Missouri is not implementing the Medicaid expansion approved by voters because the legislature has not provided the $130 million in funding for next year.

Under the American Rescue Plan, Missouri would receive $1.1 billion in extra federal funds over two years if it expands.
Here's the @KFF analysis showing the extra $1.1 billion over two years Missouri would receive if it moves forward with the Medicaid expansion approved by voters. This is in addition to the federal government covering 90% of the cost of the expansion.

kff.org/coronavirus-co…
Here is the press release from Missouri Governor Mike Parson pulling back on the Medicaid expansion approved by voters due to lack of funding by the legislature.

governor.mo.gov/press-releases…
More than a decade after the passage of the Affordable Care Act, its political symbolism as "Obamacare" is still powerful in deep red states when it comes to expanding Medicaid.

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More from @larry_levitt

27 Apr
Ahead of President Biden's speech, I'll repeat myself:

Health reform always gets harder and more controversial when the details get filled in and the trade-offs and losers, not just the winners, become clearer.
President Biden's American Families Plan will include a permanent expansion of ACA premium help.

He is reiterating support for, but not filling in the details of, campaign proposals to expand Medicare, create a public option, negotiate drug prices, and close the Medicaid "gap."
Here's a link to a White House fact sheet describing President Biden's American Families Plan, with mention of other elements of his health care plan.

whitehouse.gov/briefing-room/…
Read 5 tweets
6 Mar
With the COVID relief plan poised for final passage, the first significant enhancement of the Affordable Care Act is about to become law, more than a decade after it was enacted.
Here’s how the COVID relief plan will increase ACA premium help from the federal government, making coverage more affordable for millions of people.

kff.org/health-reform/…
However, remember that any day now the Supreme Court will rule on the constitutionality of the ACA, likely sealing its fate positively or negatively for years to come.
Read 5 tweets
15 Feb
Today is the beginning of the new pandemic special enrollment period for Obamacare. Or, is it Bidencare now?
8.9 million uninsured people are eligible for ACA health coverage with a free or reduced premium in the special enrollment period created by President Biden that begins today.

kff.org/private-insura…
This will be the first ACA enrollment period since 2016 with a significant outreach campaign. (And, the campaign in that 2016 open enrollment was curtailed at the very end in January by the incoming Trump administration.)
Read 4 tweets
19 Jan
As the Biden Administration takes office, expect a bunch of executive actions. Many will be about undoing what Trump did. Some can take effect immediately, while others will take time to go through the regulatory process.

Here's what might happen in health care. (thread)
COVID will be the Biden Administration’s top health care priority. Expect them to:

Put scientists and public health experts front and center.
Send a clear message on masks.
Provide a bigger federal role in vaccination.
Reenter the World Health Organization.
Possible Biden Administration actions on the ACA and Medicaid:

Reopen ACA enrollment and restore massive cuts to outreach and navigators.
Restrict enrollment in short-term plans not required to cover preexisting conditions.
Prohibit Medicaid work requirements and “block grants.”
Read 7 tweets
7 Jan
The Biden Administration will have two powerful tools to make health care more affordable and accessible:

The Center for Medicare and Medicaid Innovation.

State waivers under the ACA and Medicaid.

@JAMAHealthForum

jamanetwork.com/channels/healt…
The Trump Administration encouraged states to use ACA and Medicaid waivers to restrict coverage, including Medicaid work requirements.

The Biden Administration could instead encourage states to expand coverage and improve affordability and give them the flexibility to do so.
Even with the new Democratic majority in the Senate, a robust public option will be difficult to pass, and Medicare for all is not in the cards in the near term.

But, with waivers, one or more states could potentially show how it could work.
Read 4 tweets
21 Dec 20
Here's a link to the COVID relief bill.

The provisions protecting patients from surprise medical bills starts on page 4,095.

rules.house.gov/sites/democrat…
Congress is finally poised to protect patients from surprise medical bills.

It took a pandemic to overcome a political fight over how much insurers should pay out-of-network doctors and hospitals.
Insurers, employers, and consumers have argued payments to out-of-network providers should be based on a benchmark like in-network negotiated rates.

Providers favored an arbitration process for determining payment.

The bill Congress is poised to pass calls for arbitration.
Read 13 tweets

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