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medicaid expansion

Steve Carmody/Michigan Radio

LANSING, Mich. (AP) - Delaying Medicaid expansion in Michigan is having another side-effect besides forcing low-income adults to wait three months longer for health insurance under the federal health overhaul.

It also means there could be $73 million less for deteriorating roads at a time lawmakers are funneling more money there in part to avoid raising gasoline taxes and vehicle registration fees.

Steve Carmody / Michigan Radio

Michigan’s new online healthcare exchange went live today, meaning Michiganders would now have the opportunity to check out healthcare plans and subsidies available to them under the Affordable Care Act.

But the launch didn’t go without a couple of hiccups.

As the exchanges went live on the web, consumers encountered error messages, saying the high traffic to the exchanges would mean delays with actually looking at the plans.

Stethoscope
Adrian Clark / Flickr

As Medicaid expansion is coming, we’re starting to get a better picture of who will be covered. Much of Medicaid now is spent on people in nursing homes. But the expansion will include a lot of younger people, low-income workers.

A new study from the University of Michigan Medical School looks at the likely demographics and Tammy Chang, the lead author of that study, joined us in the studio to discuss the new faces of Medicaid. 

Listen to the interview above. 

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This week in Michigan politics Jack Lessenberry and Christina Shockley discuss the Medicaid expansion, crime rates in Detroit and Flint and the mediation of Detroit’s bankruptcy.

Gov. Snyder / Facebook

After months of political wrangling and debate, Governor Snyder has signed the Medicaid expansion into law. The expansion will provide Medicaid services to hundreds of thousands of working-poor in Michigan through the federal Affordable Care Act.

Chris Gautz, Capitol Correspondent for Crain's Detroit Business, and Chad Livengood, Lansing reporter for the Detroit News joined us today to talk about what we can now expect. 

Listen to the full interview above.

Medicaid expansion has become the latest battlefield over the Affordable Care Act ever since the U.S. Supreme Court ruled that states are not bound to follow through on that ACA provision.

Some Republicans in Michigan fought hard to keep the state from enacting Medicaid expansion. But they lost.

Republican Gov. Rick Snyder signed Medicaid expansion into law today - his office then sent this tweet:

So Michigan is colored blue in this map of states that have passed Medicaid expansion vs. those states that have not (red states):

chrt.org

We've been flooded with news coverage of the Medicaid expansion in Michigan, the Affordable Care Act (aka "Obamacare"), and the soon-to-be unveiled health care exchanges.

But it's all confusing and challenging, even to those who work in the field of healthcare coverage.

We wanted to see if we could get a firmer grasp on what all of this means in real world terms. Who's in, who's not? What does it mean for you, the consumer?

Marianne Udow-Phillips is the director of the Center for Healthcare Research and Transformation. It's a non-profit partnership between the University of Michigan and Blue Cross/Blue Shield of Michigan. She joined us today from Ann Arbor.

Listen to the full interview above.

Back in June, we wrote about some changes Michiganders will see in healthcare starting this fall. That's when people who currently do not have health insurance will be able to shop for a plan online.   

But a lot can change in three months — and that’s especially true when it comes to implementing the Affordable Care Act.

Here’s an updated rundown of what’s going on with healthcare in the Great Lake State.

Steve Carmody/Michigan Radio

Governor Rick Snyder says extending Medicaid to more working poor people will save the state a lot of money – maybe $130 million next year. That begs the question of what to do with the budget windfall.

   The Snyder administration says the Medicaid expansion to 320,000 working poor people will help reduce uncompensated hospital care and other things that drive up the cost of health care. But the state should also see direct savings by shifting costs like prisoner mental health services to the Medicaid program.

Gov. Rick Snyder
Rick Snyder for Michigan / Facebook.com

LANSING, Mich. (AP) — Michigan lawmakers are looking to give final approval to a Medicaid expansion bill by day's end.

Gov. Rick Snyder secured a big victory last week when the state Senate voted to implement a key part of the federal health care law.

But the Republican-controlled chamber on Tuesday is expected to reconsider the issue of when the legislation should take effect. For newly eligible low-income residents counting on the medical coverage next year, it's the difference between waiting until late March instead of qualifying as early as Jan. 1.

The House is expected to send the legislation to Snyder's desk after receiving it.

In response to conservative critics, Snyder says Michigan's plan isn't a "generic" expansion of Medicaid and instead includes Republican-driven provisions that will need approval from the Obama administration.

Steve Carmody/Michigan Radio

The Labor Day weekend signals an end to summer, and this week the Legislature returns to a full-time schedule.

The first order of business is final votes on expanding Medicaid.

Legislative leaders hope to wrap up the controversial question of expanding Medicaid to thousands of working poor people. The Senate has to vote on whether the coverage will begin January first, and a House vote is needed to send the bill to Governor Rick Snyder.

The Michigan State Capitol.
Steve Carmody / Michigan Radio

LANSING, Mich. (AP) - The Michigan Senate's months-long debate over Medicaid expansion isn't over, even after the vote to provide health insurance to hundreds of thousands of low-income residents.

Republican senators on Tuesday will reconsider the issue of when the legislation should take effect. While the Senate passed the bill 20-18 in dramatic fashion this past week, it fell two votes short of giving it immediate effect.

"War." That was the headline on the conservative blog “Right Michigan” following the state Senate’s vote this week to approve the Medicaid expansion. The GOP right, the Tea Party, say this is a vote that will not be forgotten – political collusion with the loathed and dreaded Obamacare by eight Republicans who voted with Democrats to get it passed.

Make that nine Tea Party targets if you count Lieutenant Governor Brian Calley, who was not forced to but stood ready to cast a tie-breaking vote if it was needed to get the expansion passed.

Last week, we outlined the political challenges facing Calley and, since then, a Tea Party opponent emerged. Wes Nakagiri says he is putting together a campaign to oust and replace Calley next year at a Republican state convention.

Calley, meanwhile, has gone on counter-offense, adopting the vernacular of the Tea Party, and sending out communications heavily laden with words like “freedom,” “liberty,” and “conservative.” He is also touting the endorsement of Congressman Justin Amash, a favorite of the “liberty” wing of the Republican coalition.

All of this is an effort to begin to re-set the conversation after the Senate vote. But there is still more road to travel before the Medicaid expansion is complete. The state House must adopt the Senate version to get it to Governor Rick Snyder’s desk.  The governor is actually delaying a trade-building mission to China and Japan to be on hand. (Remember, he rushed back from Israel after the Medicaid expansion stalled in the Senate earlier this summer.) It’s a good bet he’d like to sign the bill before joining the trade trip later in the week.

Ifmuth / Flickr

It's our weekly review of Michigan politics with Susan Demas, columnist for MLIVE.com and Ken Sikkema, former senate majority leader and senior policy fellow at Public Sector Consultants.

We start with Medicaid, and while the expansion finally passed in the Senate the vote didn’t happen without a bit of drama and struggle.

"There was still an awful lot of controversy. There was some horse-trading involved with an issue Senator Tom Casperson, who represents the Upper Peninsula wanted, and that finally changed his vote. And, it was just a typical messy process which is what happens in the legislature," said Demas.

However, this isn’t the end of the story. The law passed without immediate effect. As it stands now, the law won’t go into effect until April. The Snyder administration says this will cost the state about $630 million in lost federal funds. Demas said there are still a lot of hurdles before Medicaid expansion goes into effect

Let's turn now to Lieutenant Governor Brian Calley.  Tea Party activist, Wes Nakagiri says he plans to challenge the renomination of Calley at the Republican convention next summer. Nakagiri says Governor Snyder needs a more conservative lieutenant governor to help the administration stay the conservative course.  

"If this Tea Party challenge to Brian Calley is successful at the convention, it gives the Democrats a huge issue during the fall general election campaign. They will use the argument that the Lieutenant Governor is far too conservative or radical for the Michigan electorate," Sikkema said.

Click on the link above to hear the full interview.

You know by now that the Michigan Senate has finally voted to approve expanding Medicaid benefits.

The vote, which came Tuesday night after months of struggle, means that eventually nearly half a million of our citizens will have at least basic health care, people who don’t have it now.

The cost to the state itself will be nothing for three years, and only a pittance afterwards. The benefits in terms of human decency and a healthier workforce, enormous.

Those who opposed Medicaid expansion said they didn’t think we should burden future generations with another “entitlement cost.” Many of them also admitted their opposition was based on their hatred of President Obama’s Affordable Care Act, which they continue to oppose even though it was passed by Congress, passed Constitutional muster with the Supreme Court, and essentially ratified by the voters in last year‘s presidential election.

User: Brother O'Mara / Flickr

Governor Snyder pushes to expedite Medicaid expansion

A bill to expand Medicaid in Michigan passed the state Senate by a narrow vote earlier this week. But a vote to make those changes by January 1, 2014 failed.  This means that thousands of people will have to wait until spring to receive health coverage.  Michigan Radio’s Rick Pluta reports that Governor Rick Snyder hopes the Senate will revisit the issue as soon as Tuesday.

Deadline approaches for Detroit Public Schools recruitment

As the school year quickly approaches, Detroit Public Schools are running out of time to recruit new students.  Michigan Radio’s Kate Wells reports that the district’s summer goal was to gain 5,000 new students. If DPS does not meet this goal it may lose millions, resulting in possible layoffs and program cuts.  The district is currently retaining 93% of their students.

Detroit mayoral candidates continue campaign

Detroit mayoral candidates Mike Duggan and Benny Napoleon are continuing their campaigns while primary election drama settles out.  Michigan Radio’s Sarah Cwiek  reports  that both candidates “are trying to position themselves as champions of Detroit neighborhoods.” Duggan is rolling out a neighborhood plan to reduce blight, while Napoleon is accusing him of being tied to “downtown corporate interests.”

Inside the Michigan Senate
Lester Graham / Michigan Radio

Yesterday, the state Senate approved legislation to extend Medicaid benefits to hundreds of thousands of Michigan residents. The measure initially failed when it didn't get the 20 votes needed to pass.

Later, the chamber agreed to reconsider the bill, and it passed when Republican Senator Tom Casperson switched his vote to 'yes.' 

Now, the bill is going back to the House before it's sent to Governor Snyder. 

Rick Pluta is the Lansing Bureau Chief for the Michigan Public Radio Network. He explained the potential timeline for when the House could vote on it, and when the bill (if passed) could take effect. 

To listen to the full interview, click the link above.

Something historic happened last night. The Michigan Senate finally cast a vote that means that nearly half a million citizens without health care will be able to have it. And they will be able to do so at no cost whatsoever to our state for three years, and only a pittance afterwards.

I thought of the former students I know with chronic pains they have to ignore because they can’t possibly afford a physician. Some of these people now clog our hospital emergency rooms for problems they should be taking to a neighborhood doctor.

You might have thought there would be dancing in the streets. But no. Most of the attention went to Tea Partiers and other sore losers snarling bitterly over “Obamacare,” which is not what this is.

User: Brother O'Mara / Flickr

State Senate passes Medicaid bill

Yesterday, the Michigan state Senate passed a bill to expand Medicaid.  The legislation is now headed for the state House.  However, Michigan Radio's Jake Neher reports that the bill may be delayed because the Senate did not vote to put the bill into immediate effect.

State will re-tabulate some Detroit ballots

The state elections department will recount some of the ballots from Detroit's mayoral primary.  Michigan Radio's Sarah Cwiek reports that "state elections director Chris Thomas says they won’t discount any votes because of how they were marked."  Thomas says "you can’t disenfranchise voters because election workers make a mistake, or don’t do what they’re supposed to do.”

Michigan congressmen request collaboration between President Obama and Congress on Syria

West Michigan Congressman Justin Amash and Upper Peninsula Representative Dan Benishek joined seventeen other representatives requesting that President Obama consult Congress before taking action against Syria.  Many countries, including the U.S., are considering military action against Syria in light of recent chemical attacks against civilians.  Michigan Radio's Steve Carmody reports that "isolationists in Congress oppose another U.S. military intervention in the Middle East."

Inside the Michigan Senate
Lester Graham / Michigan Radio

This week in Michigan politics Christina Shockley and Jack Lessenberry discuss Medicaid expansion, Governor Rick Snyder's political status, and the Michigan Tea Party.

Steve Carmody/Michigan Radio

It’s now up to the state House to decide whether to send a bill to expand Medicaid in Michigan to Governor Rick Snyder’s desk.

That’s after the state Senate narrowly approved the bill yesterday.  

But the Senate may have also delayed when the expansion could actually take effect.

Kathy Gray / Twitter

Update 8:35 p.m.

The state Senate’s approval of the Medicaid expansion bill is being cheered and booed.

Governor Rick Snyder released this statement after the state Senate’s vote:

“The Senate should be commended for approving the Healthy Michigan plan, which will make a difference in the lives of nearly half-a-million Michiganders along with saving tax dollars and boosting our economy.

A survey conducted by Michigan State University's Charles Ballard shows an improved approval rating for Governor Snyder.
MSU

The state Senate could vote on a bill to expand Medicaid in Michigan this week.

The legislation would extend health insurance to hundreds of thousands of low-income Michiganders through the federal Affordable Care Act.

On today's program we talk with Charles Ballard, an economist at Michigan State University about the pros and cons of Medicaid expansion in Michigan.

If there's one song that captures the feel of Motown, Detroit, and America in the 1960s, it's Martha Reeves singing "Dancing in the Streets." On today's show we talked about the historical importance of this Motown classic.

And, we explored the concept behind community cafes, how they work and where you can find one near you.

Also, Ontario Power Generation is proposing to build a nuclear waste dump site on the shore of Lake Huron. How will this affect the drinking water?

First on the show, this promises to be an important week for the State Senate. This could be the week the Senate decides whether or not to expand Medicaid to more low-income adults in Michigan.

You may recall, the Senate broke off for its summer break in June without taking a vote on Medicaid, something that so incensed Governor Snyder that he came home early from a trade trip to Israel in order to publicly scold the Senate.

So, two months later, it appears a vote is at hand.

Rick Pluta, the Lansing Bureau Chief for the Michigan Public Radio Network, joined us today.

Steve Carmody/Michigan Radio

A bill to expand Medicaid in Michigan could get a vote in the state Senate as early as tomorrow.   So could two other alternative plans to extend health insurance to low-income Michiganders.

Senate Majority Leader Randy Richardville says whichever route he and his colleagues decide to take, they have to address the issue this week.

Inside the Michigan Senate
Lester Graham / Michigan Radio

This promises to be an important week for the State Senate. This could be the week the Senate decides whether or not to expand Medicaid to more low-income adults in Michigan.

You may recall, the Senate broke off for its summer break in June without taking a vote on Medicaid, something that so incensed Governor Snyder that he came home early from a trade trip to Israel in order to publicly scold the Senate.

So, two months later, it appears a vote is at hand.

Rick Pluta, the Lansing Bureau Chief for the Michigan Public Radio Network, joined us today.

Listen to the full interview above.

Lieutenant Governor Brian Calley is trying to burnish his conservative credentials as the Snyder administration takes on the Tea Party in the Medicaid expansion fight.

“I’m a voice on the inside that comes from the right side of the political spectrum,” said Calley on the Michigan Public Television show “Off The Record.”

Calley is trying to erase the political target on his back. He has become the focal point of Tea Party rage over the push for expanding Medicaid to cover more working poor people and other centrist sins of the Snyder administration, deemed by many Tea Partiers as insufficiently conservative. 

Now, the Tea Party doesn’t really harbor hopes of knocking down Governor Snyder with a primary challenge next year. But it does believe the Tea Party is a necessary element of any coalition to ensure a Republican victory next year, and it knows, that (even if Rick Snyder is pretty much guaranteed re-nomination in a primary election) Calley – or whomever the lieutenant governor candidate will be – has to be nominated at a state party convention.

Steve Carmody/Michigan Radio

Each week we take a look at Michigan politics with Susan Demas, columnist for MLIVE.com, and Ken Sikkema, former Senate Majority Leader and Senior Policy Fellow at Public Sector Consultants.

Today, what's next with Medicaid expansion? And, why Governor Snyder is keeping an eye on who will become Detroit's next mayor. 

Listen to the full interview above.

Mike Dugeon's Facebook Page / Facebook

Here's a brief review of what's been happening in the news this week:

Let's talk Medicaid expansion. What happened in Lansing?

The state Senate finally got together and the  government operations committee sent the Medicaid bill and they also sent two hastily drawn up last minute substitutes that are tea party measures, that would cost the state more. 

How are UAW negotiations going?

The state passed right-to-work last December but there's the question of whether it applies to state employees, which is pending before the state Supreme Court. 

What are the developments in the 2014 U.S. Senate race?

Sort of unexpectedly, long time Republican representative Dave Camp is talking about getting into the 2014 race for the U.S. senate. This is for the seat Carl Levin is vacating after 36 years. Now, former Secretary of State Terry Lynn Land has been up until now the only Republican candidate but she's vowing that if Mr. Camp gets in she'll give him a spirited fight. 

A look at the Detroit mayoral race: Duggan v. Dugeon

If it's close at all, it could be weeks before we find out who's facing who. It could be a Florida-recount-style mess. 

To listen to the full discussion, click the link above.

User: Brother O'Mara / flickr

LG Chem Plant begins production

The LG Chem plant in West Michigan has finally started production of lithium-ion batteries.  Michigan Radio’s Lindsey Smith reports that “the plant cost roughly $300 million to build,” and that “federal stimulus money paid for almost half that cost.”  The plant has been accused of wasting some of that money by paying employees despite them not working.

Elections Commission rejects recall request

The Washtenaw County Elections Commission has rejected a recall of Ann Arbor school board members.  Michigan Radio’s Rick Pluta reports the election board “ruled the petition was not sufficiently clear on why six members of the Ann Arbor Board of Education should be removed by voters.”  

Medicaid committee praised

Governor Rick Snyder has applauded a state Senate committee for advancing work on Medicaid. The committee produced three plans, one of which would expand Medicaid in Michigan.  Michigan Radio's Jake Neher reports "Snyder says he’s not worried that the competing bills will peel votes away from the legislation he supports."

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