Archive for the Medicaid Category
March 23, 2016 Countering the Powerful Work Disincentive in Medicaid Expansion Charles M. Arlinghaus The New Hampshire state senate is prepared to ignore economic research and abandon any real effort to include a work requirement in its expansion of Medicaid to able-bodied, childless adults. A proposal that began as a supposed compromise would currently […]
The first two years save New Hampshire $10 million; this is the period that the Federal government pays 100% of Medicaid costs. After this though, the state first pays 5%, then 10% of the cost. Year six will cost New Hampshire $27 million, and when N.H. settles into its 10% share of the pay in year seven, the cost will be at least $40 million annually
Some supporters of the Senate Medicaid Expansion Plan would have you believe the only two choices are their non-compromise and just saying no. As is typical, the reality is far more complicated. Most conservative opponents of the Senate’s Medicaid Expansion are more than willing to support a real compromise and have a more detailed knowledge of the plan and therefore its flaws than the public statements of some sponsors indicate they do.
Without a doubt, Medicaid is the biggest issue this session in Concord. We have collected all of our work on the issue, as well as from like minded friends, to serve as a one stop shop on this complex issue.
I say this as the Republican leader in the Maine House of Representatives and as someone who has served on my state’s Appropriations Committee, where we spent countless late nights trying to patch the Medicaid-induced leaks in our state budget after past expansions.
Politics and governing aren’t the same thing, but they are inevitably intertwined. As much as we would like otherwise, political considerations often drive policy decisions. Sometimes the repercussions are small. In the pending decision over Medicaid expansion, however, the stakes are huge and it would be a serious mistake for Republicans in the state Senate to make this a political decision.
The recently announced deal in the New Hampshire Senate of a “framework” to expand Medicaid is a bad deal for our state’s future. The fundamental problem is not just that the plan implements a key component of Obamacare here, but it continues to build on a profoundly flawed Medicaid program desperately in need of reform.
The Senate Medicaid Expansion Plan was released this week so we could all see the details and find out that the spin and the reality of the program are not quite the same.
Let’s start by dismissing the assertion that this program is somehow a unique New Hampshire approach. That just isn’t so. Iowa passed this same Medicaid expansion plan last May and a few states have had similar ideas in the interim. The New Hampshire version differs in slight ways, none of which make it better.
This week Republican Senate leadership announced a plan to significantly expand the state’s Medicaid program. While the deal was announced, the details are not yet available. Evaluating whether the deal involves any significant element of compromise or is just a slight variant of a dramatic expansion of the state’s Medicaid system depends on the details but early reports are not promising.