The affordable health care was intended to create uniformity in health coverage across USA, though states are now making opportunities to follow their own solutions.
In states like Vermont USA, the experiments go a step further than the Affordable Care Act, by expanding coverage for the poor. Vermont is seen to have taken interest in the waivers provided by the Affordable Care Act from 2017.
This includes the mandate that majority people are insured or pay a penalty. The state will need to have a plan that will cover a maximum of people - as many as the federal government. People will not have to pay more for fewer benefits - to avail the waiver.
Vermont proposed a single-payer system in which all residents enrolled in a state-run health-insurance program. The first of its kind in the U.S., the program would offer supplemental coverage for people who already have insurance through a job or Medicare, and cover everyone else who would otherwise be in Medicaid, the individual insurance market or uninsured. In addition to the federal waiver, the state needs to reach agreement on how to pay for it.
Several other Republican governors also have grappled with the ACA's implementation, particularly the Medicaid-expansion provision. For some states, particularly those with historically stringent requirements for Medicaid eligibility, the expansion was seen as more than they could afford, so they opted out. The proposals have put federal officials in a tricky position, as they want states to enroll more people under Medicaid and give access to millions of Americans to health covers, while preserving what Medicaid advocates say are key tenets of the program, including its guarantee of assistance to vulnerable Americans.
Hannah Punitha (IRDA Licence Number: 2710062)
Louise Radnofsky, June 2014