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house Bill H.R. 909

Should the Federal Gov’t Help States Expand Medicaid Coverage Under the ACA?

Argument in favor

The Medicaid Pay Parity program increased Medicaid provider reimbursement to match Medicare provider reimbursement, helping states expand Medicaid access after Obamacare’s enactment. Restoring this program will help states’ Medicaid programs pay healthcare providers.

Ken's Opinion
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03/03/2019
The federal minimum wage is set at 7.25 per hour. It’s actually much lower for many workers. Of course employers can pay their employees more if they want to. Put 7.25 per hour along side less than full time. Those same employees still don’t work enough hours to be eligible for company health insurance. People in this category could have five jobs, all part time. Still not Eligible for any health care plan. That’s where we’re at today. Medicare for all or single payer would eliminate that huge loophole. That doesn’t just fill the gap it eliminates the gap.
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Loretta's Opinion
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04/19/2019
ACA is the present law. Republicans refuse to put forth ANY workable, satisfactory plan. ACA is working , but with some problems. Until we can work to have something better...LETS FIX IT!
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···
04/19/2019
Yes. I would like to put the UNITED back in The United States of America 🇺🇸. I believe that if you are a U.S. Citizen, you should have the same rights and benefits in Florida and Texas, that you would have in New York and California. Let’s Make America Great Again!!!
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Argument opposed

Many states have already extended Medicaid pay parity of their own accord, making this bill unnecessary. States that haven’t done so had plenty of time to expand Medicaid when the federal government would’ve helped offset more of the cost.

Mark's Opinion
···
04/19/2019
Less government. Not more. Government is the problem, not the solution.
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Cindy's Opinion
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04/19/2019
Nooooo, there are so many people that are able to work and don’t so that they can get benefits, NO!!! Medicaid was intended for children and disabled young adults to Medicare eligibility now it’s turned into everyone. Healthcare is a choice, not a right. Medicare for all is a farce, it reimburses at 60% it will eliminate hospitals and clinics due to cost, Doctors limit the number of Medicare patients in their practice so you may not get the doctor you want, it’s a 80/20 coverage so you do have to pay 20% of your bill which hospitals and doctors will increase cost to cover Medicare shortfalls on reimbursement, and even if you tax the “rich” 100% it will pay for the existing Medicare for 3 years.
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TexasTRex's Opinion
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04/19/2019
There is too much Federal Government. We need to reduce it, not expand it.
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bill Progress


  • Not enacted
    The President has not signed this bill
  • The senate has not voted
  • The house has not voted
      house Committees
      Committee on Energy and Commerce
    IntroducedJanuary 30th, 2019

What is House Bill H.R. 909?

This bill would amend Medicaid to provide the enhanced federal medical assistance percentage (FMAP) to every state that expands Medicaid coverage for individuals who are newly eligible under the Patient Protection and Affordable Care Act (aka Obamacare), regardless of when the expansion takes place. Under the current law, the enhanced FMAP is equivalent to 100 percent in 2014-2016, 95 percent in 2017, 94 percent in 2018, 93 percent in 2019, and 90 percent thereafter. This bill retains this enhanced FMAP, but bases it on a term of calendar quarters rather than calendar years.

This bill would apply retroactively.

Impact

Medicaid; states; ACA; and the Social Security Act.

Cost of House Bill H.R. 909

A CBO cost estimate is unavailable.

More Information

In-DepthRep. John Lewis (D-GA) reintroduced this bill from the 115th Congress to restore the Medicaid Pay Parity program, which expired on December 31, 2014.

In October 2014, the American Academy of Family Physicians (AAFP), American College of Physicians (ACP), American Osteopathic Association (AOA), and the American Academy of Pediatrics (AAP) supported extending payment parity for at least the 2014-2016 period. At that time, AAFP president Robert Wergin, MD FAAFP said:

“Without Congressional action to extend Medicaid parity with Medicare, primary care physicians will see an abrupt cut to Medicaid payments for the care they provide to low-income families. This could wipe out the progress of ensuring that low-income Americans have access to primary medical care. We know from research that when Medicaid beneficiaries cannot find a physician who accepts new Medicaid patients, they face the same access problems as those who have no insurance.”

This bill has two cosponsors, both of whom are Democrats, in the current session of Congress. Last Congress, this bill had no cosponsors and didn’t receive a committee vote. Rep. Lewis first introduced this bill in 2014, as the Medicaid Parity Act of 2014 (H.R. 5353).


Of NoteThe Medicaid Pay Parity program was a provision outlined within the Affordable Care Act. It increased Medicaid provider reimbursement to match that of Medicare providers. It expired on December 31, 2014 and wasn’t extended nationally.

However, some states have chosen to continue Medicaid pay parity. Alabama, Colorado, Iowa, Maryland, Mississippi, and New Mexico have extended Medicaid pay parity. Alaska is paying doctors even more than the Medicare rate. A few other states — Connecticut, Delaware, Hawaii, Maine, Michigan, Nebraska, Nevada, and South Carolina — have chosen to increase Medicaid reimbursement, but not to the full Medicare rate.


Media:

Summary by Lorelei Yang

(Photo Credit: iStockphoto.com / zimmytws)

AKA

Medicaid Expansion Parity Act of 2019

Official Title

To amend title XIX of the Social Security Act to provide parity among States in the timing of the application of higher Federal Medicaid matching rates for the ACA-expansion population.

    The federal minimum wage is set at 7.25 per hour. It’s actually much lower for many workers. Of course employers can pay their employees more if they want to. Put 7.25 per hour along side less than full time. Those same employees still don’t work enough hours to be eligible for company health insurance. People in this category could have five jobs, all part time. Still not Eligible for any health care plan. That’s where we’re at today. Medicare for all or single payer would eliminate that huge loophole. That doesn’t just fill the gap it eliminates the gap.
    Like (77)
    Follow
    Share
    Less government. Not more. Government is the problem, not the solution.
    Like (65)
    Follow
    Share
    ACA is the present law. Republicans refuse to put forth ANY workable, satisfactory plan. ACA is working , but with some problems. Until we can work to have something better...LETS FIX IT!
    Like (39)
    Follow
    Share
    Yes. I would like to put the UNITED back in The United States of America 🇺🇸. I believe that if you are a U.S. Citizen, you should have the same rights and benefits in Florida and Texas, that you would have in New York and California. Let’s Make America Great Again!!!
    Like (34)
    Follow
    Share
    Basic Healthcare should be a right for all Americans and expanding Medicaid is a step in the right direction.
    Like (29)
    Follow
    Share
    Nooooo, there are so many people that are able to work and don’t so that they can get benefits, NO!!! Medicaid was intended for children and disabled young adults to Medicare eligibility now it’s turned into everyone. Healthcare is a choice, not a right. Medicare for all is a farce, it reimburses at 60% it will eliminate hospitals and clinics due to cost, Doctors limit the number of Medicare patients in their practice so you may not get the doctor you want, it’s a 80/20 coverage so you do have to pay 20% of your bill which hospitals and doctors will increase cost to cover Medicare shortfalls on reimbursement, and even if you tax the “rich” 100% it will pay for the existing Medicare for 3 years.
    Like (27)
    Follow
    Share
    There is too much Federal Government. We need to reduce it, not expand it.
    Like (24)
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    I fully support this bill. I however, live in a state that has already chosen to keep parity so it will have no affect on us.
    Like (18)
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    ...and above all...keep your politics out of our healthcare.
    Like (17)
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    ABSOLUTELY NOT!! The ACA is the worst thing that has happened!! Now taxpayers are paying twice and maybe three to four times as much with higher insurance premiums and deductibles and subpar benefits!! We no doubt have taxpayer money also trying to prop up Obamacare. Oh, and those who are on Obamacare, how are you all liking your increase in premiums also?? Is it the spectacular care you expected?? If so, you might be a small few. My healthcare should not be put in a bad way to support someone else’s healthcare. This is what has happened!! NO to the expansion of Medicare and Medicaid for all!! NO to socialized healthcare!! I don’t want this country to become socialized or communist like many other countries. You never hear any of these politicians say how it will be paid for, but you still have these low information people drinking their Koolaide!!
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    This is a ploy to get Americans used to a form of socialism. Bit by bit they will sneak things in and the public won’t see it coming
    Like (15)
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    That was part of the law initially. I still have trouble wrapping my head around the idea that healthcare is to be a privilege available only to the wealthy.
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    Funny how two of the supposed biggest problems in America, student loan debt & healthcare, consist of massive government involvement. Just throw more government & stolen money at it!
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    Medicaid Expansion is a “Back Door” to “Single Payer Plan” Many states have already extended Medicaid pay parity of their own accord, making this bill unnecessary. States that haven’t done so had plenty of time to expand Medicaid when the federal government would’ve helped offset more of the cost. SneakyPete..... 👎🏻👎🏻NoWay👎🏻👎🏻. 4*19*19........;
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    Anything the federal government touches gets worse. Stay out of our healthcare.
    Like (11)
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    If you don’t want Medicare do All, you need this to work.
    Like (11)
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    Admittedly the Trump Tax cut has put a huge blockade in the way of public programs. But while the American people watch huge corporations and impossibly rich American oligarchs get enormous tax refunds while they find their much smaller refunds are getting even smaller, they are also aware that most of the rest of the world already has health insurance that the administration and the GOP claims we cannot afford.
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    Pending the hoped for change to a single payer system, in the meantime we need to reshape the ACÁ to better meet the needs of a broader group of Americans, many of whom are either left out or having great financial difficulty in participating in the existing system. One way to reach more of those needing help is to expand Medicaid in those states and counties where the need is greatest
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    Government involvement in medical care is unconstitutional. Leave it to the free market. That was the LAST time I could afford healthcare. The government can’t fix anything. They make it worse and have enormous staffs that we pay just to make our lives worse and more expensive. The FREE market weeds out the poor performers.
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    The ACA wasn’t perfect, but it can be fixed. We need affordable, full coverage healthcare for everyone.
    Like (9)
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