Medicaid expansion | St. Louis Public Radio

Medicaid expansion

This article first appeared in the St. Louis Beacon, April 2, 2013 -The Missouri House has passed a new state budget without Gov. Jay Nixon's sought-after Medicaid expansion, but that doesn't mean Republicans are dropping the issue entirely.

The House Government Oversight and Accountability Committee is slated to vote Wednesday on HB700, a bill proposed by state Rep. Jay Barnes, R-Jefferson City, to change the state's current Medicaid program dramatically.

This article first appeared in the St. Louis Beacon: William Shortall is among 50,000 Missourians who are in a bind because they don't have sufficient insurance to cover treatment for their mental health problems.

“Approximately five years ago, I was diagnosed with a mental illness, bipolar disorder,” he said. Shortal's plight isn’t unusual, pointing to federal data showing that about one in four Americans is coping with some form of mental illness. Most don’t get timely help, he says, because they lack health insurance.

This article first appeared in the St. Louis Beacon, March 15, 2013 - Branson, Mo., gets plenty of good press for being a magnet for millions of visitors who love country music, specialty shops and other amenities in the southwest corner of the state. But the town drew a different sort of attention to itself last month when its Chamber of Commerce endorsed Gov. Jay Nixon’s controversial push to expand Missouri’s Medicaid program.

This article first appeared in the St. Louis Beacon, March 14, 2013 - Before leaving the state Capitol for a one-week recess, the state Senate’s Republican leaders have issued a joint statement declaring, in effect, that there’s no way they will support an expansion of Medicaid.

Among other things, the leaders – including Senate President Pro Tem Tom Dempsey, R-St. Charles – say they don’t trust the federal government to pay its share of the costs. Under the Affordable Care Act, the federal government is to pay all the costs of the Medicaid expansion for three years, and then at least 90 percent thereafter.

This article first appeared in the St. Louis Beacon, March 13,2013: In an apparent attempt to nudge Missouri’s Republican legislative leaders, the Missouri Chamber of Commerce and Industry has told employers around the state that if the state doesn’t expand Medicaid, they’ll be left holding the financial bag.

The chamber's state president, Dan Mehan, emphasized at a news conference today at the organization’s Jefferson City office that it continues to oppose the federal Affordable Care Act — but, given the fact the act is going to be implemented anyway, failure to expand Medicaid hurts business.

This article first appeared in the St. Louis Beacon, March 5, 2013 - When Gov. Jay Nixon decided to visit the Metropolitan St. Louis Psychiatric Center to make a case for expanding Medicaid, few people in the audience were more pleased than Dr. Roy Wilson, the center’s medical director. He says the visit helped to shed more light on the fact that facilities like his often lack the money for services to head off the adverse consequences of being mentally ill and uninsured.

This article first appeared in the St. Louis Beacon, Feb. 20, 2013 - Missouri Gov. Jay Nixon struck a note of optimism Wednesday about his push to expand Medicaid in the state, even as the Missouri House has excised the proposal – and the $2 billion in federal aid – from the budget for the coming fiscal year.

At an appearance in St. Charles County, the governor said, “It’s pretty clear to me we’re making progress, first of all. I think that progress will be seen by next week in the House when that Republican majority introduces a measure to move forward in this area.”

This article first appeared in the St. Louis Beacon, Jan. 28, 2013 - Missouri Gov. Jay Nixon is expected to renew his call for expanding Missouri’s Medicaid program during his State of the State address to be delivered at 7 p.m. tonight in the state Capitol’s House chambers.

And state House Speaker Tim Jones, who is delivering the GOP response, is expected to reaffirm his party’s opposition.

This article first appeared in the St. Louis Beacon, Jan. 28, 2013 - Missouri Gov. Jay Nixon sought to confront Republican resistance to his proposed Medicaid expansion by promising in his State of the State address Monday night that he would support rolling back the expansion if the federal government cuts off the financial spigot to cover most of the costs.

This article first appeared in the St. Louis Beacon, Jan. 28, 2013 - Claiming that Gov. Jay Nixon “articulated grand concepts” with “little detail" in his annual State of the State speech, House Speaker Tim Jones challenged the Missouri chief executive to work with the GOP-legislature “to find solutions” on the vexing issues of the day.

This article first appeared in the St. Louis Beacon, Jan. 16, 2013 - As nurse practitioner Judith Gallagher related story after story of families or individuals who had no health insurance or had lost it – and couldn’t qualify for Medicaid in Missouri – she emphasized one common fact about each case.

“These are not people trying to get free rides from hardworking taxpayers,” Gallagher said, her voice rising. “These ARE hardworking taxpayers.”

This article first appeared in the St. Louis Beacon, Dec. 12, 2012 - More than half of Missourians favor Medicaid expansion and embrace the principles behind health insurance exchanges, according to a new poll, financed by the Missouri Foundation for Health and completed in October. It surveyed more than 1,400 Missourians and had a margin of error of plus or minus 2.6 percent.

This article first appeared in the St. Louis Beacon, Dec. 5, 2012 - For the Missouri Hospital Association, the key to getting legislators on board with a push to expand Medicaid is making a pitch about the move’s economic opportunity — and the practical consequences of inaction.

"It isn't the matter that 'we should expand Medicaid because it's the right thing to do, although that is certainly still a strong argument,'" said MHA spokesman Dave Dillion. "Not only could we accomplish that, but we could create an economic engine by doing that."

This article first appeared in the St. Louis Beacon, Nov. 28, 2012 - The battle has been joined in Missouri over Medicaid with publication of a new study that says expansion of the program would bring billions in benefits. U.S. Sen. Claire McCaskill, D-Mo., took a strong stand in favor of the measure Wednesday and Gov. Jay Nixon, as expected, has highlighted his support for Medicaid expansion as well.

This article first appeared in the St. Louis Beacon, Nov. 16, 2012 - Today marked the first major deadline for states planning to set up their own health-insurance exchanges as mandated by the Affordable Care Act. And Missouri Gov. Jay Nixon followed through with a letter Friday to the federal government stipulating that the state will be unable to meet the deadline, and won't be setting up a state exchange.

Nixon says he's not thinking about 2016

Nov 11, 2012

This article first appeared in the St. Louis Beacon, Nov. 11, 2012 - It hasn’t even been a week since his latest election victory, but Gov. Jay Nixon is already batting away queries about his next move.

Nixon – who decisively defeated Republican businessman Dave Spence on Tuesday – used his first Capitol press conference Thursday to discuss personnel, an initiative to restructure state government and the impossibility of Missouri setting up its own health insurance exchange.

This article first appeared in the St. Louis Beacon, Aug. 17, 2012 - Gov. Jay Nixon declined to enter into a simmering debate over the federal school lunch program -- a debate sparked after U.S. Rep. Todd Akin questioned the federal government's involvement in the program.

This article first appeared in the St. Louis Beacon, Aug. 1, 2012 - As a conservative who tends to favor Republicans and limited government, Gene Hutchins of Affton wouldn't be expected to be a cheerleader for the Affordable Care Act. But he has warmed up to a few of its provisions. He backs the rule forbidding insurers to deny coverage to people with pre-existing conditions. He also likes ACA's plans for states to set up insurance exchanges to help buyers compare prices and benefits to get the most value for their money.

This article first appeared in the St. Louis Beacon, July 26, 2012 - As he keeps his options open, Missouri Gov. Jay Nixon said Wednesday that he expects it will be next winter – after the general election ends and the next legislative session begins – before the General Assembly is ready to address two key health-care issues: whether to expand the state’s Medicaid rolls or set up an exchange for the uninsured to buy insurance.

This article first appeared in the St. Louis Beacon, July 10, 2012 - Lt. Gov. Peter Kinder is crisscrossing the state today touting his lawsuit that challenges the ballot language for a November proposal to bar the governor from using his executive powers to set up a health insurance exchange.

Kinder – a Republican who is facing an increasingly heated primary with state Sen. Brad Lager, R-Savannah – filed the lawsuit against Secretary of State Robin Carnahan and Attorney General Chris Koster today in Jefferson City.

This article first appeared in the St. Louis Beacon, July 5, 2012 - U.S. Sen. Claire McCaskill, D-Mo., lamented Thursday that state officials in Jefferson City may avoid setting up a health insurance exchange or expanding the Medicaid rolls, as called for in the federal Affordable Care Act.

This article first appeared in the St. Louis Beacon, July 3, 2012 - Gov. Jay Nixon, a Democrat, already is under pressure from Republican legislators who vow to oppose any expansion of Missouri’s Medicaid program, as called for under the federal Affordable Care Act, which was largely green-lighted last week by the U.S. Supreme Court.

But now, he’s a target on his left flank as well.

This article first appeared in the St. Louis Beacon, July 2, 2012 - Critics of the Supreme Court -- liberal and conservative -- often say the court should leave more room for elected bodies and the voters to decide important issues. That's exactly what the U.S. Supreme Court did when it upheld the Affordable Care Act last week.

This article first appeared in the St. Louis Beacon, June 29, 2012 - Surprise. If there is a single theme to the story of “Obamacare,” it is that surprises have lain in wait at every turn.

The biggest surprise may have been Thursday when the U.S. Supreme Court upheld the Affordable Care Act. Most of America expected the court to toss out the law after it had spent three days roughing up Solicitor General Donald Verrilli last spring.

This article first appeared in the St. Louis Beacon, June 29, 2012 - Lisa Hill of Wildwood has a 17-year-old son with more health conditions than most people struggle with in a life time. He has coped with autism, epilepsy and leukemia. Hill says she has had no good place to turn for health insurance. But she felt hopeful on Thursday morning upon hearing that the Supreme Court had upheld the Affordable Care Act.

"The Supreme Court decided to allow my son to live," she said. "If his leukemia were to ever come back, it can be treated. That's what (the decision) means."

This article first appeared in the St. Louis Beacon, June 28, 2012 - The U.S. Supreme Court upheld President Barack Obama's health-care law in a narrow 5-4 decision, with Chief Justice John Roberts providing the deciding vote. At the same time, the court put limits on some of Congress' most potent powers — its power to regulate commerce and to attach conditions to federal funding.

This article first appeared in the St. Louis Beacon, March 28, 2012 - When the third and final day of U.S. Supreme Court arguments on the federal health care law had ended on Wednesday, at least one thing seemed certain: All four justices appointed by Democratic presidents would vote to uphold the law, and all five justices appointed by Republican presidents had serious questions about both the law's individual mandate to buy health insurance and its expansion of Medicaid.

This article first appeared in the St. Louis Beacon, March 26, 2012 - On the eve of arguments before the Supreme Court on the Affordable Care Act, local faith-based and community groups urged the state legislature to end "partisan sparring and gridlock" that is stalling key parts of the health-reform law in Missouri.

This article first appeared in the St. Louis Beacon, April 01, 2011 - A Missouri House panel laid the groundwork Thursday to carry out one of the most far-reaching provisions of the Affordable Care Act by voting to set up an exchange program that could make health insurance more affordable for small businesses and some individuals.

This article first appeared in the St. Louis Beacon, May 26, 2010 - In a timely addition to Missouri's debate over the new health-reform law, a new Kaiser Family Foundation study projects a sharp rise in the number of Missourians eligible for Medicaid under the new law, with the federal government picking up a large share of the cost of covering them.

The study, released Wednesday by the foundation's Commission on Medicaid and the Uninsured, offered one of the few state-by-state reviews of the law's Medicaid reforms -- showing what they might cost each state and how many residents might be helped.

Pages