Washington Business Fall 2011 | Page 26

national watch Shaping Washington’s Health Care Exchange Jason Hagey Health care reform is here, like it or not. In Washington state, that means officials are busy creating a new health care exchange. What will it look like? What will it cost? Will there be alternatives to it? AWB and Lane Powell PC assembled a panel of state and national health care exports to answer those and other questions during a Nov. 15 forum in Seattle. at a glance Politicians and lawyers continue to wrestle over national health care reform, but state officials are busy implementing one of its major components — a state health care exchange. The concept of a health care exchange isn’t necessarily a bad, but its price tag will be determined by the decisions that lawmakers will be making soon. speakers included: • State Sen. Randi Becker, R-Eatonville • James Capretta, fellow, Ethics and Public Policy Center The national debate over how best to deliver and pay for health care in America hardly ended with passage of the Patient Protection and Affordable Care Act, otherwise known to its critics as ObamaCare. If anything, it intensified. Passage of the law spawned dozens of court challenges, including one that Washington state Attorney General Rob McKenna signed on to questioning the constitutionality of its mandate that everyone buy health insurance, or pay a fine. The case could go the Supreme Court and receive a ruling as early as next summer. Meanwhile, some opponents of the law are hoping to bring about a reform of the reform law, so to speak. Others are hoping that a change in the balance of power in the 2012 elections could simply lead to a dismantling of the law. And backers of the law are moving ahead with its implementation, including Washington Gov. Chris Gregoire. The governor supported legislation last year that started Washington on the path toward creating a health insurance exchange, on HوH