Lauisiana Expansion On The Medicaid Healthcare Essay

Medicaid provides medical benefits to individuals and families to receive healthcare due to lower incomes, and there are more children with Medicaid benefits in the state of Louisiana. Working families apply for this benefit because they are unable to afford healthcare for their families. Applying for this benefit does not consider that person to be unemployed or unfit; some individuals simply cannot afford to have the additional funds taken out of their pay. The parents of those children want their families to have medical benefits for health, personal, or accidental purposes. Governor Jindal would be failing the state of Louisiana by resisting Medicaid expansion and leaving millions of residents without healthcare. Although some parents are irresponsible, the child should not have to suffer due to their parents’ choices. Also, the elderly should not have to suffer because they will need Medicare benefits once they are unable to work and care for themselves. As the Governor of this state, his job should be to protect and help the residents of Louisiana, not hurt those with lower incomes. Medicaid is not hurting the state, but resistance to the Medicaid expansion would not be the better choice.Lauisiana Expansion On The Medicaid Healthcare Essay

ORDER  HERE A PLAGIARISM-FREE PAPER HERE

According to the Department of Health and Hospitals, Medicaid provides medical benefits to low income individuals and families. Over one million residents are receiving healthcare coverage through Medicaid, and the majority of those residents are children under the age of 19. Federal Poverty Level income guidelines determine Medicaid eligibility along with receiving Supplemental Security Income from the Social Security Administration or financial help from the Office of Family Support through Family Independence Temporary

Medicaid provides medical benefits to individuals and families for lower income, and more children in Louisiana receive Medicaid benefits. Working families apply for this benefit as they can not provide health care for their families. Applying for this benefit does not mean that the person is unemployed or inappropriate, but some people simply can not afford additional funds deducted from wages. These children ‘s parents want their families to receive medical benefits for health, personal or accidental purposes.Lauisiana Expansion On The Medicaid Healthcare Essay

Medicaid helps provide medical care to over 74 million people – the elderly, children, disabled, pregnant women and low-income people. After rolling back the expansion of the planned ACA, Republican lawmakers have proposed an idea to offer the Medicaid fund to the state through “street subsidies” or “per capita ceiling”. Such reforms will be devastating. First of all, they lead to a significant reduction in the program and endanger the care and service of tens of millions of children, the elderly and the disabled. They will also transfer costs to the state on a large scale and weaken the capacity of the program to cope with economic downturn and new diseases. The structure of a lump sum payment or maximum per capita threatens the livelihood of the program because it can provide medical treatment but gives the state the opportunity to use Medicaid as “fundraising fund” for other completely irrelevant projects I can do it.

On Thursday, Kansas State lawmakers proposed a Medicaid expansion proposal. Despite discussions on health reform on the Medical Reform Fund, it is heading to the Senate now. Supporters of expansion do not want the national debate to hurt Kansas demand, but the opponents want Kansas’ legislators to wait until the federal debate on Medicaid expansion funds is resolved. The House of Representatives plans to pass the US medical law tonight (Thursday, March 23), but the vote was postponed. In spite of the delay, the White House is confident in the ability to vote quickly yet. White House Deputy spokesman Sarah Huckabee Sanders said: “The debate is started as planned tonight and voting will be held in the morning to avoid voting at 3 am This bill will pass in the morning I believe it will be done. “Lauisiana Expansion On The Medicaid Healthcare Essay

Medicaid Expansion and the Louisiana Economy
The Patient Protection and Affordable Care Act in 2010 (ACA) included provisions to provide
healthcare insurance coverage to non-elderly adults making less than 138% of the Federal
Poverty Level (FPL).1 One provision, which will be referred to as the Medicaid Expansion
program, includes federal spending arrangements and healthcare access policies that could have
economic impacts beyond the direct investment in affordable healthcare. The ACA also
introduced another provision that allows non-elderly adults with income below 400% FPL to get
federally subsidized insurance through the market exchange program. This provision allows
persons making between 100% and 138% FPL to apply for the federally subsidized insurance
with these subsidies including advanced premium tax credits and, in some cases, cost recoveries
for deductibles and other terms of an insurance policy. Both of these alternatives provide new
federal spending in a state.
We examined the economic impact of Medicaid Expansion on the Louisiana economy, now in its
third year, with special attention to State Fiscal Year 2018. The program had an initial impact in
State Fiscal Year 2017 when new federal dollars entered the state’s economy. The state is now in
a maintain and sustain posture—that is, we are not talking about creating new jobs or new
economic activity, but rather we are focusing on what is being maintained and sustained. Starting
with a description of what has occurred in terms of additional healthcare spending by the state,
we will provide estimates of what might be expected to occur in the overall economy using a
commonly-used model of economic effects, but taking into account all federal spending that was
offset or possibly offset due to Medicaid Expansion. We emphasize that Medicaid Expansion is
one part of a large state economy and no one can assume that other activities are not ongoing as
well that may deter the growth of the economy or accelerate it.
Medicaid Expansion is not an economic development program. It is a healthcare program, but,
like most public programs, there are side-effects. In this case, Medicaid Expansion is expected to
lead to new federal dollars into the state’s economy, but we have a much clearer view of federal
dollars that were offset due to Medicaid Expansion. The focus has to be on the net change in
Medicaid Expansion dollars, not just the gross change as we examine and identify its economic
impact.Lauisiana Expansion On The Medicaid Healthcare Essay
Medicaid Expansion and the Economy: A Description
The federal government provided a financial incentive for states to adopt Medicaid Expansion
through a relatively more favorable federal medical assistance percentage (FMAP) for nonelderly adults. The FMAP started at 100% from calendar 2014 through calendar 2016 and
declines to 90% in calendar year 2020 meaning the federal government put up 100% of the cost
of the Medicaid Expansion program from 2014 through 2016 and will put up 90% of the cost of
the program as of January 2020. As currently designed, when the FMAP for Medicaid Expansion
declines to 90% Louisiana will receive 90 cents from the federal government for every $1 it
1 Prior to the Affordable Care Act, non-elderly adults could qualify under special programs such as being a parent in
a single parent household and meeting certain income criteria, being in New Orleans after Katrina with certain income
limitations, and other such special programs.
Medicaid Expansion Impact on Louisiana Economy
June 2019
Page 4
spends on qualified expenses for individuals receiving coverage under the Medicaid Expansion
program, roughly one-third higher than the 66.9% federal match for those receiving care under
traditional Medicaid programs.
In SFY 2017, Louisiana received an estimated $1.85 billion in federal matching dollars through
the Medicaid Expansion program, in excess of what the state received for non-elderly adults
under other Medicaid programs, but not excluding any federal support through the market
exchange program in the first half of 2017. The state’s financial responsibility for Medicaid
Expansion in SFY 2017 was $47.4 million.Lauisiana Expansion On The Medicaid Healthcare Essay
In SFY 2018, the state received an estimated $1.768 billion in federal support in excess of what
the state would have received for non-elderly adults in other Medicaid programs. This estimate
does include estimates of federal subsidies to individuals through the market exchange program.
The state’s financial responsibility for the receipt of this net new federal dollars of $1.768 billion
was and estimated $128 million. The estimated federal support for non-elderly adults above and
beyond what the state would have received for other Medicaid programs in SFY 2019, based on
a continuation of the SFY 2018 spending pattern, is $1.7 to $1.8 billion with the state’s financial
responsibility being about $133 million.
According to the ACA, non-elderly adults qualify for Medicaid if their household incomes are
below 138% of the FPL. Family size, as well as income, is also a key component in measuring
poverty. The 2019 schedule of the FPL at the 138% threshold divides incomes for the purposes
of qualification by annual, monthly, bi-weekly, and weekly. For a family of four the annual
income limit is $35,544. This annual income limit ranges for a single person from $17,244 to a
family of eight to $59,940. These income levels are published in the Federal Registry by the U.S.
Department of Health and Human Services each year.
One of the key policy goals of Medicaid Expansion was to provide affordable healthcare options
and to address the high rates of uninsured non-elderly adults. Consequently, Medicaid Expansion
has affected the sources of health insurance coverage for adults under 138% of the FPL, as
shown in Table 1. According to the Louisiana Health Insurance Survey, in 2015, approximately
981,063 non-elderly adults earned less than 138% FPL, over one-third of whom were uninsured.
In 2017, approximately 826,622 non-elderly adults earned less than 138% FPL, 13.3% of whom
were uninsured.2 In 2015, 214,738 non-elderly adults earning less than 138% of the FPL were
covered by Medicaid; by 2017, this number had risen to 356,430.
The number of persons uninsured with incomes less than 138% FPL declined by 217,659 from
2015 to 2017, and the number of persons who signed up for Medicaid Expansion increased by
141,692 persons. According to the LHIS study the number of persons signing up for Medicaid
Expansion did not equal the change in the number of persons who were uninsured. The number
of persons earning less than 138% FPL declined by 154,441 from 2015 through 2017.  Lauisiana Expansion On The Medicaid Healthcare Essay