January 15, 2013 at 11:00 am
Kevin OuttersonMore than half of the states challenged the ACA in various suits; they ultimately prevailed only in finding the Medicaid expansion unconstitutionally coercive. Justice Roberts’ opinion made the Medicaid adult expansion to 138% FPL optional on a state-by-state basis (the Red State Option).
Yesterday, Arizona’s Governor stopped pointing her finger and joined the Medicaid expansion. Pundits expressed shock, but no one should be surprised. Most of the plaintiff states will ultimately follow suit, for two reasons: politics & money. First, in most counties, the local hospital is one of the largest employers and these hospitals want the Medicaid expansion. The political pressure will be intense, well-connected, and local. Second, the federal match rate is indeed generous. It is hard to justify turning down such largess. But as the plaintiff states jump on ship voluntarily, it undermines their prior claims of unconstitutional coercion.
Meanwhile, in Oklahoma, the Governor is sticking to her guns. 200,000 Oklahomans will lose (or fail to obtain) coverage as a result. The state authorized $500,000 for a consultant to study options to cover these people. Will the report recommend the expansion?
@koutterson
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by PC in SC on January 15th, 2013 at 17:24
Nikki Haley in SC is sticking to her guns, too
“… The Affordable Care Act would expand the number of people on Medicaid. Representative Rutherford says, “We have the opportunity in South Carolina to expand Medicaid to cover 300,000 more individuals. It’s got an $11.6 billion impact on South Carolina, not to mention hundreds of jobs that are impacted by it if we can expand Medicaid and cover more people. And the Republicans, simply, at this point don’t want to do it.” …”
http://www2.wjbf.com/news/2013/jan/14/south-carolina-supreme-court-rulings-could-alter-l-ar-5368933/