Missouri Lawmakers Seek Medicaid Reform Help

4 years 3 months 4 days ago Wednesday, September 11 2013 Sep 11, 2013 Wednesday, September 11, 2013 12:40:00 PM CDT September 11, 2013 in News
By: Taeler De Haes, KOMU 8 Reporter
loading

JEFFERSON CITY - The Medicaid Reform and Transformation Committee met Wednesday morning to hear from other states which have expanded Medicaid in hopes of reforming the current Medicaid system.

The chairman of the Medicaid Reform and Transformation Committee heard from Iowa, Louisiana, Kansas and Florida.

"Florida in 2006 started a reform program before it was mandatory and had some good experiences and we want to glean through some things that worked for them," said Sen. Gary Romine, R-Farmington. "It's not a one-size-fits-all project."

Romine said Missouri needs to reform the flaws in the Medicaid system before looking to expand it. He said one problem is the misuse of emergency rooms.

Dr. Randall Haight sees a few Medicaid patients each day at the Capitol Region Medical Center in Jefferson City.

"Uninsured patients will come to the emergency room for a cough or sore throat," he said. "They may have tried to see another office but couldn't get in anywhere because they didn't have insurance. You have multiple people coming in for these non-emergent situations that leads the emergency room to prioritize who they're seeing."  

The director of the Missouri Health Advocacy Alliance said many hospitals are already suffering from the lack of expansion.

"The Affordable Care Act reduces payments to hospitals over time for the care that they used to give to uninsured people, because the idea now is they're going to have insurance," Andrea Routh said.

She said if payments continue to decrease with Medicaid expansion, hospitals will not make it.

"Some of them will have to cut essential services like psychiatric beds. One hospital group said they may have to cut labor and delivery. A Kansas City hospital, Truman, may have to cut their level one trauma center," she said.

Spokesman for the Missouri Hospital Association, Dave Dillon, said one in seven Missourians is uninsured. He said without Medicaid expansion, taxpayers may pay more money to maintain hospital services.

"Almost immediately we saw some hospitals say, 'Well, we can't continue to run an ambulance service, so we're going to give that responsibility back to the county,'" Dillon said. "The county taxpayers are then on the hook for it. It doesn't go away. The cost doesn't go away; it's just shifted elsewhere."

But if Missouri lawmakers have their way, as well as governors and legislatures in nearly a dozen other states, low-income Americans may not have expanded access to federal funds needed for vital procedures. The majority of Missouri lawmakers feel the expansion is an unnecessary government overreach at a time when spending should be limited, not expanded.

Romine said there is too much uncertainty in the Affordable Care Act (ACA).

"We've seen a lot of different issues that have come up over the past year or so that indicates the ACA has some pitfalls," he said. "We want to make sure that before we embrace ACA and Medicaid expansion, we don't fall into those problems."

If Missouri were to expand Medicaid, 351,000 people would be newly eligible for qualifying.

Open enrollment begins October 1 and the Affordable Care Act goes into effect in January.

More News

Grid
List
COLUMBIA - The Missouri State Highway Patrol has confirmed it has fired Trooper Anthony Piercy. KOMU 8 spoke to... More >>
2 hours ago Friday, December 15 2017 Dec 15, 2017 Friday, December 15, 2017 8:42:00 PM CST December 15, 2017 in News
COLUMBIA - St. Louis officers arrested a suspect that was on the run in a duplex on Sears Court in... More >>
3 hours ago Friday, December 15 2017 Dec 15, 2017 Friday, December 15, 2017 8:29:00 PM CST December 15, 2017 in News
COLUMBIA - The application for the top education position in the state, Missouri State Education Board Commissioner, opened Friday leaving... More >>
3 hours ago Friday, December 15 2017 Dec 15, 2017 Friday, December 15, 2017 8:02:00 PM CST December 15, 2017 in News
BLUE SPRINGS (AP) — A commercial real estate records company based in suburban Kansas City has abruptly shut down, leaving... More >>
3 hours ago Friday, December 15 2017 Dec 15, 2017 Friday, December 15, 2017 7:42:00 PM CST December 15, 2017 in News
COLUMBIA - The Columbia Fire Department say a house fire that killed a cat Friday afternoon started in the kitchen.... More >>
4 hours ago Friday, December 15 2017 Dec 15, 2017 Friday, December 15, 2017 7:29:00 PM CST December 15, 2017 in News
COLUMBIA - For the past six years Ryan Shultz, the creator/owner of the Candy Cane Crib, has shared a well-lit... More >>
4 hours ago Friday, December 15 2017 Dec 15, 2017 Friday, December 15, 2017 7:17:00 PM CST December 15, 2017 in News
COLUMBIA - The Centers for Disease Control and Prevention said around half of adults in the U.S. struggle with understanding... More >>
5 hours ago Friday, December 15 2017 Dec 15, 2017 Friday, December 15, 2017 6:00:00 PM CST December 15, 2017 in Continuous News
OLATHE, Kan. (AP) — A Blue Springs, Missouri, man has pleaded guilty to kidnapping and raping a sheriff's deputy... More >>
6 hours ago Friday, December 15 2017 Dec 15, 2017 Friday, December 15, 2017 4:51:08 PM CST December 15, 2017 in News
KANSAS CITY, Mo. (AP) — Ten people are facing federal indictment in a $5.4 million methamphetamine distribution conspiracy. ... More >>
7 hours ago Friday, December 15 2017 Dec 15, 2017 Friday, December 15, 2017 4:07:15 PM CST December 15, 2017 in News
COLUMBIA - Several new businesses will open in Columbia at the start of the new year. Wheely's Cafe, a... More >>
7 hours ago Friday, December 15 2017 Dec 15, 2017 Friday, December 15, 2017 3:49:00 PM CST December 15, 2017 in Continuous News
INDEPENDENCE - Police have now cancelled an endangered silver advisory for a 73-year-old woman with dementia who might have been... More >>
7 hours ago Friday, December 15 2017 Dec 15, 2017 Friday, December 15, 2017 3:43:00 PM CST December 15, 2017 in News
JEFFERSON CITY – The Jefferson City Public School Boundaries Committee began discussions on boundary lines for the city’s new high... More >>
8 hours ago Friday, December 15 2017 Dec 15, 2017 Friday, December 15, 2017 3:29:00 PM CST December 15, 2017 in News
HOLTS SUMMIT - Holts Summit's board of aldermen met Thursday night to discuss creating a city-owned shelter. Currently, the... More >>
8 hours ago Friday, December 15 2017 Dec 15, 2017 Friday, December 15, 2017 3:07:00 PM CST December 15, 2017 in News
SEDALIA (AP) — The former administrator of an ambulance service in central Missouri has pleaded guilty to embezzling more... More >>
8 hours ago Friday, December 15 2017 Dec 15, 2017 Friday, December 15, 2017 2:52:00 PM CST December 15, 2017 in News
COLUMBIA - Police said a 42-year-old woman went missing Friday morning and was considered at risk because of medical conditions.... More >>
9 hours ago Friday, December 15 2017 Dec 15, 2017 Friday, December 15, 2017 2:11:00 PM CST December 15, 2017 in News
ST. LOUIS (AP) — Some HIV-positive patients in nearly half the counties in Missouri will lose health insurance coverage next... More >>
10 hours ago Friday, December 15 2017 Dec 15, 2017 Friday, December 15, 2017 1:02:12 PM CST December 15, 2017 in News
ST. LOUIS (AP) — A 37-year-old man is charged in the shooting of two suburban St. Louis police officers who... More >>
11 hours ago Friday, December 15 2017 Dec 15, 2017 Friday, December 15, 2017 12:28:00 PM CST December 15, 2017 in News
MONTGOMERY CITY - The Montgomery County Coroner's office is investigating how a person died after a house fire Thursday afternoon... More >>
11 hours ago Friday, December 15 2017 Dec 15, 2017 Friday, December 15, 2017 12:15:00 PM CST December 15, 2017 in News
Columbia, MO
Broken Clouds 35°
12am 35°
1am 35°
2am 35°
3am 35°

Select a station to view its upcoming schedule:

Coming Up Next

10:35p
The Tonight Show Starring Jimmy Fallon
11:37p
Late Night with Seth Meyers
12:37a
Last Call with Carson Daly
11:30p
The King of Queens
12:00a
King of the Hill
12:30a
Cops

Tonight's Schedule

7:00p
Blindspot
8:00p
Dateline NBC
7:00p
The 86th Annual Hollywood Christmas Parade
9:00p
KOMU 8 News @ Nine on The CW
9:30p
Seinfeld