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Thursday, Apr 16 2015

Full Issue

Fla. Lawmakers Still Deadlocked Over Medicaid Expansion, Health Spending Issues

Meanwhile, in other coverage, The Washington Post reports on how state decisions to pursue the expansion of the low-income health insurance program are impacting residents' access to mental health care services.

Lawmakers will likely need a special session to resolve a deadlock between the House and Senate over health care spending, top lawmakers from the House and Senate said Wednesday. 鈥淚f we鈥檙e not (agreeing on Medicaid expansion) then there鈥檚 no reason to sit here and kid ourselves. So we鈥檒l finish out the business that we have before us on the policy and then we come back and do the budget at a later time,鈥 House Speaker Steve Crisafulli, R-Merritt Island, told reporters. The House and Senate are $4.2 billion apart in their preferred budgets, mainly because the Senate includes a plan to expand Medicaid as well as a replacement for the Low Income Pool, a separate Medicaid program that pays hospitals for the care of low-income and uninsured patients. The House budget includes neither. (Rohrer, 4/15)

Saying that the "sand is running out of the hourglass," the Republican leaders of the Florida Legislature said Wednesday it appears they will end their annual session on May 1 without reaching a deal on health care and a new state budget. The House and Senate are $4 billion apart in rival budgets and the leaders of the two chambers remain at an impasse over how to bridge the gap - which stems from a deep divide over whether to accept billions in federal aid to expand Medicaid. (4/15)

Even though the session is scheduled to end May 1, state law requires that the final budget be on the desks of lawmakers 72 hours before they vote on it. That moves up the deadline to wrap up budget negotiations to April 27, giving lawmakers little more than a week to bridge a $4 billion gap between the Senate and House proposed budgets. But neither the House nor Senate seem ready to back down. (Van Sickler and McGrory, 4/15)

The politics of Obamacare have produced a geographic divide in mental health care. Uninsured, low-income Americans in the east, mid-Atlantic and Pacific are receiving more treatment through the Medicaid expansion, while those in the south and central U.S. are not, according to a new report. Nearly 568,000 uninsured people who have been diagnosed with a serious mental health condition would have received treatment in 2014 if their states had chosen to expand Medicaid, according to the American Mental Health Counselors Association, a professional organization that does advocacy and education. (Swanson, 4/14)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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