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Handicapping Medicaid Expansion in PA

Will he or won’t he?
That question is still on the minds of many as Pennsylvania Governor Tom Corbett continues neither to declare that the state will expand its Medicaid program as provided for in the Affordable Care Act nor to confirm the suspicion of most observers that he will choose not to expand the program beyond its current 2.2 million recipients.
As of right now, 12 states appear to be undecided about Medicaid expansion.  The Safety-Net Association of Pennsylvania (SNAP) supports Medicaid expansion.
For a closer look at the situation in Pennsylvania, including an account of which interest groups are for expansion and which are not as enthusiastic as one might expect, read this columnHarrisburg, PA capital building from the Central Penn Business Journal.

2013-02-01T06:00:35+00:00February 1st, 2013|Health care reform, Pennsylvania Medicaid policy|Comments Off on Handicapping Medicaid Expansion in PA

Pennsylvania Health Law Project Newsletter

The Pennsylvania Health Law Project has published its January 2013 newsletter.
Targeted to the very population that Pennsylvania’s safety-net hospitals serve, this month’s newsletter includes features on the benefits of Medicaid expansion under the Affordable Care Act, Medicaid eligibility, and the uninsured in Pennsylvania.  It also includes links to articles and features relevant to the state’s low-income population and the health care providers who serve them.
See the Pennsylvania Health Law Project’s January 2013 newsletter here.

2013-01-31T06:00:57+00:00January 31st, 2013|Health care reform, Pennsylvania Medicaid policy|Comments Off on Pennsylvania Health Law Project Newsletter

States Finding it Hard to Say No to Federal Medicaid Money

While many of the nation’s governors have ideological problems with many aspects of the Affordable Care Act, it appears that more of them are preparing to accept one major facet of the bill with which they particularly disagree:  Medicaid expansion.
When the law passed, the mandatory expansion of Medicaid eligibility was one of its most controversial aspects and encountered a great deal of resistance from many governors.  When the Supreme Court ruled last year that the mandate was unconstitutional, many governors indicated that they would decline the now-optional Medicaid expansion.
But as the time for implementing the Medicaid expansion draws closer, more governors are concluding that the lure of millions, and even billions, of “free” federal Medicaid matching dollars is too hard to resist.
In addition, some governors are concerned about appearances if they turn down the federal Medicaid money while a clause in the reform act would enable legal immigrants in their state to receive health insurance premium subsidies while other low-income residents remain ineligible for those subsidies and uninsured.
Pennsylvania Governor Tom Corbett has not yet announced his decision on whether the state will expand its Medicaid program but appears to be leaning against such an expansion.  The Safety-Net Association of Pennsylvania (SNAP) supports Medicaid expansion in the commonwealth.
Read about the challenges governors face in refusing the federal Medicaid money in this RealClearPolitics article and about the immigration twist on the issue in this Washington Post report.

2013-01-28T06:00:29+00:00January 28th, 2013|Health care reform, Pennsylvania Medicaid policy, Safety-Net Association of Pennsylvania|Comments Off on States Finding it Hard to Say No to Federal Medicaid Money

Hearing Promotes Medicaid Expansion in PA

Democratic members of the state Senate Appropriations Committee held a hearing in Philadelphia to promote expansion of the state’s Medicaid (Medical Assistance) program.
Participating legislators took testimony from representatives of a number of organizations that support Medicaid expansion, which is an optional component of the Affordable Care Act.
The Safety-Net Association of Pennsylvania (SNAP) supports Medicaid expansion in the state.
Governor Corbett has not yet announced his decision on Medicaid expansion but is thought to be leaning against it.  The General Assembly members who held the hearing are in the minority party in the state senate.
Read more about the hearing, the issues, and the testimony offered in thisHouse Chamber of the State House Philadelphia Inquirer article.

2013-01-25T12:06:55+00:00January 25th, 2013|Health care reform, Pennsylvania Medicaid policy, Safety-Net Association of Pennsylvania|Comments Off on Hearing Promotes Medicaid Expansion in PA

PA Welfare Secretary Testifies About Medicaid Expansion

Declaring that “We in the commonwealth have never witnessed a law so vast, with such demands on state resources, and lack of federal guidance,” Pennsylvania Department of Public Welfare Secretary Gary Alexander told the House Energy and Commerce Committee last week that while Pennsylvania has not ruled out expanding its Medicaid program in accordance with the Affordable Care Act, “Under the constraints of the health care reform law, I do not think we can afford the expansion.”
Mr. Alexander made these remarks at a hearing of the committee’s Health Subcommittee, which was taking testimony on the Medicaid expansion component of the 2010 health care reform law.
While the Kaiser Foundation on Medicaid and the Uninsured says that expansion would cost Pennsylvania $2 billion through 2022, the Corbett administration has put a $4 billion price tag on such expansion.
The Safety-Net Association of Pennsylvania (SNAP) supports Medicaid expansion in the state.
Read more about Mr. Alexander’s testimony in this Pittsburgh Post-Gazette article and this Central Penn Business Journal article, which also includes a direct link to the secretary’s testimony.

2012-12-18T06:00:03+00:00December 18th, 2012|Health care reform, Pennsylvania Medicaid policy, Safety-Net Association of Pennsylvania|Comments Off on PA Welfare Secretary Testifies About Medicaid Expansion

HHS Nixes Partial Medicaid Expansion

States must opt into the Affordable Care Act’s Medicaid expansion or opt out, the federal government has informed the nation’s governors.  They may not implement a partial expansion.
That was the message conveyed to governors by Kathleen Sebelius, Secretary of the U.S. Department of Health and Services (HHS).
The Medicaid expansion, made mandatory in the 2010 health care reform law, has been the subject of much debate since the Supreme Court ruled the mandate unconstitutional in June and instead left the decision on whether to expand to the individual states.  Some governors have already declared that their states will expand their Medicaid programs, some have announced that they will not, and many still have not decided.
Pennsylvania is among the states that have not yet announced whether they will expand their Medicaid programs, although Governor Tom Corbett has signaled that he is reluctant to incur the additional costs that expansion would involve.  The Safety-Net Association of Pennsylvania (SNAP) supports Medicaid expansion.
Read more about this latest decision from HHS in this Washington Post article and read an FAQ that HHS sent to governors regarding both Medicaid expansion and the operation of health insurance exchanges here.

2012-12-11T11:19:30+00:00December 11th, 2012|Health care reform, Pennsylvania Medicaid policy, Safety-Net Association of Pennsylvania|Comments Off on HHS Nixes Partial Medicaid Expansion

Decision Time Looms for PA, Other States On Medicaid Expansion

The time for states to decide whether they will expand their Medicaid programs in accordance with the Affordable Care Act is fast approaching.
With the Medicaid expansion due to begin in 2014, thirteen states seem likely to opt out, 14 appear ready to expand, and the rest are still on the fence.
Among the major concerns of states still deciding are the cost of expansion and their concern that the federal government, currently scheduled to assume almost all of the cost of expansion, may at some point decide to shift more of expansion’s costs to state governments.
Pennsylvania is among the undecided states, but comments in recent months by Governor Corbett suggest that he is leaning against Medicaid expansion in the commonwealth.  The Safety-Net Association of Pennsylvania (SNAP) supports that expansion.
Read more about the deliberations taking place in state capitals across the country, and the questions with which elected officials are wrestling, in this Washington Post articleHarrisburg, PA capital building.

2012-12-07T06:00:28+00:00December 7th, 2012|Health care reform, Pennsylvania Medicaid policy|Comments Off on Decision Time Looms for PA, Other States On Medicaid Expansion

Governors Will Give In On Medicaid Expansion, Experts Predict

Lured by billions of dollars in federal money, governors resisting the Affordable Care Act’s Medicaid expansion option will eventually give in and expand their states’ Medicaid programs as provided for in the 2010 health care reform law.
Or so predict several experts who participated in a recent health policy forum in Washington, D.C.
Some may not do so right away, the experts warned, but the financial benefits of expanding their Medicaid programs and capturing billions in federal Medicaid matching money will eventually become too much to resist.
Pennsylvania is among many states still not committed to Medicaid expansion.  In recent public statements, Governor Tom Corbett has suggested that the state cannot afford to spend the additional money expansion would require.
Read more about the policy forum and the experts’ predictions in this Politico article.

2012-12-03T06:00:59+00:00December 3rd, 2012|Health care reform, Pennsylvania Medicaid policy|Comments Off on Governors Will Give In On Medicaid Expansion, Experts Predict

Cost of Medicaid Expansion Would be Minimal for PA

Expanding Pennsylvania’s Medicaid program as envisioned in the Affordable Care Act would cost Pennsylvania $1.96 billion over the ten years beginning in FY 2013, according to a new report released by the Kaiser Family Foundation.
While that price tag may seem steep, it is only 1.4 percent more than the additional money the state would spend if it declines to expand its Medicaid program as the 2010 health care reform law envisioned.
Expanding Medicaid would spur a 52 percent increase in the number of Pennsylvanians with health insurance.  Without the Medicaid expansion, the number of insured would rise 28.9 percent because of other Affordable Care Act provisions.
Pennsylvania’s safety-net hospitals would benefit greatly from the expansion of Medicaid in the state.  Many of the uninsured patients they currently serve would almost certainly become eligible for Medicaid under such an expansion.
Learn more about how Medicaid expansion would affect Pennsylvania in this Central Penn Business Journal article.  The Kaiser Family Foundation study on which it is based can be found here.

2012-11-29T11:41:24+00:00November 29th, 2012|Health care reform, Pennsylvania Medicaid policy|Comments Off on Cost of Medicaid Expansion Would be Minimal for PA

Corbett Hints at No PA Medicaid Expansion

Without explicitly ruling out expansion of the state’s Medicaid program, which is now an optional part of the federal health care reform law, Pennsylvania Governor Tom Corbett has hinted broadly that the state may not be prepared to spend the additional money such an expansion would necessitate.
“I don’t think there’s any way we can absorb this,” the governor told the Pennsylvania Press Club, speaking of the Medicaid expansion that is a major part of the 2010 Affordable Care Act.
Read more about what those costs would be, and the challenges the state would face in expanding its Medicaid program, in this PA Independent article.

2012-11-23T06:00:34+00:00November 23rd, 2012|Pennsylvania Medicaid policy, Uncategorized|Comments Off on Corbett Hints at No PA Medicaid Expansion
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