Jesse Cross- Call Center on Budget and Policy Priori5es
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1 Center on Budget and Policy Priorities Jesse Cross- Call Center on Budget and Policy Priori5es cbpp.org
2 Center on Budget and Policy Priorities Linking Pennsylvanians to coverage in 2014 FPL Unsubsidized 400% 300% 300% Exchange Subsidized 200% 185% 133% 100% 100% 133% 58% % 0% Children Pregnant Women People with Disabilities Working Parents Adults w/o Children Undocumented Immigrants cbpp.org
3 Center on Budget and Policy Priorities Linking Pennsylvanians to coverage in 2014 post-supreme Court FPL Unsubsidized 400% 300% 300% Exchange Subsidized 200% 185% 133% 100% 100% 133% 58% % 0% Children Pregnant Women People with Disabilities Working Parents Adults w/o Children Undocumented Immigrants cbpp.org
4 Center on Budget and Policy Priorities Expansion includes generous federal match for newly eligible adults 100 percent federal match the first 3 years Phases down over 5me but never less than 90 percent Years Federal Matching Rate % % % % 2020 and beyond 90% cbpp.org
5 Center on Budget and Policy Priorities Status of State Medicaid Expansion for 2014 * As of May 9, 2013 cbpp.org
6 Center on Budget and Policy Priorities Premium assistance and the Medicaid expansion Use Medicaid dollars to purchase coverage in the exchange Arkansas proposal: En5re expansion popula5on Ohio: Popula5on between 100% and 133% Much- discussed around the country Seriously debated in Montana and Louisiana Discussed in Michigan, Missouri, New Hampshire, Oklahoma, Florida, and others cbpp.org
7 Center on Budget and Policy Priorities Guideposts: the Arkansas Model March guidance from CMS made clear: Popula5on would s5ll be Medicaid beneficiaries Medicaid benefits must be wrapped around An 1115 waiver will be needed if premium assistance is to be made mandatory cbpp.org
8 Center on Budget and Policy Priorities Guideposts: Enrollment Caps April guidance from CMS Reminder: 1115 waivers must further the objec5ves of the Medicaid program Guidance made clear capping enrollment for the newly eligible group would not meet that test cbpp.org
9 Center on Budget and Policy Priorities Guideposts: Partial Expansions April le\er to Iowa Democrats Reiterated that enhanced match not available for par5al expansions States can expand to 100 percent through a waiver, but would get regular match Wisconsin pursuing this cbpp.org
10 Center on Budget and Policy Priorities Guideposts: Cost-Sharing February le\er to Virginia Secretary of Health and Human Resources CMS will s5ck by January 2013 proposed rule Raised the maximum cost- sharing for some services for those below 100 percent to $4 i.e., non- emergency use of emergency services and non- preferred drugs States can charge more for those above 100 percent cbpp.org
11 Center on Budget and Policy Priorities The rest of 2013 Pressure on suppor5ve governors to call a special session Florida, Montana Commissions to study Medicaid Virginia, South Dakota, Missouri Talk of ballot ini5a5ves in 2014 Ohio, Montana, South Dakota, Arkansas cbpp.org
12 Center on Budget and Policy Priorities Resources and Contact Information CBPP s Medicaid expansion tool kit includes: CBPP papers and blogs related to the expansion Notable pro- expansion work from state groups Fact sheets of the impact on each state Fact sheets of the impact of certain popula5ons (Vets, Na5ve Americans, persons with HIV/AIDS, working adults, women) Contact Informa5on Jesse Cross- Call cross- call@cbpp.org cbpp.org
13 Will Pennsylvania Expand Medicaid? Sharon Ward, Pa. Budget and Policy Center Good News and Bad News May 14, 2013
14 Bipartisan Support } "I don't know how you can turn down a program that will provide a service that is needed, that will be entirely paid for by the federal government and that will help a lot of citizens of the state. Senator Lloyd Smucker, March 14, 2014 } My view of Medicaid expansion is that it s an extremely important issue there is a tremendous amount of work to do in factoring it into the welfare budget. Senator Dominick Pileggi. May 8, 2013
15 Studies Show Positive Impacts } New Jobs } HAP: 35,000 to 39,000 } Economy League: 36,000 } Newly Covered Uninsured } HAP: 350,000 } Economy League: 313,000 } IFO: 327,000 } Economic Impact (GSP) } IFO: $3.1 billion } HAP: $3.2 billion
16 Cost Savings Comparable } General Assistance } Other Health Programs } Select Plan, Prison In-patient } County Behavioral Health } Modest savings from newly covered } 2016 savings $300-$400 million
17 More Than 25% Enroll Under No Expansion 800 Medicaid Enrollment Change No expansion Expansion GA and CHIP Total Source: Independent Fiscal Office
18 Positive Net Impact Without GRT Source: Independent Fiscal Office
19 Challenges to Expansion } Clarity Around Costs } Total ACA costs vs. Expansion cost } Cost of CHIP Children } Pennsylvania Gross Receipts Tax } Concern over Federal Matching } What Kind of Flexibility? } Running out of Time
20 Can Medicaid Expansion Happen This Year } Yes } Legislatively possible } Can address concerns about federal match } Details can be done after budget
21 Antoine\e Kraus Pa. Health Access Network Cover the Commonwealth Campaign
22 Cover the Commonwealth is a joint effort of more than 100 organiza5ons working to ensure state policymakers accept federal funds allocated to extend Medicaid health coverage under the Affordable Care Act to hundreds of thousands of working Pennsylvanians Organiza5ons signed on - 5 Commi\ees: Educa5on and Outreach; Communica5ons; Legisla5ve Advocacy; Policy, Faith; Outreach and Enrollment
23 Lives on the Line Security: Hard- working, low- income families need the security of knowing they can get the care they need when they need it without facing huge medical bills. Rally in Harrisburg June 12 th, 1:00pm Buses leaving from Philadelphia, Erie, Pi\sburgh - Spread the word to your networks, help us iden5fy stories of individuals who would benefit, par5cipate in a local event or call in day
24 Important Dates Week of May 27 th ConsNtuency Call in Days Monday (Memorial Day)- Veteran s Tuesday- Nurses/ Physicians/ hospital workers Wednesday Women Thursday- Disability Friday- Uninsured/ unemployed workers Week of June 3 rd - Faces of the Uninsured May 23 rd Social Media Ac5on day, twi\er rally, day Local Lives on the Line Local Events Scranton Dem Policy Hearing May 23 rd
25 Want to Join the Campaign or Par5cipate in an Upcoming Event? Contact: Antoinette Kraus, Pennsylvania Health Access Network
26 Thank You for Joining Us Today. Our Next Webinar Did They or Didn t They? EducaNon Funding Cuts in Pennsylvania Tuesday, May 28, p.m. Learn more and register: h\p://pennbpc.org/webinars.
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