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Medicaid Bill Approved by Committee by Tom Coulter Medicaid Expansion Program If the Federal Match Fell for More Accessible Health Care

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Medicaid Bill Approved by Committee by Tom Coulter Medicaid Expansion Program If the Federal Match Fell for More Accessible Health Care Wednesday, February 17, 2021 www.greenriverstar.com A9 B4 S TATE www.greenriverstar.com Wednesday, March 10, 2021 Medicaid bill approved by committee By TOM COULTER Medicaid expansion program if the federal match fell for more accessible health care. Lisa Ridgway, a Wyoming Tribune Eagle below 90%, or if the match for the broader Medicaid pediatrician based in Jackson, urged the committee Via Wyoming News Exchange program fell below 55%. Rothfuss told his colleagues to pass the bill, recounting stories of uninsured the state could aim to leverage Congress into keeping residents who pushed off seeking care until their CHEYENNE — With new federal incentives being the 55% match beyond its two-year lifespan under the health problems had risen to grave levels. offered to the 12 states that have declined Medicaid stimulus bill. “I know a family in Jackson who’s had to move to expansion over the last decade, a bill to expand Rothfuss said he was open to other solutions to a small apartment, then rent out their house to pay coverage in Wyoming to the state’s low-income address health care costs in Wyoming, but added that the (hospital) bills,” Ridgway said. “I’ve seen patients residents was advanced by a legislative committee he has been “met with silence” from his colleagues on in the parking lot at the grocery store here when Monday morning. other proposals. the moms say they can’t afford the emergency room Expanding Medicaid to uninsured people whose “We’re taking a principled stand with the lives of (asking), ‘Would I please look at a swollen ankle, a income is at or below 138% of the federal poverty 25,000 Wyomingites that don’t have the luxury of rash or a fever?’ … because if you wait, things tend to level has been a frequent topic of debate in the sitting here today having this chat – folks that are our get worse.” Wyoming Legislature in recent years. If authorized working poor, the single moms we heard about with Ridgway was among a handful of residents by state legislators, Medicaid expansion would cover two kids that probably have to have two or three jobs, who spoke in favor of Medicaid expansion during approximately 24,000 residents in its first two years the mentally ill,” said Rothfuss, who is the Senate the meeting, while no one testified in opposition. of implementation, according to estimates from the Minority Floor Leader. “Those are the lives we’re Although more recent public opinion polls are Wyoming Department of Health released last month. playing with, and we’ve offered them nothing for the lacking, a 2014 survey from the University of Under Medicaid expansion, the federal government last decade.” Wyoming found that 56% of state residents were covers 90% of the costs, while states pick up 10% of Estimates show 76% of those who would be supportive of expanding Medicaid in the Equality the tab. In Wyoming, that amount totals roughly $20 covered under Medicaid expansion in Wyoming are State. million in the initial biennium of implementation. In single mothers with two children, Wyoming Hospital While there was notable support for Rothfuss’s past years, state lawmakers have frequently cited the Association President Eric Boley told the committee. bill during the meeting, a few lawmakers on the cost that Wyoming must bear, as well as mistrust in “We talk a lot about the working poor, and there committee had hesitations over the proposal. Sen. the federal government keeping up its end of the deal, are a lot of folks out there that are working for low Troy McKeown, R-Gillette, worried about potential as reason to vote against expansion. wages that don’t qualify (for health insurance), strings attached to expansion. But the landscape has shifted at the federal level, as because they don’t make enough money to qualify and “Having served in the Army and living overseas, bill sponsor Sen. Chris Rothfuss, D-Laramie, told his be able to get any help with the exchange, nor could I’m going to tell you, you don’t want socialized colleagues Monday morning. Under the latest federal they afford the premiums, and they would fall in this medicine,” McKeown said. “I saw it, and it’s bad, stimulus bill in Congress that may be signed into law category where they could have coverage,” Boley told in my mind … I don’t know how we get the federal later this week, the 12 states that have not expanded the committee. government out of the health care business, but that Medicaid would gain a 5% boost to their traditional The costs of having fewer people with health would be my answer, and I don’t know if we can.” Medicaid matching program, which is done at a 50- insurance often show up in other areas of hospitals’ Sen. Anthony Bouchard, R-Cheyenne, argued 50 split and includes a far wider population than the budgets. Josh Hannes, vice president of the Wyoming additional government involvement in Wyoming’s expansion-eligible one. Hospital Association, said the level of uncompensated health care system would only make the situation A 5% increase in federal funds for the state’s care for the state’s hospitals typically costs roughly worse. general Medicaid population would generate roughly $100 million each year. “I haven’t heard anything that didn’t say we’re just $120 million for the state per biennium, meaning “Every dollar that’s spent … covering going to move further into the universal health care Wyoming would actually gain revenue by expanding uncompensated care is money we’re not investing block, and that is a big red flag for me,” Bouchard Medicaid, Rothfuss said. in equipment, it’s dollars we’re not investing in said. “It’s a net revenue increase to the general fund of new physicians and providers, it’s money we’re not Ultimately, Bouchard and his fellow Laramie $80 million for us to expand Medicaid for those two investing in updating and maintaining our physical County lawmaker, Sen. Lynn Hutchings, R-Cheyenne, years that we wouldn’t otherwise and won’t otherwise plants, some of which are aging considerably,” were the only two committee members to oppose the have, while simultaneously providing and covering Hannes said, adding that no state that has expanded measure. Despite his criticisms, McKeown joined the health care costs for additional an 24,000 Medicaid has decided later to turn it away. committee chair Sen. Fred Baldwin, R-Kemmerer, and Wyomingites,” Rothfuss told members of the Senate The proposal, which was also backed by the Sen. Dan Furphy, R-Laramie, in advancing the bill. Labor, Health and Social Services Committee. Wyoming Medical Society and the Wyoming Business With the committee’s approval by a 3-2 vote, His bill, Senate File 154, includes a provision Coalition on Health, drew testimony from state the legislation will now head to the Senate floor for that would allow Wyoming to withdraw from the residents who could speak first-hand to the need further consideration. Public notice bill dies on third Senate reading By STEPHEN DOW Tara Nethercott, R-Cheyenne, who argued I hope we focus on that and not about the would have had their websites up-to-date The Sheridan Press the move online was essential as many lo- financial health of our newspapers.” with the minutes on there and showed us Via Wyoming News Exchange cal governments face budget cuts. Neth- Sen. R.J. Kost, R-Powell, said that, what they could do,” Biteman said. “But if ercott said local counties spend anywhere while the state should continue to discuss you go and look across the state right now SHERIDAN — On third reading Friday, from $11,000 to $101,000 each year the possibility of moving public notices at these county and city and local govern- the Wyoming House defeated a bill some complying with publication requirements, online, now was not the time to make the ment websites, the information is sparse legislators said would limit government with Sheridan County spending $28,000. move. at best, outdated and sometimes nonex- transparency by moving public notices out While some legislators focused on how “I really feel like… maybe we start talk- istent… So I think they really could have of newspapers. the state’s newspapers would be impacted ing about it,” Kost said. “But right now, shown us what they could do, and I don’t “I’m not quite there with the notion if notices moved online, Sen. Drew Per- it’s imperative that we…respect those think they’re quite ready for that yet.” that we pull the funding that makes sure kins, R-Casper, said the bill was, first and older people…Let’s honor them by al- During a previous discussion on the that we get information out to our public,” foremost, about getting important public lowing them to sit down with that cup of bill, Kinskey said publication spending Sen. Bill Landen, R-Casper, said. information to Wyoming’s citizens. coffee and read those minutes or whatever made up roughly 0.12% of the average Senate File 17, sponsored by the Senate “It was disturbing to me that this bill else they need to read.” annual budget for counties and 0.17% for Corporations, Elections and Political Sub- has become an argument about support- Local Sens. Bo Biteman, R-Parkman, cities and towns. For that relatively small divisions Committee, would have allowed ing our newspapers and local communi- and Dave Kinskey, R-Sheridan, were investment, the newspapers reach a paid cities, towns, counties and school districts ties,” Perkins said.
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