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As Medicaid Costs Skyrocket, States Have a New Opportunity to Innovate

New guidance on work requirements indicates potential for reforms

States have seen Medicaid costs skyrocket over … Michigan’s rising Medicaid expansion costs, which will … from the Center for Medicaid Services, which last … Michigan’s Medicaid expansion under the Affordable … more

Michigan Legislature’s 10 Most Revealing Votes of 2017

Which side were your lawmakers on?

… accept the Obamacare Medicaid expansion. That move brought … more

Half Of Able-Bodied Michigan Medicaid Expansion Enrollees Don’t Work

More than 600,000 enrolled, while total state unemployment down to just 218,000

… accept the Obamacare Medicaid expansion in 2013, it was estimated … level would enroll in Medicaid. The actual number turned … able-bodied Medicaid expansion population do not … more

Dog-Fight Dogs, Obamacare, Financial Exploitation, Multi-Lingual State Websites

August 18, 2017 MichiganVotes weekly roll call report

… enrollment in Obamacare Medicaid expansion Introduced … enrollment in the state Medicaid expansion authorized by the … more

Pension Reform, Electronic Vehicle Registration, Decriminalize Idling in Driveway

June 16, 2017 MichiganVotes weekly roll call report

… addiction treatment in Medicaid benefits: Passed 105 … process to restrict expansive court cost levies: … welfare system, including Medicaid. Who Voted "Yes" … more

Michigan Medicaid Patient Can't Find Care, So She Pays For Innovative Alternative

Direct Primary Care: 'You pay a flat fee ... and it's amazing'

When Michigan expanded Medicaid in 2013, one person … state's version of the Medicaid expansion component of the … included under a state Medicaid managed care contract … more

The Hypocrisy of 'Public' Education Rhetoric

What’s being protected here: The Constitution or union dues?

… health care vouchers (Medicaid) and food vouchers (Bridge … broadly support both Medicaid expansion and federal food aid expansion, without constitutional … more

Obamacare in Michigan: 32 Percent More Than Projected Take Medicaid Expansion

State’s free ride about to end on free coverage for able-bodied adults

… adoption of the Obamacare Medicaid expansion could cost state … Michigan’s share of the Medicaid expansion costs are … have enrolled for the expansion here as of October … more

State Health Policy Toolkit

10 reforms state lawmakers can implement now

… repealed. 3. Verifying Medicaid Eligibility Problem: The number of Medicaid enrollees is skyrocketing, … Unwind the Medicaid Expansion Problem: … rate. The Medicaid expansion did not increase … more

The Most Important State Election This November: Michigan's Next House Speaker

Three representatives face off for the top spot

… accepting the Obamacare Medicaid expansion (VerHeulen and … government programs like Medicaid and Medicare.” VerHeulen … more

Michigan Budget on Course for $7 Billion Rise Under Republicans

From $47.6 billion in 2011 to $55 billion

… under the Obamacare Medicaid expansion. When federal … more

Hohman in LSJ: Road Tax Hike to Fund Medicaid Expansion

… pay for the state’s Medicaid expansion, Mackinac Center’s … pay for Michigan’s Medicaid expansion and increases in … more

Legislation Would Prevent State From Advertising to Get More People on Medicaid

Program expanded 30 percent beyond projections

… adoption of the Obamacare Medicaid expansion. During the expansion debate in 2013, it … more

Governor’s Budget Pays for Medicaid Expansion with a Gas Tax

Michigan's revenue growth is set to continue

… pay for the state’s Medicaid expansion. Normally, roads … budget: the state’s Medicaid program. The state … this increase and the expansion of other services, … more

Legislature Hoping for Improbable Federal Rescue of Medicaid Expansion

Without waiver, it's back to the drawing board

The Obamacare Medicaid expansion approved by the Michigan … Centers for Medicare and Medicaid Services grants Michigan … 600,000 people the expansion added to the state’s … more

Bill Would Ban Advertising to Get More People on Medicaid

State Senator: This 'just encourages more people to become dependent on government'

… adoption of the Obamacare Medicaid expansion. The current … annually to promote the Medicaid expansion to potential enrollees. … more

Michigan’s Obamacare Medicaid Expansion

Incentives gone awry

… passed a bill expanding Medicaid, a core component of … hubbub surrounding the expansion bill was a section … care services under Medicaid to offer “healthy behavior” … critic of Medicaid expansion in the state Senate. … more

Politicians Misrepresent Road Funding Bills to Promote Tax Hike

Slower spending growth is not a 'cut'

… the Obamacare-driven expansion of Medicaid will mean some increased … more

Obamacare Exchange: Michigan Dodged a Bullet

… votes, which is how Medicaid expansion became law the following … more

Michigan’s Obamacare Medicaid Expansion Exceeds Projections by 22 Percent

Cost may be much more expensive than originally assumed

… under the Obamacare Medicaid expansion. Here’s what the … adopt his Obamacare Medicaid expansion plan, he too sold … more

What the New Legislature Should Stand For — And What It Should Not

… passing the Obamacare Medicaid expansion. Although the Legislature … more

Obamacare's Michigan Tale: Small Drop in Uninsured While Families Pay More

Four things about Obamacare in Michigan

… always been a massive Medicaid expansion scheme. In Michigan, … residents were added to Medicaid rolls between the third … an already-strained Medicaid program. If you … more

CapCon Interview with Founding Editor Ken Braun and Mackinac Center President Joseph G. Lehman

On its fifth year anniversary, a history lesson

… so-called dues dollars from Medicaid recipients without CapCon … spending and government expansions. These were … more

Doctors Accepting More Medicaid Patients – for Now

… Michigan doctors accepting Medicaid patients, leaving the impression that Medicaid expansion in Michigan … impression that Medicaid expansion in Michigan is a … Obamacare Medicaid expansion. But that extra federal … more

'Hastert Rule' May Impact Michigan House GOP Leadership Race

… things pass, like Medicaid expansion — and there were … got run over.” Medicaid expansion passed twice in the … more

Libertarian Think Tank Grades Gov. Snyder Low for Tax Hike Intentions

… didn’t incorporate the Medicaid expansion, arguably Snyder’s … massive and bipartisan expansion of corporate welfare, … more

Choosing the Next Michigan Speaker of the House

Some key differences between the potential leaders

… is on the Obamacare Medicaid expansion  which Reps. Pscholka … own caucus. In 2013, Medicaid expansion was passed by the … more

Right-to-Work Will be Blamed

If Gov. Snyder loses re-election

… policies (especially Medicaid expansion and his efforts to … more

Disdain for Politics Gov. Snyder's Undoing?

An analysis of the gubernatorial race

… Gov. Snyder wanted Medicaid expansion. Polls showed that … choices and he’d decided Medicaid expansion was the lesser evil … more

Incumbents Outspent Challengers 5-to-1 In Competitive Primary Races

… races voted for the Medicaid expansion and in two of the … more

No Shortage of Issues To Attack On In Michigan's 15th District Senate Primary

Sen. Mike Kowall, Matt Maddock and Ron Molnar

… Republicans who voted for Medicaid expansion; is that representing … more

Incumbent’s Record Targeted and Defended in Michigan's 46th

Rep. Bradford Jacobsen and John Reilly discuss their differences on energy mandates, select subsidies

Medicaid expansion and Common Core have … Healthy Michigan Plan (Medicaid expansion) and Common Core,” … more

Defining The Primary In Michigan's 89th: Two Candidates, Two Views

Rep. Amanda Price vs. Matthew Wiedenhoeft

… and voted for, like Medicaid expansion, Common Core, the … more

Mitchell Ad About Moolenaar: Truthful or Over the Top?

Sen. Moolenaar: ‘The ad he is using is very deceitful’

… 2011 and against the Medicaid expansion in 2013. So why … after the passage of Medicaid expansion and the rejection … more

Pricey GOP Primary Race For Michigan’s 4th Congressional District

State Sen. John Moolenaar and retired businessman Paul Mitchell discuss Export-Import Bank, energy and health policy

… incentives, changes to Medicaid, energy policy, and … example of the massive expansion of the size and scope … poor in the form of Medicaid block grants. Mitchell … exchanges and Medicaid expansion in the state Legislature. “If … more

Obamacare's Survival up to State Legislators

Figures for Halbig's Michigan impact

… for the Obamacare Medicaid expansion — will loudly demand … more

Incumbent’s Voting Record, Philosophy Challenged In Michigan's 107th

Rep. Frank Foster vs. Lee Chatfield

… opponent voted for Medicaid expansion, adding to the community … “It is the biggest expansion since the 1960s. … more

July 18, 2014, Michigan Legislature Roll Call Report

Key votes from 2013-14

… Bill 4714 , Approve Medicaid expansion: Passed 76 to 31 … 2013 To expand Medicaid eligibility to families … health care law Medicaid expansion: Passed 20 to 18 … more

Stances on Corporate Welfare a Difference In Michigan's 39th House Race

Rep. Klint Kesto vs. Deb O'Hagan

… his support of the Medicaid expansion and Common Core. The … more

Incumbent’s Voting Record Targeted In Michigan's 86th District House Primary Race

Rep. Lisa Posthumus Lyons vs. Angela Rigas

… have voted 'yes' on Medicaid expansion, the Detroit bailout, … happened with issues like Medicaid expansion. They want us to … more

Select Business Subsidies, Endorsements Are Differences In 37th District Senate GOP Primary

State Representatives Wayne Schmidt and Greg MacMaster face off

… switched his vote on Medicaid expansion last summer. He voted … Schmidt voted "yes" on Medicaid expansion both times. Michigan … more

'He's Just Making That Up' — No Shortage of Attacks In 3rd Congressional District GOP Primary

Congressman Justin Amash vs. Brian Ellis

… welfare, he supports Medicaid expansion in Michigan and he … opponent. "On Medicaid expansion I said it was a tough … more

June 13, 2014, MichiganVotes Weekly Vote Report

Education, e-cigarettes and guns

… federal health care law's Medicaid expansion). Of this, $17.6 … more

A Center-Right Candidate Questionnaire that Digs Deeper

… people on Michigan's Medicaid medical welfare rolls, … welfare, regulation, expansions of government, renewable … on all extensions or expansions of " economic development " … projects and facility expansions, given that many … more

Michigan State Budget Process Allows For Plausible Deniability

How Republicans may sneak through some bad spending provisions

… he did it with the Medicaid expansion issue. There … appropriations for Medicaid expansion. Yes, these are federal … more

Detroit Bailout Makes for Strange Bedfellows

… component — its huge expansion of Medicaid . To make that happen, … more

Legislative Reforms in 2013 Leave Much to be Desired

… news: Obamacare Medicaid Expansion. Maybe its members … 90 percent federal Medicaid match-rate starting … largest welfare state expansion since the 1960s. … more

Medicaid Expansion Studies Weren't Trustworthy

Analysis reveals multiple flaws

… adopt the Obamacare Medicaid expansion has been exposed … that do not expand Medicaid." Jackson Hewitt estimated … here who supported the expansion, and probably tilted … more

Not Pretty: 2013 Legislative Roundup

… news: Obamacare Medicaid expansion: Maybe its members … 90 percent federal Medicaid match rate starting … largest welfare state expansion since the 1960s. … more

March 7, 2014, MichiganVotes Weekly Vote Report

… Bill 608 , Revise Medicaid expansion funding; authorize … federal health care law Medicaid expansion starting in April. … more

A Legislative Agenda for 2014

… Repeal the Obamacare Medicaid expansion. Instead, join with … more

Commentary: A Legislative Agenda for 2014

Get back to the 2011 and 2012 reform agenda.

… Repeal the Obamacare Medicaid expansion. Instead, join with … more

Tax Cut ‘Fever’?

Happy New Year!

… Legislature: a $3 billion expansion of the Medicaid medical welfare program, … more

2013 In Review: Worker Freedom, Medicaid Expansion Took Center Stage

… pushed hard for the expansion of Medicaid in Michigan and got … Michigan cashed larger Medicaid checks than they had … them . Medicaid Expansion Takes Place in Michigan At … more

Happy New Year: The Center Looks Back and Looks Forward

… billion in additional Medicaid spending. This … number of proposed expansions and limitations … number of proposed expansions at 16.25. Gov. Rick … four times as many expansions of state government … more

Top 25 for 2013

… in Passing Obamacare Medicaid Expansion Public Employee … more

Our Latest Studies: What Do They Do?

Mackinac Updates

… possible. “Waivers Are Temporary But Expansion is Forever” Propopents of Medicaid expansion in Michigan  argued … “waivers” from the standard Medicaid regulations and legal … more

October 25, 2013, MichiganVotes Weekly Vote Report

… federal health care law's Medicaid expansion (authorized by House … more

MICHIGAN CAPITOL CONFIDENTIAL

Fall 2013 Edition

… Legislature Passed Medicaid Expansion; Gov. Snyder Signed … took $35 million from Medicaid recipients Loss … more

Celebrating the Past, Looking Forward

… recall by adopting the Medicaid expansion tied to the president's … enacted the biggest expansion of state government … more

October 4, 2013, MichiganVotes Weekly Vote Report

… legislature immediately so Medicaid expansion can begin Jan. 1: … care law ("Obamacare") Medicaid expansion can go into effect … more

MiChild Reimbursement Rate Being Cut

… the whole thing with Medicaid expansion is wrong. And it's … longer accepting new Medicaid patients. That means … people on programs like Medicaid, with low reimbursement … more

The Road to Reason

… Mackinac Center’s new Medicaid expansion home page: www.mackinac.org/Medicaid_Expansion). Our concerted effort … more

Michigan Votes

The Devil in the Details

… implement Obamacare with a huge expansion of the Medicaid medical welfare program. Now … particular, a creeping expansion of government continues, … more

Republicans Backsliding After Solid Reforms

… implement Obamacare’s Medicaid expansion and to raise many … more

September 6, 2013, MichiganVotes Weekly Vote Report

… federal health care law Medicaid expansion: Passed 75 to 32 … House-passed bill to expand Medicaid eligibility to 138 percent … effect," which means the expansion cannot proceed until … more

Michigan Medicaid Expansion Heading To The Governor

… 4714 , which will expand Medicaid in Michigan. Now, Gov. … sign it into law. Medicaid expansion was the key issue … Getting states to do the expansion is a vital step toward … more

GOP Controlled Legislature Passes Medicaid Expansion; Headed to Governor for Signature

State Rep.: 'Medicaid does not offer the best option of care for the expanded population'

Medicaid expansion in Michigan, which … 4714 , which will expand Medicaid to able-bodied adults … extensively for the expansion and has said he will … more

Implementing Obamacare

… federal health care law Medicaid expansion: Passed 20 to 18 … Senate To expand Medicaid eligibility to families … 100 percent of the expansion’s cost during the … more

GOP's 'Collective Guilt' on Medicaid Expansion

… ‘no’ on the Obamacare Medicaid expansion — shares some blame … of evidence of how Medicaid does not help its … lawmakers to regard the expansion as a bad deal for … more

State House Passes Medicaid Expansion; Will Cost Taxpayers $1.3 Billion over Next Decade

Vote based on faulty assumption that the federal government will approve requested waiversforever’

… that will expand Medicaid under the Affordable … several flaws with Medicaid expansion, including increased … enroll in Medicaid expansions drop private insurance … more

Michigan Medicaid Expansion: A Win For President Obama?

… Michigan Senate passed a Medicaid expansion bill, it moved a … the bill. As far as Medicaid expansion is concerned, … to go along with the expansion. There are 21 states that … more

Eight Senate Republicans Join Democrats In Passing Obamacare Medicaid Expansion

Bill headed back to the House

A Medicaid expansion bill passed in the … voted 20-18 to pass a Medicaid expansion bill ( House Bill … more

Hospitals: Careful What You Wish for on Medicaid

New research shows expansion could hurt providers

… suggests the Obamacare Medicaid expansion may cost hospitals … specifically, lower-quality Medicaid. Because Medicaid … favor of the Medicaid expansion. Specifically, … more

'Voting Yes on Medicaid Expansion is Voting for Obamacare'

State Senate takes another turn on Medicaid expansion issue

… legislation to expand Medicaid could take place today in … fashion the issue of Medicaid expansion in Michigan. At issue … that are resisting the expansion of the social welfare … more

Waivers Are Subject to the Discretion of Federal Bureaucrats

… and how to execute Medicaid expansion. The secretary’s … or affects mandatory Medicaid populations — which … population targeted by expansion — insofar as such … more

Waivers Are Temporary

… of HHS may approve a Medicaid waiver for “the period … goals of the Medicaid expansion, and — as Oklahoma … described HIP as a Medicaid program “that covers … waiver for the state’s “Medicaid Low-Income Adult Coverage … more

Endnotes

… plan amendments, see: "Medicaid State Plan Amendments," … from the ACA Medicaid Expansion?," (The Henry J. … (Centers for Medicare Medicaid Services),  http://goo.gl/C3oagI … in to the Medicaid Expansion under the ACA: Who … more

Conclusion

Expanding Medicaid under the ACA can have … mandatory populations in expansion, which carry the … federal control over the Medicaid program in every area … accept the Medicaid expansion today should not … more

Three Reasons for Caution

… flexibility for long-term Medicaid reform. First, while … are likely to make Medicaid expansion permanent, waivers … more

Section 1115 Waivers

… about the rigidity of Medicaid and the increased long-term … if a state opts for expansion, it can still gain … it administers its Medicaid program through special, … political landscape of expansion (mentioned above), … more

Medicaid Expansion is Permanent

The Medicaid expansion decision is particularly … the first dollar of Medicaid funding to states that … ability to exit the expansion. [10] The secretary … more

Background

Medicaid is a federal-state partnership … adopt the Medicaid expansion, it must amend its … 1965. Each state-based Medicaid program operates under … amended to include the expansion, that agreement becomes … more

Introduction

… whether to opt–in to an expansion of Medicaid permitted by the Affordable … states, proponents of Medicaid expansion are promoting the … more

Center Dominates Free Press Opinion Page

… not vote to expand Medicaid under Obamacare; Michael … more

Medicaid Expansion not the Answer

… Tuesday to accept an expansion of the federal Medicaid program and throw Michigan’s … benefits of a bigger Medicaid program would be short-lived … for the largest-ever expansion of Medicaid in order … more

New Mackinac Center Study Cautions Against Relying on ‘Waivers’ to Reform Medicaid

‘Waivers are temporary but expansion is forever’

… who favor expanding Medicaid under the Affordable … waivers are temporary but expansion is forever,” said … director of the Center for Medicaid and State Operations … condition for accepting the expansion may be in for a rude … more

Medicaid: Waivers are Temporary, Expansion is Forever

This study, jointly published by the Mackinac Center for Public Policy and the Buckeye Institute for Public Policy Solutions, examines whether states can rely on using federally granted “waivers” to avoid some federal rules and regulations in hopes of expanding their Medicaid programs in a more cost-effective manner. It reports that there are three limitations to such a strategy: waivers are temporary, subject to the discretion of federal agencies and vulnerable to judicial review. more

Two Democrats Join Republicans at Top of Tea Party Scorecard

Ratings shows bipartisanship on issues like fee increases, corporate welfare

… double-dipping, fees and Medicaid expansion. Ray Hamman, … the group placed on Medicaid expansion, which is a key component … more

New Medicaid Study: ‘Waivers Are Temporary, Expansion Is Forever’

… adopting the Obamacare Medicaid expansion states can gain greater … administration will weaken the Medicaid requirements that they … ill-placed, and trading expansion for waivers is a … more

Brain Surgery Required After Medicaid Issues Delayed Dental Care

The real patients of Medicaid video series

… sister to navigate the Medicaid maze. At first she tried … Obamacare. Opponents of Medicaid expansion in Michigan point … could not accept her Medicaid coverage. She discontinued … Increase' Claim By Medicaid Expansion Advocates Remains … more

Medicaid Pays Below What It Costs To Take Care of Patients

Video highlights real issues with Medicaid expansion in Michigan

… accept more patients on Medicaid but says he can't because … care." Opponents of Medicaid expansion in Michigan point … reimbursements too low. "Medicaid pays us way below what … Increase' Claim By Medicaid Expansion Advocates Remains … more

Michigan Doctor Against Medicaid Expansion

… against the proposed Medicaid expansion in Michigan. He explains … costs as it is and why Medicaid patients, under expansion, will have less access … more

Medicaid Client in ICU After Being Denied Routine Care

… how their sister on Medicaid ended up in the Intensive … tooth. In 2009, Michigan Medicaid eliminated routine dental … more

Health Policy Expert: GOP Medicaid Reforms 'Out Of The Stone Age'

… House Bill 4714 , the Medicaid expansion measure, are trying to sell it as Medicaid reform. In reality, … also: Medicaid Expansion: New Exterior, Same … more