Ohio Medicaid Expansion Backed By GOP Gov. John Kasich

Discussion in 'Politics & Religion' started by AK Forty Seven, Feb 4, 2013.

  1. Ohio Medicaid Expansion Backed By GOP Gov. John Kasich




    Ohio Gov. John Kasich (R), who opposed President Barack Obama's health care reform law, wants to take advantage of Obamacare funding to expand his state's Medicaid program to more poor people, he announced in his budget proposal Monday.

    Kasich is now the fifth GOP governor to back the Medicaid expansion, joining Arizona Gov. Jan Brewer and fellow GOP leaders in Nevada, New Mexico and North Dakota in agreeing to a key component of Obama's efforts to extend health coverage to as many as 17 million people through Medicaid and the Children's Health Insurance Program over a decade. Including Ohio, the chief executives of 20 states and the District of Columbia are now on board with the Medicaid expansion.

    Generous federal funding for new Medicaid enrollees is likely the major motivating factor behind Kasich's decision to participate in the expansion, which the Supreme Court made optional for states when it upheld Obama's health care law last year. The federal government will pay 100 percent of the costs of the new beneficiaries from next year through 2016, after which the share will gradually decline until it reaches 90 percent in 2022 and future years.

    "We are going to extend Medicaid for the working poor and for those who are jobless trying to find work," Kasich said at a news conference in Columbus Monday that was broadcast online. "It makes great sense for the state of Ohio because it will allow us to provide greater care with our own dollars."

    Kasich credited the White House with encouraging him to go forward with the Medicaid expansion. Valerie Jarrett, a senior adviser to Obama, vowed to consider giving Ohio the flexibility to enact changes to its Medicaid program during a telephone conversation on Jan. 30, Kasich said. "I want to thank Valerie Jarrett today for being willing to work with us," he said.


    http://www.huffingtonpost.com/2013/02/04/ohio-medicaid-expansion_n_2615091.html
     
  2. Seems many republicans are coming back to the sensible middle :)
     
  3. More like the governors do not want to pass up 'free money' from the federal government.
     
  4. In North Carolina however...

    Lawmakers forge ahead to block Medicaid expansion
    http://www.wral.com/nc-justice-center-medicaid-expansion-is-win-win-/12064031/

    The North Carolina Senate moved forward Monday night with a plan to stop Medicaid from expanding.

    The joint federal-state benefit program currently covers low-income parents, children, seniors and people with disabilities, but not low-income adults without children or disabilities. The federal government is trying to change that by encouraging states to expand their Medicaid programs to cover those adults.

    The federal government would pay the entire cost of expanding Medicaid for the first three years, and then cover 90 percent of the cost for the following decade.

    Republicans in the state senate, however, say such an expansion is unsustainable.

    “It's advertised as free money from the federal government," said Rep. Paul Stam (R-Wake). "But the federal government is borrowing a trillion dollars a year from many countries, especially the Chinese, and our grandchildren will have to pay it back."
     
  5. pspr

    pspr

    Exactly what I was going to mention. If the money is already allocated it would not be smart for a state to not use it. Governors work for the people of a state and it isn't their job to turn down federal funds because they don't agree with what is happening in Washington.
     
  6. It's also a reflection of the realities of politics. The federal Medicaid expansion offers the following: "The federal government would pay the entire cost of expanding Medicaid for the first three years, and then cover 90 percent of the cost for the following decade."

    After 13 years the state is stuck with the tab. The political reality is that a decade plus from now the governor is long gone so there are no political consequences as a governor to taking the "free money".
     
  7. Of course some of the crazies will stay crazy.The citizens and hospitals of NC will continue to pay for the uninsured who use The ER as their primary care physicians
     
  8. Are you sure the feds stop paying after 13 years ?


    "The federal government will pay 100 percent of the costs of the new beneficiaries from next year through 2016, after which the share will gradually decline until it reaches 90 percent in 2022 and future years "
     
  9. The feds paying 90 % is permanent

    http://www.cbpp.org/cms/?fa=view&id=3801



    Federal Government Will Assume 93 Percent of Expansion Costs Over 2014-2022


    Specifically, the federal government will, for the first three years (2014-2016), assume 100 percent of the costs of covering those made newly eligible by the health reform law.[6] Federal support will then phase down slightly over the following several years (95 percent in 2017, 94 percent in 2018, and 93 percent in 2019). By 2020 and for all subsequent years, the federal government will pay 90 percent of the costs of covering these individuals.
     
  10. All the press in North Carolina states that the federal supplement for anyone added under this program ends in 2026. I expect that the Medicaid funding will follow the standard funding formula for anyone added under this program beyond 2026... under this formula the state bears the brunt of the cost.
     
    #10     Feb 4, 2013