* Nebraska will NOT have a state health insurance exchange.
* Nebraska is UNDECIDED on whether to expand Medicaid.
There Will Be No Nebraska Health Insurance Exchange
Nebraska is one of the states that has determined that starting their own marketplace would cost too much. The state has thus opted for the federal exchange said Governor Dave Heineman in November 2012. The high costs of the Affordable Care Act are largely unknown at this time and that is what has scared many states into not committing to their own exchanges.
Nebraska residents will be directed to the national health insurance exchange starting October 1, 2013. There they can look for insurance for individuals and small businesses that is reportedly going to be available to anyone even if they have preexisting conditions. Insurance for health will be mandatory in the United States starting in January 2014 and failure to have it could result in a fine from the Internal Revenue Service.
10/11/2013 Update: Nebraska is losing nine health insurers due to increased regulations from ObamaCare. The companies feel the changes they would be required to make to comply with the ACA make selling health insurance a losing proposition for them. The nine companies are: Aetna, Humana, Independence American Insurance Co., Reserve National Insurance Company, Standard Security Life Insurance Co. of New York, Companion Life Insurance, and United Security Life & Health Insurance. Those companies have all notified the Nebraska state insurance department that they will be pulling out of the market and stop selling health insurance to individuals and (in some cases) groups.
Medicaid Expansion Still Being Debated In Nebraska
Republican governor Dave Heineman opposes any expansion but there are many state legislators that are strongly in favor of it as it would enable tens of thousands of Nebraskans to get health insurance.
As of June 18, 2014, Nebraska is yet undecided but it is looking like they will not get any expansion in 2014 due to time constraints. Medicaid expansion would be paid for by the US federal government in 2014 through 2016 but after that the state would have to take on a larger role. Those unknown costs for a health system that is being mandated by the government is what many governors in many states are rejecting.