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Gov. Butch Otter (R)
Did you vote for me (LOL)?
Sadly, Idaho Gov. Butch Otter (R) did not heed the attorney general’s warning. Although Ottervetoed a nullification bill attacking the ACA yesterday, he also issued an executive order which effectively forbids his state from participating in Medicaid as soon as the ACA goes into full effect.
Medicaid is an entirely voluntary program in which the federal government provides generous grants to the states to administer a health program for their low-income residents. Yet Otter’sexecutive order forbids state agencies from implementing “any provisions” of the ACA, and it provides that “[n]o executive branch department, agency, institution or employee of the State shall accept or expend federal funds to implement the provisions of the []ACA.”
The reason why this is problematic is because, starting in 2014, the ACA requires states participating in the Medicaid program to offer health coverage to all persons under the age of 65 who earn up to 133 percent of the poverty rate. In return for expanding Medicaid, the federal government will provide each state with the lion’s share of the funds required to do so.
Otter’s order forbids his state from complying with these new requirements to remain in the Medicaid program, and it also forbids Idaho from taking the federal funds that will allow it to pay for expanding Medicaid.
full article http://thinkprogress.org/politics/2011/04/21/160259/butch-otter-ends-medicaid/
Medicaid Monster:
The 78,000 people in the "gap group" access crisis care through hospital emergency rooms, county indigent services, the state Catastrophic Fund and charity. Half of this group have children in the home and 68 percent have one full-time worker. Those employed work in food services, construction, farming, forestry, home health care, child care, retail, transportation, janitorial and office/administration support. Read more here: http://www.idahostatesman.com/2015/02/06/3631140/governors-panel-again-urges-medicaid.html#storylink=cpy
Did you vote for me (LOL)?
Sadly, Idaho Gov. Butch Otter (R) did not heed the attorney general’s warning. Although Ottervetoed a nullification bill attacking the ACA yesterday, he also issued an executive order which effectively forbids his state from participating in Medicaid as soon as the ACA goes into full effect.
Medicaid is an entirely voluntary program in which the federal government provides generous grants to the states to administer a health program for their low-income residents. Yet Otter’sexecutive order forbids state agencies from implementing “any provisions” of the ACA, and it provides that “[n]o executive branch department, agency, institution or employee of the State shall accept or expend federal funds to implement the provisions of the []ACA.”
The reason why this is problematic is because, starting in 2014, the ACA requires states participating in the Medicaid program to offer health coverage to all persons under the age of 65 who earn up to 133 percent of the poverty rate. In return for expanding Medicaid, the federal government will provide each state with the lion’s share of the funds required to do so.
Otter’s order forbids his state from complying with these new requirements to remain in the Medicaid program, and it also forbids Idaho from taking the federal funds that will allow it to pay for expanding Medicaid.
full article http://thinkprogress.org/politics/2011/04/21/160259/butch-otter-ends-medicaid/
Medicaid Monster:
The 78,000 people in the "gap group" access crisis care through hospital emergency rooms, county indigent services, the state Catastrophic Fund and charity. Half of this group have children in the home and 68 percent have one full-time worker. Those employed work in food services, construction, farming, forestry, home health care, child care, retail, transportation, janitorial and office/administration support. Read more here: http://www.idahostatesman.com/2015/02/06/3631140/governors-panel-again-urges-medicaid.html#storylink=cpy
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Current studies directly rebut Idaho's "Medicaid Monster's" claim:
The first study, from the Robert Wood Johnson Foundation, examined Kentucky and Arkansas — two states with previously high uninsurance rates that have benefited significantly from Medicaid expansion.
According to the researchers, those states should serve as prime examples of how “expansion can produce savings in tax dollars and generate new revenue for state budgets.” Between state fiscal years 2014 and 2021, Kentucky will save an estimated $820 million and Arkansas will save an estimated $370 million after accepting federal funding to extend health coverage to additional low-income residents.
Those savings come from a combination of the additional federal funding allocated for states that accept the expansion and the decline in uninsured residents seeking uncompensated care, which increases revenue for health providers.
The second study, from the Kaiser Family Foundation, reported similar findings for Connecticut, New Mexico, and Washington State. Although the researchers acknowledge that it’s difficult to isolate the specific effect of Medicaid expansion on state budgets, they conclude that “early evidence from interviews with budget officials in these case study states shows state savings and revenue gains with limited costs resulting from expansion.”
The three states examined in the Kaiser study are also saving money in programs outside of Medicaid itself, particularly when it comes to their behavioral health programs. With additional federal funding to finance Medicaid, states are able to shift money around to allocate more resources to mental health services, which have suffered big cuts in state budgets over the last several years.
Previous studies projected big savings for Medicaid expansion states — but, now that the policy has been in effect for a full year in many states, researchers are able to start confirming that positive benefit more explicitly. Other states, like New Jersey, have also started factoring thesavings stemming from Medicaid expansion into their budgets.
There’s been some other recent evidence that Medicaid expansion can also help spur job growth. According to a recent report from the market research group FitchRatings, the states that expanded their public health programs are creating jobs in the health care field at a more rapid rate, suggesting that “ACA expansion is generally positive for that sector’s employment profile.”
see full article http://thinkprogress.org/health/2015/03/20/3636704/medicaid-expansion-savings-states/
The first study, from the Robert Wood Johnson Foundation, examined Kentucky and Arkansas — two states with previously high uninsurance rates that have benefited significantly from Medicaid expansion.
According to the researchers, those states should serve as prime examples of how “expansion can produce savings in tax dollars and generate new revenue for state budgets.” Between state fiscal years 2014 and 2021, Kentucky will save an estimated $820 million and Arkansas will save an estimated $370 million after accepting federal funding to extend health coverage to additional low-income residents.
Those savings come from a combination of the additional federal funding allocated for states that accept the expansion and the decline in uninsured residents seeking uncompensated care, which increases revenue for health providers.
The second study, from the Kaiser Family Foundation, reported similar findings for Connecticut, New Mexico, and Washington State. Although the researchers acknowledge that it’s difficult to isolate the specific effect of Medicaid expansion on state budgets, they conclude that “early evidence from interviews with budget officials in these case study states shows state savings and revenue gains with limited costs resulting from expansion.”
The three states examined in the Kaiser study are also saving money in programs outside of Medicaid itself, particularly when it comes to their behavioral health programs. With additional federal funding to finance Medicaid, states are able to shift money around to allocate more resources to mental health services, which have suffered big cuts in state budgets over the last several years.
Previous studies projected big savings for Medicaid expansion states — but, now that the policy has been in effect for a full year in many states, researchers are able to start confirming that positive benefit more explicitly. Other states, like New Jersey, have also started factoring thesavings stemming from Medicaid expansion into their budgets.
There’s been some other recent evidence that Medicaid expansion can also help spur job growth. According to a recent report from the market research group FitchRatings, the states that expanded their public health programs are creating jobs in the health care field at a more rapid rate, suggesting that “ACA expansion is generally positive for that sector’s employment profile.”
see full article http://thinkprogress.org/health/2015/03/20/3636704/medicaid-expansion-savings-states/
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