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By Andrea Maruniak, Media Manager, National Women's Law Center
Cross-posted from NWLC's blog

Yesterday Florida Governor Rick Scott—an outspoken opponent of the Affordable Care Act—announced his support for the law’s expansion of health coverage through the Medicaid program, joining the growing ranks of conservative governors who have concluded that it’s just too good a deal to turn down.

The Supreme Court decision that upheld the health care law also allowed states to choose whether to accept the federal money to expand coverage through Medicaid. But if a state chooses to turn down the federal money, some of that state’s poorest and most vulnerable residents will fall into a “coverage gap”. In other words, they will not get any help toward affording health insurance, while people with higher incomes will still get help through the law.

In Florida alone, 613,000 uninsured women stand to gain health coverage under Gov. Scott’s proposal. Combined with other reforms in the health care law, this coverage expansion would reduce the percentage of uninsured women in Florida from 25.3 percent to 5.8 percent. Considering that the federal government has promised to pay 100 percent of costs in the first years, and at least 90 percent after that, it simply doesn’t make sense for states to turn down the money.

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Comment Preferences

  •  He couldn't care less about the 613,000 women (2+ / 0-)
    Recommended by:
    FloridaSNMOM, splashoil

    Rick Scott has major holdings in Hospital Companies and has figured out how to personally profit from the Medicaid Expansion.

    One he figures out how to enrich himself through the Exchanges you'll see one up and running real fast.

  •  What I don't understand is, (3+ / 0-)
    Recommended by:
    Hockeyray, FloridaSNMOM, splashoil

    Why am I not seeing more attention to what Scott is doing; he's privatizing Medicaid for the entire state of Florida, and he's doing it with the full support of the Obama administration.

    Where's the outrage?

    I am become Man, the destroyer of worlds

    by tle on Fri Feb 22, 2013 at 07:21:26 AM PST

  •  What Could Possibly Go Wrong? (0+ / 0-)

    Privatized State clawback from Medicaid recipients' estates?  check.  Convicted Medicare Fraud administrator?  check.  Obama indifference to rule of law and bankster fraud?  check.

    •  Counterpunch nails it (0+ / 0-)

      Print This for Reference.

      Here’s why dropping the asset test got the BINGO – Estate Recovery! You won’t find the following info in the ACA. It’s in the Omnibus Reconciliation Act of 1993 (OBRA 1993) – a federal statute which applies to Medicaid, and, if you are enrolled in Medicaid, it will apply to you depending on your age.

      a) OBRA 1993 requires all states that receive Medicaid funding to seek recovery from the estates of deceased individuals who used Medicaid benefits at age 55 or older. It allows recovery for any items or services under the state Medicaid plan going beyond nursing homes and other long-term care institutions. In fact, The Centers for Medicare & Medicaid Services (CMS) site says that states have the option of recovering payments for all Medicaid services provided. The Department of Health and Human Services (HHS) site says at state option, recovery can be pursued for any items covered by the Medicaid state plan.

      b) The HHS site has an overview of the Medicaid estate recovery mandate which also says that at a minimum, states must pursue recoveries from the “probate estate,” which includes property that passes to the heirs under state probate law, but states can expand the definition of estate to allow recovery from property that bypasses probate. This means states can use procedures for direct recovery from bank accounts and other funds.

      c) Some states use recovery for RX and hospital only as required by OBRA 1993; some recover for a few additional benefits and some recover for all benefits under the state plan. Recovery provides revenue for cash-strapped states and it’s a big business.

      Your estate is what you own when you die – your home and what’s in it, other real estate you may own, your bank account, annuities and so on. And even if you have a will, your heirs are chopped liver. Low-income people often have only one major asset – the home in which they live and, in some cases, this has been the family home through several generations.

      Altruism indeed!

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