“Since the Affordable Care Act was passed in 2010, 28,476 pages of notices, proposed rules, and finalized rules containing the phrase, “Affordable Care Act” have been written in the Federal Register. This includes 843 notices, 222 proposed rules, and 234 final rules.
Then-Speaker of the House Nancy Pelosi had it right when she famously said, “we have to pass the bill so that you can find out what is in it.”
And unfortunately, there is still more to come.”

“There are dozens of ways to escape Obamacare’s individual mandate tax — but good luck figuring that out come tax season.
Tens of millions of Americans can avoid the fee if they qualify for exemptions like hardship or living in poverty, but the convoluted process has some experts worried individuals will be tripped up by lost paperwork, the need to verify information with multiple sources and long delays that extend beyond tax season.
“It’s not going to be pretty,” said George Brandes, vice president of health care programs at Jackson Hewitt, a tax prep firm. “Just because you theoretically qualify for hardship, or another exemption, doesn’t mean you’re going to get it.””

“Health Reform: Wal-Mart says it’s cutting health benefits to part-timers and boosting worker premiums. If a retail empire built on low prices can’t find a way around ObamaCare’s added costs, we are all doomed.
The world’s biggest retailer announced this week that its health costs will be about 48% higher for the current fiscal year than it had expected in February. As a result, it’s cutting 30,000 part-timers from its health benefit plan, raising worker-paid premiums by 19% and trimming its co-payment for health costs above the deductible.
“We had to make some tough decisions,” benefits director Sally Wellborn told the Associated Press. But to hear President Obama tell it, Wal-Mart just didn’t shop around.”

“If there’s one thing that the left and right can agree about on Obamacare it’s that the employer mandate is bad policy. The health care law’s requirement that companies with 50 or more full-time equivalent workers offer health insurance locks further in place our unique, and idiosyncratic employer-based health insurance system. But just because the employer-based system of health insurance is itself undesirable, doesn’t mean that there’s nothing we can learn from it. After all, it makes sense that if anyone holds the keys to improving the performance of our health care system, it might just be the companies that have been involved in paying for it for over half a century.
A recent report from the Kaiser Family Foundation underscores one such lesson – the growing takeup of private exchanges has the potential to be a catalyst for some major revolutions in our health care system.”

“The other night in a debate between Senate Majority Leader Mitch McConnell (R., Ky.) and his challenger, Alison Lundergan Grimes (D.), McConnell argued that it was “fine” to keep Kentucky’s insurance exchange, called Kynect, while repealing Obamacare “root and branch.” This has led the lefty blogosphere to explode in outrage. But Sen. McConnell is right. Repealing Obamacare would leave many states’ exchanges in place. But exchanges like Kynect, under a more market-oriented system, would be meaningfully different than those under Obamacare. And that’s a good thing.”

“As Rich noted the other day, the Wall Street Journal reported over the weekend that the uninsured haven’t been rushing to sign up for insurance under Obamacare. From the WSJ:
Early signals suggest the majority of the 2.2 million people who sought to enroll in private insurance through new marketplaces through Dec. 28 were previously covered elsewhere, raising questions about how swiftly this part of the health overhaul will be able to make a significant dent in the number of uninsured.
Insurers, brokers and consultants estimate at least two-thirds of those consumers previously bought their own coverage or were enrolled in employer-backed plans.
Note, this is after decades of liberals insisting that the uninsured were desperate to get insurance and years of Obama officials and defenders swearing that this law would make it happen. Indeed, in order to make it happen the Democrats blew up the entire health-care industry casting millions of people off their existing insurance plans. When those people went to exchanges to sign up for new ones, the Obama administration took credit for it, as if they were doing something for the uninsured. But barely 1 in 10 of new Obamacare enrollees were previously uninsured.”

“California’s health insurance exchange is canceling Obamacare coverage for 10,474 people who failed to prove their citizenship or legal residency in the U.S..
Covered California, the state-run insurance exchange, enrolled more than 1.2 million people during the rollout of the Affordable Care Act this year. For most consumers, the exchange said, it could verify citizenship or immigration status instantly with a federal data hub.
But more than 148,000 enrollees were lacking proof of eligibility and needed to submit documentation. People living in the U.S. illegally aren’t eligible for health law coverage.””

“Colorado’s 2.0 “Kentucky-style” system that is supposed to simplify the way people get health insurance won’t be ready until days before the Nov. 15 open enrollment starts.
And as Colorado’s health exchange enters its busy season, a third “chief” has announced she’s leaving Connect for Health Colorado. Chief Executive Patty Fontneau departed in August. Chief Financial Officer Cammie Blais left two weeks ago. And Chief Operating Officer Lindy Hinman announced her resignation and plans to leave next month after open enrollment begins.”

“Senate Republican Leader Mitch McConnell (Ky.) said Monday he wouldn’t mind if the state healthcare insurance exchange known as Kentucky Kynect stayed but reiterated his call for the full repeal of ObamaCare.
Policy experts have questioned the feasibility of preserving the popular state exchange while also repealing the 2010 Patient Protection and Affordable Care Act, which set it up and similar exchanges around the country.
“Kentucky Kynect is a website. It was paid for by a two-hundred-and-some-odd-million-dollar grant from the federal government. The website can continue but in my view the best interests of the country would be achieved by pulling out ObamaCare root and branch,” McConnell said in a debate with Alison Lundergan Grimes, the Democratic candidate for Senate.”

“On November 15, open enrollment in the Obamacare exchanges begins again. Before the second act of our national healthcare drama commences, let’s review what we’ve learned in Act I.
For starters, everyone now knows that federal officials are challenged when it comes to setting up a website. But they’ve demonstrated the ability to dole out a huge amount of taxpayers’ money for millions of people signing up for Medicaid, a welfare program. And they’ve proved they can send hundreds of millions of federal taxpayers’ dollars to their bureaucratic counterparts in states, like Maryland and Oregon, that can’t manage their own exchanges. But there are many other lessons to be gleaned from Year One of Obamacare.”