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Although, in theory, a House/Senate conference committee could insert a rigorous public option in the reconciliation process, if the current trend in Washington prevails, the health care reform bill that emerges from the committee will not have a national public option; nor will the Obama administration require one, the AP reported.
It could, however, offer states the opportunity to "opt-in" to a public option, or contain a "trigger" -- some level at which a national, public insurance program would take effect, if, for example, a certain percentage of a state's residents remains without health insurance after a specified year, say 2012 or 2014. The former would both enable states with existing, successful universal health care programs to continue them. It would also allow states -- provided they are meeting federally-set goals for universal coverage -- to participate in the federal program on an as-desired basis.
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