IBJNews

Pence rules out Medicaid expansion in current form

Back to TopCommentsE-mailPrintBookmark and Share

Gov. Mike Pence said Wednesday that he has ruled out expanding Medicaid under the federal health care law unless Indiana gets approval to use state health savings accounts for the expansion.

Pence told reporters that the only way he would approve a Medicaid expansion would be if the state is given the choice of using its Healthy Indiana plan to cover new enrollees.

"It was important to me that we do fully fund Medicaid, but we did not fund a Medicaid expansion, nor do I think that under the current framework for Medicaid that it would be advisable for Indiana to do that," he said.

Democratic lawmakers are pushing for the state to approve the expansion, and House Ways and Means Chairman Tim Brown, R-Crawfordsville, has said he is considering paying for the expansion in the House version of the budget.

Pence's announcement came two days after Ohio Gov. John Kasich bucked a trend among Republican governors of flatly opposing the federal health care law and said he would expand Medicaid in his state.

Pence declared his intentions in a call with U.S. Department of Health and Human Services Secretary Kathleen Sebelius this week. He also told her that Indiana does not plan to build a "hybrid" health exchange with the federal government.

Even without the expansion, Indiana's Medicaid rolls are expected to grow by 90,000 as more children who already qualify for Medicaid are enrolled in the program because of the health care law's individual mandate. Milliman Inc. analysts determined this "woodwork effect" would cost the state an additional $67 million next year and another $105 million in fiscal year 2015, all of which Pence has budgeted for.

Accepting the full Medicaid expansion, for residents earning up to 133 percent of the federal poverty level could cost the state an additional $94 million next year and $151 million more in fiscal year 2015 if every qualified resident enrolled, Milliman determined. The firm estimates a full expansion would place another 682,000 residents in the program.

ADVERTISEMENT

  • Screw the poor
    As with everything in this state, the rich get one tax break after another, but the poor can not get health insurance.
  • Happy with HIP
    Fisher Mom >The agent(lol)of course an insurance agent will say that"find coverage cheaper than they could offer through HIP"(are u kidding me)HIP may require you to pay a small monthly fee based on the amount of your income.Let us all know when u find a Health insurance policy were u pay on a sliding scale($1-$13 Month)It's not a flawed program,your facts are.I do not qualify for Medicaid because I'm over the asset limit.I do however qualify for Medicaid on income levels.As it stands now,if u are on HIP u don't qualify for Medicaid.I have been on HIP since its creation(2008)and its a great program paid for by a cigarette tax. Please get your facts straight
  • costs are already there
    This might cost the State, but the costs are already there. People get care at Indiana hospitals and from doctors and dont pay so the costs are passed to other insureds and employers. or if they dont get care, eventually the $100 problem becomes a $50,000 unfunded hospital stay. Not expanding Medicaid and accepting the Federal money is a bad deal for the State. Hopefully this is simple posturing for the HIP program and eventually Indiana will take the money.
  • Healthy Indiana Plan
    I looked into the Healthy Indiana Plan when I was unemployed and my Cobra coverage was expiring. An agent with the plan told me I could find coverage cheaper than they could offer through Healthy Indiana Plan. It is a flawed program and should not be expanded. It makes more fiscal sense to opt in to the federal program. The more people you have in the program, the greater savings.
    • central state hospital
      me to hhh to pence has memory problems at his age??

    Post a comment to this story

    COMMENTS POLICY
    We reserve the right to remove any post that we feel is obscene, profane, vulgar, racist, sexually explicit, abusive, or hateful.
     
    You are legally responsible for what you post and your anonymity is not guaranteed.
     
    Posts that insult, defame, threaten, harass or abuse other readers or people mentioned in IBJ editorial content are also subject to removal. Please respect the privacy of individuals and refrain from posting personal information.
     
    No solicitations, spamming or advertisements are allowed. Readers may post links to other informational websites that are relevant to the topic at hand, but please do not link to objectionable material.
     
    We may remove messages that are unrelated to the topic, encourage illegal activity, use all capital letters or are unreadable.
     

    Messages that are flagged by readers as objectionable will be reviewed and may or may not be removed. Please do not flag a post simply because you disagree with it.

    Sponsored by
    ADVERTISEMENT

    facebook - twitter on Facebook & Twitter

    Follow on TwitterFollow IBJ on Facebook:
    Follow on TwitterFollow IBJ's Tweets on these topics:
     
    Subscribe to IBJ
    1. I am not by any means judging whether this is a good or bad project. It's pretty simple, the developers are not showing a hardship or need for this economic incentive. It is a vacant field, the easiest for development, and the developer already has the money to invest $26 million for construction. If they can afford that, they can afford to pay property taxes just like the rest of the residents do. As well, an average of $15/hour is an absolute joke in terms of economic development. Get in high paying jobs and maybe there's a different story. But that's the problem with this ask, it is speculative and users are just not known.

    2. Shouldn't this be a museum

    3. I don't have a problem with higher taxes, since it is obvious that our city is not adequately funded. And Ballard doesn't want to admit it, but he has increased taxes indirectly by 1) selling assets and spending the money, 2) letting now private entities increase user fees which were previously capped, 3) by spending reserves, and 4) by heavy dependence on TIFs. At the end, these are all indirect tax increases since someone will eventually have to pay for them. It's mathematics. You put property tax caps ("tax cut"), but you don't cut expenditures (justifiably so), so you increase taxes indirectly.

    4. Marijuana is the safest natural drug grown. Addiction is never physical. Marijuana health benefits are far more reaching then synthesized drugs. Abbott, Lilly, and the thousands of others create poisons and label them as medication. There is no current manufactured drug on the market that does not pose immediate and long term threat to the human anatomy. Certainly the potency of marijuana has increased by hybrids and growing techniques. However, Alcohol has been proven to destroy more families, relationships, cause more deaths and injuries in addition to the damage done to the body. Many confrontations such as domestic violence and other crimes can be attributed to alcohol. The criminal activities and injustices that surround marijuana exists because it is illegal in much of the world. If legalized throughout the world you would see a dramatic decrease in such activities and a savings to many countries for legal prosecutions, incarceration etc in regards to marijuana. It indeed can create wealth for the government by collecting taxes, creating jobs, etc.... I personally do not partake. I do hope it is legalized throughout the world.

    5. Build the resevoir. If built this will provide jobs and a reason to visit Anderson. The city needs to do something to differentiate itself from other cities in the area. Kudos to people with vision that are backing this project.

    ADVERTISEMENT