Indiana Governor Mike Pence discusses the steps that his state has taken to improve Medicaid. Society, according to Pence, has long since committed itself to helping the poor, but federally-driven programs, he says, are bureaucratic and ineffective. Requiring people to purchase health insurance, says Pence, is not the way to expand access to care. Pence supports repealing and replacing the Affordable Care Act, saying it should be replaced with a block grant approach that gives states the ability to design programs that work for their residents. Pence's state-based Healthy Indiana Plan (HIP) offers three pathways to coverage: premium assistance to people who have access to employer-sponsored coverage but cannot afford it; an HSA-linked plan with comprehensive coverage; and an HSA-linked plan that requires co-payments.

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