Health care takeaways for small business: Steve Millard

Despite the political theater that will play out through the presidential election, the Supreme Court’s ruling on the Patient Protection and Affordable Care Act has ended the speculation about whether the law can continue to move forward. Now it’s time to find ways to make it work for Ohio’s businesses and citizens. To do so, there are several key issues for consideration as we move forward.

Timing. The implementation of exchanges or “insurance marketplaces” for individuals and small businesses and the individual coverage requirement are scheduled to take effect Jan. 1, 2014. No matter who wins the election in November, we expect to see a delay in at least the timing for implementation — but don’t expect specifics until after the election. With 26 states as parties to the Affordable Care Act lawsuit, it’s likely that many will choose to defer development of an exchange to the federal government. Implementing the federal exchange is no small task, and implementing the federal exchange simultaneously in more than 20 states doesn’t seem possible by Jan. 1, 2014 — especially since, to date, not a single state has “officially certified” its intent to let the federal government run its exchange.

Enabling state legislation. Setting the framework for our state is a key next step. Lt. Gov. Mary Taylor issued comments immediately following the Supreme

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