Word: maying
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...State legislatures may have to act to give state commissioners power to enforce the new rules, a process that could be complicated by political squabbling - not to mention the many Republican state legislators who have already said they plan to challenge the constitutionality of federal health reform. But even if states adopted the new federal rules, most state insurance departments would need to bulk up staff at a time when many are experiencing layoffs because of already strapped state budgets. "We would certainly argue that we're cut to the bone right now," says Kevin McCarty, head of Florida...
...Because liberal and heavily Democratic states have traditionally been more generous in their Medicaid programs, they are likely to be the ones shortchanged. The biggest beneficiaries, arguably, could be states like Texas, whose lawmakers have waged the strongest rearguard campaign against reform. That may be reform's biggest political irony...
...Exactly what states will have to do remains unsettled. But it's likely to be a lot. States may be required to vet some insurance plans to make sure they meet new federal standards. They may have to determine who is eligible for federal subsidies; they may have to build websites to market and rate plans. All that would require expertise and manpower. Massachusetts, which set up an exchange after enacting health reform in 2006, did so quickly and effectively, but Jon Kingsdale, who runs the program, says, "We had a 10% or less uninsurance rate. It's a well...
...briefing afterward that there was little direct blame to be apportioned. "This was not the failure of a single individual or a single organization," Brennan said, calling the failures "systemic." But a moment later, White House spokesman Robert Gibbs suggested that such discipline - which he termed corrective action - may still be forthcoming. Explaining that Thursday's release focused narrowly on implementing the preliminary review, Gibbs said, "We don't have any announcements other than that today...
...White House staffers to continue their investigations into systemic failures. In the coming weeks and months, the shortcomings that led up to the Christmas Day bombing attempt are sure to be investigated by Congress and perhaps other agencies - including the inspectors general who oversee the intelligence community. Those inquiries may do more to single out individuals who failed to do their jobs, if the President's own continuing investigation does not call them out first...