We believe that opting out is protected under the terms of the Affordable Care Act. Further, the Supreme Court’s decision that led to expansion being made optional severed any link between expansion and any existing Medicaid program, so that a choice to opt out would not affect the existing program.
• Iowa has traditionally received low reimbursement rates for government-paid patients. Is there a guarantee that Iowa's hospitals and health care providers would be paid what they deserve for treating underprivileged patients?
Low reimbursement rates from these programs remains an issue and IHA continues to advocate for a fairer, value-driven system (and we believe we are making progress). Nonetheless, it is better for both providers and patients that low-income Iowans have Medicaid coverage than remain uninsured.
• Are there any other points you would like to make regarding the IHA's support of Medicaid expansion that you want to be sure our readers are aware of?
Not at this time.