Ruling Puts Pressure On States To Act
The Supreme Court Thursday gave states the option to skip the Medicaid expansion, but the pressure of accepting millions in new federal dollars to pay for coverage for low-income people may be too great.
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The Supreme Court Thursday gave states the option to skip the Medicaid expansion, but the pressure of accepting millions in new federal dollars to pay for coverage for low-income people may be too great.
The ruling on Medicaid creates a new arena for political battles in the 26 states that sued to overturn the law. Within hours of the decision, Republican officials in several states said they were likely to oppose expanding the program.
KHN's Mary Agnes Carey, Stuart Taylor and Julie Appleby are joined by SCOTUSblog's Tom Goldstein and Lyle Denniston to break down Thursday's landmark Supreme Court decision on the constitutionality of the health law.
Under the health law, Medicaid will grow to cover every American with a household income below 133 percent of the federal poverty level. A ruling against the expansion -- or the entire law
The volunteers, part of a program called Health Leads, help low-income families connect with social service groups providing food, clothes, housing and other services so that children can overcome some of the obstacles contributing to health problems.
If the Supreme Court strikes down the health law, New York would be in a somewhat unique position, according to David Abernethy, a senior vice president of EmblemHealth.
Even if the Supreme Court overturns the law, Chris DeMars, a senior program officer at Oregon's Northwest Health Foundation, expects the state to move forward with insurance exchanges and an effort to coordinate care.
David Nexon, a top health care adviser to the late Sen. Ted Kennedy, says that no matter what, tremendous pressure to reduce spending will continue to push lawmakers to find ways to control health care costs.
Murray Ross, a vice president in the part of the company that sells health plans, says the law's individual mandate is needed to attract healthier participants, which balances risks and costs.
Andy Allison, Arkansas Medicaid director and president of the National Association of Medicaid Directors, is adamant that cash-strapped states won't be able to do much to expand coverage to the uninsured if the Supreme Court strikes down the law.
Michigan Medicaid Director Steve Fitton believes it will be a "struggle" for his state to be ready to implement the health law on schedule if the Supreme Court upholds the measure. But he's confident that Michigan can handle the expected new enrollees in Medicaid.
Gov. John Kitzhaber, a former emergency room doctor, has convinced the federal government that he has a way to make Medicaid treatment better, and cheaper, by completely changing the way the sickest people in the state get health care.
Some states are moving faster than others in getting people out of nursing homes and institutions as part of an ambitious federal program.
Under the 2010 health law, millions of Americans will gain access to affordable health insurance. But in Minnesota, many are concerned that an affordability gap will remain for about 100,000 low-income Minnesotans.
Missouri's efforts to winnow contracts for its Medicaid managed care business are being challenged by one of the companies left out in the cold: Molina Healthcare, which alleges the state changed the bidding rules in the middle of the process.
The proposal for state House lawmakers would control rising medical costs by capping a cap on health-care spending and could include a tax on hospitals.
The state is one of just a few that is expanding Medicaid ahead of a major expansion called for in 2014 by the federal health law. Though the state estimates that 50,000 people meet the income bar, Colorado will only be able to offer coverage to 10,000 people.
Los Angeles has some 2 million uninsured residents. It has long had one of the most disorganized public health systems, too. Now, Dr. Mitch Katz is looking to reshape the system and match patients with their own doctors.
This letter, from Tom Van Coverden, President and CEO of the National Association of Community Health Centers, is in response to Wednesday's KHN story Community Health Centers Under Pressure to Improve Care.
Quality is uneven at federally funded clinics that treat millions of poor people.
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