Mo. Republican Wants Work Requirement for Medicaid Recipients

2 years 2 months 1 week ago February 20, 2014 Feb 20, 2014 Thursday, February 20 2014 Thursday, February 20, 2014 3:19:00 PM CST in News
By: Nick Thompson, KOMU 8 Reporter

JEFFERSON CITY - Missouri Republicans began work this week on Medicaid proposals which call for enrollees to take more responsibility for their own healthcare.

Rep. Noel Torpey, R-Independence, worked on an interim committee that worked its way around the state this summer to get feedback on how to restructure the state's Medicaid system.

The U.S. Supreme Court upheld most of the Affordable Care Act in 2012, leaving all provisions intact except for Medicaid expansion.

The health law requires states to cover all adults with incomes up to 138 percent of the federal poverty level, or nearly $30,000 for a family of four. The court ruled states could not be forced to expand their Medicaid programs.

Republican lawmakers have voiced opposition in the past to a full expansion of Medicaid for those with incomes up to 138 percent of the poverty line. In the next two years, the federal government would fund 100 percent of the cost of covering the new enrollees. Missouri would eventually be on the hook for covering 10 percent of the cost in three years.

Republicans have been looking for a way to transform the existing system as opposed to expanding it. Republicans like Rep. Jay Barnes, R-Jeffeson City, have said they will only consider an expansion if it comes with other reforms.

Torpey filed legislation which would cover adults with incomes below the poverty level, or about $15,510 for a single parent with one child. Those with incomes between the poverty level and 138 percent of the povertly level would be directed to the federal health exchanges.

Currently, adults with incomes between 19 percent and 100 percent of the federal poverty level fall into a coverage gap in which they do not qualify for Medicaid and they do not qualify for the federal subsidies offered through the health exchanges.

The legislation would require Medicaid recipients to have a job and would require recipients who abuse the emergency room or fail to use preventive services to pay one percent of their income toward health premiums.

The Missouri Hospital Association has spent the second highest total on lobbying in the capital city in the last 24 months. MHA spokesman Dave Dillon told KOMU 8 News the association still strongly supports any expansion of the program and would be open to some changes.

"If you're going to do a reform of the Medicaid program why not do a reform that also uses the new expanded legislation to be included in that reform," Dillon said. "It makes more sense to do something that gets us value in the long-term."

Dillon said the hospital association likes changes that create incentives for people to take greater responsibility for their care, but he said he worries the federal government would not sign off on a work requirement as proposed by Torpey.

Dillon said the Health and Human Services Department has been flexible with states who want to use Medicaid expansion as an opportunity to change the structure of their Medicaid systems, but Dillion said the department is still requiring states to fully expand coverage to the entire population mentioned in the health law.

Missouri Association for Social Welfare Executive Director Jeanette Mott-Oxford told KOMU 8 News the Republican approach may be unfair.

"Folks use thinking that's based on much higher incomes, like sort of what would motivate me if I made 50 thousand dollars a year and try to apply that to very low income people who are really struggling to survive," Mott Oxford said. "It just doesn't work quite the same way."

Mott Oxford said missing an appointment could be perceived as irresponsible behavior, when in reality the recipient had other circumstances that caused them to miss an appointment

"I do have concerns about asking people who are very, very poor to come up with premium amounts, or to pay various kids of penalities for what is considered to be inappropriate behavior," Mott Oxford said.

Torpey's legislation has not yet been heard by a committee, but House Speaker Tim Jones, R-Eurkeka, and othe GOP House members promoted the bill at a news conference in Jefferson City on Tuesday.

More News

Grid
List
COLUMBIA - What was supposed to be a simple meet and greet resulted in a change of location and some... More >>
6 hours ago April 29, 2016 Apr 29, 2016 Friday, April 29 2016 Friday, April 29, 2016 8:09:00 PM CDT in News
COLUMBIA – High school students from all over the state traveled to Columbia for the MSHSAA Music Festival, the state-level... More >>
6 hours ago April 29, 2016 Apr 29, 2016 Friday, April 29 2016 Friday, April 29, 2016 8:01:00 PM CDT in News
COLUMBIA - Missouri residents will see more insects this Spring and Summer because temperatures did not hit below freezing enough... More >>
7 hours ago April 29, 2016 Apr 29, 2016 Friday, April 29 2016 Friday, April 29, 2016 7:07:00 PM CDT in News
COLUMBIA - The City of Columbia utility department recently sent out 8,000 incorrect utility bills. Assistant Director Jim Windsor... More >>
8 hours ago April 29, 2016 Apr 29, 2016 Friday, April 29 2016 Friday, April 29, 2016 5:36:00 PM CDT in News
COLUMBIA - The Columbia Senior Activity Center began its two day spring garage sale on Friday. The annual garage... More >>
8 hours ago April 29, 2016 Apr 29, 2016 Friday, April 29 2016 Friday, April 29, 2016 5:35:00 PM CDT in News
JEFFERSON CITY (AP) — Gov. Jay Nixon has signed a mid-year increase to Missouri's budget that adds more than $460... More >>
10 hours ago April 29, 2016 Apr 29, 2016 Friday, April 29 2016 Friday, April 29, 2016 4:08:53 PM CDT in News
FULTON - A student organization from Westminster College was recently recognized at the Clinton Global Initiative University meeting held at... More >>
10 hours ago April 29, 2016 Apr 29, 2016 Friday, April 29 2016 Friday, April 29, 2016 3:59:00 PM CDT in News
COLE COUNTY - Firefighters rescued a man who was trapped by floodwaters from the Missouri River on Friday morning, according... More >>
10 hours ago April 29, 2016 Apr 29, 2016 Friday, April 29 2016 Friday, April 29, 2016 3:43:00 PM CDT in News
COLUMBIA - With moving season almost in full swing, the Better Business Bureau is warning customers to be cautious as... More >>
10 hours ago April 29, 2016 Apr 29, 2016 Friday, April 29 2016 Friday, April 29, 2016 3:42:00 PM CDT in News
COLUMBIA - In an email to faculty, staff and students Friday, MU Interim Chancellor Hank Foley announced a diversity leader... More >>
11 hours ago April 29, 2016 Apr 29, 2016 Friday, April 29 2016 Friday, April 29, 2016 3:09:00 PM CDT in News
ST. LOUIS (AP) — A man accused of shooting at several people in a St. Louis park, including a park... More >>
11 hours ago April 29, 2016 Apr 29, 2016 Friday, April 29 2016 Friday, April 29, 2016 2:34:01 PM CDT in News
COLUMBIA (AP) — A federal judge for now is leaving in place a preliminary injunction barring the state from revoking... More >>
11 hours ago April 29, 2016 Apr 29, 2016 Friday, April 29 2016 Friday, April 29, 2016 2:31:49 PM CDT in News
COLUMBIA - Doctors, educators and activists from all over the country met Friday for a conference, with the goal of... More >>
11 hours ago April 29, 2016 Apr 29, 2016 Friday, April 29 2016 Friday, April 29, 2016 2:19:00 PM CDT in News
AFFTON — Gov. Jay Nixon announced a new anti-hunger initiative during a visit to Rogers Middle School on Friday. ... More >>
14 hours ago April 29, 2016 Apr 29, 2016 Friday, April 29 2016 Friday, April 29, 2016 11:58:00 AM CDT in News
FULTON — A Fulton couple charged in Tuesday's double homicide in Callaway County had their first court appearance Friday. ... More >>
14 hours ago April 29, 2016 Apr 29, 2016 Friday, April 29 2016 Friday, April 29, 2016 11:39:00 AM CDT in News
SPRINGFIELD (AP) — Missouri prosecutors say a man imprisoned for a 2013 strangling had raped a woman days before the... More >>
15 hours ago April 29, 2016 Apr 29, 2016 Friday, April 29 2016 Friday, April 29, 2016 10:47:35 AM CDT in News
JEFFERSON CITY — Jefferson City Public Schools named Nikki Carel 2016 Eisinger Teacher of the Year on Thursday. Carel... More >>
15 hours ago April 29, 2016 Apr 29, 2016 Friday, April 29 2016 Friday, April 29, 2016 10:15:00 AM CDT in News
ST. CHARLES (AP) — A former St. Charles County jail guard accused last year of having sex with an inmate... More >>
16 hours ago April 29, 2016 Apr 29, 2016 Friday, April 29 2016 Friday, April 29, 2016 9:19:17 AM CDT in News
Columbia, MO
Broken Clouds 58°
3am 58°
4am 58°
5am 58°
6am 58°

Select a station to view its upcoming schedule:

Coming Up Next

1:37a
Access Hollywood
2:07a
The Meredith Vieira Show
3:07a
Mad Money
2:00a
Paid Program
2:30a
Paid Program
3:00a
Paid Program

Tonight's Schedule

7:00p
2016 NHL Stanley Cup Playoffs
7:00p
Family Guy
7:30p
Family Guy
8:00p
Bob's Burgers
8:30p
Bob's Burgers
9:00p
KOMU 8 News @ Nine on The CW
9:30p
Seinfeld