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Experts disagree on whether states will choose to expand Medicaid
Experts disagree on whether states will choose to expand Medicaid, a crucial, but voluntary, part of the federal health-care reform law. Yesterday, the Supreme Court ruled the federal government could not force states to expand the system for the poor and disabled, but that the expansion itself is constitutional.
Yesterday, both Gov. Steve Beshear and Senate President David Williams both indicated they are researching how Kentucky should proceed.
U.S. Sen. Lamar Alexander, R-Tenn., said "many states, maybe most, will decide that they simply cannot afford to choose to expand Medicaid." Though the federal government will pay for the newly eligible enrollees for several years after the law takes effect in 2014, states will eventually have to pay 10 percent of the cost.
Despite the expected cost, Sara Rosenbaum, a professor of health law and policy at
George Washington University, predicts that "only a small number of states" will pass up the opportunity to expand, given the federal government's generous offer, reports Robert Pear for
The New York Times.
The Medicaid expansion is central to the health care law, since about 17 million of the 30 million Americans who will newly qualify for health insurance will do so under Medicaid. In Kentucky, that translates to 280,000 more people enrolling in the program.
Senior administration officials said they feel sure states will choose to expand Medicaid, but Republican governors like Mitch Daniels in Indiana and Bob McDonnell in Virginia would not commit either way. Daniels said the expansion would cost Indiana $2 billion in the next 10 years.
And though U.S. Sen. Max Baucus, D-Mont., is one of the authors of the new law, he was not sure his own state would opt to expand. He did call the offer of federal assistance "a big juicy carrot." (Read more)
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Beshear Writes Reply To A Virginia Newspaper, Pushing Medicaid Expansion Like He Implemented In Kentucky
Gov. Steve Beshear, trying to help a fellow Democratic governor who is trying to expand Medicaid, has written a response to an editorial in which a Virginia largest state-capital newspaper opposed the move. "Our success undercuts your whole...
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Beshear Looks Likely To Announce That He Will Expand Medicaid
Gov. Steve Beshear appears likely to announce tomorrow that he will expand Kentucky's Medicaid program to people in households with incomes up to 138 percent of the federal poverty level, under federal health-care reform. The notice of the governor's...
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Feds Letting Arkansas Privatize Medicaid Expansion; Idea Could Spread Like Wildfire, As In Florida, But Cost Questions Remain
Arkansas has turned heads nationally with its preliminary plan to expand Medicaid using the private insurance market, showing that the Obama administration is willing to give states more flexibility than expected in expanding the program. Health and Human...
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Expanding Medicaid In Kentucky Would Add 5 Percent To The State's Cost Over The Next 10 Years, National Study Predicts
Expanding Medicaid to people making up to 138 percent of the poverty level under federal health reform and its heavy subsidies would cost Kentucky about 5 percent more for Medicaid over the next 10 years than doing nothing, the Kaiser Family Foundation said...
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Work Of Uk Prof Was Cited In Decision On Health Care
Professor Nicole Huberfeld. University of Kentucky photo.The work of a University of Kentucky law professor helped shape the U.S. Supreme Court's ruling on the constitutionality of the federal health-care reform law. Two of the major issues...
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