medicaid

Jennifer Guerra / Michigan Radio

Governor Rick Snyder signed a nearly $50 billion state budget today for the coming fiscal year.

It puts a large deposit into the state's "rainy day" savings account, and boosts funding for schools and early childhood programs. The Governor says a $65 million appropriation will cut in half the waiting list for kids from low-income families to get into Great Start.

"A major jump that will give the opportunity for hopefully 16,000 additional kids to be part of Great Start. I hope we're back here next year talking about another $65 million so we can make that whole waiting list go away," said Snyder.

The budget also includes more money for Medicaid dental care for kids.

The governor says there is still some unfinished business with the budget -- namely, a federally funded expansion of the Medicaid program and raising 1.2 billion dollars for roads.

The Michigan House of Representatives in Lansing
Lester Graham / Michigan Radio

State lawmakers are moving forward with a plan to expand Medicaid in Michigan after months of debate. A state House panel approved the measure yesterday, and the full House is expected to vote on it today.

Republicans on the committee were split on the legislation. Many said they were not willing to support legislation that would further entrench the federal Affordable Care Act in Michigan. 

The federal government says it’ll foot the entire bill for Medicaid expansion through 2016, and at least 90 percent after that.

Steve Carmody/Michigan Radio

Michigan's largest nurses union is in Lansing today lobbying for Medicaid expansion.

The issue has been locked in a political debate at the state capitol for months.

John Karebian is the executive director of the Michigan Nurses Association.    He says Medicaid expansion is being “held hostage” by Republicans still angry over the passage of the Affordable Care Act.

Steve Carmody / Michigan Radio

LANSING, Mich. (AP) - More than 30 conservative and tea party activists say they won't support Gov. Rick Snyder's re-election because of his support for expanding Medicaid eligibility to more Michigan adults under the federal health care law.

In an open letter to the Republican governor Tuesday, the advocates faulted him for consulting with U.S. Health and Human Services Secretary Kathleen Sebelius on Medicaid expansion.

They accuse Snyder of purposefully sticking a "finger in the eye of his own conservative base." The activists - including some of Michigan's better-known tea party advocates - say a "line must be drawn."

Snyder and Republican legislative leaders sent a letter to Sebelius May 29 asking her to meet with them in Michigan. The House is considering legislation that would expand Medicaid but require a federal waiver.

Up to half a million Michigan residents could lose their health insurance if the legislature fails to expand Medicaid.

Low-income Michiganders covered by local health plans could lose their coverage in 2014 under the Affordable Care Act. The law was written with the assumption states would accept federal funds to expand Medicaid.

Gov. Snyder's negotiation style in question

Jun 6, 2013

It’s Thursday, the day we talk Michigan politics with Susan Demas, political analyst for Michigan Information and Research Service, and Ken Sikkema, former Senate Majority Leader and senior policy fellow at Public Sector Consultants.

The state budget is on its way to Governor Snyder for his signature, while there is an investment of $65 million in early education, the Governor did not get three of his major priorities met. Medicaid expansion, transportation funding, and Common Core for K-12 education.

"He [Snyder] can't afford to sort of roll over all the time on the conservative agenda items, where he signs everything they want without getting them [conservatives] to agree to pass some of his high priority items," says Sikkema. 

Listen to the full interview above.

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This week in Michigan politics, Kyle Norris and Jack Lessenberry talk about Republican opposition to Medicaid expansion, former Secretary of State Terri Lynn Land’s candidacy for the U.S. Senate, and the financial emergency in the city of Hamtramck.

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Budget awaits Governor Snyder's signature

State lawmakers passed a budget that would increase funding to local governments and schools.

"Senate Majority Leader Randy Richardville calls it the best budget he’s ever helped pass.  But the budget does not include Snyder’s request to expand Medicaid or increase road funding by more than a billion dollars," Michigan Radio's Jake Neher reports.

Senate voting to protect DIA

The Michigan Senate is expected to vote today on a measure to protect the Detroit Institute of Arts. Detroit's emergency manager Kevyn Orr has warned the Institute's assets could be at risk if the city goes bankrupt. If this bill passes, the same protections would apply to collections in other museums across Michigan.

Michigan gas prices amongst highest in nation

Gasoline prices in Michigan are the second highest in the United States right now. It could be several weeks before there's any relief at the pump.

"Analyst Patrick deHaan of GasBuddy dot com says there are fewer gasoline refineries in the Midwest than other parts of the country, and gasoline commodity traders are also driving up the prices," Michigan Radio's Tracy Samilton reports.

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Governor urging legislature to expand Medicaid

“Governor Rick Snyder is urging the Legislature to act on expanding Medicaid before the end of June and the beginning of the summer recess. The governor says the Medicaid expansion is a cost-saver for taxpayers, businesses, and hospitals because it would reduce expensive emergency visits by uninsured patients. Some Republicans are calling for time limits and benefit caps before they’ll consider the expansion. The governor says he’d like to wrap up the expansion in time to start enrolling new Medicaid patients in January,” Michigan Public Radio’s Rick Pluta reports.

Terri Land expected to announce candidacy for Senator Carl Levin's seat

“Former Michigan Secretary of State Terri Lynn Land is expected to announce today whether she intends to run for the U.S. Senate seat now held by Carl Levin. So far Democratic Congressman Gary Peters of Bloomfield Township is the only person who's announced his candidacy; Terri Land would be the first Republican candidate to formally step into the race. Land easily won two statewide elections serving as secretary of state from 2003 to 2011; before that she served as Kent County clerk,” Michigan Radio’s Lindsey Smith reports.

Lansing city council will respond to mayor's vetoes

The Lansing city council is expected to try to override the mayor’s budget vetoes tonight, but the council does not appear to have enough votes to do it. Six of the council's eight members would need to vote to override the vetoes, but as Michigan Radio’s Steve Carmody reports, “that appears unlikely.”  

Photo courtesy of the Snyder administration.

The Michigan Legislature is getting closer to approving a state spending plan.

On Wednesday, the state Senate passed a education funding bill. And after lawmakers come back from the Mackinac Policy Conference, a broader budget is slated to pass next week.

But so far, debate on proposed appropriations have been mostly divided on party lines.

One issue on the partisan divide: Medicaid expansion under the Affordable Care Act.

The federal healthcare law called for broadening health insurance coverage to low-income adults — including some 400,000 in Michigan.

Out of 30 Republican governors, only six supported the expansion. Gov. Rick Snyder was one of them.

"Expansion will create more access to primary care providers, reduce the burden on hospitals and small businesses, and save precious tax dollars,” Snyder said in a press release in February. "This makes sense for the physical and fiscal health of Michigan."

But federal funding for the expansion of Medicaid has been left out of the Republican-supported budget, running counter to Snyder’s recommendation.

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Michigan Medicaid expansion uncertain

Legislation that will determine the future of Michigan Medicaid is at a standstill. On Thursday, the state Senate passed a budget bill that did not include Medicaid although the federal government is offering to pay the state to add hundreds of thousands of people to the program.

Later on Thursday, a Legislative panel heard testimony on a House Republican plan that opts to overhaul the program before expanding it. Senate Republicans say they’re willing to consider the House plan.

Michigan Board of Education asks state to more closely monitor charter schools

The Michigan Board of Education wants to see new laws enacted that would allow the state to more closely monitor the business practices of charter schools. Republican lawmakers are eyeing the request skeptically. The Board has a Democratic majority. The Board’s President, John Austin, stated that the board has a responsibility to keep an eye on all public schools, including charters.

Flint School District will lay off nearly 140 teachers and staff

Next month, the Flint School District is expecting to lay off nearly 140 teachers and staff. This is the latest in a series of cutbacks. Eric Scorsone, an economist with Michigan State University, said this could be the tip of the iceberg. More school districts could topple because of uncertain revenue streams and rising costs. Scorsone says it would take a major shift in school funding and an increase in the state’s sales tax to turn things around.

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Controversy of Medicaid reform is being debated

A bill is being debated in the Michigan house to reform Medicaid in the state.

"The federal government is offering to pay for an expansion of Medicaid that would add hundreds of thousands of Michiganders to the program. But Republican leaders in the state Legislature say they're not willing to expand the system without major changes." Michigan Radio's Jake Neher reports.

Michigan projected to get $542 million more than expected

The state of Michigan is projected to get nearly half a billion dollars more than expected in revenue.

"The state’s economic measurements remain mixed. Michigan still has one of the nation’s highest jobless rates. But Governor Snyder says improving revenue is evidence of confidence in the state’s economy," Michigan Radio's Rick Pluta reports.

The governor has suggested using the surplus to draw down federal transportation dollars, or cover a Medicaid shortfall.

Changes are imminent in Detroit

As of yesterday, Mayor Dave Bing will not be running for re-election, James Craig has been appointed Detroit Chief of Police, and more than half the incumbents on the Detroit City Council will not be seeking another term. The general elections will be held on November 5th. The Detroit News has more.

Governor Rick Snyder's administration is "encouraged" by a House Republican plan to overhaul Medicaid in the state. 

But it's concerned about language that would kick able-bodied adults off the program after four years.

Department of community Health director Jim Haveman says the House plan is "a good starting point" for negotiations.

"I'm really cautiously optimistic that, by the time this is done over the next two weeks, we'll have a bill that we all can be very supportive of and we can collectively go sell and get the waiver from the federal government."

The federal government is offering to pay for an expansion of Medicaid that would add hundreds of thousands of Michiganders to the program. But Republican leaders in the state Legislature say they're not willing to expand the system without major changes.

Washington would have to approve the state's alternative to the plan.

www.schoolbussafety.net

This week in review, Rina Miller and Jack Lessenberry discuss a bill to expand Medicaid, how school districts will no longer collect union dues from teachers, and the financial trouble with Buena Vista and Pontiac schools.

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Wolf hunt approved

"There will be a wolf hunt in the Upper Peninsula this fall. The state Natural Resources Commission OKed the hunt yesterday," Steve Carmody reports.

Pontiac and Buena Vista schools in financial trouble

"A Michigan report says the Pontiac School District's finances are in bleak shape and the district might not be able to make payroll soon. The district faces a  $37.7 million deficit. Meanwhile, the Buena Vista School District shut down this month after it ran out of money and couldn't pay teachers," the Associated Press reports.

Medicaid expansion proposed in House

"Republicans in the state House have introduced a bill to overhaul and expand Medicaid in Michigan. Among other things, it would limit able-bodied adults to four years in the program," Jake Neher reports.

gophouse.com

Republicans in the state House have introduced a bill to overhaul and expand Medicaid in Michigan.

Among other things, it would limit able-bodied adults to four years in the program.

The Republican-led state Legislature has balked at the idea of accepting money from the federal government to add hundreds of thousands of people to Medicaid.

House Speaker Jase Bolger says this is an alternative to that plan.

“If we are going to say ‘no’ to something, we must offer an alternative. We ask that all of the time from our colleagues across the aisle, and therefore we’re going to continue to live by that ourselves,” said Bolger.

The bill would also require the federal government to fund 100 percent of the expansion.

As you may know, the federal government has offered to expand Medicaid coverage to families whose incomes are less than one hundred and thirty three percent of the poverty level.

If you wonder how much money that is, I looked it up for you – slightly less than $26,000 a year for a family of three. The answer to the question: How do you support three people on that and afford health insurance? is that you don’t.

If Michigan accepts, an estimated 320,000 people who now have no health insurance would be immediately covered. That would rise to nearly half a million people within a few years. The cost to the state government would initially be zero.

After the year 2020, Michigan would have to pay 10 percent of the cost. This would still, health care experts say, be a mere fraction of what all these uninsured people currently cost the state.

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Gary Peters announces run for U.S. Senate

U.S. Representative Gary Peters, who represents the Detroit-based 14th Congressional District, is expected to announce his candidacy for the U.S. Senate today. As the Detroit Free Press reports:

"Peters has been considered a likely candidate for the seat being vacated by U.S. Sen. Carl Levin since Levin announced in March his intentions to retire at the end of the current term. Shortly after Levin’s announcement, Peters told the Free Press he was 'seriously considering' a run for that seat."

Corporate donations to help create "wraparound" schools in Detroit

"Detroit and other cities in Michigan are turning to businesses to help pay for schools that provide a wide variety of services to students and their families. Yesterday, JP Morgan Chase announced it will donate $1.5 million to pay for three 'wraparound’ schools in Detroit...Governor Rick Snyder says that could include help with managing household finances or finding a job, or parenting classes,"  Rick Pluta reports.

Law enforcement officials call for an expansion of Medicaid

A group of law enforcement officials is calling on state lawmakers to expand Medicaid coverage to more than 300,000 Michigan residents at an event in Lansing today.

"The group says Medicaid coverage for expectant mothers can help prevent children from being born with fetal alcohol syndrome or fetal alcohol effects. They will also advocate for Medicaid coverage for interventions such as substance abuse and mental and behavioral health issues as a way to cut crime," the Associated Press reports.

Medicaid expansion in trouble in Mich. Legislature

Mar 23, 2013
michigan.gov

Governor Rick Snyder and health advocates have their work cut out for them persuading the GOP-led Legislature to expand Medicaid coverage to hundreds of thousands more residents.

Steve Carmody/Michigan Radio

This “week in review” Rina Miller and Jack Lessenberry discuss a state house subcommittee’s rejection to expand Medicaid, how Michigan will be run under a federal health exchange, how universities are going under scrutiny for negotiating new, long term contracts before Michigan’s right to work law goes into effect, and how a city pension attorney in Detroit and a former trustee were indicted for bribery.

You probably know the old story about the man who kept hitting himself in the head with a hammer. When asked why, he grinned happily and said, “because it feels so good when I stop.”

Well, the Michigan Legislature reminds me of that, with two big differences. We have begun to regard their nutty behavior as normal, and unlike the guy with the hammer, they show no signs of stopping.

Politically, Michigan is a moderate to liberal state. The state hasn’t voted Republican for president in 25 years. Republicans have lost every U.S. Senate election except one over the last 40 years.

We aren’t right-wing extremists. Except in the legislature, which is controlled by ideologues out of touch with the reality the rest of us live in. I’m not talking about conservatives. Good intelligent conservatives from Arthur Vandenberg to Gerald Ford have helped make this state great. I’m talking about people who substitute ideology for common sense.

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Michigan lawmakers reject Medicaid expansion

A state House subcommittee has rejected an expansion of Medicaid to nearly 500,000 Michiganders. As the Detroit Free Press reports,

"The Appropriations subcommittee handling the Department of Community Health budget passed the funding document without the Medicaid expansion, as well as other Snyder proposals, including: dental services for low income children, health and wellness initiatives, mental health and substance abuse services for veterans and an infant mortality program."

However, according to Rick Pluta,  Governor Rick Snyder says he expects the Legislature will ultimately accept federal money to expand Michigan’s Medicaid program.

State House approves dredging funds

"The state House has approved more than $20 million for emergency harbor dredging. Governor Rick Snyder is asking for the money to address record-low water levels in the Great Lakes. He says ships and recreational boaters aren’t able to get in and out of harbors," Jake Neher reports.

March Madness tournament kicks off today

The basketball games leading up to the NCAA championship begins today. As the Detroit News reports, Michigan State University and the University of Michigan's mens' basketball teams have games tonight.

"No. 3 seed MSU will face Valparaiso at 12:15 p.m. and No. 4 seed U-M will take on South Dakota State at 7:15 p.m. Teams moving on in the next round will head to games on Saturday, also at the Palace [of Auburn Hills]."

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Part of the Affordable Care Act (aka Obamacare) calls for an expansion of the Medicaid program, but some state legislators and governors are resisting the expansion.

Michigan Governor Rick Snyder is NOT one of those governors resisting.

When he announced his support for the expansion last month, he said it was about being "financially responsible."

Republicans in the Michigan Legislature, however, seem to disagree.

Steve Carmody/Michigan Radio

Expanding state Medicaid programs is part of the new national health care law.

Many Republican state lawmakers say it will cost Michigan taxpayers over a billion dollars during the next decade. But there’s a cost to large Michigan businesses if they don’t.

“Actually, taxes could go up on employers in states that don’t expand Medicaid,” says Brian Hale, the senior vice president for health policy at Jackson Hewitt Tax Service, “You need to factor that in to the decision about whether or not to expand Medicaid.”

Michigan Gov. Rick Snyder will unveil his budget this morning at 11 a.m.

Then the leaders in the Legislature will wrestle with the numbers and push their priorities for state spending and income.

Watch Snyder's budget unveiling here:

Governor Rick Snyder  yesterday cast a vote for common sense and pragmatism, by coming out in favor of  expanding Medicaid to what will, within a decade, include almost half a million  people.

Putting purely human considerations aside, the deal makes  enormous economic sense for Michigan. The federal government will pick up all  the costs of the Medicaid expansion for the first three years.  After that,  Michigan has to kick in a tiny amount which will never exceed ten percent. But  from day one, the feds will cover a lot of expenses Michigan pays for today.

The  governor’s staff says this will amount to $206 million dollars next year alone. His budget would prudently stick half those savings in a special  fund to save for the day when Michigan does have to pick up a tiny share of the  expanded Medicaid costs.

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Patient advocates and healthcare organizations are cheering Governor Rick Snyder’s decision to seek an expansion of Medicaid eligibility under the new federal healthcare law.

The expansion would eventually allow 450,000 people to be added to Medicaid, and sharply reduce the ranks of the un-insured in Michigan.

The governor says it would also reduce the overall cost of healthcare in Michigan. And part of the savings can be banked to cover Michigan’s future costs of the Medicaid expansion.

“This is about being financially responsible," said Snyder. "Just like you’d be setting up at home, let’s set up a health savings account here, to cushion for shocks, for unexpected events, and then to have a thoughtful stream of dollars to minimize costs for the long-term."

Health care groups, patient advocates, and some business groups also support the expansion.

They say unnecessary emergency room visits and people who wait to get treated are driving up the cost of care and the cost of health insurance.

Kris Nicholoff is with the Michigan Osteopathic Association. He says that would eventually almost cut in half the number of people in Michigan who don’t have health insurance.

“450,000 people will get coverage that don’t have it right now. Now, you’ve been to the University of Michigan’s football stadium? Four times that. Picture that right now – four times that full patients will receive care if we expand Medicaid," said Nicholoff.

The Medicaid expansion will be part of Governor Snyder’s budget proposal. It will be presented tomorrow. Then it has to be approved by the Legislature. The governor says the expansion will save money in the long-term.

Stethoscope
Adrian Clark / Flickr

Advocates for the uninsured are pressing Governor Rick Snyder to call for an expansion of Medicaid in Michigan. They delivered more than 4,000 petition signatures in favor of an expansion to the governor’s office yesterday.

Under the federal healthcare law, the state could let nearly 400,000 uninsured residents join the program. The federal government would cover the cost for three years. After that, the state would be responsible for up to ten percent. 

Liz Lamoste, with the group Medicaid Matters for Michigan, says the state should take advantage of the offer.

“If the offer’s on the table, we should be in a position to take advantage of it, especially because it makes financial sense for Michigan, and hundreds of thousands of people are relying on us to take prudent responsible action to provide people with more coverage," said Lamoste.

Many Republicans in the Legislature say they don’t trust the federal government to keep its promises. Governor Snyder will announce his plans for Medicaid on Thursday when he unveils his new proposed budget.

Thomas Anderson / Flickr

The following is a summary of a previously recorded interview. To hear the complete segment, click the audio above.

Is the State of Michigan going to expand its Medicaid coverage? That's the question on the front burner at the Governor's office these days as he prepares to unveil his new budget to the Legislature this week.

Cyndy spoke with Detroit Free Press reporter Kathleen Gray who helped break down the Medicaid program in the state and talked to us about the pros and cons of expanding Medicaid coverage to another half a million people.

The Affordable Care Act will assist states in expanding their Medicaid eligibility limits for adults to 133 percent of the Federal Poverty Level, (that's and income of about $14,860 per year for one person).

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Snyder to decide this week whether to expand Medicaid

In his budget address this week, Gov. Rick Snyder will announce whether he'll expand Medicaid. Under the Affordable Care Act, the federal government would pay for the state to allow an additional 400,000 people in the state to receive Medicaid coverage. The state would eventually have to pay for a portion of the costs, Rick Pluta reports.

Snyder to propose adding $50 to $100 million to Rainy Day Fund

Gov. Rick Snyder is expected to recommend that the state add $50 to $100 million to its Budget Stabilization Fund, better known as the Rainy Day Fund. Some Democrats argue though that now is not the time to be saving. The Detroit Free Press quotes Gilda Jacobs, president and CEO of the Michigan League for Public Policy.

"For lots of families, it is raining right now," Jacobs said.  "There really is the opportunity to take a portion of the money that is in the Rainy Day Fund and use it for families that are experiencing hardship."

Chrysler pays tribute to troops, farmers in two Super Bowl ads

Chrysler's two Super Bowl ads were among the most well-received auto advertisements according to the Detroit Free Press. Chrysler's first ad, voiced by Oprah Winfrey, was a Jeep spot that paid tribute to the military. Their second commercial, an ad for Ram pickup trucks, featured the late radio personality Paul Harvey reading "So God Made a Farmer."

The ad took 9th place in MSU's annual Super Bowl Ad rankings.

- Joseph Lichterman, Michigan Radio Newsroom

 

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