medicaid expansion http://kbia.org en Medicaid change sought for disabled, elderly http://kbia.org/post/medicaid-change-sought-disabled-elderly <p style="color: rgb(51, 51, 51); font-family: Verdana, Helvetica, Arial, sans-serif, Geneva; font-size: 11px; line-height: 15px;">Some Missouri Republicans have adamantly opposed expanding Medicaid to low-income adults by tapping into billions of federal dollars under President Barack Obama's health care law.</p><p> Mon, 07 Apr 2014 12:57:54 +0000 Associated Press 50882 at http://kbia.org Medicaid change sought for disabled, elderly Illinois expanded its Medicaid program. Missouri didn’t. How are those choices working out? http://kbia.org/post/illinois-expanded-its-medicaid-program-missouri-didn-t-how-are-those-choices-working-out <p></p><p><span style="line-height: 1.5;">&nbsp;</span></p><p><span style="line-height: 1.5;">For years in most states, Medicaid eligibility had been limited to disabled adults, seniors needing long-term care and very low-income parents with their children.</span></p><p>Then along came the Affordable Care Act. It was designed to grow health insurance coverage across the board. One of its tenets was to expand Medicaid coverage beyond the extremely poor and disabled to include all adults earning up to 138 percent of federal poverty levels.</p><p>But in 2012, the Supreme Court gave states the chance to opt out Medicaid expansion.</p><p>Illinois is one of 25 states that went ahead with expanding the program. Neighboring Missouri did not.</p><p>We looked into the impacts of those differing decisions. Here’s what we found out.</p><p> Thu, 03 Apr 2014 21:11:04 +0000 Véronique LaCapra 50750 at http://kbia.org Illinois expanded its Medicaid program. Missouri didn’t. How are those choices working out? Missouri Hospitals Fear Job Losses, Service Cuts Without Medicaid Expansion http://kbia.org/post/missouri-hospitals-fear-job-losses-service-cuts-without-medicaid-expansion <em><strong>(Updated 4:30 p.m. Wed., March 26)</strong></em><p>In the last six months alone, Missouri hospitals have eliminated nearly 1,000 jobs, imposed hiring freezes affecting another 2,145 positions and cut or delayed at least $50 million in building projects.<p>The blame is due, in part, to the General Assembly’s refusal to expand Medicaid.<p>At least that’s the opinion of the Missouri Hospital Association and the Missouri Chamber of Commerce. On Wednesday, they released the results of their survey of hospitals around the state. Wed, 26 Mar 2014 17:17:12 +0000 Jo Mannies 50275 at http://kbia.org Missouri Hospitals Fear Job Losses, Service Cuts Without Medicaid Expansion Mo. House Blocks Medicaid Expansion, Sets Aside $6M For New State Park, While Approving State Budget http://kbia.org/post/mo-house-blocks-medicaid-expansion-sets-aside-6m-new-state-park-while-approving-state-budget <span style="line-height: 1.5;">The Missouri House has given first-round approval to next year's state budget -- after spending most of Tuesday on amendments to the FY 2015 budget, including two attempts to expand Medicaid.&#160; Both failed, and both were sponsored by state Rep. Jill </span>Schupp, D-Creve<span style="line-height: 1.5;"> Coeur.</span><p>"Ladies and gentlemen, when rural hospitals close, (your) actions here today will be remembered," Schupp said. Wed, 26 Mar 2014 12:45:32 +0000 Marshall Griffin 50248 at http://kbia.org Mo. House Blocks Medicaid Expansion, Sets Aside $6M For New State Park, While Approving State Budget Pastors, workers, business leaders plead for Medicaid expansion http://kbia.org/post/pastors-workers-business-leaders-plead-medicaid-expansion <p></p><p><span style="line-height: 1.5;">Missouri&nbsp;lawmakers are hearing pleas from low-income workers, business leaders and pastors to expand Medicaid coverage.</span></p><p>Witness testifying Tuesday before a House committee want lawmakers to expand Medicaid eligibility to adults earning up to 138 percent of the federal poverty level — nearly $33,000 for a family of four. States that do so can receive billions of additional federal dollars under President Barack Obama's health care law.</p> Tue, 25 Mar 2014 20:54:08 +0000 Associated Press 50212 at http://kbia.org Pastors, workers, business leaders plead for Medicaid expansion GOP state senators reject Medicaid expansion http://kbia.org/post/gop-state-senators-reject-medicaid-expansion <p>Several Republican state senators are making it clear that there will be no expansion of Medicaid eligibility this year in Missouri.</p><p>Five GOP senators took to the Senate floor Monday as the Legislature returned from spring break to say they will block any attempt to expand Medicaid eligibility during the session that ends in mid-May.</p> Tue, 25 Mar 2014 12:16:52 +0000 Associated Press 50176 at http://kbia.org GOP state senators reject Medicaid expansion Faith-based advocacy groups unite for economic dignity in a "Moral Missouri" http://kbia.org/post/faith-based-advocacy-groups-unite-economic-dignity-moral-missouri <p><span style="color: rgb(51, 51, 51); font-family: OpenSansRegular, Arial, Helvetica, sans-serif; font-size: 14.44444465637207px; line-height: 23.76500129699707px;">Faith-based advocacy groups are uniting with hopes of making change in Missouri on behalf of the state's most vulnerable and marginalized population.</span></p> Sat, 08 Mar 2014 17:03:34 +0000 Kellie Moore 49267 at http://kbia.org Faith-based advocacy groups unite for economic dignity in a "Moral Missouri" Bond Pushes Medicaid Expansion In Jefferson City http://kbia.org/post/bond-pushes-medicaid-expansion-jefferson-city <span style="line-height: 1.5;"><a href="http://www.kitbondstrategies.com/team/kit-bond/">Former U.S. Wed, 26 Feb 2014 14:18:30 +0000 Marshall Griffin 48755 at http://kbia.org Bond Pushes Medicaid Expansion In Jefferson City PM Newscast for February 24, 2014 http://kbia.org/post/pm-newscast-february-24-2014 <p></p><p><span style="line-height: 1.5;">Regional news coverage from the </span>KBIA<span style="line-height: 1.5;">&nbsp;Newsroom, including:&nbsp;</span></p> Mon, 24 Feb 2014 23:44:35 +0000 Maureen Lewis-Stump 48673 at http://kbia.org Medicaid expansion study projects 24,000 more jobs http://kbia.org/post/medicaid-expansion-study-projects-24000-more-jobs <p></p><p><span style="line-height: 1.5;">State officials are projecting that 24,000 new jobs would be created if&nbsp;Missouri chooses to expand its Medicaid program.</span></p><p>The Department of Economic Development said Friday that raising the program's eligibility to levels called for by the federal health care law would bring $9.9 billion in new wages to the state.</p> Fri, 21 Feb 2014 22:30:51 +0000 Associated Press 48546 at http://kbia.org Medicaid expansion study projects 24,000 more jobs GOP led Mo. Senate rejects Medicaid expansion http://kbia.org/post/gop-led-mo-senate-rejects-medicaid-expansion <p style="color: rgb(51, 51, 51); font-family: Verdana, Helvetica, Arial, sans-serif, Geneva; font-size: 11px; line-height: 15px;">The Missouri Senate has defeated an attempt to expand Medicaid eligibility to several hundred thousand lower-income adults.</p><p> Thu, 06 Feb 2014 14:15:01 +0000 Associated Press 47736 at http://kbia.org GOP led Mo. Senate rejects Medicaid expansion Former Sen. Bond to lobby in favor of Missouri expanding Medicaid http://kbia.org/post/former-sen-bond-lobby-favor-missouri-expanding-medicaid <p>Retired U.S. Sen. Christopher “Kit” Bond, R-Mo., is jumping into the Jefferson City debate over Medicaid expansion – and he’s on the side of&nbsp; Gov. Jay Nixon and other expansion supporters. Fri, 24 Jan 2014 22:57:42 +0000 Jo Mannies 47119 at http://kbia.org Former Sen. Bond to lobby in favor of Missouri expanding Medicaid More Medicaid debate expected in the 2014 Mo. legislative session http://kbia.org/post/more-medicaid-debate-expected-2014-mo-legislative-session <p></p><p>At his sixth State of the State address Tuesday, Gov. Jay Nixon renewed his push to expand Medicaid, the health insurance program for the low-income population, in Missouri. He was careful, though, not to mention the “e” word itself. Instead, the governor called lawmakers to work on reforming the program.</p><p>“I look forward to working with all of you to bring affordable health coverage to working families in Missouri, and reform Medicaid the Missouri way,” said Nixon.</p><p> Wed, 22 Jan 2014 17:50:17 +0000 Harum Helmy 46984 at http://kbia.org More Medicaid debate expected in the 2014 Mo. legislative session State lawmakers preview 2014 legislative session http://kbia.org/post/state-lawmakers-preview-2014-legislative-session <p></p><p><strong style="margin: 0px; padding: 0px; border: 0px; font-size: 15px; vertical-align: baseline; color: rgb(51, 51, 51); font-family: Georgia, Times, serif; line-height: 22px;">Watch the show and join the conversation on the&nbsp;<a href="http://intersectkbia.weebly.com/" style="margin: 0px; padding: 0px; border: 0px; vertical-align: baseline; color: rgb(12, 76, 162);">Intersection website.</a></strong><span style="color: rgb(51, 51, 51); font-family: Georgia, Times, serif; font-size: 15px; line-height: 22px;">&nbsp;</span></p><p> Tue, 14 Jan 2014 00:32:55 +0000 Rehman Tungekar 46610 at http://kbia.org State lawmakers preview 2014 legislative session Nixon pushes for Medicaid expansion in 2014 http://kbia.org/post/nixon-pushes-medicaid-expansion-2014 <p></p><p></p><p><span style="line-height: 1.5;">Gov. Jay Nixon is closing out the year by asking state legislators once again to pass a bill expanding Missouri’s Medicaid coverage for lower-income residents.</span></p> Tue, 31 Dec 2013 22:55:36 +0000 Kristofor Husted 46051 at http://kbia.org Nixon pushes for Medicaid expansion in 2014 Columbia to pay consultants $150,000 for zoning codes update http://kbia.org/post/columbia-pay-consultants-150000-zoning-codes-update <p>The Columbia City Council has appropriated $150,000 to pay a consulting company to update the city’s development codes.</p><p> Tue, 17 Dec 2013 14:44:58 +0000 Kate Grumke 45398 at http://kbia.org Columbia to pay consultants $150,000 for zoning codes update State Senate Republicans reject Democratic Medicaid proposal http://kbia.org/post/state-senate-republicans-reject-democratic-medicaid-proposal <p>A Republican-led Senate committee considering changes to Missouri's Medicaid program has rejected a Democratic proposal in support of expanded eligibility.</p><p>The decision by the Senate Interim Committee on Medicaid Transformation and Reform dealt with what recommendations to include in a report in advance for the 2014 session.</p><p>Earlier Wednesday, Democrats walked out of the committee while it considered other recommendations for changing Medicaid.</p> Wed, 13 Nov 2013 23:03:10 +0000 Associated Press 43739 at http://kbia.org State Senate Republicans reject Democratic Medicaid proposal Mo. House Committee Kicks Off Series Of Medicaid Hearings http://kbia.org/post/mo-house-committee-kicks-series-medicaid-hearings <span style="line-height: 1.5;">A series of hearings by state lawmakers into Missouri&#39;s Medicaid system has begun.</span><p>The interim House Committee on Medicaid Transformation spent much of the first day Thursday looking at proposed changes in Arkansas and Iowa, which would include expanding access to private health insurers and rewarding healthy behavior.&#160; <a href="http://www.slu.edu/colleges/law/slulaw/faculty/watsons">Sidney Watson</a> is a law professor at St. Fri, 27 Sep 2013 12:52:36 +0000 Marshall Griffin 41200 at http://kbia.org Mo. House Committee Kicks Off Series Of Medicaid Hearings Top U.S. Health Official Says Insurance Marketplace Will Help Many ― But Not All http://kbia.org/post/top-us-health-official-says-insurance-marketplace-will-help-many-not-all <img class="wysiwyg-asset-image-wrapper wide" data-caption="U.S. Secretary of Health and Human Services Kathleen Sebelius speaks to reporters at St. Louis City Hall, while St. Louis County Executive Charlie Dooley, St. Louis Mayor Francis Slay, St. Louis City Health Director Pam Walker, and St. Louis County Health Director Delores Gunn look on (left to right)." data-attribution="Credit Véronique LaCapra, St. Louis Public Radio" typeof="foaf:Image" src="http://mediad.publicbroadcasting.net/p/kwmu/files/styles/placed_wide/public/201309/IMG_4756.JPG" alt="" /><p>U.S. Fri, 20 Sep 2013 13:06:35 +0000 Véronique LaCapra 40846 at http://kbia.org Top U.S. Health Official Says Insurance Marketplace Will Help Many ― But Not All In Columbia, Missourians call House panel to expand Medicaid http://kbia.org/post/columbia-missourians-call-house-panel-expand-medicaid <p class="p1">&nbsp;</p><p><span style="line-height: 1.5;">Echoing testimonies from earlier hearings in Independence and Springfield, witness after witness spoke in support of Medicaid expansion at a House interim committee hearing in Columbia on Saturday.</span></p><p> Mon, 29 Jul 2013 16:40:34 +0000 Harum Helmy 37897 at http://kbia.org In Columbia, Missourians call House panel to expand Medicaid Former insurance executive speaks out for Medicaid expansion http://kbia.org/post/former-insurance-executive-speaks-out-medicaid-expansion <p>A former health insurance company executive says he left the comforts of a padded career of corporate jets and high rise offices to speak out against unfair insurance practices.</p><p> Fri, 21 Jun 2013 22:24:43 +0000 Teddy Nykiel 35875 at http://kbia.org Former insurance executive speaks out for Medicaid expansion As Missouri's Medicaid awaits reform, health centers continue to serve uninsured http://kbia.org/post/missouris-medicaid-awaits-reform-can-health-centers-continue-serve-uninsured <p></p><p><span style="line-height: 1.5;">This week on KBIA’s</span><span style="line-height: 1.5;"> talk show Intersection, host Ryan </span>Famuliner<span style="line-height: 1.5;"> sat down with State Sen. Kurt Schaefer (R-Columbia), Rep. Caleb </span><span style="line-height: 1.5;">Rowden&nbsp;(R-Columbia) and Rep. Chris Kelly (D-Columbia) to discuss the legislative session that ended on Friday. One of the main things on the show’s agenda was, of course, Medicaid expansion – or lack thereof.</span></p><p>Famuliner asked the panelists why the expansion failed to pass.&nbsp;</p> Wed, 22 May 2013 16:17:36 +0000 Harum Helmy 34124 at http://kbia.org Interfaith leaders gather for last-minute support of Medicaid expansion [video] http://kbia.org/post/interfaith-leaders-gather-last-minute-support-medicaid-expansion-video <p></p><p><span style="line-height: 1.5;">&nbsp;&nbsp;</span></p><p><span style="line-height: 1.5;">With the Missouri legislative session ending on Friday and a Republican </span>supermajority<span style="line-height: 1.5;"> that still won't budge, the hope to expand Medicaid in Missouri is pretty much dead for FY 2014.</span></p><p>It's so dead that perhaps the only thing that could bring it back to life is, well, interfaith prayers for a miracle.</p><p> Wed, 15 May 2013 16:53:33 +0000 Harum Helmy 33779 at http://kbia.org Interfaith leaders gather for last-minute support of Medicaid expansion [video] State budget rejected by House, another Medicaid expansion attempt defeated http://kbia.org/post/state-budget-rejected-house-another-medicaid-expansion-attempt-defeated <P>The <A href="http://house.mo.gov/">Missouri House </A>has formally rejected the<A href="http://www.senate.mo.gov/"> Senate </A>version of the state budget, setting the stage for final negotiations over the state’s spending plan for next year.</P> <P>Among the bones of contention is the rejection by the Senate of $20 million in federal funding from the Department of Homeland Security, which happened as part of the backlash over the document scanning controversy.&#160; <A href="http://house.mo.gov/member.aspx?year=2013&#38;district=110">House Speaker Tim Jones </A>(R, Eureka) says, though, th Tue, 30 Apr 2013 13:04:16 +0000 Marshall Griffin 32897 at http://kbia.org State budget rejected by House, another Medicaid expansion attempt defeated Alternate Medicaid Proposal Dead For 2013 Mo. Regular Session http://kbia.org/post/alternate-medicaid-proposal-dead-2013-mo-regular-session <P>An alternate Medicaid expansion bill that contained some reforms sought by<A href="http://house.mo.gov/"> Missouri House </A>Republicans is all but dead this year.</P> <P><A href="http://house.mo.gov/billsummary.aspx?bill=HB700&#38;year=2013&#38;code=R">House Bill 700</A>&#160;would have expanded Medicaid to 180,000 Missourians, removed 44,000 children from the Medicaid rolls, allowed private insurers to compete to cover Medicaid recipients, and offered cash bonuses to motivate recipients to stay healthy.&#160; The sponsor,&#160;<A href="http://house.mo.gov/member.aspx?district=060&#38;year Thu, 25 Apr 2013 13:51:28 +0000 Marshall Griffin 32631 at http://kbia.org Alternate Medicaid Proposal Dead For 2013 Mo. Regular Session Mo. House committee hears testimony on state welfare contract http://kbia.org/post/mo-house-committee-hears-testimony-state-welfare-contract <P><FONT size=3><FONT face="Times New Roman">A Missouri House committee heard testimony Monday on efforts to shift state welfare recipients onto federal disability.</FONT></FONT></P> <P><FONT size=3><FONT face="Times New Roman">The <A href="http://dss.mo.gov/">Department of Social Services (DSS)</A>&#160;has hired Boston-based <A href="http://www.publicconsultinggroup.com/">Public Consulting Group </A>to switch clients from the state-run <A href="http://dss.mo.gov/fsd/tempa.htm">Temporary Assistance to Needy Families (TANF) program </A>to federal disability payments, which don’t require recipi Tue, 23 Apr 2013 15:03:50 +0000 Marshall Griffin 32492 at http://kbia.org Mo. House committee hears testimony on state welfare contract Nixon Addresses 1,000+ Medicaid Expansion Supporters At Mo. Capitol http://kbia.org/post/nixon-addresses-1000-medicaid-expansion-supporters-mo-capitol <P>A crowd estimated at more than&#160;1,000 crammed into the Rotunda of the Missouri Capitol Tuesday to hear <A href="http://gov.mo.gov/">Governor Jay Nixon </A>(D) call for expanding Medicaid to an additional 300,000 residents,&#160;nearly 260,000&#160;of them by next year.</P> <P>He told the crowd that the people he wants to add are those with low-paying jobs that don’t include health coverage.</P> <P>“They wait tables and clean office buildings, they work&#160;the night shift in factories, and repair cars and trucks, they watch our children and take care of our grandmothers and grandfather Wed, 17 Apr 2013 13:58:03 +0000 Marshall Griffin 32191 at http://kbia.org Nixon Addresses 1,000+ Medicaid Expansion Supporters At Mo. Capitol Rural Reads: Redneck reality, Obama's budget and critical access hospitals http://kbia.org/post/rural-reads-redneck-reality-obamas-budget-and-critical-access-hospitals <p><em>Every Friday, KBIA's Health &amp; Wealth Desk talks about the week's most interesting articles and reports on rural health, wealth and society issues.&nbsp;</em></p><p><strong>'Redneck reality' and rural portrayal in cable television</strong></p><p>Entertainment newspaper&nbsp;<em>The A.V. Club&nbsp;</em>muses on A&amp;E's popular <a href="http://www.aetv.com/duck-dynasty/">reality show&nbsp;<em>Duck Dynasty</em></a>, saying the show is the 21st century incarnation of old rural-themed sitcoms that once dominated network television. Think&nbsp;<i style="font-family: georgia, serif; line-height: 21.6875px;">Petticoat Junction</i><span style="font-family: georgia, serif; line-height: 21.6875px;">,&nbsp;</span><i style="font-family: georgia, serif; line-height: 21.6875px;">The Beverly Hillbillies</i><span style="font-family: georgia, serif; line-height: 21.6875px;">, and&nbsp;</span><i style="font-family: georgia, serif; line-height: 21.6875px;">Hee-Haw.&nbsp;</i>It's an interesting read, but we were especially interested with the author's take on ways the television shows have to negotiate the rural-urban political disparities.&nbsp;</p><blockquote><p><span style="font-family: georgia, serif; line-height: 21.6875px;">While the rural-themed programming of days gone by tended to depict the small Southern town as a bucolic haven for good-hearted folk, redneck reality is more apt to acknowledge the social and economic ills of the subcultures it depicts. These shows are sanitized for the protection of viewers with blue-state sensibilities; when they occur at all, political discussions tend to center on generalized platitudes about freedom and family, rather than specifics that might turn off half the potential audience.</span></p><span style="color: rgb(0, 0, 0); font-size: 14px; line-height: 1.5;">&nbsp;</span></blockquote><p>H/T: <a href="http://irjci.blogspot.com/">The Rural Blog</a>.&nbsp;</p><p></p><p><strong>Did headlines about death rates at rural hospitals tell the wrong story?</strong><br><em style="line-height: 1.5;">The Daily Yonder</em><span style="line-height: 1.5;">&nbsp;is killing it with their <a href="http://www.dailyyonder.com/speak-your-piece-cowboy-communication/2013/04/10/5770">opinion </a><a href="http://www.dailyyonder.com/ethanol-fuels-recovery/2013/04/09/5769">pieces </a>this week.&nbsp;</span></p><p><span style="line-height: 1.5;">Case in point: A new report&nbsp;<a href="http://www.kaiserhealthnews.org/Stories/2013/April/02/critical-access-hospitals-fare-poorly-on-death-rates.aspx">made headlines</a>&nbsp;last week, saying death rates are rising at rural, geographically isolated hospitals. But <a href="http://www.dailyyonder.com/speak-your-piece-hospital-death-rate/2013/04/08/5764">an opinion writer for the Yonder says</a> news reports are not telling the real story of these so-called critical access hospitals:</span></p><blockquote><p><span style="line-height: 20px;">The patients in the small rural hospital with heart attack, heart failure or pneumonia have become a select population. A large proportion has decided that they are through paying all the human costs of the miracles of modern medicine. They have made the decision to stay in familiar surroundings near home and family.&nbsp;</span></p><p style="margin-top: 0.6em; padding: 0px; line-height: 20px;">The researchers found that 13.3% of the patients at critical access hospitals with one of the three conditions died, compared to 11.4 % of the medical center patients. Given all the terrible tools that modern medical centers have to work with, I’m amazed they only manage a small difference in patient survival over the most basic, little country hospitals in America.&nbsp;</p></blockquote><p> Fri, 12 Apr 2013 22:21:21 +0000 Harum Helmy 31911 at http://kbia.org Rural Reads: Redneck reality, Obama's budget and critical access hospitals Obama's proposed delay in cuts could cool off MO medicaid expansion debate http://kbia.org/post/obamas-proposed-delay-cuts-could-cool-mo-medicaid-expansion-debate <p></p><p>In his proposed budget, President Barack Obama wants to delay cuts to federal payments to hospitals, keeping the payments intact for an extra year. That could affect the debate over expanding Medicaid in Missouri.</p><p>Through what’s called the disproportionate share hospital payments or DSH payments, the federal government gives money to hospitals that provide a lot of free care to patients who are uninsured and can’t afford services. The Affordable Care Act, though, includes significant cuts to DSH payments. Fri, 12 Apr 2013 13:58:01 +0000 Harum Helmy 31930 at http://kbia.org Obama's proposed delay in cuts could cool off MO medicaid expansion debate Why rural Missouri hospitals are rooting for Medicaid expansion http://kbia.org/post/why-rural-missouri-hospitals-are-rooting-medicaid-expansion <p></p><p><span style="line-height: 1.5;">The uphill congressional battle to expand Medicaid in Missouri is making rural hospitals that serve areas with high poverty levels really, really nervous.&nbsp;</span>KSMU's<span style="line-height: 1.5;"> Jennifer Davidson has the story.</span></p><p> Wed, 10 Apr 2013 16:37:55 +0000 Harum Helmy & Jennifer Davidson 31752 at http://kbia.org Why rural Missouri hospitals are rooting for Medicaid expansion