Neither maneuver is likely to be the last, with insurance
companies and state commissioners alike warning that premiums will
rise if changes are made this close to the new year.
The issue of cost aside, both the president and House Republicans
are responding to public anger resulting from cancellation notices
sent out by insurers selling policies deemed substandard under
"Obamacare." An AP survey shows at least 4.2 million have gone out.
At the White House, the president said he would change course and
permit companies to continue to sell the plans — to existing
customers only — for at least one more year.
The result was to shift responsibility for cancellations from the
administration to state insurance regulators and the industry
itself.
"What we want to do is to be able to say to these folks, you know
what, the Affordable Care Act is not going to be the reason why
insurers have to cancel your plan," he said of the millions who have
received cancellation notices.
The president's shift also was designed to redeem his long-ago
pledge that people who liked their coverage could keep it.
Republicans said they intended to push ahead with their plan to
permit companies to continue to sell the plans to new customers as
well as existing ones, and challenged Obama to work with them.
"If the president were sincere in his apology and serious about
keeping his promise to the American people, he would work with
Congress on bipartisan proposals," said Rep. Fred Upton, R-Mich.,
the main supporter of the GOP measure. The House was expected to
vote on the bill Friday.
While passage was expected in the GOP-controlled chamber, a
combination of the president's announcement and an
as-yet-undisclosed Democratic alternative measure seemed likely to
make the vote a clearly partisan one. The White House said late
Thursday the president would veto the GOP legislation.
The maneuvering came on an issue that has been a constant cause of
controversy since Obama called for sweeping health care legislation
in his first inaugural address nearly five years ago on the steps
outside the Capitol.
His remarks on Wednesday marked a reversal with his personal and
political credibility on the line, even though the impact on
consumers is unclear.
Obama's approval ratings in polls are also ebbing, and he readily
conceded that after recent events the public can legitimately
"expect me to have to win back some credibility on this health care
law in particular and on a whole range of these issues in general."
Shortly after Obama spoke, the major industry trade group, America's
Health Insurance Plans, warned in a statement that prices might rise
as a result of his new policy. "Changing the rules after health
plans have already met the requirements of the law could destabilize
the market and result in higher premiums for consumers," it said.
[to top of second column] |
A few hours later, the head of the National Association of Insurance
Commissioners added a fresh word of caution. Louisiana Insurance
Commissioner Jim Donelon, president of the group, said Obama's
proposal could lead to higher premiums and market disruptions next
year and beyond.
"In addition, it is unclear how, as a practical matter, the changes
proposed today by the president can be put into effect. In many
states, cancellation notices have already gone out to policyholders,
and rates and plans have already been approved for 2014," he added.
In California, where more than 900,000 cancellations have been sent
out, Insurance Commissioner Dave Jones called on insurers to extend
the policies being scrapped.
But in Washington state, his counterpart, Mike Kreidler, said he
won't allow that to happen. "I have serious concerns about how
President Obama's proposal would be implemented and more
significantly, its potential impact on the overall stability of our
health insurance market," he said in a statement.
Until the president made his announcement, the administration had
been assuming that individuals currently covered by plans marked for
cancellation would switch to alternatives offered in
government-established exchanges. If so, they would be joining
millions of others who have lacked insurance in the past.
The people with current individual coverage are a known risk to
insurers. But those without generally have had less access to
medical services and are most costly to care for. The theory has
been that moving people with current coverage into the new markets
would help stabilize premiums.
Only last week, Health and Human Services Secretary Kathleen
Sebelius told a Senate panel she doubted that retroactively
permitting insurers to sell canceled policies after all "can work
very well since companies are now in the market with an array of new
plans. Many have actually added consumer protections in the last 3
1/2 years."
[Associated
Press; DAVID ESPO, AP Special Correspondent]
Associated Press writers
Ricardo Alonso-Zaldivar, Donna Cassata, Julie Pace and Alan Fram
contributed to this report.
Copyright 2013 The Associated
Press. All rights reserved. This material may not be published,
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