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Endnotes

… 205-230. 23 Thomas DeLeire, Leonard M. Lopoo and Kosali I. Simon, “Medicaid expansions and fertility in the United States” (Demography 48, no. 2, 2011): … 66, 2017): 119-131; Friederike Seifert, "The Affordable Care Act Medicaid expansion and interstate migration in border regions of US States" (Review …

Public finances

… greater welfare benefits but that the stringency of rules had no discernible effect on migration patterns.[75] One study evaluates the effect of Medicaid expansion in Massachusetts in 2010. The authors find that Massachusetts’ health insurance subsidies for low-income individuals led to significant population …

Potential factors influencing birth rates

… childless women with similar backgrounds.[14] Expansions of the earned income tax credit also did not … low-income households. Examining the impact of Medicaid expansions in the 1980s, a team of researchers “conclude … there is no robust relationship between Medicaid expansions and fertility.”[23] Researchers often note …

COVID flexibilities that should outlive COVID-19

Here are nine suggestions for improving care and reducing costs

… Best practice telehealth expansion The pandemic demonstrated … relationships. 5. Reserve Medicaid resources for the truly needy Medicaid is the largest line item … In 2020, more than 25% of Medicaid spending went to people who … insurers to deliver much of the Medicaid program, every ineligible …

COVID Ratcheted up Federal Transfers to the State Budget

Federal transfers to Michigan jumped up to $33.0 billion

… Human Services oversees the state’s Medicaid program. The federal government tied … requirement that the state keep people on Medicaid during the pandemic, even if their … state has 637,000 more people on Medicaid than it did when the pandemic began. … the cash at hand to finance this expansion of state government. It has accumulated …

Medicaid Payments Should Go to Caregivers, Not to Unions

U.S. Senate Special Committee on Aging

… Center strongly opposes the expansion of Medicaid payments to labor organizations … discover the redirection of Medicaid payments to labor organizations, … deduction of union dues from the Medicaid payments of home-based caregivers … system in which payments of Medicaid funds can be directed to …

Telemedicine

… payer insurance market and in Medicaid. This flexibility increases … comes to telemedicine for Medicaid recipients, including those … Centers for Medicare and Medicaid Services, state policymakers … Health and Human Services gave Medicaid recipients increased freedom … health care through the expansion of telemedicine can help …

Many Emergency Orders To Fight COVID-19 Should Be Put Into Law For Good

… following subjects: Certificate of Need: The law, which prevents the expansion of health care facilities and services, was rolled back to deal with the … most areas of state government, including K-12 schools, universities, Medicaid, Pure Michigan advertising and most departments. The virus changed that, …

Michigan’s Personal Income Tax During Pandemic

… allocations are to prisons, Medicaid and state universities. … them may be eligible for Medicaid. The pandemic may also cause … for people to be covered by Medicaid, and it makes those groups … If the number of people in Medicaid needing treatment for COVID-19 … services given to the Medicaid expansion population, which is …

Michigan’s Personal Income Tax During Pandemic

Pressure on tax revenues and the services the taxes pay for

… allocations are to prisons, Medicaid and state universities. … them may be eligible for Medicaid. The pandemic may also cause … for people to be covered by Medicaid, and it makes those groups … If the number of people in Medicaid needing treatment for COVID-19 … services given to the Medicaid expansion population, which is …

There May Finally Be Hope for Moving Health Care Policy in the Right Direction

… Obamacare gives states to extend Medicaid coverage to able-bodied, … keep the expanded form of Medicaid and use so-called market-based … choose to reside. Freeze Medicaid enrollment for able-bodied … director John Nixon said of the Medicaid program. In 2010, Michigan … the Legislature to revisit expansion if the projected savings …

2020: A New Day, or Groundhog Day?

… governments — not just Michigan’s — is Medicaid, and the Obamacare Medicaid expansion (i.e., Healthy Michigan) is … was originally forecast. The main Medicaid program for the low-income elderly, … safety agencies. Now the Obamacare expansion threatens to compound that problem. …

CapCon’s Top 10 Stories For 2019

Road Fix That Wasn’t, Gun-Free Zones, 1,100 Windmills Won’t Replace This Coal Plant

… only, not federal or local dollars. No. 4 Headline: Republicans Imposed Medicaid Work Requirements; Governor Wants To Undo Them From the story: Michigan’s … to require childless, able-bodied beneficiaries of the Obamacare Medicaid expansion to meet work, training or community service requirements. In a February …

Large Hospitals Want State Monopoly On New Cancer Treatment

And a state commission will give it to them unless legislature acts

… created in 1978 to limit capital expenditures by medical facilities on expansions and expensive technology. State Rep. Hank Vaupel, R-Fowlerville, chairman … said. “Half of all customers are covered by the government (Medicare and Medicaid).” While new cellular therapies using blood modified in a laboratory are …

Whitmer Coy On ‘Medicare For All,’ But Went Extra Mile For Obamacare’s Medicaid

A parliamentary maneuver that raised eyebrows

… up for the Obamacare Medicaid expansion. Whitmer joined all … Republicans) in voting “yes” on the expansion, which made more people eligible for Medicaid and was expected to send … that in the Senate. So, Medicaid expansion could not begin until … immediately. That way, the Medicaid expansion would go into effect …

Aretha Franklin, Medicaid, Mandated Dental Exams and More

This week's MichiganVotes roll call report

… Highway." Senate Bill 362, Ease reporting requirements for able-bodied Medicaid beneficiaries: Passed 37 to 0 in the Senate To grant greater leeway in … able-bodied individuals accepting health coverage benefits under the Medicaid expansion authorized by the federal health care law. A 2018 law made getting …

Republicans Imposed Medicaid Work Requirements; Governor Wants to Undo Them

Gov. Whitmer wants U-turn on making able-bodied medical welfare recipients get a job

… beneficiaries of the Obamacare Medicaid expansion to meet work, training … predicted that Michigan’s new Medicaid work requirements would cause … according to national experts on Medicaid and health care policy, many … were eligible for the Medicaid expansion in Arkansas re-enrolled, … someone who receives Medicaid-expansion benefits and is able …

Mackinac Center Releases 2019 Policy Recommendations

The Mackinac Center releases 2019 policy recommendations

… propriety of all state occupational licenses. Defend Medicaid Work Requirements: Work or community engagement … receive benefits through the Healthy Michigan Medicaid-expansion program were passed last year and should … able-bodied adults and protect the individuals that Medicaid was originally intended for. “The new political …

Gov. Whitmer Calls for Six Expansions of Government in First ‘State of the State’ Address

Mackinac Center provides annual tally of expansions and limitations

… Gretchen Whitmer called for six expansions of government and one limitation. This is fewer proposed expansions than the average number … of which would require an expansion of government. The Mackinac … Public Policy has tallied the expansions and limitations in the State … able-bodied adults receiving Medicaid to seek work, volunteer or …

Up 10 Percent And $3.2 Billion, State Still ‘Starved For Revenue’

Long-time budget analysts stuck on half-empty

… seeking comment. Bean responded to an email, but he claimed the Senate Fiscal Agency numbers that it cited included federal dollars including Medicaid expansion money. They did not.

Mackinac Center Experts at State Policy Network’s Annual Meeting

… a vision of a freer nation. Lindsay Killen, vice president for strategic outreach and communications, was a presenter on a panel discussing Medicaid expansion. She also moderated a panel on how and when to take your issue campaigns to the national level. Michael Reitz, executive vice president, was …

Last Call: Reviewing Pre-election Votes Of The 2017-2018 Legislature

November 2 MichiganVotes weekly roll call

… 2017-2018 session. Senate Bill 897, Impose work requirement on able-bodied Medicaid recipients: Passed 26 to 11 in the Senate on April 19, 2018 To require … able-bodied individuals enrolled in the the federal health care law's Medicaid expansion to work at least 80 hours a month for at least nine months a year, …

Granholm: Income Tax Would Be Lower If GOP Left It Alone

Republicans repealed scheduled reductions in former Democratic governor’s 2007 tax hike

… government has become accustomed to the revenue,” he said. Pavlov pointed to special interests, including those focused on the 2013 Obamacare Medicaid expansion, and a steady increase in funding for public schools. His explanation for the initial 2007 vote to increase rates was that “the tax eaters were …

Make Your Issue More Popular Instead of Complaining About Term Limits

… legislators Loss of experience, knowledge and institutional memory Loss of relationships that help with complex legislation like auto insurance and Medicaid expansion State per-capita income declines Nepotism No long-term fix for Detroit Public Schools Poorer quality legislative language and more partisanship …

Happy New (Fiscal) Year; State Spending Up But Not By Much

Inflation-adjusted figures show Snyder mostly held the line on spending

Spurred by the Obamacare Medicaid expansion and increases in the state gas tax and vehicle registration tax, overall spending by Michigan’s state government … to the Legislature and governor accepting the Affordable Care Act Medicaid expansion in 2013. The Michigan Department of Transportation’s spending increased …

Gov. Rick Snyder’s Fiscal Policy Legacy

A review

… Snyder administration pressed legislators to accept the Obamacare Medicaid expansion that made families and childless adults with incomes of up to 138 … shaped where state government is today: There is more money for roads, Medicaid, schools and for a rainy day, too. There were both tax increases and …

Auto Insurance Reform for Seniors, Repeal Prevailing Wage, Medicaid Work

June 8, 2018 MichiganVotes weekly roll call report

… Bill 897, Impose work requirement on able-bodied Medicaid recipients: Passed 62 to 47 in the House To … able-bodied individuals enrolled in the Medicaid expansion authorized by the federal health care law … Bill 897, Impose work requirement on able-bodied Medicaid recipients: Passed 25 to 11 in the Senate The …

Lawmakers Repeal Prevailing Wage and Pass Work Requirements for Able-Bodied Medicaid Population

Repeal of union wage mandates and application of Medicaid work requirements will benefit taxpayers and Michigan’s economy

… population enrolled in the state’s Medicaid program. Both reforms save … the “Healthy Michigan” Medicaid-expansion program. Individuals … important that we remember why Medicaid was established in the first … the Mackinac Center. “But Medicaid has ballooned into an unwieldy … and disabled individuals Medicaid was originally intended for.” …

Michigan Economy Rebounds, But Medicaid Enrollment Soars

Republicans drove increase in Medicaid spending while food stamps decline

… receiving either food stamps or Medicaid assistance increased by over … in the number collecting Medicaid benefits. The number of … driven by the Obamacare Medicaid expansion championed by Gov. Rick … traditional (1.8 million) or expansion (698,733) Medicaid assistance … adults in their Obamacare Medicaid expansion, despite promises that …

Sponsor Of Medicaid Work Requirements: They’re The ‘Right Thing To Do’

Able-bodied beneficiaries would have to get a job, get training, go to school or do community service

… as a condition of getting Medicaid health benefits. These bills … Michigan’s acceptance of the Medicaid expansion under the Affordable … authorizing the Obamacare Medicaid expansion also required the state … R-Clarklake, when the Michigan Medicaid expansion bill was considered, … committee that reported the expansion bill to the full House. …

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 the last decade … comes from the Center for Medicaid Services, which last week … federal guidance for the Medicaid program, which includes giving … about Michigan’s rising Medicaid expansion costs, which will likely … budget. Though Michigan’s Medicaid expansion under the Affordable …

Michigan Legislature’s 10 Most Revealing Votes of 2017

Which side were your lawmakers on?

… hospital lobby. Big Hospital perhaps became the state’s most powerful special interest after the 2013 Legislature voted to accept the Obamacare Medicaid expansion. That move brought approximately $4 billion in annual “free” federal dollars that now flow to Michigan hospitals. Senate Bill 335, Accommodate …

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 … poverty level would enroll in Medicaid. The actual number turned … people in the able-bodied Medicaid expansion population do not work … number of able-bodied Medicaid expansion clients who are not … efforts, warned that Medicaid expansion fosters dependency among …

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

August 18, 2017 MichiganVotes weekly roll call report

… action at this time. House Bill 4598: Freeze enrollment in Obamacare Medicaid expansion Introduced by Rep. Gary Glenn (R), to freeze enrollment in the state Medicaid expansion authorized by the 2010 federal health care law and a 2013 Michigan …

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 who was … state's version of the Medicaid expansion component of the Affordable … doctors included under a state Medicaid managed care contract in … any insurance, let alone Medicaid. She thought there was no … of lawmakers, not just for Medicaid, which costs taxpayers billions, …

The Hypocrisy of 'Public' Education Rhetoric

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

… often already benefit from health care vouchers (Medicaid) and food vouchers (Bridge Card, SNAP and WIC) … educational voucher programs broadly support both Medicaid expansion and federal food aid expansion, without constitutional concerns about their …

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 taxpayers … 630,609 have enrolled for the expansion here as of October 2016 — … Michigan’s share of the Medicaid expansion costs are projected … expenses. The study, titled “Expansion Enrollment is Shattering Projections,” says that Michigan’s Medicaid enrollment spike is part …

State Health Policy Toolkit

10 reforms state lawmakers can implement now

… is repealed. 3. Verifying Medicaid Eligibility Problem: The … eligibility. 4. Unwind the Medicaid Expansion Problem: This state … at the same rate. The Medicaid expansion did not increase the … less needy than the pre-expansion population. As a result any … from the less needy Medicaid expansion population. If the feds …

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

Three representatives face off for the top spot

… (VerHeulen “yes” with Greimel and Leonard “no”), accepting the Obamacare Medicaid expansion (VerHeulen and Leonard "no" with Greimel "yes"), and a few votes … because “doing so would push more Michiganders onto government programs like Medicaid and Medicare.” VerHeulen defended his vote on the internet sales tax, …

Michigan Budget on Course for $7 Billion Rise Under Republicans

From $47.6 billion in 2011 to $55 billion

… billion to $55 billion. Much of this 16 percent increase will have been due to more federal money flowing into the state under the Obamacare Medicaid expansion. When federal dollars are excluded, state spending from state sources will have increased from $27.9 billion to $32.3 billion, a rise of about …

Hohman in LSJ: Road Tax Hike to Fund Medicaid Expansion

… agreed to last fall could essentially be used to pay for the state’s Medicaid expansion, Mackinac Center’s James Hohman argues in an op-ed published by the … that $400 million general fund allocation will pay for Michigan’s Medicaid expansion and increases in the Department of Health and Human Services and …

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

Program expanded 30 percent beyond projections

… administration of Gov. Rick Snyder gave to its adoption of the Obamacare Medicaid expansion. During the expansion debate in 2013, it was estimated that somewhat more than 400,000 people …

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

Michigan's revenue growth is set to continue

… roads to pay for the state’s Medicaid expansion. Normally, roads are paid by … the executive budget: the state’s Medicaid program. The state is required to … decision to let more people sign up for Medicaid, part of a deal made under Obamacare. … Because of this increase and the expansion of other services, the state’s Department …

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 Legislature … Centers for Medicare and Medicaid Services grants Michigan … for the 600,000 people the expansion added to the state’s medical … Michigan accept the Medicaid expansion, he relied on projections … legislators accepted the Medicaid expansion after a bitter three-sided …

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 state … annually to promote the Medicaid expansion to potential enrollees. … Legislature to accept the Medicaid expansion, after the U.S. Supreme … loosen eligibility rules on Medicaid. That summer, amid rancor … Legislature approved the expansion by allowing Democratic lawmakers …

Michigan’s Obamacare Medicaid Expansion

Incentives gone awry

… Legislature passed a bill expanding Medicaid, a core component of the … the hubbub surrounding the expansion bill was a section requiring … most vocal critic of Medicaid expansion in the state Senate. … about the Obamacare Medicaid expansion: Increased dependency, … Also: Mackinac Center Medicaid Expansion Coverage

Politicians Misrepresent Road Funding Bills to Promote Tax Hike

Slower spending growth is not a 'cut'

… people applying for government assistance, though the Obamacare-driven expansion of Medicaid will mean some increased spending. And while government pension costs …

Obamacare Exchange: Michigan Dodged a Bullet

… hadn’t yet got in the habit of violating the “Hastert rule” and rolling the caucus majority by passing bills with Democratic votes, which is how Medicaid expansion became law the following year.) There are no “wooden stakes” in Lansing though — bad policy proposals never die. If the U.S. Supreme Court …

As Obamacare is Implemented, Part-Time Jobs at All Time High

U.S. has had a record 27 million people working 35 or fewer hours a week the past five years

… a greater reliance on part-time work, which is probably not a good thing for most workers.” ~~~~~ See also: Report: Michigan's Obamacare Medicaid Expansion Exceeds Projections by 22 Percent Obamacare's Michigan Tale: Small Drop in Uninsured While Families Pay More Michigan Paid 'Stupidity of American …