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Under the Dome: Public option escape hatch?

I've been wondering how the "opt-out" public option would work, and Steve Harrelson, Arkansas' House Majority Leader, has posted an explanation on his own blog.

From House Majority Leader Steve Harrelson's blog 

The health insurance reform debate could very well move to the Arkansas Capitol if the U.S. Senate's new version of the health reform bill becomes law. Senate Majority Leader Harry Reid announced that the new provision will allow states to opt out and reject participation in any policy that includes a national public option.

Here are some early specifics about how the opt-out would work, should it make the final bill signed into law. In his press conference, Reid said that states could not opt out before 2014. 

  • 2011-2012: National insurance exchange is phased in; consumer reforms begin taking effect.
  • 2013: Public Option goes into effect. Americans are mandated to have insurance coverage.
  • 2014: States can opt out with the exact process to be determined. Apparently, the opt-out will require a 2/3 vote of the state legislature, with the governor able to veto an opt-out. I don't have a link to this timeline -- it's simply what I'm being fed from people in the know.

Under this scenario, Arkansas residents would participate in the public option (if they qualify) in 2013. The legislature would then have to vote to opt out of the plan the next year. What is also apparent is that regardless of the opt-out provision, states CANNOT opt out of any reforms that prevent rescission or the denial of coverage for a pre-existing condition pursuant to the legislation.

Now, here's what I'm wondering... does Rep. Harrelson support the public option or not? From the sound of things, it would seem he wants to opt-out as soon as possible.

That would be disappointing.