What happens if states refuse to expand Medicaid?

What happens if states refuse to expand Medicaid? (Full Version)

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defiantbadgirl -> What happens if states refuse to expand Medicaid? (6/28/2012 10:42:28 AM)
http://www.scotusblog.com/2012/06/court-holds-that-states-have-choice-whether-to-join-medicaid-expansion/ According to the law, people with adjusted incomes of 133% of the poverty level are eligible for Medicaid because they're too poor to afford even subsidized health insurance premiums. What happens to the people that live in states that refuse to expand Medicaid? According to what I read, Pelosi said she wasn't worried about the Medicaid expansion ruling. I'm wondering what their plan is on dealing with the issue of poor people living in states that refuse. Has anyone heard anything about how they plan to address that issue?

joether -> RE: What happens if states refuse to expand Medicaid? (6/28/2012 11:00:32 AM)
quote: ORIGINAL: defiantbadgirl http://www.scotusblog.com/2012/06/court-holds-that-states-have-choice-whether-to-join-medicaid-expansion/ According to the law, people with adjusted incomes of 133% of the poverty level are eligible for Medicaid because they're too poor to afford even subsidized health insurance premiums. What happens to the people that live in states that refuse to expand Medicaid? According to what I read, Pelosi said she wasn't worried about the Medicaid expansion ruling. I'm wondering what their plan is on dealing with the issue of poor people living in states that refuse. Has anyone heard anything about how they plan to address that issue? The Commonwealth of Massachusetts citizens are covered. In fact, 98.1% of them are covered (persons must reside in the state for 2 years to obtain Mass Health and be effected by penalties). That does include the poor. In fact, it costs the state more in snow removal each year, than health coverage. That might be due to the fact that Mass Health has a 8% overhead and applies the other 92% towards the patients.

SadistDave -> RE: What happens if states refuse to expand Medicaid? (6/28/2012 11:47:32 AM)
The poor people in those states that don't qualify will be forced to either find other insurance or pay the tax for not having insurance. Just like people who work for businesses with less than 50 employees will have to do. Just like people who work for companies employing over 50 people will have to do if those companies find out it will be cheaper for them to pay a $2000 fine as opposed to $2,500 (for example) for insurance per employee. Just like people who work for companies like McDonalds will have to do. There are thousands of corporations who have waivers that won't be forced to participate in Obamacare. Unfortunately their employees still have to either qualify for medicaid, get insurance, or pay the tax. Liberals still have no idea what they got when they voted for this idiotic bill... -SD-

Musicmystery -> RE: What happens if states refuse to expand Medicaid? (6/28/2012 11:51:54 AM)
quote: Liberals still have no idea what they got when they voted for this idiotic bill... Both parties are still trying to prop up this outdated "insurance at work" model. Unfortunately, given the politics of this issue in this country, this was the only way to start. Everybody knows it will have to evolve into a single-payer plan. In America, we've chosen to do that via the long painful route.

Moonhead -> RE: What happens if states refuse to expand Medicaid? (6/28/2012 11:54:03 AM)
FR: Obviously the commisars will round them all up and shoot then.

Musicmystery -> RE: What happens if states refuse to expand Medicaid? (6/28/2012 11:55:11 AM)
Wait---what if people refuse to get sick under this new law?????

defiantbadgirl -> RE: What happens if states refuse to expand Medicaid? (6/28/2012 11:56:26 AM)
How many years do you think it will take before the US finally has single-payer? What's your best guess?

Moonhead -> RE: What happens if states refuse to expand Medicaid? (6/28/2012 11:56:31 AM)
[:D] Has Ted Nugent weighed in on this yet? I think he has the final word for the wingnut massive.

JstAnotherSub -> RE: What happens if states refuse to expand Medicaid? (6/28/2012 11:57:04 AM)
Under the law, the federal government would cover nearly 93 percent of the costs of the Medicaid expansion from 2014-22, according to the Center on Budget and Policy Priorities. "Specifically, the federal government will assume 100 percent of the Medicaid costs of covering newly eligible individuals for the first three years that the expansion is in effect (2014-16). Federal support will then phase down slightly over the following several years, and by 2020 (and for all subsequent years), the federal government will pay 90 percent of the costs of covering these individuals. According to CBO, between 2014 and 2022, the federal government will pay $931 billion of the cost of the Medicaid expansion, while states will pay roughly $73 billion, or 7 percent." States that challenged the law argued that it was coercive to require them to either expand Medicaid or risk losing all Medicaid funding, a practical impossibility given the size of the program in most states. The court ruled that while it was constitutional for Congress to offer states money to expand Medicaid, it could not take away funding for their existing program if they declined, according to SCOTUSblog. According to the Urban Institute analysis, some heavily Republican states account for a large share of uninsured that could benefit from the Medicaid expansion. Expanding eligibility in Texas alone would provide coverage to 1.8 million additional people. Expanding Medicaid in Florida, as planned, would cover another 951,000 people. http://www.syracuse.com/news/index.ssf/2012/06/mystery_after_the_health_care.html

subrob1967 -> RE: What happens if states refuse to expand Medicaid? (6/28/2012 11:58:34 AM)
quote: ORIGINAL: defiantbadgirl How many years do you think it will take before the US finally has single-payer? What's your best guess? If Obama wins reelection, within the next 4.5 years, if Romney wins, not for at least 5 years.

Musicmystery -> RE: What happens if states refuse to expand Medicaid? (6/28/2012 12:02:27 PM)
quote: ORIGINAL: defiantbadgirl How many years do you think it will take before the US finally has single-payer? What's your best guess? It's gonna be awhile. The problems with the current system have to become glaringly obvious first.

Winterapple -> RE: What happens if states refuse to expand Medicaid? (6/28/2012 12:10:43 PM)
FR The Affordable Healthcare Act is the John the Baptist of American healthcare the one that comes after it will surpass it. Verily, it was passed to prepare the way. I have no expectations of single payer coming about in his second term. We might get it before or around the hundredth anniversary of Social Security being implemented.

DomKen -> RE: What happens if states refuse to expand Medicaid? (6/28/2012 12:42:11 PM)
quote: ORIGINAL: defiantbadgirl http://www.scotusblog.com/2012/06/court-holds-that-states-have-choice-whether-to-join-medicaid-expansion/ According to the law, people with adjusted incomes of 133% of the poverty level are eligible for Medicaid because they're too poor to afford even subsidized health insurance premiums. What happens to the people that live in states that refuse to expand Medicaid? According to what I read, Pelosi said she wasn't worried about the Medicaid expansion ruling. I'm wondering what their plan is on dealing with the issue of poor people living in states that refuse. Has anyone heard anything about how they plan to address that issue? I'd be shocked if any state really does turn down the federal money that comes with expanding Medicaid. As to when will the US go to single payer, I'd ballpark it to 2030 but a lot depends on when the next really solidly progressive Congress is elected.

tazzygirl -> RE: What happens if states refuse to expand Medicaid? (6/28/2012 4:14:35 PM)
Dont forget the exchanges. States can create the exchanges on their own; default and let the federal government run one or states can use some private and public partnership to do it. The exchanges are projected to serve an estimated 12 million Americans in 2014, when the individual mandate takes effect. The number is likely to grow to 28 million by 2019, according to White House estimates. The law provides tax credits and discounts on co-pays to help people buy insurance if they earn less than 400% of the federal poverty level (those with monthly incomes under $373 a month or $7,683 for a family of four.) Sadly, the writer of that didnt get his humbers right. http://ccf.georgetown.edu/index/cms-filesystem-action?file=statistics/federal%20poverty%20guidelines.pdf

littlewonder -> RE: What happens if states refuse to expand Medicaid? (6/28/2012 7:38:16 PM)
According to the ruling that I read, if a state refuses to expand the medicaid the state's entire medicaid funding will be revoked. http://i2.cdn.turner.com/cnn/2012/images/06/28/health.care.pdf

defiantbadgirl -> RE: What happens if states refuse to expand Medicaid? (6/28/2012 8:35:34 PM)
That's the one part of the law the Supreme Court did not uphold. The government can't take away a state's entire Medicaid funding if they refuse to expand. Instead, states that refuse expansion simply don't get the extra funds to expand. So basically, they have a choice on whether or not they want to expand. I'm concerned that severely conservative states may refuse Medicaid expansion.

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