12 February 2013

Media Reports on Walker BadgerCare Plans Disturbing

Milwaukee: According to media reports by Associated Press and the Milwaukee Journal Sentinel, Governor Scott Walker will announce his decision Wednesday on whether to take billions of federal dollars to fill the holes in BadgerCare.  The information was initially leaked to conservative blogger Christian Schneider, who works for the right-wing Wisconsin Policy Research Institute.   

The Milwaukee Journal Sentinel and Christian Schneider also say that Governor Walker will turn down the full Medicaid expansion, and pursue a “middle path.”

Robert Kraig, Executive Director of Citizen Action of Wisconsin, made the following statement in response to these media reports:

“We know of no credible middle path that would result in guaranteeing coverage to low income Wisconsinites who currently fall between the cracks in the BadgerCare program. As far as we know, taking the new health care reform money for BadgerCare really is an all or nothing proposition, and has been treated as such by all credible health care experts across the country and the six conservative Governors who have already accepted the money.  Based on the fragmentary media reports we have seen, we are very concerned that spokespersons for the Governor are trying to pre-spin a decision that would that would have devastating consequences for the healthcare freedom and security of over 100,000 Wisconsinites.  We profoundly hope that these press reports turn out to be inaccurate.  If Governor Walker turns down billions in federal money for BadgerCare, there is no doubt that many Wisconsinites will die as a consequence.”



Walker to announce decision on Medicaid expansion

WI State Wire
SCOTT BAUER
Published: 26 minutes ago


MADISON, Wis. (AP) - Gov. Scott Walker plans to announce Wednesday his much-anticipated decision on whether Wisconsin will expand its Medicaid services to cover 175,000 childless adults as allowed under the federal health care overhaul law.

Walker signaled last week that he may strike a middle path, not fully embracing the expansion allowed under the law championed by President Barack Obama but also making it possible for more people to get coverage under the state's BadgerCare Medicaid health programs.

"I think there's more than just a black or white," Walker told the Milwaukee Journal Sentinel in a Friday interview about the choices before him. "I think there's variations."

Walker is among the last Republican governors to decide whether to move forward with the expansion. Six Republican governors, including John Kasich in Ohio, already have agreed to the expansion while 11 other Republican governors have turned it down.

Walker's spokesman Cullen Werwie said Tuesday that the governor would announce his decision on Wednesday.

An outspoken opponent of the health care overhaul law, Walker previously declined to create a state-run marketplace for insurance providers, instead deferring to the federal government to create the exchange.

His decision on Medicaid expansion has been a tightly held secret within his administration leading up to the release of his state budget on Feb. 20. Republican Assembly Speaker Robin Vos said Tuesday he had not been told what Walker's decision would be.

"I want to maintain the maximum flexibility for the state," Vos said, expressing concerns that the federal reimbursement rate to the state could be cut in future years, increasing costs.

Supporters of the Medicaid expansion pointed to an independent analysis by Wisconsin's nonpartisan Legislative Fiscal Bureau released earlier this month that said the state could save nearly $66 million over three years by accepting the federal money under the expansion. The savings would come by replacing state money to cover childless adults with money from the federal government.

Democratic supporters have said that is too good of an opportunity to pass up.

An estimated 175,000 childless adults in Wisconsin were expected to qualify for Medicaid starting in 2014 under a full expansion as allowed under the law. To qualify, the household income must be below 138 percent of the federal poverty level, which is $15,414 for an individual this year and $20,628 for a couple.

The federal government pays for all the expansion for three years, or $1.4 billion in Wisconsin, according to the Fiscal Bureau. After that, the federal reimbursement gradually declines to 90 percent. Through 2020, Wisconsin would receive nearly $4.4 billion in federal money, the Fiscal Bureau said.

Democrats and a broad array of labor groups, doctors, hospital, health providers and advocates for the poor have urged Walker to take the deal.

But Walker had repeatedly cited concerns about how much it may cost in the long run to pay for the expansion. While the federal government would pick up the tab for three years, costs to the state would gradually increase and eventually be 10 percent. Over four years, starting in 2016, new costs to the state would total about $133 million, the Fiscal Bureau said.

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