Skip to main content

Medicaid card
Hospitals in states that have refused to take the Medicaid expansion offered under the Affordable Care Act have been in a panic in recent months over the pending loss of funding they were supposed to suffer with the implementation of the law. As the law is written, Medicaid funding to states to pay hospitals that treat a large number of uninsured residents was going to be reduced as those uninsured people were absorbed into Medicaid and the insurance exchanges. But that was before the Supreme Court stepped in and said states could refuse the additional Medicaid funding.

Because the problem of uncompensated care won't be going away for those hospitals in red states, the administration has proposed delaying cuts in those states by not penalizing them for the next two years. They'll continue to receive funding based in part on the percentage of the state's population that is uninsured.

An official at the Washington trade group representing safety-net hospitals praised the Obama administration for wanting to take the time to analyze the first couple of years of the health law’s coverage expansion.

“Our first reaction is that [CMS] is being very cautious in how that Supreme Court decision might impact the effects of the DSH cut,” said Beth Feldpush, vice president for advocacy and policy at the National Association of Public Hospitals and Health Systems, adding that the group had been “extremely concerned” about the level of DSH cuts, even before the Supreme Court decision added further uncertainty.

Of course, the proposal has its critics. Namely Republican members of Congress from states that have refused by the expansion, like Rep. Bill Cassidy (R-LA). He's pissed because, while he was opposed the expansion and supports his state's decision to refuse it, other states will be getting the funding: “This decision will harm vulnerable patients in those states by imposing a net decrease of federal dollars for indigent care while providing a net increase to other states via the Medicaid expansion." The simple solution for that, of course, is for his state to take the damn expansion money and take care of the vulnerable patient he's pretending to care about.

Originally posted to Joan McCarter on Tue May 14, 2013 at 10:24 AM PDT.

Also republished by Daily Kos.

Your Email has been sent.
You must add at least one tag to this diary before publishing it.

Add keywords that describe this diary. Separate multiple keywords with commas.
Tagging tips - Search For Tags - Browse For Tags


More Tagging tips:

A tag is a way to search for this diary. If someone is searching for "Barack Obama," is this a diary they'd be trying to find?

Use a person's full name, without any title. Senator Obama may become President Obama, and Michelle Obama might run for office.

If your diary covers an election or elected official, use election tags, which are generally the state abbreviation followed by the office. CA-01 is the first district House seat. CA-Sen covers both senate races. NY-GOV covers the New York governor's race.

Tags do not compound: that is, "education reform" is a completely different tag from "education". A tag like "reform" alone is probably not meaningful.

Consider if one or more of these tags fits your diary: Civil Rights, Community, Congress, Culture, Economy, Education, Elections, Energy, Environment, Health Care, International, Labor, Law, Media, Meta, National Security, Science, Transportation, or White House. If your diary is specific to a state, consider adding the state (California, Texas, etc). Keep in mind, though, that there are many wonderful and important diaries that don't fit in any of these tags. Don't worry if yours doesn't.

You can add a private note to this diary when hotlisting it:
Are you sure you want to remove this diary from your hotlist?
Are you sure you want to remove your recommendation? You can only recommend a diary once, so you will not be able to re-recommend it afterwards.
Rescue this diary, and add a note:
Are you sure you want to remove this diary from Rescue?
Choose where to republish this diary. The diary will be added to the queue for that group. Publish it from the queue to make it appear.

You must be a member of a group to use this feature.

Add a quick update to your diary without changing the diary itself:
Are you sure you want to remove this diary?
(The diary will be removed from the site and returned to your drafts for further editing.)
(The diary will be removed.)
Are you sure you want to save these changes to the published diary?

Comment Preferences

Subscribe or Donate to support Daily Kos.

Click here for the mobile view of the site