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Roberts, president of the Western Montana Clinic in Missoula, thinks one answer is health care co-ops. The Affordable Care Act of 2010 authorized the creation of health care cooperatives, and Congress ultimately appropriated $3.4 billion to provide them with start-up loans.
The Montana co-op is being organized by a group of doctors and people with experience in health insurance, state and local government, private business, labor and education.
Like co-ops elsewhere in the country, the Montana organization would be owned and operated by its members and would provide health insurance to individuals and small employers who have trouble finding affordable coverage.
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Roberts declined to say how big a loan the Montana co-op applied for, but he estimated start-up costs at $5 million. Larger future loans would be “solvency loans,” which the co-op would have to park in a bank in the form of required reserves.
He said the co-op hopes to begin offering coverage by January 2014, elect a full board of directors by 2016, repay its start-up loans by 2018 and pay off all its loans by
2028.
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