Mo. Republican Wants Work Requirement for Medicaid Recipients

5 years 8 months 3 weeks ago Thursday, February 20 2014 Feb 20, 2014 Thursday, February 20, 2014 3:19:00 PM CST February 20, 2014 in News
By: Nick Thompson, KOMU 8 Reporter
loading

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 - The University of Missouri is looking for community input in its search for a new vice chancellor of... More >>
13 minutes ago Tuesday, November 19 2019 Nov 19, 2019 Tuesday, November 19, 2019 3:28:00 AM CST November 19, 2019 in News
COLUMBIA - Fifteen University of Missouri students got the chance to pitch their business ideas Monday in hopes of receiving... More >>
9 hours ago Monday, November 18 2019 Nov 18, 2019 Monday, November 18, 2019 6:39:00 PM CST November 18, 2019 in News
SIOUX FALLS, S.D. (AP) — South Dakota’s new anti-meth campaign featuring people of different ages and races saying “I’m... More >>
9 hours ago Monday, November 18 2019 Nov 18, 2019 Monday, November 18, 2019 6:26:00 PM CST November 18, 2019 in News
COLUMBIA - The Columbia City Council will approve the Magnolia Falls Park Improvement Project tonight. The park is located... More >>
10 hours ago Monday, November 18 2019 Nov 18, 2019 Monday, November 18, 2019 5:29:00 PM CST November 18, 2019 in News
SWEET SPRINGS – Imagine not having a doctor of any capacity in your town. Bruce and Melissa Eckhoff, along... More >>
11 hours ago Monday, November 18 2019 Nov 18, 2019 Monday, November 18, 2019 4:40:00 PM CST November 18, 2019 in News
SPRINGFIELD, Mo. (AP) — Federal authorities have charged 20 people with conspiring to distribute heroin and fentanyl in the... More >>
11 hours ago Monday, November 18 2019 Nov 18, 2019 Monday, November 18, 2019 4:07:00 PM CST November 18, 2019 in News
COLUMBIA - A second charge has been filed against Joseph Elledge for child abuse. He has been charged with... More >>
11 hours ago Monday, November 18 2019 Nov 18, 2019 Monday, November 18, 2019 3:43:00 PM CST November 18, 2019 in News
WEBB CITY, Mo. (AP) — Police say two people were found shot to death at a dentist’s office in... More >>
12 hours ago Monday, November 18 2019 Nov 18, 2019 Monday, November 18, 2019 2:53:00 PM CST November 18, 2019 in News
MARIES COUNTY - The Gasconade County Sheriff's Office added another "Most Wanted Fugitive" to their list Monday. Shay Vinson,... More >>
12 hours ago Monday, November 18 2019 Nov 18, 2019 Monday, November 18, 2019 2:43:00 PM CST November 18, 2019 in News
JEFFERSON CITY - Governor Mike Parson announced the launch of the state's "Clear the Air" campaign on Monday, bringing attention... More >>
13 hours ago Monday, November 18 2019 Nov 18, 2019 Monday, November 18, 2019 2:29:00 PM CST November 18, 2019 in News
HALLSVILLE - More than five units of the Boone County Fire Protection District responded to a house fire on Mt.... More >>
13 hours ago Monday, November 18 2019 Nov 18, 2019 Monday, November 18, 2019 2:26:00 PM CST November 18, 2019 in News
KANSAS CITY (AP) — Hundreds of containers — many carrying hazardous materials — have floated into Missouri since flooding in... More >>
15 hours ago Monday, November 18 2019 Nov 18, 2019 Monday, November 18, 2019 12:19:03 PM CST November 18, 2019 in News
DUNCAN, Oklahoma (AP) — Two men and a woman were fatally shot Monday outside a Walmart store in southwestern... More >>
15 hours ago Monday, November 18 2019 Nov 18, 2019 Monday, November 18, 2019 12:08:00 PM CST November 18, 2019 in News
OSAGE BEACH - Police arrested two people Friday after searching a room at the Osage Village Inn and finding drugs... More >>
16 hours ago Monday, November 18 2019 Nov 18, 2019 Monday, November 18, 2019 10:51:00 AM CST November 18, 2019 in News
ST. MARTINS (AP) — Authorities say one person has been wounded in a road-rage incident in central Missouri. ... More >>
19 hours ago Monday, November 18 2019 Nov 18, 2019 Monday, November 18, 2019 7:44:00 AM CST November 18, 2019 in News
MOBERLY - Prosecutors charged a man Monday with one count of child abuse after police said he hurt a 10-month-old... More >>
23 hours ago Monday, November 18 2019 Nov 18, 2019 Monday, November 18, 2019 4:20:00 AM CST November 18, 2019 in News
COLUMBIA - The Columbia City Council on Monday night authorized the method for constructing the Columbia Regional Airport along with... More >>
1 day ago Monday, November 18 2019 Nov 18, 2019 Monday, November 18, 2019 12:48:00 AM CST November 18, 2019 in News
COLUMBIA - After years in the making, Columbia City Council will be one step closer in deciding the final steps... More >>
1 day ago Sunday, November 17 2019 Nov 17, 2019 Sunday, November 17, 2019 7:05:00 PM CST November 17, 2019 in News
Columbia, MO
Broken Clouds 47°
4am 42°
5am 41°
6am 40°
7am 40°