PHOENIX — Arizona Gov. Jan Brewer has decided against creating a state-run
health insurance exchange required to implement a key part of President Barack
Obama’s federal health care law.
Brewer’s decision announced Wednesday means the federal government will set up
an exchange that will provide consumers with an online marketplace to buy
subsidized health care coverage.
Brewer, who reiterated her opposition to the health care overhaul, said there
are too many costs and questions associated with a state-run exchange.
She said she concluded that federal requirements meant the state “would wield
little actual authority over its `state’ exchange.”
“The federal government would maintain oversight and control over virtually
every aspect of our exchange, limiting our ability to meet the unique needs of
Arizonans and the Arizona insurance market,” she said in a statement.
Brewer sent a federal official a one-page letter disclosing her decision.
Her announcement preceded a Dec. 14 deadline for states to declare whether
they’d run their own exchanges.
A decision to create an exchange would have been subject to approval by the
Republican-led state Legislature.
Though the Nov. 6 election results reduced the size of Republicans’ majorities
in the state House and Senate, a Brewer push to create a state-run exchange
would have faced a fight from GOP lawmakers who oppose the law.
An alliance of hospitals, insurance companies and business groups wanted
Arizona to have a state-run exchange, arguing that it would increase coverage
while giving the state flexibility in designing a program to its liking.
Conservative advocacy groups such as the Goldwater Institute stand in
opposition. They say Arizona shouldn’t help implement a law that could foist new
expenses on the state and raise health insurance prices for residents.
Brewer’s administration spent two years planning for a possible exchange,
accepting approximately $31 million of federal funding to pay for the advance
As part of that planning, Brewer in September selected a minimum benefits
package for a state-run exchange based on current insurance coverage for state
employees. She noted in a Sept. 28 letter to the Obama administration that the
package she chose excludes abortion coverage.
While some Republicans governors in such states as Texas and Maine have balked
at creating state-run exchanges, others in Nevada and New Mexico have opted to