Maine Senate Takes Up LD 1487, GOP (Katz, Saviello) Medicaid Expansion Bill

Posted on March 12, 2014. Filed under: Uncategorized | Tags: , , , , , , , , , |

Senate video link to watch the floor debate.

Audio link here.

Senate Minority Leader Roger Katz (R-Kennebec)

Senate Minority Leader Roger Katz (R-Kennebec)

Last week, the Health and Human Services legislative committee voted out two of three Medicaid expansion bills to the full Maine legislature, LDs 1578, “An Act To Increase Health Security by Expanding Federally Funded Health Care for Maine People” offered by Speaker of the House Mark Eves and 1487, “An Act To Implement Managed Care in the MaineCare Program”, sponsored by Republican Senators Roger Katz, (R-Kennebec), who serves as Asst Minority Leader in that chamber, and fellow caucus member Tom Saviello (R-Franklin).

The last of the 3, Senate Majority Leader Troy Jackson’s sponsored LD 1640, “An Act To Enhance the Stability and Predictability of Health Care Costs for Returning Veterans and Others by Addressing the Issues Associated with Hospital Charity Care and Bad Debt”, has yet to be voted out by committee.

Earlier today, Democrats sent out a press release to remind about the positive effects of expansion for tens of thousands of Mainers and urging support of Senator Katz’s bill:

    The federal government has offered to pay 100 percent of the cost of health care for tens of thousands of Mainers under the Affordable Care Act. Key moderate Republicans and Democrats have worked on a bipartisan plan, LD 1487, to accept these funds.

    Speaker of the House Mark Eves and Senate Majority Leader Troy Jackson wait before presenting their bills before HHS Committee.

    Speaker of the House Mark Eves and Senate Majority Leader Troy Jackson wait before presenting their bills before HHS Committee.

    “Expanding access to healthcare will strengthen our economy and create jobs and save money, but most importantly, it will save lives,” said Senate Majority Leader Troy Jackson of Allagash. “Each one of the 70,000 people waiting to see if we will step up and do the right thing has a story to tell, a family they love, dreams and plans for their future, and a life to live. Let’s not let them down.

    This is a common sense bipartisan proposal saves lives, saves money and creates jobs. The bipartisan plan includes a managed care program to lower the cost of health care and hold government and providers accountable for making sure people have access to appropriate care at an appropriate time, while also ensuring fair prices. It also puts in place a plan to reduce the wait list for home care services for Mainers with intellectual disabilities and adds two new Medicaid fraud investigators to step up fraud prosecutions.

    “We have a good-faith compromise that would accept federal dollars to provide life-saving health care to 70,000 Mainers,” said House Speaker Mark Eves of North Berwick. “We have an opportunity to change lives for the better and improve the health of thousands of our neighbors. It’s the right thing to do.”

Here are some of the impacts, listed by county:

    Androscoggin:

  • 5,829 people would gain access to health care.
  • An additional $30 million will be spent annually on health care services by 2016, stimulating about $45 million in additional economic activity.
  • Expansion would create approximately 378 new jobs in the county.

    Aroostook:

  • 4,615 people would gain access to health care
  • Additional $24 million spent annually on health care services, $31 million total in additional economic activity
  • 280 new jobs

    Cumberland:

  • 12,018 people would gain access to health care
  • Additional $63 million spent annually, $104 million in additional economic activity
  • 846 new jobs

    Franklin:

  • 1,878 people would gain access to health care
  • Additional $10 million spent annually on health care services, $13 million in additional economic activity
  • 123 new jobs

    Hancock:

  • 3,235 people would gain access to health care
  • Additional $17 million spent annually on health care services, $23 million in additional economic activity
  • 204 new jobs

    Kennebec:

  • 5,997 people would gain access to health car;
  • Additional $32 million spent annually on health care services, $43 million in additional economic activity
  • 367 new jobs

    Knox:

  • 2,317 people would gain access to health care
  • Additional $12 million spent annually on health care services, $17 million in additional economic activity
  • 154 new jobs

    Lincoln:

  • 1,817 people would gain access to health care
  • Additional $10 million spent annually on health care services, $13 million in additional economic activity
  • 124 new jobs

    Oxford:

  • 3,806 people would gain access to health care
  • Additional $20 million spent annually on health care services, $25 million in additional economic activity
  • 231 new jobs

    Penobscot:

  • 8,447 people would gain access to health care
  • Additional $45 million spent annually on health care services, $66 million in additional economic activity
  • 545 new jobs

    Piscataquis:

  • 1,067 people would gain access to health care
  • Additional $6 million spent annually on health care services, $6 million in additional economic activity
  • 63 new jobs

    Sagadahoc:

  • 1,456 people would gain access to health care
  • Additional $8 million spent annually on health care services, $3 million in additional economic activity
  • 34 new jobs

    Somerset:

  • 3,590 people would gain access to health care
  • Additional $19 million spent annually on health care services, $23 million in additional economic activity
  • 207 new jobs

    Waldo:

  • 2,629 people would gain access to health care
  • Additional $14 million spent annually on health care services, $18 million in additional economic activity
  • 161 new jobs

    Washington:

  • 2,601 people would gain access to health care
  • Additional $14 million spent annually on health care services, $17 million in additional economic activity
  • 155 new jobs

    York:

  • 8,196 people would gain access to health care
  • Additional $43 million spent annually on health care services, $59 million in additional economic activity
  • 513 new jobs

Here again is a clip of Senator Katz introducing his bill to the committee on February 26:

The HHS committee votes on both LD 1487 and 1578 were straight party line votes, even though 1487 is sponsored by two Republican senators, and is indicative of the strong pressure being put onto GOP lawmakers formerly open to expansion by the LePage administration may be having some effect.

*RELATED:

March 4: LePage’s “Fine Young Cannibals”- And Some Food For Thought

February 25: (UPDATED) Maine GOP- Yes, REPUBLICANS!- To Attempt Compromised/ Combined Medicaid Expansion Bill

February 4: Boomerang Bills: Medicaid Expansion, Revenue Sharing- Now Right To Work?

January 16: Speaker Of The House Mark Eves (D-N Berwick) Presents LD 1578 Expanding Federally Funded Health Care In HHS Public Hearing (Video; Text)

January 16: Senate Majority Leader Troy Jackson (D-Allagash) Introduces LD 1640 To HHS Committee (Video; Text)

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