was great with just a few glitches.

On 6 November in the Sham Wow Rose Garden speech (the one where the woman dressed like a Star Trek character swoooned in euphoria at being so close to the rat-eared one) the website would be fully functional by 30 November.

It was about this time that the term private-sector velocity was thrown about.

By 1 December, the expectations were scaled back from fully functional to better user experience. But that didn’t stop the White House to declare victory.

Now, as millions nationally are about to be without insurance- many for the first time in their lives, we find out that the system is still broken. That Obama and the Secretary of Blame are still lying their asses off as if another US Consulate was attacked by Muslim insurgents while the President was reading up on how to play craps for his trip to a Las Vegas party.

Too bad this nation doesn’t have a method to launch a referendum if we still trust the administration or not. The mid-term elections in 2014 will have to do.

Happy Nomad on December 31, 2013 at 4:04 PM

It’s not just Iowa

Federal exchange sends unqualified people to Medicaid

Jacob Hawkins of Plano, Texas, makes about $50,000 a year as a self-employed pool builder, yet his family of three was deemed eligible for Medicaid. His wife, Holly, is due to have their second child in February and is worried she won’t have insurance in time. She filed an appeal of the Medicaid determination, but doubts it will be approved before the Dec. 23 deadline.

“I’m frustrated, mad and there’s no one to help,” says Hawkins.

Being married with a $50,000 income will get you a decline from Medicaid, even with a pregnant wife, says Hawkins’ broker, Connie Louanne Trebing. ” I know, because I just had a couple declined in a similar situation,” she says.

Some of the files of those supposedly eligible for Medicaid in Texas include people who don’t live in Texas and who are already signed up for Medicaid, says Stephanie Goodman, spokeswoman for the Texas Health and Human Services Commission.

Illinois expects about 19,000 files shortly from HHS. Illinois state spokesman Mike Claffey says he doesn’t know how many may have problems, but Chicago broker Jordan Wishner says seven of them will be from his office and definitely will be wrong.

He has three clients of his own and an agent in his office has another four who are clearly above 138% of the federal poverty limit ($32,499 for a family of four), yet are being told they are eligible for Medicaid, which blocks their efforts to buy subsidized insurance.

kcewa on December 31, 2013 at 4:05 PM

This whole thing in Iowa is corny.

docflash on December 31, 2013 at 3:21 PM

Don’t be a flake.

climbnjump on December 31, 2013 at 4:10 PM

Hey! They built the first corn palace in America in 1887. An Iowan invented the Eskimo Pie. Ashton Kutcher was born in Iowa.

BoxHead1 on December 31, 2013 at 3:34 PM

And every four years Iowans egos swell as they are deluded by Presidential hopefuls that their pathetic caucus is the kingmaker for Presidential politics. The only ones more egotistic are those New Hampshirians.

Iowans are pandered to with promises of perpetual subsidies for ethanol and not growing stuff. The candidates laugh at their jokes and pretend that they aren’t secretly calculating what time it is along the coasts where the important people live. Every time somebody hands them a pie they die a little more inside.

Happy Nomad on December 31, 2013 at 4:10 PM

Ashton Kutcher John Wayne was born in Iowa.

You sure you want to be talking about that in public?

M240H on December 31, 2013 at 3:35 PM

FIFY.

climbnjump on December 31, 2013 at 4:11 PM

The comments here……………..best laugh of the year!

tngmv on December 31, 2013 at 4:11 PM

Don’t be a flake.

climbnjump on December 31, 2013 at 4:10 PM

Okay, now you’re just “pone-ing” it in. Much like CMS is doing on those fixes so that millions won’t find themselves without insurance tomorrow, many for the first time in their lives.

Happy Nomad on December 31, 2013 at 4:13 PM

Don’t be a flake.

climbnjump on December 31, 2013 at 4:10 PM

Okay, now you’re just “pone-ing” it in. Much like CMS is doing on those fixes so that millions won’t find themselves without insurance tomorrow, many for the first time in their lives.

Happy Nomad on December 31, 2013 at 4:13 PM

There’s not a kernel of truth to the rumors of those “fixes”.

climbnjump on December 31, 2013 at 4:16 PM

The state hopes to have this worked out by Jan. 31 and says coverage would be retroactive as of Jan. 1

Iowa says I-Owe-Ya

kcewa on December 31, 2013 at 4:16 PM

I’m sure they’ll cob-ble something together shortly …

M240H on December 31, 2013 at 4:24 PM

Ashton Kutcher John Wayne was born in Iowa.

You sure you want to be talking about that in public?

M240H on December 31, 2013 at 3:35 PM

FIFY.

climbnjump on December 31, 2013 at 4:11 PM

I thought it was some guy named Marion.

M240H on December 31, 2013 at 4:25 PM

I’m sure they’ll cob-ble something together shortly …

M240H on December 31, 2013 at 4:24 PM

They’re trying to butter us up.

22044 on December 31, 2013 at 4:26 PM

I’m sure they’ll cob-ble something together shortly …

M240H on December 31, 2013 at 4:24 PM

They’re trying to butter us up.

22044 on December 31, 2013 at 4:26 PM

I think Flo, who worked with Alice at Mel’s Diner, said it best when she’d just tell them to “Kiss my grits.”

M240H on December 31, 2013 at 4:30 PM

So what about the REAL number:

Number of Americans without insurance now versus the number of Americans without insurance before the law went into effect.

Did they take care of those “15 million” uninsured? Or did they just move around who was insured and who wasn’t?

WitchDoctor on December 31, 2013 at 4:38 PM

I thought it was some guy named Marion.

M240H on December 31, 2013 at 4:25 PM

Yeah, I would have changed my name too. The Duke was born in Winterset and the house is still there.

climbnjump on December 31, 2013 at 4:40 PM

I’m sure they’ll cob-ble something together shortly …

M240H on December 31, 2013 at 4:24 PM

They’re trying to butter us up.

22044 on December 31, 2013 at 4:26 PM

The whole ObummerCare thing is just all “shuck” and jive. And then there’s that whole thing with the NSA stalking us.

climbnjump on December 31, 2013 at 4:42 PM

the house is still there.

climbnjump on December 31, 2013 at 4:40 PM

But not Ronald Reagan’s in Chicago. That’s being turned into parking for Obama’s “library” as if the ignorant bastard even reads books. Perhaps it will be the first Presidential library where every display is on teleprompters.

Happy Nomad on December 31, 2013 at 4:52 PM

So what about the REAL number:

Number of Americans without insurance now versus the number of Americans without insurance before the law went into effect.

WitchDoctor on December 31, 2013 at 4:38 PM

Opponents of Obamacare, IMO, need to market this like the enemy does. Real numbers don’t matter. Speak of tomorrow as a sad day for America as MILLIONS of Americans wake up to 2014 uninsured, many for the first time in their lives.

Happy Nomad on December 31, 2013 at 4:59 PM

PLEASE! Tell me this is going to ruin King Barack’s Christmas vacation!

GarandFan on December 31, 2013 at 5:55 PM

I’ve worked with these CMS ‘flat files’…it’s not a matter of splitting them on commas or expecting fields of certain lengths. It’s as if people who do medical billing came up with a way to represent the data with no inkling of how the other end was going to ‘unpack’ it.

tlynch001 on December 31, 2013 at 7:22 PM

It’s as if people who do medical billing came up with a way to represent the data with no inkling of how the other end was going to ‘unpack’ it.

tlynch001 on December 31, 2013 at 7:22 PM

“Oh, there’s nothing halfway
About the Iowa way to treat you,
When we treat you
Which we may not do at all.”

Name that tune.

AesopFan on December 31, 2013 at 8:07 PM

Obama’s well-paid forced retirees in charge of national Charlie Foxtrots

Shame on you MKH, I’ma wash your mouth out with soap….Lifebouy. Just like Ralphie’s mom did.

Oldnuke on December 31, 2013 at 9:21 PM

…IwOa !…
…Oiho ! …

KOOLAID2 on December 31, 2013 at 11:41 PM

I don’t care if I have to lie dieing in the street, with blood streaming from my eyeballs, I will NEVER sign up for ObamaGlitch…

EVER. I would rather die.

Is that partisan?

Meople on January 1, 2014 at 12:26 AM

Small analogy
We have a website to purchase this car we MUST buy. Although we have a car that we like. It is not acceptable. This new car is a LARGE 4-door with features that you do not need nor want. But you must buy it. It has special seat belts for car seats even though you do not have children. It has SNOW tires even though you live in San Diego. But you must buy this car. Now the website is broken and you have to work hard over several days to think you have bought this car. Now the mechanics do not want to work on this car. The fuel filter, oil filter and other accessories are not available in the parts stores and no one know when if ever they will be available.

That is where we are currently……………

Fast forward…..the car finally arrives and it does not work. There are various problems and its either delivered without all of the parts. And it is taking weeks to get the car working. Then after years you find the parts needed to be able to drive the car………

You see we are just discovering how difficult it is to buy the obomoCARE we have not discovered that the implementation of the healthcare at the individual level will be chaos !!!!

scruplesrx on January 1, 2014 at 12:34 AM

If you think healthcare is broken, just wait until 2015.
There are consequences to a truly broken system.
We are heading towards not only frustrated patients.
We are heading towards patient who will truly suffer as a result.
They may even be harmed as a result.
Transforming healthcare is not an experiment.

scruplesrx on January 1, 2014 at 12:42 AM

If anyone still votes for any Dimocrat after the pain everyone is about to endure via ObamaGlitch, we are truly lost and will never be America again.

Meople on January 1, 2014 at 12:50 AM

This talk abour “flat-files” tells us that they are probably being manually transferred without any special security measures – i.e. regular email or ftp. In view of that, it’s probably a good thing that the files don’t have SS # or income reports in them.

They might be using a secure link, but it all sounds very manual and ad hoc.

Nobody should enter their private information into these systems.

virgo on January 1, 2014 at 2:35 AM

The state hopes to have this worked out by Jan. 31 and says coverage would be retroactive as of Jan. 1

What? Unacceptable! The Law is Settled… if they don’t have insurance, they need to just suck it up and pay the IRS penalty. Maybe next year they’ll pay more attention.

I mean, isn’t that why it was so important for Obama and Reid to shut down the government?

malclave on January 1, 2014 at 2:59 AM

Coming next: “The Secretary shall mandate ..” that ALL states and providers dump their individual data systems and adopt the Federal ‘standard’.

/problem solved
/.

CaveatEmpty on January 1, 2014 at 9:56 AM

Then certain states fall back to the Tenth Amendment to the Constitution.
Nowhere in the federal Constitution enables Congress authority to regulate local maters concerning the health, safety and morality of state residents. That would then be the next step.

scruplesrx on January 1, 2014 at 1:57 PM

Ya got trouble, my friend, right here,
I say, trouble right here in River City.
Why sure I’m a insurance agent,
Certainly mighty proud I say
I’m always mighty proud to say it.
I consider that the hours I spend
on healthcare-dot-com are golden.
Help you cultivate false hope
And a migraine, and tired eyes.
Never take and try to give
An iron-clad policy to yourself
From a thrice-failed website?
But just as I say,
It takes judgement, brains and maturity to avoid
wasting your valuable time,
I say that any boob kin take
And shove a ‘Merican into a policy.
And they call that “success”.
The first big step on the road
To the depths of Single Pay–
I say, first, medicinal wine from a teaspoon,
That now requires a prescription.

cavalier973 on January 1, 2014 at 2:05 PM