I was reading the September 16, 2013, minutes (pdf) of the General Assembly’s Health Finance Commission (because isn’t that what everyone does when they wake up in the morning?) and saw discussion of the Healthy Indiana Plan as it relates to the federal Medicaid expansion.
I seem to be missing something. The minutes suggest that Healthy Indiana Plan (HIP) eligibility is being restricted to facilitate access to the health care exchange subsidies. My understanding was that those subsidies did not kick in until a person exceeded the Medicaid expansion threshold (133% of the poverty line or thereabouts). But, according to the minutes, access to HIP is being reduced from the current level down to 100% of the poverty line. This means that 10,500 currently eligible for HIP will no longer be eligible.
The other interesting piece of information about HIP is that it appears to be capped at 45,000 participants; and the reason for that limit has to do with the Budget Agency’s interpretation of the funding mechanism from the cigarette tax. Commission members seemed to believe that there was a surplus of cigarette tax funds and asked FSSA Secretary Minott to follow up on that.