Cal Kellogg with Blue Cross Blue Shield returned to Rotary last week to discuss and rovide an update us on the new health care law. Kellogg explained that starting Oct. 1 r individuals and small business owners with 50 or fewer employees will be able to go out and shop for coverage on the partnership exchange that exists in Arkansas. Kellogg also explained that Arkansas decided to expand Medicade by 1.38 percent of the federal poverty level. However, it must be approved by the legislature. Proponents of the Medicaid premium assistance option also tout it as a potential path to lowering Medicaid spending, perhaps driving down private exchange costs over time and reducing the cyclical movement of beneficiaries between Medicaid and the exchanges based on their fluctuating incomes.