Medicaid

UPI/Bill Greenblatt

Missouri’s budget for the next fiscal year has been passed by the State House.

While Medicaid expansion has dominated most of the debate, spending hikes were approved in other areas.  There’s an extra $65 million for K-12 schools, although the increase still falls short of fully funding the state’s public school formula.  Republican Mike Lair of Livingston County chairs the Appropriations committee on Education.

Marshall Griffin/St. Louis Public Radio

The Missouri House has given first-round approval to the state budget for Fiscal Year 2014, while House Republicans beat back three attempts to expand Medicaid.

Medicaid expansion motions and amendments

A GOP plan for Medicaid expansion in the Missouri House would add fewer adults to the plan than the one Governor Jay Nixon has proposed. But during a stop in Kirkwood Tuesday, the Democrat praised the progress in the Republican-controlled House.

Under the Affordable Care Act, states have to expand the Medicaid requirement to 138 percent of the poverty line in order to accept the federal funds that go with it.

Currently in Missouri, those making an income of less than $4,5000 a year for a family of four qualify.

Marshall Griffin/St. Louis Public Radio

The Missouri House will begin debate Tuesday on the 13 bills that make up next year’s state budget.

The three bills that encompass the state’s Medicaid program don’t include Governor Jay Nixon’s (D) proposed expansion, although House Democrats may try to offer amendments to change that.  Budget chairman Rick Stream (R, Kirkwood) says the state should have more of a say in how Medicaid dollars are handled.

Marshall Griffin/St. Louis Public Radio

Supporters and opponents spent several hours Monday testifying on an alternate Medicaid proposal being floated by House Republicans.

Tim Lloyd / St. Louis Public Radio

The working poor in Missouri are desperately in need of affordable healthcare.  

That was the message at a rally Monday evening organized by members of Metropolitan Congregations United (MCU).

From the steps of St. John’s United Church of Christ in St. Louis City, speaker after speaker called on lawmakers to take advantage of federal money to expand Medicaid coverage.

“It’s the right thing to do," said Barbara Paulus, an organizer with the religious coalition.  "It’s good for the Missouri economy.  But, most importantly, people have a right to healthcare.” 

Marshall Griffin/St. Louis Public Radio

Spring break has arrived for Missouri lawmakers, as they take a week off before returning to Jefferson City on March 25th.

They’ll have plenty of items on their plate when they get back -- among the House’s priorities is debating and voting on the state budget, which still does not include Medicaid expansion. Speaker Tim Jones (R, Eureka) says the federal health care law does not require states to add more people to the Medicaid rolls.

(Via Flickr/Rosemary)

A Republican-led Missouri Senate committee has defeated a plan to expand Medicaid under President Barack Obama's health care law.

The Senate Appropriations Committee rejected the legislation on a party-line vote Wednesday, just minutes after hearing testimony from more than two dozen witnesses in favor of the plan.

A Republican-led House committee defeated a similar bill last month in the same fashion.

Mo. Senate

The leader of the Missouri Senate is denying reports from some conservative bloggers that top Republicans are planning an about-face on Medicaid expansion.

In particular, Red State published a report Monday that President Pro-tem Tom Dempsey (R, St. Charles) and Senator Mike Parson (R, Bolivar) were backing a so-called “shell bill” that would be used to add Medicaid expansion to next year’s state budget.  Dempsey denies that report.

UPI/Bill Greenblatt

Democratic Governor Jay Nixon is using a new tactic in an attempt to persuade Republican state lawmakers to accept federal dollars to expand Medicaid: public safety.

On Monday, Nixon brought out St. Louis Police Chief Sam Dotson, who said expanding Medicaid to another 50,000 Missourians who need mental health treatment will improve public safety.

(via Flickr/Jennifer Boriss)

Will be updated.

An expansion of Medicaid under President Barack Obama's health care overhaul is one step closer in Illinois.

The state Senate passed the expansion 40-19 on Thursday. The bill now goes to the House.

Nearly 2.8 million Illinois residents are currently covered by Medicaid, the government health program for the poor and disabled.

Starting in 2014, an estimated 500,000 to 600,000 uninsured Illinois residents would be newly eligible for coverage. The expansion would mainly benefit low-income adults who don't have children at home.

Missouri Republicans Outline 'Commonsense Conservative' Medicaid Alternative

Feb 26, 2013
Mo. House Communications

A long-promised Republican alternative to Medicaid expansion was filed today in the Missouri House.

Marshall Griffin/St. Louis Public Radio

Medicaid expansion is dead for now in the Missouri House.

First, the House subcommittee that oversees the budgets for the Departments of Health, Mental Health and Social Services voted to approve those agencies budgets without including Governor Jay Nixon’s (D) call to expand Medicaid to an additional 259,000 Missourians next yearState Representative Sue Allen (R, Town and Country) chairs that subcommittee.

“We can’t afford it…it’s not rocket science," Allen said.  "If we expand, taking federal dollars now, which I do not believe would not use some state (general revenue), even with what we’re told the feds would do now, there will be a time (when) the feds will back off.”

(Via Flickr/Rosemary)

More than 135,000 high-cost Illinois patients who are eligible for both Medicare and Medicaid will be assigned to a managed care health plan by early next year, if they don't opt out of a new program to coordinate their care.

The initiative is a partnership between Illinois and the federal Centers for Medicare and Medicaid Services. 

Illinois is the fourth state to get approval for such a demonstration project, aimed at providing better care at lower costs for a group of patients known as "dual eligibles." The federal agency announced its approval Friday.

Chris McDaniel, St. Louis Public Radio

Democratic Governor Jay Nixon hasn’t stopped advocating for Missouri to accept the federal government’s money for Medicaid expansion, in spite of state Republican lawmakers leaving it out of their proposed budget.

Nixon lobbied in St. Charles Wednesday for the state to accept $900 million to expand the program to over a quarter of a million low income adults.

Nixon has appealed throughout the state. What makes Nixon’s stop in St. Charles unique is that the area is typically conservative turf.

Marshall Griffin/St. Louis Public Radio

House Democrats are sponsoring legislation to expand Medicaid in Missouri, despite the fact that the state budget filed by Republicans leaves out the proposed expansion.

House Bill 627 would expand Medicaid to an additional 300,000 Missourians, and House Democrats say not passing it would cost the state 5,000 jobs and could force some rural hospitals to close their doors.  Kerry Noble is CEO of Pemiscot Memorial Health Systems in the Missouri Boot-heal.

Marshall Griffin/St. Louis Public Radio

The 13 bills that make up the state budget have been filed in the Missouri House, and they don’t include Governor Jay Nixon’s (D) proposed Medicaid expansion.

That part of the Governor’s budget proposal would have drawn down $908 million in federal funds for Fiscal Year 2014, which begins July 1st.  House Budget Chair Rick Stream (R, Kirkwood) says as a result, the Governor’s projected $46 million in savings is also being removed from the budget.

(UPI/Bill Greenblatt)

 

Updated at 5:45 a.m. to include feature story on the Governor's State of the State Address by Marshall Griffin.

Governor Jay Nixon (D) pitched a $25.7 billion budget to the state of Missouri during Monday’s State of the State Address.  It includes spending increases for K-12 schools, Higher Education, and the proposed Medicaid expansion he’s been calling for since late November.  St. Louis Public Radio’s Marshall Griffin takes a closer look at the Governor’s speech and his proposed spending plan for next year:

Marshall Griffin | St. Louis Public Radio

The Missouri legislature convenes this Wednesday.

The hallmark issue may be Medicaid expansion.  Topics of tax credits and arming classroom teachers are also expected to come up for debate.

Host Don Marsh talked with St. Louis Public Radio’s statehouse reporter Marshall Griffin, St. Louis Beacon political reporter Jo Mannies, and University of Missouri – St. Louis political science professor Terry Jones about the upcoming session.

via Flickr/yomanimus

A conservative group is calling on Governor Jay Nixon (D) and Missouri lawmakers to return any budget surplus there may be next year to taxpayers.

Nixon and GOP legislative leaders are expecting a 3.1 percent growth in state revenues during the next fiscal year.  Patrick Werner heads the Missouri Chapter of Americans for Prosperity, which advocates for fiscally conservative practices.  He says any left over money should either be returned to taxpayers or socked away in the state’s Rainy Day fund.

UPI/Bill Greenblatt

Gov. Jay Nixon's administration is bolstering his plan to expand Missouri's Medicaid program with an analysis estimating that it could save the state money in the near future.

Figures released this past week by Nixon's budget office show Missouri could see a nearly $47 million increase in general revenues during the first year of the Medicaid expansion in 2014. That boost in state revenues would grow to nearly $140 million in 2016 before beginning to decline.

Marshall Griffin/St. Louis Public Radio

Missouri House Speaker Tim Jones (R, Eureka) has been touring the state this week, promoting the so-called three “E’s” that House Republicans say they’ll focus on next year – the economy, energy, and education – but their agenda still likely won't include a fourth “E," expansion of Medicaid.

Jones told a group of reporters in Jefferson City today that House budget writers start off every year looking for $150-$200 million for the state’s Medicaid needs.

Missouri Foundation for Health

Most Missourians support Medicaid expansion and believe the state government has a responsibility to ensure access to affordable health care, according to a new survey by the Missouri Foundation for Health.

What's particularly noteworthy about this survey is that a majority of the responders agreed this is a responsibility that must be met, even if it means raising taxes. 55 percent of responders say Missouri's state government must act to do so, while 34 percent say we can't afford it.

This Week's Politically Speaking Podcast

Dec 6, 2012

St. Louis Public Radio's Chris McDaniel joins the St. Louis Beacon's Jo Mannies and Jason Rosenbaum to talk about the week's politics.

On today's episode: We discuss Representative Jo Ann Emerson's early departure, and who's on the short-list to replace her, where we stand on Medicaid expansion, and Senator Claire McCaskill's recent PR tour.

Follow Chris McDaniel on Twitter@csmcdaniel

Follow Jo Mannies on Twitter@jmannies

Marshall Griffin/St. Louis Public Radio

People and groups who work with Medicaid clients urged Missouri lawmakers today to expand coverage in next year’s state budget.

Cynthia Keele from NAMI Missouri (National Alliance on Mental Illness) told a State House budget subcommittee that expanding Medicaid would help families dealing with medical debt.

“Missouri medical debt is responsible for about 40 percent of the bankruptcies in Missouri, and I know that because I’m a banker’s wife," Keele said.  "Those bankruptcies and medical debt kill jobs.”

This Week's Politically Speaking Podcast

Nov 29, 2012

St. Louis Public Radio's Chris McDaniel joins the St. Louis Beacon's Jo Mannies and Jason Rosenbaum to talk about a few political issues.

 

On this week's episode: Nixon taking a stance on Medicaid expansion, Missouri Republican plans to cut taxes and St. Louis County's LGBT non-discrimination ordinance.

Follow Chris McDaniel on Twitter@csmcdaniel

Follow Jo Mannies on Twitter@jmannies

(UPI/Bill Greenblatt)

Updated 11:37 a.m. with reaction from Mo. Sen. Claire McCaskill and at 12:01 p.m. with statements from community organizations and Mo. House Speaker Tim Jones. Updated 5:59 p.m. with additional reporting from St. Louis.

Gov. Jay Nixon says expanding Medicaid eligibility in Missouri is both "the smart thing" and "the right thing to do."

Nixon announced his support for the expansion Thursday, saying it could provide health care coverage to an additional 300,000 Missourians.

(via Flickr/Jennifer Boriss)

A new report says Missouri's Medicaid costs could rise by 6.6 percent over 10 years if the state fully implements the federal health care law.

But the report also says almost half of that increase will occur even if Missouri does not expand Medicaid eligibility for adults.

The report by the Kaiser Family Foundation and Urban Institute says Missouri can expect to spend an additional $1.2 billion from 2013 to 2022 as more people join the Medicaid rolls because of the federal health care law.

(via Flickr/KOMUnews)

Missouri Lt. Governor Peter Kinder is urging state lawmakers to not create a health insurance exchange or expand Medicaid when they convene for their regular session next year.

In-school health clinic opening at Roosevelt High

Aug 30, 2012
(Adam Allington/St. Louis Public Radio)

Students at Roosevelt High School in St. Louis can now access medical care through an in-school health clinic.

The clinic is operated by Mercy Hospital and received funding through $500,000 grant from Boeing.

Crystal Gale is the Principal of Roosevelt High.  She says the facility will provide basic medical services for students, as well as the children of students.

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