Discover and read the best of Twitter Threads about #medicaidexpansion

Most recents (24)

We've written a lot of threads on #Tennessee status at the bottom of 50 states on virtually everything from average income to life expectancy. Sadly it isn't a surprise that @TNGOP is now resorting to authoritarianism, since its members lack the skills to lead our state. 🧵
Basically the issue is that @TNGOP "leadership" puts big business/their donors first. They don't even think about average Tennesseans, since those folks don't have big bucks to pour into campaign coffers.
As a result #Tennessee has some of the worst outcomes for residents in the United States. Some of them are comparable to the undeveloped world, not a state in the most powerful country in human history.
Read 17 tweets
In presser now where #nchouse #ncga giving overview of their biennial budget. According to Rep. Lambeth, health provisions include:
- $177.5M recurring in each year to perm maintain enhanced COVID Medicaid rates in Skilled nursing facilities
- also increased salaries for personal care service workers
- $15M for increased communicable disease surveillance,
- funds to increase rates for subsidizing child care
- $25M for rural hospital stabilization fund
- $50M in loan forgiveness for health care workers to go into rural communities
- $2B for water and sewer, esp in rural communities as incentive for rural economic development.
Read 11 tweets
Big crowd at the home of @NC_Governor for the bill signing for #medicaidexpansion Cooper acknowledges efforts of advocates for the past decade in pushing for the policy. Image
Senate leader @SenatorBerger speaking now, “we see this as an opportunity to chipping away at rules the limit access to care” #ncga Image
#nchouse Speaker Tim Moore says “this has been a long day in coming” touts #medicaid transformation that made the program #mco driven.
#ncga cites the money that will cone in to provide more services to #rural providers, will be a “generational change”
Read 8 tweets
At #NCGA #Medicaid committee, hearing from @ncdhhs that Medicaid enrollment continues to grow. Nonetheless, because of increased federal matching rate, the program finished FY 21-22 w a surplus.
@ncdhhs Lambeth: In other words, feds changed criteria, they also changed formula. Number eligible went up (many in low cost categories). At some point, we'll be left holding the bag.

Sen Hise notes there will be a "cliff at the end" will create a gap for us into the coming year.
@ncdhhs #Medicaid head Dave Richard says that's part of why @ncdhhs believes the feds will push out the end of the public health emergency to give states time to plan, adjust. Admits there will be a cliff at the end. #NCGA
Read 7 tweets
And others.

"Need to effectively utilize #CNMs has never been greater," says Kohl from

Finding a supervising provider may prove difficult.
Body of evidence has consistently shown that although these barriers do not improve care.
"Time to follow the economics and evidence and remove supervision of practice"

Notes that team based care is the "future of #healthcare in the US"
Read 56 tweets
#medicaid presentation. We've had budget surpluses for years. Any issues could be covered.
"This is a year unlike any other in the 50 year history"
convergence of new managed care program and pandemic uncertainty.
Pandemic has increased costs for providers, the program
The good news is that the bump up in #Covid_19 spending has continued longer than we expected. Even tho there are more beneficiaries, there's more federal $$ flowing into program. Projected higher budget, but @ncdhhs had difficulty projecting by how much
Highlights of #Medicaid budget: Expanded coverage for post-partum, more waiver slots, new $$$ for home and community block grants, funding for child services reorganization, then there's IT costs. Lots going on for @ncdhhs
Read 19 tweets
A few issues with the @EnergyCommerce "Build Back Better Act" provisions relating to states that rejected #ObamaCare's #MedicaidExpansion.

Based on a summary by @CenterOnBudget's @JudyCBPP:….

1. Rewards Republican states for rejecting #ObamaCare.

It would authorize Exchange subsidies for people below the poverty line--but only in states that rejected the #ACA's #Medicaid expansion.

That gives GOP states a better deal than Democratic states that embraced #ObamaCare.
2. Costs more than expanding Medicaid.

Taxpayers in Democratic states would end up paying more to cover those 2 million people because:

- "private" #ObamaCare plans spend more per person than Medicaid

- governments in non-expansion states wouldn't have to contribute anything
Read 28 tweets
🧵Thread: we are making good progress to qualify our #MedicaidExpansion measure with over 15,000 notarized petitions IN HAND and less than 14 weeks to go! 1/9… We are making good progress...
But time is running out and we need YOUR help. If you haven't already please:

✅Sign Up

There is no time to lose! #MedicaidExpansion 2/9
Be like Cyndi in #Flandreau. She is the Vice President of the Flandreau Santee Sioux Tribe and collected over 47 #MedicaidExpansion signatures on her first day! 3/9 Be like Cyndi in #Flandreau...
Read 9 tweets
@TravisZimpfer @MOLegDems @PeterforMO @TeamBosleyMO79 @RepSheenBean @Ingridburnett @Fogle4MO @MaggieforMO @KWindham85 @Manlove4M @SarahUnsicker @cmillburg The options for Parson’s incentive?
None sounded terribly inventive.
Just expand #Medicaid
— like Oklahoma made;
it’s universally preventive!
On taxpayers no irony’s lost to
hear -Mike- bellyache about cost.
#MedicaidExpansion 🇺🇸🗽⚖️
@mikeparson @MoSenDems
@TravisZimpfer @MOLegDems @PeterforMO @TeamBosleyMO79 @RepSheenBean @Ingridburnett @Fogle4MO @MaggieforMO @KWindham85 @Manlove4M @SarahUnsicker @cmillburg @mikeparson @MoSenDems Mike’s attention to detail is keen.
“½” 🤔 the state has now had its 💉.
While Mike’s PPP “loan”
helped bring federal funds home, 👀
he now owns the 💵 free and clean.
Textbook cases of hypocrisy?
Mike’s subsidized aristocracy!
@MoRural 👇🏼 @AuditorGalloway
@TravisZimpfer @MOLegDems @PeterforMO @TeamBosleyMO79 @RepSheenBean @Ingridburnett @Fogle4MO @MaggieforMO @KWindham85 @Manlove4M @SarahUnsicker @cmillburg @mikeparson @MoSenDems @Morural @AuditorGalloway Vintage shows I enjoyed in my youth seen in retrospect reveal a truth: by preparing too late, final outcomes aren’t great. I hope you won’t find me uncouth if I ask where #Missouri will land under 57’s “steady hand.”


Read 11 tweets
#ncsen budget proposal bumps up #childcare center reimbursement by 2%, with increase intended to go to teacher salaries. #ncga #ncpol
#NCsen budget increases the #medicaid Innovations Waiver slots by 420 this fall, by another 580 in 2022, subject to @CMSGov approval, etc. distributed statewide.
There are 15,000 on wait list that is often >10 years long. #ncga #ncpol
@CMSGov #NCsen budget allows for postpartum women to remain on #Medicaid for up to 12 months. Starts in 2022, allowed for under #AmericanRescuePlan
#NCGA once again rejecting #Medicaidexpansion despite federal incentives…
Read 4 tweets
#ncsen #ncpol 15M for PFAS research. dozen new positions to investigate emerging compounds. #ncga
Funding for GREAT program w 30M + 700M in federal funds for rural broadband. #ncsen #NCGA budget
#ncsen budget does not do #medicaidexpansion but uses #ARP funds to allow for #Medicaid extended #postpartum coverage for up to 12 months #NCGA also adds 1000 #innovationswaiver slots for #peoplewithdisabilities
Read 3 tweets
1/ My first patient with AIDS was a young Black man - young enough to be the oldest on a pediatric ward - with wasting, diarrhea, fevers. Dx=DMAC. He died without a official diagnosis of AIDS. I was on my first clinical rotation in medical school. It was 1982.
2/ My last pt w HIV/AIDS during training was a young Black woman who presented to the ER with “asthma” that did not clear in the “asthma room” and who had PCP on bronchoscopy. She had had only one relationship.
3/ Many of my patients @GradyHealth with HIV/AIDS were Black in those early days. Some were Latinx. The myth of “gay white” AIDS has never been true, and that has cost many lives and worsened stigma.
Read 9 tweets
@Eric_Schmitt #MedicaidExpansion? Mike’s arrest, so his legislature won’t invest per the popular vote while on tax cuts they dote as more lawsuits Schmitt puts to the test. To the citizenry they bequeath any no. of lies thru their teeth. 1/3 #mosen @BigElad @MarkPedroli
@Eric_Schmitt @BigElad @MarkPedroli If campaign momentum’s arrested, then poor candidates can be bested with resistance sustained. Vote results they disdained as their arrogance quickly crested. Not a single politico tired doesn’t fear that one day he’ll be fired. #mosen 2/3
@Eric_Schmitt @BigElad @MarkPedroli @COVIDOversight Those who cannot develop their polls may before long bypass campaign goals. Candidates who stagnate or become second-rate may succumb to illiterate trolls. Circumstances like these may permit comparisons to Josh or Schmitt. #mosen 3/3 @mobarnews @KCStar @ScottSifton @SpencerToder
Read 4 tweets
Good morning, Missouri! Today, we all need to focus our attention on what @cody4mo and the @MissouriGOP is doing to KILL #medicaidexpansion — once again, actively defying the will of Missouri voters. Tune in: #moleg 1/…
Here's how it happens: Rep. Smith, Chair of the Budget Committee, pulled medicaid expansion out of the budget and made it its own bill—HB 20. They're now planning on simply killing that single bill in committee today—actively preventing the FUNDING required to enact expansion. 2/
Let's keep in mind:
1. Expansion passed as a constitutional amendment by a majority of MO voters in 2020
2. @GovParsonMO included Medicaid Expansion funding in his proposed budget
3. Missouri is currently experiencing a budget surplus & more $ is on the way from the feds 3/
Read 4 tweets
I wish people would talk about why the #ACA wasn't able to have it's full reach. That at every step of the way, it was sabotaged by people who didn't want it to be successful. (A thread) @BarackObama @JoeBiden @FutureDocs
By forcing the removal of the #PublicOption from the outset, there was no low-cost plan that commercial insurers would have to compete against. Read - they charge more #mypremiumsarehigh
By denying constituents #MedicaidExpansion, governors and state legislatures forced people to go w/o insurance and screenings (out of spite) In fact, they would have qualified for free Medicaid and coverage. They yelled, "See how hight your premiums are!" But go ahead, blame #ACA
Read 8 tweets
We're 100 days from the #2020Election!

1/100 THREAD “This election is a matter of life & death for kids like Xiomara.” Xiomara’s mom, @ElenaHung202

Now to 11/3, we're sharing a story of a #LittleLobbyists each day - 100 reasons to be a #HealthCareVoter
2/100 “Shreve was in the NICU for 9 months. Without the #ACA & #Medicaid, he would have reached the lifetime cap on care long before discharge." Shreve’s mom, Laura

This November, #vote against putting a cap on kids' lives.

3/100 “#Medicaid allows our family to function. It allows us as parents to sleep at night knowing Willa’s safe with a nurse. It makes it possible for us to work. It gives Willa access to the tech she needs to communicate & thrive.” #ProtectOurCare
Read 89 tweets
Welcome to the first night of yet another Legislative Focus week. Our topic this week will be Health Care! Tonight’s focus will be all about Medicaid Expansion. Why do we need it, what are the potential benefits, and what can you do? Lets dig in! #YesOn2 #MedicaidExpansion
I will be referring to the @YesOn2MO website tonight, and I highly encourage you to give it a look and share with a friend. Here’s the link-
Why we need to expand Medicaid, reason number 1: It Delivers Healthcare to Missourians Who Have Jobs Without Insurance and Can’t Afford to See a Doctor.

Expansion will give over 230,000 Missourians health care that they desperately need. Period.
Read 7 tweets
1/ #Genius plan: @realDonaldTrump I have an idea to turn you into the USA hero of this worldwide #COVID medical crisis. All you need to do is undo the executive orders you have signed intended to cripple #ObamaCare.
@realDonaldTrump 2/ Then with one sweeping emergency executive order you force all the remaining states to accept the #MedicaidExpansion. Voila. All people have health coverage and you can call it #TrumpCare.
@realDonaldTrump 3/ Everyone will love you and the feathers of the Insurance Companies and big Pharmaceutical Companies will not be ruffled too much.
Read 4 tweets
Today, I had an extended interview with St. Louis County Executive @DrSamPage about the region's response to the #coronavirus. You can listen to it on the Politically Speaking podcast feed through your iPhone/Android...OR by going to this link.…
In the interview, @DrSamPage started off saying one of the biggest challenges in containing the #coronavirus is the lack of widespread testing.

"The news of the day really is we don't have enough testing. ...It completely changes how we approach this public health emergency."
.@DrSamPage says there is a "reasonable chance" that his "stay-at-home" order for St. Louis County might extend beyond it's April 22nd deadline.

Page said the high point for #coronavirus cases in the St. Louis area is likely to be in late April, though it's hard to predict.
Read 16 tweets
I'm legit worried about Virginia Democrats (elected and activists) making the #ERA the goal post and not the starting line. We have both majorities and all statewide offices. This can't be the biggest ask, y'all.
Another "starting line" policy change I expect from VA Dem Majority with a big impact - eliminating the work requirements born from #MedicaidExpansion compromise. Air time on this topic is basically nonexistent.
Virginia is literally last. Dead last. Can not be lower on the list when it comes to workers' rights. So if we want to set some bold goals that are only possible with a Dem Majority let's focus on workers' rights. For example:
Read 9 tweets
#Election2019 for @VaGenAss is less than 2 weeks away. I have thoughts.
#Thread #VAPolitics #VAGeneralAssembly
As I wrote for @RVAmag this week, I think #BlueWave is (probably) still cresting, with @vademocrats likely to take back #VAGeneralAssembly…
Basic numbers still favor Dems by far. Dem fundraising is good, including record haul for @debrarodmanva; still getting tons of outside $$, as I told @vpm earlier this month…
Read 11 tweets
1/n #ACA Premiums and landscape files are out so here are the first thoughts:

Headline: Gross Premiums down 4% YoY

@dylanlscott @leonardkl @sangerkatz @sarahkliff @bobjherman @caitlinnowens @rachanadixit
2/N Lots of things are happening.

The biggest one is that 2018 was so massively overpriced that 2020 (these rates) are still reflecting that problem. 2 different pricing scenarios get us to the same point with different stories
3/N 2018 was a huge policy shock for pricing with massive uncertainty on #CSR leading to insurers either running from the market entirely, retrenching or jacking up rates

As soon as CSR Terminated (October 2017), #Silverloading differentially increased silver premiums by a lot
Read 16 tweets
@PelicanInst @LADeptHealth @LADeptHealth spent over $71K of taxpayer dollars commissioning a report on projected #Medicaid enrollment, then decided NOT to release it publicly...…
@PelicanInst @LADeptHealth Moreover, the documents show that someone in @LSU or @LADeptHealth deleted all future #Medicaid enrollment projections from the final report...…
Read 7 tweets
BREAKING: In an absolute stunner, @NCHouseGOP calls surprise vote on morning of #9/11, override @NC_Governor veto to pass budget with barely half of members present. @ABC11_WTVD @ABCPolitics @NCGOP @NCDemParty @JTHVerhovek @rickklein #ncpol #ncga
MORE: Surprise move by @NCHouseGOP & @NCHouseSpeaker brings dramatic - if not chaotic - to budget standoff with @NC_Governor & @NCDemParty who broke supermajorities in 2018 election. @ABC11_WTVD @rickklein @JTHVerhovek @ABCPolitics #ncpol #ncga
EVEN MORE: Latest @NCHouseGOP move caps remarkable week for @NCGOP, including @realDonaldTrump visit to push @jdanbishop to #NC09 win; Republicans also conceded defeat in state court on #gerrymandering & began work on new maps. @ABC11_WTVD @ABCPolitics @JTHVerhovek #ncga #ncpol
Read 21 tweets

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