States Scramble To Expand Obamacare After GOP Flop

In 2015 a Mercy hospital in Independence was forced to close

But after numerous conservative lawmakers who blocked prior efforts to expand Medicaid under the Affordable Care Act were swept out of office in last year's election, Kansas' Republican-controlled Legislature provided that approval this week.

An effort to keep Arkansas' hybrid Medicaid expansion for another year fell short in the state House on Wednesday, but legislative leaders say they're confident they've got enough votes to reauthorize the first-in-the-nation program covering more than 300,000 people.

This month, so many Kansas lawmakers voted for the expansion that they almost mustered the two-thirds majority needed to block the Republican governor's expected veto. From its infancy, the state of Kansas has affirmed the dignity and equality of each human life. "Now when you have the House speaker saying this is going to stay, it's like, 'We may get the money, why not explore it?'" I will not support this legislation that continues to fund organizations that undermine a culture of life.

Kansas Republicans, who control the state legislature, had never been very interested in broadening the program.

Expanding Medicaid is the Affordable Care Act's primary mechanism for extending health coverage to millions of previously ineligible low-income adults. She added, "To expand Obamacare when the program is in a death spiral is not responsible policy".

In November, Mainers will vote on whether or not to expand MaineCare, which is more than 90 percent funded by federal Medicaid dollars, according to the Kennebec Journal.

With the ACA's enhanced federal funding, Medicaid expansion in Kansas, effective January 1, 2018, would cost the state an estimated $31 million in fiscal 2018, which begins July 1, and $67 million in fiscal 2019 with more than 180,000 additional recipients, according to estimates cited in a legislative report on the bill.

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But many conservative lawmakers were swept out of office in last year's election, which served as a referendum on Brownback's deep tax cuts that have roiled the state budget.

Obama's health care law encouraged states to expand their Medicaid programs by promising to pay most of the costs.

As tough as that fact is for many Republicans to swallow, it does give South Dakotans a shot at using ACA as a vehicle for advancing health-care opportunities and giving our state a much-needed economic boost.

His lengthy veto statement presents the decision as grave and complicated.

One Republican senator said it was simply the right thing to do and that the state had "citizens who are uninsured and hospitals that are suffering".

Republican critics of an expansion pointed to President Donald Trump's promise to repeal and replace the 2010 health care law.

"They will push even harder when they see a loss of revenue from some of the disproportionate share payments", Hoadley said in an interview.

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