medicaid expansion

Science, Health and Technology
8:06 am
Fri September 20, 2013

Top U.S. Health Official Says Insurance Marketplace Will Help Many ― But Not All

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).

Originally published on Fri March 14, 2014 10:35 am

U.S. Health and Human Services Secretary Kathleen Sebelius was in St. Louis on Thursday to talk about the Affordable Care Act.

Sebelius met with city and county officials and representatives of the local healthcare community in a closed-door session at St. Louis City Hall.

Speaking at a press conference after the meeting, Sebelius said as of October 1, Missourians will be able to purchase health insurance through a new online marketplace.

Sebelius said many of Missouri's 800,000 uninsured will be able to get coverage.

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Politics
11:40 am
Mon July 29, 2013

In Columbia, Missourians call House panel to expand Medicaid

In May 30, 2013, pro-Medicaid expansion protesters gather outside the Columbia stop of House Speaker Tim Jones (R-Eureka)'s post-legislative session tour.
Credit Teddy Nykiel / KBIA News

 

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.

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Science, Health and Technology
5:24 pm
Fri June 21, 2013

Former insurance executive speaks out for Medicaid expansion

Credit Teddy Nykiel / KBIA

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.

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Health & Wealth Update
11:17 am
Wed May 22, 2013

As Missouri's Medicaid awaits reform, health centers continue to serve uninsured

This week on KBIA’s talk show Intersection, host Ryan Famuliner sat down with State Sen. Kurt Schaefer (R-Columbia), Rep. Caleb Rowden (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.

Famuliner asked the panelists why the expansion failed to pass. 

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Health & Wealth Update
11:53 am
Wed May 15, 2013

Interfaith leaders gather for last-minute support of Medicaid expansion [video]

Fr. Thomas Saucier welcomes attendees to an interfaith prayer service for Medicaid expansion on Monday, May 13. About 30 people attended the service, held at the St Thomas More Newman Center at MU.
Credit Kellie Kotraba / KBIA News

Listen to this week's Health & Wealth Update.

  

With the Missouri legislative session ending on Friday and a Republican supermajority that still won't budge, the hope to expand Medicaid in Missouri is pretty much dead for FY 2014.

It's so dead that perhaps the only thing that could bring it back to life is, well, interfaith prayers for a miracle.

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Politics
8:04 am
Tue April 30, 2013

State budget rejected by House, another Medicaid expansion attempt defeated

UPI/Bill Greenblatt

Originally published on Tue April 30, 2013 5:17 pm

The Missouri House has formally rejected the Senate version of the state budget, setting the stage for final negotiations over the state’s spending plan for next year.

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Politics
8:51 am
Thu April 25, 2013

Alternate Medicaid Proposal Dead For 2013 Mo. Regular Session

UPI/Bill Greenblatt

Originally published on Thu April 25, 2013 2:29 am

An alternate Medicaid expansion bill that contained some reforms sought by Missouri House Republicans is all but dead this year.

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Politics
10:03 am
Tue April 23, 2013

Mo. House committee hears testimony on state welfare contract

Marshall Griffin/St. Louis Public Radio

Originally published on Tue April 23, 2013 5:43 am

A Missouri House committee heard testimony Monday on efforts to shift state welfare recipients onto federal disability.

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Politics
8:58 am
Wed April 17, 2013

Nixon Addresses 1,000+ Medicaid Expansion Supporters At Mo. Capitol

Marshall Griffin/St. Louis Public Radio

Originally published on Tue April 16, 2013 11:58 pm

A crowd estimated at more than 1,000 crammed into the Rotunda of the Missouri Capitol Tuesday to hear Governor Jay Nixon (D) call for expanding Medicaid to an additional 300,000 residents, nearly 260,000 of them by next year.


He told the crowd that the people he wants to add are those with low-paying jobs that don’t include health coverage.

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Health & Wealth Blog
5:21 pm
Fri April 12, 2013

Rural Reads: Redneck reality, Obama's budget and critical access hospitals

Credit Leader Nancy Pelosi / Flickr

Every Friday, KBIA's Health & Wealth Desk talks about the week's most interesting articles and reports on rural health, wealth and society issues. 

'Redneck reality' and rural portrayal in cable television

Entertainment newspaper The A.V. Club muses on A&E's popular reality show Duck Dynasty, saying the show is the 21st century incarnation of old rural-themed sitcoms that once dominated network television. Think Petticoat JunctionThe Beverly Hillbillies, and Hee-Haw. 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. 

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.

 

H/T: The Rural Blog

Did headlines about death rates at rural hospitals tell the wrong story?
The Daily Yonder is killing it with their opinion pieces this week. 

Case in point: A new report made headlines last week, saying death rates are rising at rural, geographically isolated hospitals. But an opinion writer for the Yonder says news reports are not telling the real story of these so-called critical access hospitals:

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. 

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. 

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Science, Health and Technology
8:58 am
Fri April 12, 2013

Obama's proposed delay in cuts could cool off MO medicaid expansion debate

Credit nomadsoul1 / dreamstime

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.

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.

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Health & Wealth
11:37 am
Wed April 10, 2013

Why rural Missouri hospitals are rooting for Medicaid expansion

Credit Images of Money / Flickr

Listen to this week's Health and Wealth Update featuring KSMU's Jennifer Davidson.

The uphill congressional battle to expand Medicaid in Missouri is making rural hospitals that serve areas with high poverty levels really, really nervous. KSMU's Jennifer Davidson has the story.

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Politics
5:39 pm
Wed April 3, 2013

Nixon open to GOP-backed Medicaid plan, but with changes

Credit File photo / KBIA

Governor Jay Nixon says he could support the House Republicans’ alternate Medicaid proposal, but only if some crucial changes are made.  He met with the GOP caucus today to discuss his Medicaid expansion proposal and their plans to reform the system.  Nixon told reporters that any proposal still needs to expand Medicaid to 138 percent of the federal poverty level.

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Politics
9:25 am
Mon April 1, 2013

Analysis: Mo. Medicaid debate gets hyperbolic

Tax Credits Flickr

If Missouri expands Medicaid health coverage for lower-income adults, could it create a crisis for public schools?

If Missouri fails to expand Medicaid, could it result in millions of Missourians' tax dollars going to health care in other states?

Both claims have been made at the Missouri Capitol by opponents and supporters of a proposed Medicaid expansion. But the claims might be exaggerated.

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Politics
2:45 pm
Thu March 28, 2013

Mo. House passes $25B budget without Medicaid plan

The House-approved 2014 Missouri budget now goes to the Senate for consideration.
File Photo KBIA

The Missouri House has passed a nearly $25 billion budget that would fund modest increases for public education, but not the Medicaid expansion sought by Gov. Jay Nixon.

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Health & Wealth Update
1:46 pm
Wed March 27, 2013

Will Missouri's GOP-backed Medicaid expansion get federal approval?

Credit File Photo / KBIA

Listen to this week's Health & Wealth Update.

Missouri’s Republican-led House on Tuesday struck down Democrats’ attempts to include Medicaid expansion in the state’s budget.

If that scenario sounds familiar to you, it’s because these rejections have happened a few times before. On Feb. 25, two House committees rejected Rep. Jake Hummel’s (D-St. Louis) bill to expand Medicaid under the terms of the Affordable Care Act. On March 14, the Senate Appropriations committee voted down the Senate Democrats’ version of the expansion bill.

Rep. Jay Barnes (R-Jefferson City) was in one of the committees that struck down Rep. Hummel's Medicaid expansion proposal. Barnes has since introduced his own version of the expansion -- outlined in House Bill 700

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Politics
5:00 pm
Tue March 26, 2013

Mo. House defeats Medicaid expansion effort

Credit Jacob Fenston / KBIA

The Missouri House has rejected another Democratic effort to add a Medicaid expansion to the state budget.

The House opened debate Tuesday on the state's 2014 budget by defeating an effort to send the budget back to a committee in hopes of adding more than $900 million of federal funds to expand Medicaid for low-income adults.

The defeat of Tuesday's motion was almost a foregone conclusion in the Republican-led House, because the House Budget Committee had previously rejected the Medicaid expansion.

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PM Newscasts
4:53 pm
Tue March 26, 2013

Newscast for March 26, 2013

Regional news coverage from the KBIA newsroom, including:

  • Missouri House rejects Democratic effort to expand Medicaid
  • Mamtek CEO makes bail
  • Rep. Hartzler and Mayor McDavid call for funding to keep airport tower open
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Politics
8:17 am
Tue March 26, 2013

Mo. House Republicans propose alternative to Medicaid

Credit File / KBIA

Supporters and opponents spent several hours Monday testifying on an alternate Medicaid proposal being floated by House Republicans.

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Politics
4:30 pm
Mon March 25, 2013

GOP Medicaid expansion plan gets support in House hearing

The Missouri House floor
File Photo KBIA News

Some supporters of a Medicaid expansion championed by President Barack Obama are also embracing a Republican alternative put forth in the Missouri House.

Missouri's Republican-led committees have repeatedly defeated the Medicaid expansion backed by Obama and Democrats.

Rep. Jay Barnes (R-Jefferson City) is proposing the Republican alternative of the expansion. Among the witnesses testifying for Barnes’ plan in a House committee Monday were people who have stood by Democrats in recent weeks as they embraced a proposed Medicaid expansion for lower-income adults. 

Politics
8:24 am
Mon March 18, 2013

Missouri Lawmakers Discuss 2nd-Half Priorities As Legislative Spring Break Arrives

Marshall Griffin/St. Louis Public Radio

Originally published on Fri March 15, 2013 4:56 pm

Spring break has arrived for Missouri lawmakers, as they take a week off before returning to Jefferson City on March 25th.


They’ll have plenty of items on their plate when they get back -- among the House’s priorities is debating and voting on the state budget, which still does not include Medicaid expansion. Speaker Tim Jones (R, Eureka) says the federal health care law does not require states to add more people to the Medicaid rolls.

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Politics
8:25 am
Thu March 14, 2013

Mo. Senate, House Committees Defeat Medicaid Expansion Plans

(via flickr/rosmary)

Originally published on Thu March 14, 2013 12:01 pm

A Republican-led Missouri Senate committee has defeated a plan to expand Medicaid under President Barack Obama's health care law.

The Senate Appropriations Committee rejected the legislation on a party-line vote Wednesday, just minutes after hearing testimony from more than two dozen witnesses in favor of the plan.

A Republican-led House committee defeated a similar bill last month in the same fashion.

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Health & Wealth Update
11:31 am
Wed March 13, 2013

Why health literacy is a crucial part of healthcare reform

Credit Harum Helmy / KBIA News

Listen to this week's Health & Wealth Update.

On this week's Health and Wealth Update, the first part of a discussion about health literacy and the healthcare reform. 

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Science, Health and Technology
10:23 am
Tue March 12, 2013

Forum aims to inform public on Medicaid expansion

Missouri Foundation for Health's Ryan Barker presented and took questions from the Columbia community about the state's Medicaid expansion debate on Monday, March 11, 2013. The forum, held at the ARC in Columbia, is the sixth Barker has held this year.
Harum Helmy KBIA News

The St. Louis-based nonprofit, nonpartisan group Missouri Foundation for Health held a community forum in Columbia at the ARC Monday night about the state’s Medicaid expansion debate. The foundation’s director for health policy Ryan Barker presented the pros and cons of the expansion to an audience of about 45 people, before opening up the floor to questions.

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Politics
5:58 pm
Thu March 7, 2013

Gov. Nixon challenges Republican alternative to Medicaid expansion

Missouri Governor Jay Nixon
File Photo KBIA

Gov. Jay Nixon has raised concerns about a Republican-backed Medicaid plan.

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Health & Wealth Update
11:30 am
Wed February 27, 2013

Mo. Medicaid expansion still lacks rural legislative support

Credit Jeanine Anderson / Flickr

Listen to this week's Health & Wealth Update, with a shorter version of KSMU's Jennifer Davidson's story.

This week -- we’re hearing about the Medicaid expansion debate down in West Plains -- the seat of rural Howell County. A study by the Missouri Budget Project shows that Medicaid expansion would have its most dramatic impact in the state’s rural areas.

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Politics
9:47 am
Wed February 27, 2013

Missouri Republicans Outline 'Commonsense Conservative' Medicaid Alternative

stopnlook FLICKR

A long-promised Republican alternative to Medicaid expansion was filed today in the Missouri House.

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Politics
6:06 pm
Mon February 25, 2013

Two separate Mo. House committees reject Medicaid expansion efforts

Nearly 100 people crowded into a room at the Mo. Capitol to attend a hearing on HB627, which would have expanded Medicaid to 300,000 Missourians. The bill was voted down 2-5.
Marshall Griffin St Louis Public Radio

Medicaid expansion is dead for now in the Missouri House.  Two separate House committees voted down efforts Monday to expand Medicaid to 259,000 Missourians next year and 41,000 more in later years.

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Science, Health and Technology
9:11 am
Mon February 25, 2013

Mo. House panel to consider Medicaid expansion

Vitualis Flickr

Proponents of a Medicaid expansion will get their say at the Missouri Capitol — even if they don't get their way.

A House committee is scheduled to hear testimony Monday on a Democratic proposal to expand eligibility for the Medicaid health care program to an estimated 260,000 additional lower-income adults. The plan has the support of Gov. Jay Nixon and is called for by President Barack Obama's health care law.

But the Republican-led Legislature has generally opposed the Medicaid expansion.

Politics
9:02 am
Tue February 19, 2013

Mo. House Democrats File Medicaid Expansion Bill

Marshall Griffin/St. Louis Public Radio

Originally published on Mon February 18, 2013 10:47 pm

House Democrats are sponsoring legislation to expand Medicaid in Missouri, despite the fact that the state budget filed by Republicans leaves out the proposed expansion.


House Bill 627 would expand Medicaid to an additional 300,000 Missourians, and House Democrats say not passing it would cost the state 5,000 jobs and could force some rural hospitals to close their doors.  Kerry Noble is CEO of Pemiscot Memorial Health Systems in the Missouri Boot-heal.

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