Articles on the implementation of ObamaCare.

“Indiana Gov. Mike Pence on Thursday said he wants to use Medicaid funding under the federal health-care law to expand coverage in his state, but that any expansion of it would have to come on his own terms.

The proposal is the latest from a small group of mostly Republican governors pursuing alternative ways to tap billions of dollars in federal Medicaid money available under the Affordable Care Act. Most GOP governors are refusing the additional federal money outright, while those who have wanted to expand Medicaid faced objections from GOP-led legislatures.”

“A federal appeals court heard arguments Wednesday in a lawsuit claiming the Obama administration’s health care reform law provides tax subsidies only to people who buy insurance through state-run exchanges.

Four Virginia residents are challenging an Internal Revenue Service regulation that makes the subsidies available to low- and moderate-income residents regardless of whether they buy policies through state exchanges or one established by the federal government. Virginia is among 34 states that chose not to establish its own health insurance exchange.”

“Opponents of Obamacare’s Medicaid expansion have traditionally argued that it will significantly burden state budgets and provide people with substandard health coverage. A new academic paper suggests what may be the strongest argument yet against the expansion: that it will keep many beneficiaries in poverty because it creates strong disincentives for work.”

“States that experienced severe technical problems in running their ObamaCare exchanges would have to reimburse the federal government for the cost under a Republican bill introduced Wednesday.”

“Arkansas’ “Private Option” Medicaid expansion has generated significant interest among red-state policymakers and the national press. And now that more data on the potential price tag is coming to light, Razorback taxpayers are taking notice too. Cost overruns are racking up and Arkansas officials are now considering asking for a Washington D.C. bailout, forcing all federal taxpayers to pick up the tab for a poorly-designed program. The state’s Medicaid director has abruptly resigned, and the political winds are gusting strongly against the program in Arkansas, at least among Republicans.”

“As regular NRO readers will know, one of the key races that Republicans need to win in order to retake the U.S. Senate is occurring in Arkansas, where Representative Tom Cotton is challenging Democratic incumbent Mark Pryor. The race to replace Cotton in the House of Representatives, while not nearly as consequential, is also quite interesting, because a central issue in that campaign is the fact that the Republican-led state legislature worked with the Democratic governor to implement Obamacare’s Medicaid expansion.”

“Last summer, the federal government was greeted with raised eyebrows when it awarded a UK-based firm a contract worth $1.2 billion to process Obamacare applications. At the same time, the company was being investigated for overbilling the British government tens of millions of pounds.

Though it managed to work through a year of Obamacare’s implementation relatively unnoticed, the contractor, Serco Inc., is back in the spotlight—and raising questions over the validity of its work.”

“Senate GOP leaders on Tuesday called for a vote to kill ObamaCare’s tax on medical devices, as part of a broader package to revive tax breaks that expired at the end of last year.

But the tax package is popular with members of both parties, and it’s unclear if Republicans have the leverage to win a vote on the medical device tax.

Republicans stopped short of saying they would oppose the tax package without the medical device vote.”

‘In a line that says a lot about where health care is heading under Obamacare, an insurance executive offering plans through the law was quoted in the New York Times on Tuesday as saying, “We have to break people away from the choice habit that everyone has.”’

“That brings up a question I’ve been pondering: Why did the Barack Obama administration put exchanges, and particularly state-based exchanges, at the heart of the operation? Billions have now been spent setting them up, and they will cost more money to run — more than some of these states can really afford”