By Marilyn Werber Serafini, Kaiser Health News

Former Senator Bill Frist in 2009. (Tracy Russo: Flickr)
Former Senator Bill Frist in 2009. (Tracy Russo: Flickr)

A former GOP power player is urging Republicans to rethink their rejection of the health law and to implement state insurance exchanges –- and to do it now.

Bill Frist, a former Republican Senate majority leader and a heart transplant surgeon, today argued in a column that state officials should not pass up the opportunity to build the insurance exchanges that are right for them. Under the law, if a state that doesn’t create its own exchange, the federal government will parachute in to do the job.

“Originally a Republican idea, the state insurance exchanges mandated under the Affordable Care Act (ACA) will offer a menu of private insurance plans to pick and choose from, all with a required set of minimum benefits, to those without employer-sponsored health insurance,” Frist wrote. “These exchanges are expected to bring health insurance to an additional 16 million Americans. Unlike the Medicaid expansion, these Americans will gain private insurance, and can choose the plan that’s right for them.

Fifteen states have taken the first steps to set up exchanges, basically online insurance marketplaces. The health law has received withering criticism from many Republican governors, and some have refused to establish exchanges.  Some were waiting for a decision on the law from the Supreme Court, and are now moving forward. Still others are holding out hope that Republicans will win big in November and repeal the entire law.

But Frist, who isn’t a fan of the law’s insurance mandate, believes state-based exchanges are a good idea.

“State exchanges are the solution,” he wrote. “They represent the federalist ideal of states as ‘laboratories for democracy.’ We are seeing 50 states each designing a model that is right for them, empowered to take into account their individual cultures, politics, economies, and demographics. While much planning has yet to be done, we are already seeing a huge range in state models. I love the diversity and the innovation.”

Bill Frist To GOP Governors: Get Cracking On Exchanges 18 July,2012Lisa Aliferis


Lisa Aliferis

Lisa Aliferis is the founding editor of KQED’s State of Health blog. Since 2011, she’s been writing and editing stories for the site. Before taking up blogging, she toiled for many years (more than we can count) producing health stories for television, including Dateline NBC and San Francisco’s CBS affiliate, KPIX-TV. She also wrote up a handy guide to the Affordable Care Act, especially for Californians. Her work has been honored for many awards. Most recently she was a finalist for “Best Topical Reporting” from the Online News Association. You can follow her on Twitter: @laliferis

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