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Tuesday, Jan 12 2016

Full Issue

N.H. GOP Lawmakers Will Consider Extending Medicaid Expansion Under Alternative Financing

The state's expansion is slated to expire in 2016, and the House speaker says he won't support an extension plan that includes public funding. In other states, Louisiana's new governor renews his pledge to move forward with Medicaid expansion, but the proposal by South Dakota's governor could hit some turbulence in the legislature.

Republican leaders in the New Hampshire House and Senate say they’re willing to consider reauthorizing the state’s Medicaid expansion after its sunset date at the end of 2016 — as long as they can find someone to help foot the costs. On Monday’s edition of The Exchange, House Speaker Shawn Jasper said it doesn’t seem politically feasible to expect him to pass a plan that requires more public spending. (McDermott, 1/11)

Louisiana Governor John Bel Edwards laid out his agenda during his inaugural address on Monday, pledging to expand Medicaid, enact education reforms, and find long-term solutions to the state's large budget deficit. Edwards, the first Democrat to hold the office of governor in Louisiana since 2008, said he planned to begin accepting federal funding on Tuesday to expand healthcare to residents through the Affordable Care Act, also known as Obamacare. (Carroll, 1/11)

Gov. John Bel Edwards reprised a message about political unity and putting "Louisiana first" shortly after being sworn in as Louisiana's 56th governor Monday (Jan. 11). ... Edwards emphasized many of the same issues he brought up during his campaign. Almost immediately, he reiterated his plans to to kick off Medicaid expansion in Louisiana on Tuesday, less than 24 hours after he takes office. (O'Donoghue, 1/11)

In politics, timing is everything, they say. Could the adage doom Gov. Dennis Daugaard's top priorities for the 2016 legislative session? The Republican governor is expected to pitch Medicaid expansion and higher teacher pay Tuesday during his State of the State address. Either proposal on its own would be a tough sell to conservative legislators in his own party. Convincing them to bend on both is doubly ambitious. "One could have greater success if the other were not in play," House Speaker Brian Gosch, R-Rapid City, said Monday. (Ferguson, 1/11)

Also, some guidance for consumers who may qualify for Medicaid coverage -

For people whose income changes shift them above or below the Medicaid threshold during the year, navigating their health insurance coverage can be confusing. Ditto for lower income people who live in states that may expand Medicaid this year. Under the health law, states can expand Medicaid coverage to adults with incomes up to 138 percent of the federal poverty level (about $16,000 for an individual). Thirty states and the District of Columbia have done so. This week I answered three questions from readers about how Medicaid interacts with plans on the health insurance marketplaces. (Andrews, 1/12)

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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