Why gop governors are caving on medicaid expansion forbes


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Why gop governors are caving on medicaid expansion forbes

  1. 1. 2/21/13 Why GOP Governors Are Caving On Medicaid Expansion - Forbes FREE Report: Top 10 Stocks for 2013 John Wilson | Log out | Help New Posts Most Popular Lists Video +2 3 post s t h is h ou r How T o Use Goog le Gla ss om isin g Com pa n ies Rich a r d Br a n son Pr Janet Novack, Forbes Staff I write from D.C . about tax and re tire m e nt policy and planning. Follow (250) Follow 110kP ER S O NA L F I NA NC E | 2/21/2013 @ 2:48PMWhy GOP Governors Are CavingOn Medicaid Expansion Comment Now Follow CommentsThe following is a guest 0post by John S. Wilson,a freelance journalist Most Read on Forbeswho writes regularly on People Places C ompanies 0 NEWShealth policy. You canfollow him on Twitter at Tw eet Live Stream: Sony PlayStation 4 Event@johnwilson. in New York City +2 2 2 ,1 6 4 views 0Florida Governor Rick PS4: T his Looks Familiar +2 0 5 ,8 8 8 viewsScott joined an esteemed John S. Wilson PS4 Confirmed +1 4 0 ,9 5 0 viewsgroup yesterday—he 0became the seventh GOP Sony PS4 Will Have Instant Boot-Up,governor to flip-flop and announce his support for the expansion Vita Integration, Cloud-Based PS3 Games +1 2 4 ,0 5 5 viewsof Medicaid in his state. Chances are more Republican governorswill follow suit. Scott’s capitulation is particularly notable when 0 Liveblogging Sonys Playstation 4 Pressone considers the fact that he has fought the expansion from the Conference +1 0 8 ,1 9 0 viewsvery beginning. + show more When the Obama administration first 0 Recom m ended American Ex porters, Mex ico Is The China Nex t Door For + find m ore to follow sold Medicaid expansion as a way to reduce costs while extending insurance Follow On Forbes Keep up with the writers, coverage to nearly 28 million people, the people, places, companies and GOP scoffed. But Scott, who once ran the giant for- organizations that interest you. profit hospital chain known as Columbia/HCA Sign up now » (now HCA Holdings) did far more than scoff.Florida Gov. Rick Florida sued the federal government asserting theScotts Obamacare Democrats’ Affordable Care Act was Janet NovackMedicaid Mea Forbes Staff unconstitutional and scored what now appears to beCulpa Follow (250) a Pyrrhic victory. Exercising some fancy legal Bruce Japsen C ontributor footwork, Chief Justice John Roberts concluded a I’m the Washington D.C. bureau chief for Forbes questionable penalty on those who don’t buy and hav e worked in the bureau for more than two decades. In recent y ears, Iv e spent much of insurance was really a constitutional tax and the my time reporting about tax es -- tax policy , taxwww.forbes.com/sites/janetnovack/2013/02/21/why-gop-governors-are-caving-on-medicaid-expansion/ 1/5
  2. 2. 2/21/13 Why GOP Governors Are Caving On Medicaid Expansion - ForbesSupreme Court overall law was upheld 5 to 4. But in a win for planning, edgy tax shelters, tax ev asion, wacky tax credits, and Congressional tax malpractice.Ruling on Health Florida, the high court said the states could opt out (Think AMT and the lapsed estate tax .) I alsoReform Upholds of the Medicaid expansion—without being punished write about retirement policy and planning.Key Benefits for by the loss of their existing Medicaid money, as theSeniors law had originally provided. After that ruling, Scott J A N ET N O V A C K ’ S P O P U L A R P O S T S said his state wouldn’t be participating in the Illinois Gov ernor Signs Amazon Internet Sales Howard Gleckman C ontributor Tax Law 1 8 7 ,1 5 5 views Medicaid expansion. How To Take A 1 00% Tax Write-Off For A New Porsche, BMW or Cadillac 1 2 4 ,2 8 2 views So what led to his change? One word: hospitals. Not only have hospitals, on average, supported How Much Tax Will Y ou Owe On $640 Million Jackpot? 9 9 ,1 4 5 views expansion of Medicaid from its announcement, but The Big Decision: When To Take Social Security they’ve also been working overtime recently to 9 5 ,9 4 6 views convince Republican governors and state legislators Memo To Mitt Romney : The 47 % Pay Tax es Too that it’s the financially smart thing to do. “If Florida 8 7 ,9 1 4 viewsObamaCares 7 doesn’t expand Medicaid, we’re going to have theTax Hikes On money taken out of one pocket (by the federal MO R E F R O M J A N ET N O V A C KUnder $250,000- government), we just won’t get it put back in theA-Year Earners other,” Tommy Inzina, chief administrative officer A shlea Ebeling Forbe s Staff at BayCare Health System, told the Florida House this week. In 2011 Florida hospitals spent $2.8 Medicare Medicaid billion caring for the uninsured and had to write off Insurance. the majority of that bill. That’s up from $2.4 billion www.Medigap360.com in 2006–when 1.7 million uninsured were treated– Lowest Medigap Rates Guaranteed! and the trend will only get worse unless more state Compare Companies & Apply. Age Learn How To Buy Stocks 65+ residents are insured. The expansion could have a www.TradingAcademy.com/BuyStocks Free Workshop - Locations Near You. monumental impact by insuring one million newly Learn The Secrets Of Power Trading! eligible people in the first year alone.Obamacare Is 10 Stocks to Hold Forever www.StreetAuthority.comConstitutional Similarly, in South Carolina, Republican Gov. Nikki Buy them, forget about them, and neverBecause The Haley’s opposition to expansion is softening as sell them.Individual hospitals support expansion with their voices andInsurance now their wallets; they say they’ll consider aMandate Is Both A provider tax to help pay for any state costs of the Who Just Made a Billion Dollars?Penalty And A expansion. Bob Coble, a lobbyist for hospitals andTax. Wait...What? providers, told The State, “It would, essentially, be Tony Nitti the health-care industry taxing itself to pay (it).” C ontributor So while the GOP’s statements on the expansion may not add up, the math does. “Expansion will Our Real-Time Billionaires scoreboard trackscreate more access to primary care providers, reduce the burden on hospitals the biggest holdings for 50 of the world’sand small businesses, and save precious tax dollars,” said Rick Snyder, wealthiest people.Michigan’s Republican governor, when he caved earlier this month. See whos up & whos down right now »The federal government will foot 100% of the bill for Medicaid expansion until2017. But even up until 2023, the Congressional Budget Office estimates Closing Costs Calculatorstates will pay only 10% of the expansion costs, or, $63 billion. As of now, 24 entitledirect.comstates are participating with another three leaning toward it. Let’s say the $63 Lower Your Closing Costs! Save 35%billion were spread among all of these states equally (it wouldn’t be due to On Title Insurance. Get Free Quote.population differences, but work with me here); Florida’s bill for expansion Personal Capitalduring those six years would be roughly $2.3 billion, a tenth of its current www.personalcapital.com Money & Investment Mgmt Software.annual Medicaid expenditures. For that small price Florida would have Sign Up & Use Our Free Tools Today!increased its Medicaid-insured population by a whopping 25%. US Virgin Islands Deals BookIt.com/USVirginIslandsWhat happens after 2023? There’s little doubt Florida and other states will Save 40% Off USVI During the Duringhave to chip in more money as their populations continue to rise and more the 99 Hour Sale. Book Now!www.forbes.com/sites/janetnovack/2013/02/21/why-gop-governors-are-caving-on-medicaid-expansion/ 2/5
  3. 3. 2/21/13 Why GOP Governors Are Caving On Medicaid Expansion - Forbespeople are eligible for Medicaid due to the looser eligibility guidelines (up to133% of federal poverty level and–for the first time in Medicaid’s history–inclusion of childless, non-elderly, non-disabled adults). But hospitals areopen to future cuts and understand the budget situation is always in flux.What they’re not open to is having the next nine years look like the previousnine.Author’s note: John S. Wilson analyzes health policy for the Medicaid agencyof a Democratic controlled state. The views expressed here are personal andare not those of the state. See Also: Unique Business Plans T op 10 Luxury Hotels Best Business Schools Journalism Courses T op Journalism Schools 2013 Luxury Hotels Blogging T ools Best Performing Mutual Funds Comment Now Follow Comments 0 Tw eet 0 0 0 0 0 Print Report C orrections Reprints & PermissionsFrom Around the WebSpeed Up Y our PC - How Y ou Can Learn Why Snoring Can How to Ex erciseTricks a Language in Only Kill - and How to Y our Brain to MakeManufacturers Hate 1 0 Day s Stop It It StrongHow Cruise Lines The Secret to Going... Going... The Secret to Pay ingFill All Those Getting Thin No Gone! New iPads for No Interest onUnsold Cruise Matter What Y ou Under $40 Credit CardsCabins Eat ?www.forbes.com/sites/janetnovack/2013/02/21/why-gop-governors-are-caving-on-medicaid-expansion/ 3/5
  4. 4. 2/21/13 Why GOP Governors Are Caving On Medicaid Expansion - Forbes Maryland MedicarePlans Maryland.PlanPrescriber.com Save on Maryland Medicare Insurance Plans. Compare Online and Save Now! Allstate® Auto Insurance allstate.com Are You a Safe Driver? Get a Free Quote & See What You Could Save! Scottrade Brokerage www.Scottrade.com $7 Online Trades - No Share Limit. Free Research. Open An AccountPost Your CommentYou are logged in as John Wilson ( Log out) Enter Your Comment Submit Comment Forbe s write rs have the ability to call out m e m be r com m e nts the y find particularly inte re sting. C alle d-out com m e nts are highlighte d across the Forbe s ne twork . Youll be notifie d if your com m e nt is calle d out.Inside Forbes Cat Scammed: How A U.S. Retire Rich: The Forbes Firm Blew Half A Billion 2013 Antiretirement Guide Dollars In ChinaThe Most Powerful People:The 71 Who Shape The WorldThere are nearly 7.1 billion people on the planet. These are How Michael Jordan Still Real-Time Billionaireswww.forbes.com/sites/janetnovack/2013/02/21/why-gop-governors-are-caving-on-medicaid-expansion/ 4/5
  5. 5. 2/21/13 Why GOP Governors Are Caving On Medicaid Expansion - Forbesthe 71 men and women who matter the most. Earns $80 Million A YearChannels Company Info Affiliate Sites Data Partners PublicationsBusiness Forbes Careers Forbes China Market Data by MorningstarInvesting Advertising Information Forbes India Thomson ReutersTechnology Forbes Conferences Forbes Israel AdChoicesEntrepreneurs Investment Newsletters Forbes Middle EastOp/Ed Reprints & Permissions Forbes Poland Free Trial IssueLeadership Terms and Conditions Forbes Romania Subscriber ServicesLifestyle Privacy Statement Forbes Russia Buy Back IssuesLists Contact Us Forbes Ukraine Sitemap RealClear Politics Help RealClear Markets RealClear World RealClear Sports2 0 1 3 Forbes .c om L L C ™ A ll Rights Res ervedwww.forbes.com/sites/janetnovack/2013/02/21/why-gop-governors-are-caving-on-medicaid-expansion/ 5/5