Mainers Vote To Expand Medicaid Under Obamacare

Source?
Arnie. This is extremely well known and was widely publicized during roll out of Obama care. Initially the Fed gov. picked up 100% of the cost of expansion, and this, over time, rolls back to 90%. That's the reason all those jackass, republican governors that blocked expansion of medicaid in an attempt to throw a monkey wrench into Obamacare are guilty of political malpractice. What they did in effect was to block hundreds of thousands from access to real medical care while at the same time their constituents were paying for the expansion but not getting it! And too, there are deaths that can be attributed to lack of adequate care for some people with chronic conditions that were blocked from medicaid, and the welfare system was not sufficient to handle their case. The only thing that kept a few of these folks alive was that once they were on deaths door they could finally qualify for S.S. disability, and that in turn qualified them for medicaid.

The reason those Governors acted like assholes was because they knew that Obamacare depended on expansion of medicaid. Without expansion, several million would be left with too little income to qualify for subsidized premiums on the exchanges while not being able to satisfy their states medicaid eligibility requirements. Every single one of those Governors lied when they told their constituents that their States could not afford to expand medicaid. And everyone of them lied intentionally knowing that by blocking expansion they were throwing a monkey wrench into Obamacare in an intentional effort to wreck it.
 
Last edited:
Feds pay 90 %, shouldn't be to difficult for Maine to pay for 10 %
So we'll all go broke simultaneously rather than one state at a time. Doesn't exactly give me comfort. Better plan is to get a nation back to work at good jobs. Dems need to quit worrying about trannys and thugs, and repubs need to tell the boardroom boys to part with a few of their billions and pay a decent wage instead of buying back stock. The fix is easy, so easy it makes one wonder if they really want to fix anything at all.
 
Arnie. This is extremely well known and was widely publicized during roll out of Obama care. Initially the Fed gov. picked up 100% of the cost of expansion, and this, over time, rolls back to 90%. That's the reason all those jackass, republican governors that blocked expansion of medicaid in an attempt to throw a monkey wrench into Obamacare are guilty of political malpractice. What they did in effect was to block hundreds of thousands from access to real medical care while at the same time their constituents were paying for the expansion but not getting it! And too, there are deaths that can be attributed to lack of adequate care for some people with chronic conditions that were blocked from medicaid, and the welfare system was not sufficient to handle their case. The only thing that kept a few of these folks alive was that once they were on deaths door they could finally qualify for S.S. disability, and that in turn qualified them for medicaid.

The reason those Governors acted like assholes was because they knew that Obamacare depended on expansion of medicaid. Without expansion, several million would be left with too little income to qualify for subsidized premiums on the exchanges while not being able to satisfy their states medicaid eligibility requirements. Every single one of those Governors lied when they told their constituents that their States could not afford to expand medicaid. And everyone of them lied intentionally knowing that by blocking expansion they were throwing a monkey wrench into Obamacare in an intentional effort to wreck it.

Well that's not what Medicaid says....

The Federal Medical Assistance Percentages (FMAPs) are used in determining the amount of Federal matching funds for State expenditures for assistance payments for certain social services, and State medical and medical insurance expenditures. The Social Security Act requires the Secretary of Health and Human Services to calculate and publish the FMAPs each year.
The “Federal Medical Assistance Percentages” are for Medicaid. Section 1905(b) of the Act specifies the formula for calculating Federal Medical Assistance Percentages.

“Enhanced Federal Medical Assistance Percentages” are for the Children’s Health Insurance Program (CHIP) under Title XXI of the Social Security Act. Section 2105(b) of the Act specifies the formula for calculating Enhanced Federal Medical Assistance Percentages. There is no specific requirement to publish the Enhanced Federal Medical Assistance Percentages; we include them in the FMAP notice for the convenience of the States.

The following tables display Federal financial participation matching rates for each of the 50 States, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands for fiscal years from the present back to FY 1996.

The figures for Maine are

FEDERAL MEDICAL ASSISTANCE PERCENTAGES 64.3%

ENHANCED FEDERAL MEDICAL ASSISTANCE PERCENTAGES 75.07%

ENHANCED FEDERAL MEDICAL ASSISTANCE PERCENTAGES WITH ACA 23 PT INCREASE*** 98.07%

That little 3 star asterisk says this...

*** Section 2101(a) of the Affordable Care Act amended Section 2105(b) of the Social Security Act to increase the enhanced FMAP for states by 23 percentage points, but not to exceed 100 percent, for the period that begins on October 1, 2015 and ends on September 30, 2019 (fiscal years 2016 through 2019).


So at the end of 2019, that extra 23% ends and the state is on the hook for 35.7% of the total cost of Medicaid. That's a lot more than 10%.

Why the hell do you think some states have resisted expanding Medicaid? You would be an idiot to turn it down if you only had to match 10%, but that's only for a few years, then the state contribution goes up sharply.

https://aspe.hhs.gov/basic-report/fy2017-federal-medical-assistance-percentages
 
Well that's not what Medicaid says....

The Federal Medical Assistance Percentages (FMAPs) are used in determining the amount of Federal matching funds for State expenditures for assistance payments for certain social services, and State medical and medical insurance expenditures. The Social Security Act requires the Secretary of Health and Human Services to calculate and publish the FMAPs each year.
The “Federal Medical Assistance Percentages” are for Medicaid. Section 1905(b) of the Act specifies the formula for calculating Federal Medical Assistance Percentages.

“Enhanced Federal Medical Assistance Percentages” are for the Children’s Health Insurance Program (CHIP) under Title XXI of the Social Security Act. Section 2105(b) of the Act specifies the formula for calculating Enhanced Federal Medical Assistance Percentages. There is no specific requirement to publish the Enhanced Federal Medical Assistance Percentages; we include them in the FMAP notice for the convenience of the States.

The following tables display Federal financial participation matching rates for each of the 50 States, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands for fiscal years from the present back to FY 1996.

The figures for Maine are

FEDERAL MEDICAL ASSISTANCE PERCENTAGES 64.3%

ENHANCED FEDERAL MEDICAL ASSISTANCE PERCENTAGES 75.07%

ENHANCED FEDERAL MEDICAL ASSISTANCE PERCENTAGES WITH ACA 23 PT INCREASE*** 98.07%

That little 3 star asterisk says this...

*** Section 2101(a) of the Affordable Care Act amended Section 2105(b) of the Social Security Act to increase the enhanced FMAP for states by 23 percentage points, but not to exceed 100 percent, for the period that begins on October 1, 2015 and ends on September 30, 2019 (fiscal years 2016 through 2019).


So at the end of 2019, that extra 23% ends and the state is on the hook for 35.7% of the total cost of Medicaid. That's a lot more than 10%.

Why the hell do you think some states have resisted expanding Medicaid? You would be an idiot to turn it down if you only had to match 10%, but that's only for a few years, then the state contribution goes up sharply.

https://aspe.hhs.gov/basic-report/fy2017-federal-medical-assistance-percentages



People on medicaid prior to Obamacare expansion had different eligibility requirements than those under Obamacare expansion.The people who qualify under the expansion eligibility the Feds pay 90 %


https://www.macpac.gov/subtopic/state-and-federal-spending-under-the-aca/


The Affordable Care Act and Medicaid

The federal government and the states share responsibility for financing Medicaid, although the matching rate is higher for adults eligible under the Medicaid expansion. In fiscal year (FY) 2015, total Medicaid spending equaled $549.8 billion, with spending on the newly eligible adults accounting for approximately 10.5 percent of total spending (CMS 2016). [1]

[1] Excludes expenditures for the U.S. territories.

Federal matching rate for newly eligible adults

Historically, the federal share of Medicaid has averaged about 57 percent, but in FY 2014, the average federal share was 61 percent (Table 3, OACT 2016). The federal government paid 100 percent of state Medicaid costs for certain newly eligible individuals through the end of 2016. Starting in 2017, the matching rate declines slightly each year until it reaches 90 percent in 2020 and remains there
 
Why the hell do you think some states have resisted expanding Medicaid? You would be an idiot to turn it down if you only had to match 10%,


Thats exactly what republican governors are doing and they are idiots.
 
Well that's not what Medicaid says....

The Federal Medical Assistance Percentages (FMAPs) are used in determining the amount of Federal matching funds for State expenditures for assistance payments for certain social services, and State medical and medical insurance expenditures. The Social Security Act requires the Secretary of Health and Human Services to calculate and publish the FMAPs each year.
The “Federal Medical Assistance Percentages” are for Medicaid. Section 1905(b) of the Act specifies the formula for calculating Federal Medical Assistance Percentages.

“Enhanced Federal Medical Assistance Percentages” are for the Children’s Health Insurance Program (CHIP) under Title XXI of the Social Security Act. Section 2105(b) of the Act specifies the formula for calculating Enhanced Federal Medical Assistance Percentages. There is no specific requirement to publish the Enhanced Federal Medical Assistance Percentages; we include them in the FMAP notice for the convenience of the States.

The following tables display Federal financial participation matching rates for each of the 50 States, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands for fiscal years from the present back to FY 1996.

The figures for Maine are

FEDERAL MEDICAL ASSISTANCE PERCENTAGES 64.3%

ENHANCED FEDERAL MEDICAL ASSISTANCE PERCENTAGES 75.07%

ENHANCED FEDERAL MEDICAL ASSISTANCE PERCENTAGES WITH ACA 23 PT INCREASE*** 98.07%

That little 3 star asterisk says this...

*** Section 2101(a) of the Affordable Care Act amended Section 2105(b) of the Social Security Act to increase the enhanced FMAP for states by 23 percentage points, but not to exceed 100 percent, for the period that begins on October 1, 2015 and ends on September 30, 2019 (fiscal years 2016 through 2019).


So at the end of 2019, that extra 23% ends and the state is on the hook for 35.7% of the total cost of Medicaid. That's a lot more than 10%.

Why the hell do you think some states have resisted expanding Medicaid? You would be an idiot to turn it down if you only had to match 10%, but that's only for a few years, then the state contribution goes up sharply.

https://aspe.hhs.gov/basic-report/fy2017-federal-medical-assistance-percentages
This is something entirely different than what I referred to. And please keep in mind that as bizarre as this sounds qualifications for medicaid vary from state to state. It's as though there are fifty different little countries out there and every disease changes as soon as you cross a Country, i.e., State, line . And as Trump would say, "believe me, the country of California is very bigly different from the Country of Mississippi, which we all know is filled with lazy people. In fact, it's the biggest difference hugely in the History of the Country, believe me; everyone says so...'
 
Thats exactly what republican governors are doing and they are idiots.
Arnie, I think you've just defined "IDIOT" for us. It is a Republican Governor who blocked medicaid expansion! (Or, alternatively, I suppose it could be someone on ET that was so out of touch that they hadn't a clue that their tax dollars were paying for medicaid expansion in a State other than their own, but not in their State, because their Republican Governor was an asshole who lied to them. :D)
 
Why the hell do you think some states have resisted expanding Medicaid? You would be an idiot to turn it down if you only had to match 10%, but that's only for a few years, then the state contribution goes up sharply.
No, Yes, and No Arnie! No , Republicans didn't block it because the cost goes up sharply after a few years. That's just what they told you Arnie. They lied to you Arnie! Yes, Arnie , you'd be an idiot!. And no Arnie the cost does't go up sharply, according to current plans and legislation. And it gets even worse Arnie. The additional State revenue from medicaid expansion is projected to cover all or most of the 10% cost that the States will have to eventually bear to cover many more people.
Now Arnie, what would we call a person who turned down an offer of a 90% subsidy of medical costs? Here is a clue, it starts with the letter "I" and ends with the letter "T".
 
Back
Top