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Governor says ‘no’ to Medicaid expansion

Governor says ‘no’ to Medicaid expansion

By ERIK SCHELZIG
Associated Press
NASHVILLE (AP) — Tennessee Gov. Bill Haslam announced today that he won’t pursue expanding the state’s Medicaid program to help cover the uninsured as part of the federal Affordable Care Act.
Haslam told a joint session of state lawmakers he decided not to do that because he prefers a third option to use federal money to subsidize private insurance.
The federal government hasn’t accepted that proposal.
“I cannot recommend to you that we move forward on this plan,” Haslam said in a 12-minute speech. “Our budget amendment will not include language to accept the federal funds.”
The announcement appeared to catch lawmakers by surprise, as there was only tepid applause by group dominated by usually vocal opponents of President Obama and his signature health care law.
Expanding TennCare, the state’s Medicaid program, had been estimated to cover roughly 140,000 of Tennessee’s nearly 1 million uninsured residents and bring in $1.4 billion in federal money in the first year alone.
Haslam was among the last of the Republican governors to declare a decision on expansion. Both the health care program and President Obama are widely unpopular in the highly Republican state.
Under an expansion of TennCare, the state’s Medicaid program, the federal government would pay the entire cost for the first three years and at least 90 percent thereafter.
Haslam said he had tried to get approval for a “Tennessee Plan,” in which the state would accept the federal money to subsidize private insurance.
“The plan would include co-pays for those that can afford to pay something, so the user has some skin in the game when it comes to health care incentives,” he said.
While Republican governors have been highly critical of the federal health care program, a number of them are re-evaluating their opposition to accepting federal dollars to expand health care coverage to the poor as they review the budget implications and face pressure from hospitals that treat the uninsured. Republicans also are proposing alternatives that would cover fewer people than Obama’s plan, guarantee less financial help or rely more on private insurers.
The hospital industry has called expansion crucial to boosting jobs in that sector, and has warned that declining the money could cause some rural hospitals to go out of business.
The prospects of getting the Republican supermajority to agree to an expansion of Obama’s signature law looked daunting.
“The politics of it are difficult,” Haslam told reporters earlier this week. “And we’ve recognized that from the very beginning.”

Published in The Messenger 3.27.13

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