CHARLESTON, W.VA. -- After nearly three years of preparations, officials say the state's Health Insurance Marketplace will be up and running Tuesday for the start of open enrollment.
"The federal government indicates they will be ready to launch on Oct. 1," Jeremiah Samples, assistant to the Department of Health and Human Resources Secretary Karen Bowling wrote in an email to the Gazette. "The state will be ready to serve consumers on October 1 for those areas where the state has responsibility."
Samples said few people understand the health-care reform law, which will make it challenging to enroll the state's uninsured population.
"The federal government has not adequately explained to the public what is taking place," Samples wrote. "This is a federal law and it is the responsibility of the feds to fulfill this mission and for the most part this effort has been a failure."
Earlier this year, though, West Virginia turned down millions of federal dollars to develop a local television and radio advertising campaign about the Affordable Care Act. The exact amount was not disclosed.
In 2011, West Virginia was the second state in the nation, after California, to pass legislation allowing for the Marketplace.
The Affordable Care Act requires most people to have health insurance, and sets up a way for them to compare and shop for a plan on the Marketplace. Many people will newly qualify for Medicaid under Medicaid expansion, another aspect of the health-care reform law.
According to a state-commissioned report by CCRC Actuaries, the number of uninsured West Virginians will drop almost 70 percent from 246,000 to 76,000 by 2016 because of the Affordable Care Act.
"Their projections were also that 133,500 West Virginians would qualify for Medicaid, and that 91,000 would enroll by 2016," said Perry Bryant, executive director of West Virginians for Affordable Health Care. "They also projected that 99,000 would qualify for tax credits in the Marketplace."
Not everyone is required to buy health insurance.
"There are a number of exemptions," Bryant said. "People who make so little that they do not need to file income taxes. There are religious exemptions. Incarcerated individuals, Native Americans, illegal immigrants, etc. are also exempt," Bryant said.
People who are not insured can get health insurance through a private insurance company or through their employer, on the Health Insurance Marketplace, or if they qualify, with Medicaid.
Under the Affordable Care Act, West Virginia will expand its Medicaid program to those ages 19 to 64 who make up to about 133 percent of the federal poverty line.
Medicaid Commissioner Nancy Atkins says expanding the state's Medicaid program has been the most complex project she's worked on in her 10 years with the agency.
"It really is changing the face of Medicaid," Atkins said. The way Medicaid eligibility is determined and the groups of people the program covers are changing. For the first time, the program will cover childless adults, she said.
The program will also require recipients to pay co-payments for the first time.
"That's a whole new world for [Medicaid recipients], co-pays," Atkins said. "But we think it [encourages] some personal responsibly and again we're changing the face of Medicaid so we're moving people towards a more commercial world."
Atkins said implementing the ACA is an exciting time for her. She served on the federal Medicaid commission in 2005 and 2006 and many of the recommendations the commission made at that time have come about in the health reform law.
"For me it's really exciting to see some of these things come to fruition," Atkins said. "Like electronic health records and changing the eligibility system ...We recommended simplification. It will be simpler but it's been quite a heavy lift getting there.
"So, I mean, that's exciting," Atkins said. ... "There's a lot left to do but there's an awful lot that has been done."
One challenge has been getting the technology up and running. The state's Medicaid enrollment program has to work with the federal government's program and others in real time to determine a candidate's eligibility for Medicaid.