House Bill 1297 would prohibit the state from planning, creating, or participating in a state health insurance exchange. If New Hampshire’s exchange is not up and running by 2014, the Patient Protection and Affordable Care Act will require the state to join a federal exchange.
House Speaker Bill O’Brien, House Majority Leader D.J. Bettencourt and GOP Rep. Andrew Manuse argue a state exchange “could be the nail in the coffin of the New Hampshire Advantage.”
“Yes, if we have a federal health insurance exchange all decisions would be made in Washington by federal bureaucrats in a central location. However, if we adopted a state exchange, regardless of what type, we still would end up answering to and obeying these same federal bureaucrats.
“Let’s keep up our promises to voters by passing this law and prohibiting the state of New Hampshire from creating a state exchange that could be the nail in the coffin of the New Hampshire Advantage.”
Not so, respond a group of conservative business leaders, chambers of commerce and trade associations:
“Business owners, managers and senior executives believe a state-based exchange is the better option for New Hampshire. … New Hampshire would be able to shape and control, to a greater degree, the structure and function of a state-based exchange than it would a federally-imposed one. Business leaders have a real and vested stake in what a health insurance exchange would look like in New Hampshire since they may consider shopping in an exchange or sending their employees to an exchange to buy health insurance.”
— Anthem Blue Cross and Blue Shield in New Hampshire, Business and Industry Association (BIA), CGI Employee Benefits Group, City Fuel Co. Inc., Greater Concord Chamber of Commerce, Greater Manchester Chamber of Commerce, Greater Nashua Chamber of Commerce, Harvard Pilgrim Health Care of New England, MVP Health Care, New Hampshire Association of Insurance Agents, New Hampshire Automobile Dealers Association, Northeast Delta Dental and Ski NH
