Michael Consedine, the acting Pennsylvania insurance commissioner, says one challenge for a state regulator trying to implement the Patient Protection and Affordable Care Act (PPACA) is the many gaps in federal PPACA regulation
PPACA, the main component of the Affordable Care Act (ACA) package, requires the U.S. Department of Health and Human Serivces (HHS) and other agencies, such as the Internal Revenue Service, to start many new programs and draft many new regulations and batches of guidance between now and 2014.
Some provisions, such as restrictions on annual major medical benefits limits and new major medical dependent coverage eligibility rules for young adults, are already stating to take effect.
“I think even HHS would agree that there are many critical components of ACA that have yet to be firmly defined and this has led to a general atmosphere of uncertainty and confusion for the states and consumers,” Consedine testified today in Harrisburg, Pa., according to a written version of his testimony provided by the health subcommittee of the House Energy and Commerce Committee.
Rep. Joe Pitts, R-Pa., took his subcommittee on the road to hold a hearing on “PPACA in Pennsylvania: One Year of Broken Promises.”
All of the witnesses who appeared at the hearing attacked PPACA and the rest of the Affordable Care Act, saying it is making coverage more expensive and employers’ lives more complicated.
Republican insurance and health regulators in some states have stopped trying to implement the Affordable Care Act altogether.
Consedine is continuing to proceed with efforts to implement the act in Pennsylvania. The state