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Tuesday, Mar 10 2015

Full Issue

Fla. Senate Panel To Consider Controversial Medicaid Expansion Plan

Elsewhere, an Alaskan GOP lawmaker previews a Medicaid reform proposal that does not include a provision to expand the program through the federal health law while Democrats in Montana blast a committee's action last week to kill the governor's expansion plan. News outlets in Utah, Pennsylvania, Colorado and Oregon also offer related updates.

A Senate committee will consider a controversial plan Tuesday that would extend federally subsidized health insurance to more than 800,000 poor Floridians 鈥 but require a waiver from the federal government to pay for it. The proposal (SPB 7044) would establish a state-run private insurance exchange available to Florida residents who earn less than $16,000 in annual income, or $33,000 for a family of four. Beneficiaries would be required to work or attend school, and pay monthly premiums. (McGrory, 3/9)

Senator Pete Kelly, a Fairbanks Republican, previewed a bill he is planning to introduce this week to reform the current Medicaid system. He said the bill won鈥檛 include a provision to expand Medicaid, he said during a press conference this morning. A group of Anchorage religious leaders and lay people are in Juneau to try to convince him and other skeptical lawmakers to change their minds on the issue. (Feidt, 3/9)

Legislative Democrats Monday blasted Republicans for killing Gov. Steve Bullock鈥檚 Medicaid-expansion proposal in committee last Friday night, saying procedural rules were violated -- but stopped short of trying to overturn the action on the House floor. House Minority Leader Chuck Hunter, D-Helena, rose on the floor to object to a committee report killing the Medicaid-expansion bill, saying Republicans on the House Human Services Committee improperly voted before Democrats could debate or amend the bill. (Dennison, 3/9)

Supporters of Medicaid expansion in Montana aren鈥檛 being honest about its long-term cost to the state, which is more than $50 million a year by 2021, a Republican state senator says. 鈥淚t鈥檚 dishonest to the public 鈥 to portray that Medicaid expansion will save the state money,鈥 said Sen. Fred Thomas, R-Stevensville. Thomas, who has been working on GOP alternatives to Democratic Gov. Steve Bullock鈥檚 proposal to expand Medicaid, said accepting federal money now for a full expansion to cover up to 70,000 low-income Montanans will mean growing additional costs for the state in the long term. (Dennison, 3/9)

Capitol Hill leaders are talking compromise on health care. Lawmakers said Monday they're hopeful, even as the clock winds down on the 2015 legislative session, that the Senate and governor can strike a compromise with the House over Medicaid expansion. House Majority Leader Jim Dunnigan, R-Taylorsville, said he wants to reach "common ground" with the Senate. "The time frame is dwindling," he said. "But there is still time." (Moulton, 3/9)

The thousands of Pennsylvanians who are now receiving subsidized health coverage though former Gov. Tom Corbett鈥檚 鈥淗ealthy PA鈥 program will be transferred to the state鈥檚 traditional Medicaid plan by Sept. 1, according to the state Department of Human Services. There will be no gaps in coverage during the shift, the department said. (Toland, 3/10)

Medicaid patients enrolling through the state health insurance exchange are taking too much of its resources, exchange board members said Monday, but state officials propose an even tighter partnership. The federal policy of "no wrong door" was meant to be a single online portal for the uninsured that would seamlessly determine their eligibility for either Medicaid or private insurance with tax subsidies they purchased on the exchange. (Draper, 3/9)

Millions in new cost overruns and escalating finger-pointing between Colorado鈥檚 Medicaid bosses and health exchange managers spurred the exchange board on Monday to vote for its own 鈥渆nd-to-end鈥 audit, while the governor鈥檚 office is launching a new round of talks between top officials. (Kerwin McCrimmon, 3/9)

As Cover Oregon goes away under a bill signed last week, so will the job of Aaron Patnode, the executive director hired last summer to put the health insurance exchange's troubles behind it. (Budnick, 3/9)

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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