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Republican States That Expanded Medicaid Want It Kept

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Leigh Kvetko relies on health insurance she bought through the federal marketplace to pay for the expensive medications that keep her alive after two organ transplantations

Medicaid, health insurance for the poor, and Medicare, insurance for the elderly, are joint federal-state programs. While no one knows yet exactly what will happen, many policymakers and advocates fear the federal government will end or severely limit funding for the expansion.

Getting rid of the ACA in its entirety on day one of the Trump administration is practically impossible, said Erin Trish, an assistant research professor in public policy at the University of Southern California.

Trump has set a high goal for an Obamacare successor, but if he demands better, less expensive health care for everyone who needs it, he'll deserve bipartisan support for achieving nothing less. Instead, Affordable Care Act plans include all kinds of mandatory coverage we'll never use, which also inflates the costs. The unfortunate truth is that consumers are receiving less coverage for their money, fewer choices and being denied much-needed therapies, despite paying premiums.

"It's a complex process to alter a law as complicated as the ACA", said Sara Rosenbaum, a professor of health law and policy at George Washington University. "We want to take time to see how this will play out so we can keep OH in the best position", Moody said. "The Republican plans for Medicaid threaten to undermine that safety net".

Grams, a Republican and chairman of the Nebraska Corn Growers Association, has mixed feelings about the Affordable Care Act. Soon enough, certain governors in his own party can be expected to argue that it would also be smart to retain the law's most successful component: the expansion of Medicaid.

Landes has been one of the most outspoken opponents of Medicaid expansion.

One quirk in the fate of the Affordable Care Act is the overlay on the calendar between the current enrollment period and Trump taking office. The health law allowed states to expand their Medicaid programs, and California received more than $15 billion from the federal government for the expansion in 2016-17, according to the state Department of Health Care Services.

Passage of a bill that mostly repeals Obamacare by 2019 would empower both groups of Republicans to block replacement legislation. They fear Medicaid expansion costs will eventually spiral out of control, leaving the state and its residents much worse off in the long run. Political movement will occur over the coming months and beyond to develop new health care policies, and the federal government may put some changes into motion. Ed Hernandez, chairman of the Senate Committee on Health.

The Medicaid program is paid for through a mix of federal and state funds, and anybody who qualifies under income and other guidelines can receive services. Many states passed similar laws before the Affordable Care Act. New Jersey residents can buy insurance from Horizon Blue Cross Blue Shield of New Jersey and AmeriHealth New Jersey on the ACA health exchange, accessed through healthcare.gov.

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Some enrollees are anxious about coming changes.

Being penalized for not being insured is absurd. She has a family history of breast cancer and has relied on Medi-Cal for mammograms and help to quit smoking.

That isn't to say Republicans shouldn't make changes. Far better to let the individual states continue to tailor their operations as need be.

In Massachusetts, without the mandate, projections showed that only a third of the uninsured would be covered, so then-Gov.

The state is also using waivers to revamp addiction treatment and keep high-risk populations out of emergency rooms.

Like other MA experts, Seltz said the biggest question will be how the state will maintain coverage for residents if federal funding dries up.

"Quite frankly, some hospitals might not survive", he said.

Habein says she hopes Congress considers people like her next year when it decides whether to pull the plug on the ACA's expanded Medicaid. That left almost a half-million people without coverage they could have received, depriving the state's medical providers of a dependable source of revenue and forfeiting opportunities to improve the overall health of our population. "I think people would be tremendously surprised and upset if they start losing health coverage", he said. Contact them now before it's too late to give your input. That's still less expensive than the estimated yearly cost in premiums for plans she looked into, she said.

"I think they are open to the idea that there are other ways to cover more people that we haven't entertained very much", he said.

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