Thursday, 25 April, 2019

Proposed House budget includes Medicaid expansion

Proposed House budget includes Medicaid expansion Proposed House budget includes Medicaid expansion
Russell Knight | 19 February, 2018, 15:26

"I'm not in favor of Medicaid expansion and that does not change one iota for me", Senate Republican Caucus Chairman Ryan McDougle said.

The Appropriations committee proposal, in addition to its requirements for Medicaid enrollees to work and contribute the cost of coverage, projected somewhat lower savings than did outgoing Gov. Terry McAuliffe in the budget he proposed in his final weeks in office, mainly because it projects a slightly later start date of January 1, 2019.

He said the plan moves closer to addressing his concerns about providing health care to people in need without taking money away from education or public safety.

The House and Senate plans each either include or hope for raises for teachers and some other state or local workers over the next two years.

"Well, we are very pleased with the provisions in the House budget that support expanded coverage to over 300,000 low-income Virginians", Hanken said.

House and Senate budget negotiators will spend the next few months coming to an agreement on the budget before sending it to the Northam administration, who will then suggest amendments that state lawmakers will have the final say on.

During their own budget presentation Sunday, members of the Senate fiance committee said there was still an opportunity to work with the House on expanding Medicaid and that those conversations were ongoing.

"We can and should expand coverage and provide significant training resources, counseling, and incentives to connect Virginians with employment opportunities", he said.

The House proposal also includes a continued funding supplement for rural school divisions struggling with population losses.

Hesson: T20 internationals need to stay
Global teams should not play Twenty20 cricket, according to England coach Trevor Bayliss . "We haven't played good cricket throughout this campaign".

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Sophomore guard Te'Jon Lucas shared similar feelings. "That one possession, when everyone dove on the ball, that was incredible". Clinging to a one-point lead with nine minutes left against Nebraska, Illinois players saw the ball pop loose and they pounced.

Kilgore said his support of the expansion of Medicaid does come with reform.

The plan assumes savings of more than $371 million over two years by expanding the program on January 1, 2019, rather than Oct 1, as McAuliffe had proposed.

Virginia would also seek a waiver from the Trump administration in order to institute a work requirement for many Medicaid beneficiaries.

Kilgore said his change of heart was due partly to President Donald Trump's embrace of work requirements for low-income people on Medicaid.

The Senate plan has more contingencies since there is less funding available.

Democrats on the House committee said they are comfortable with the dual-track approach. "I think the work requirement is very reasonable", said Del.

The years-long fight over expanding Virginia's Medicaid program under the Affordable Care Act (ACA) took a major turn Sunday when Republicans in the House of Delegates unveiled a state budget framework that included expansion of the program.

Kilgore's public announcement, first made in an op-ed in the Roanoke Times and in an interview on the John Fredericks Show, is the most telling signal to date that the GOP-controlled General Assembly is on track to pass a form of Medicaid expansion this year.

Earlier this week, Hanger said he would not support "a bed tax" on hospital revenues to pay for Medicaid expansion.

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