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.
In November we told you about the debate in the Missouri legislature over including sexual orientation and gender identity in the Human Rights act. It would offer protection to make sure LGBT aren’t discriminated for housing and employment discrimination. There are two groups trying to achieve the same goal in two different ways. One organization is trying to get the state legislature to change policy, while another wants to leave the decision to voters on the ballot in 2014.
Originally published on Thu March 28, 2013 7:51 pm
Missouri’s budget for the next fiscal year has been passed by the State House.
While Medicaid expansion has dominated most of the debate, spending hikes were approved in other areas. There’s an extra $65 million for K-12 schools, although the increase still falls short of fully funding the state’s public school formula. Republican Mike Lair of Livingston County chairs the Appropriations committee on Education.
The Missouri House will begin debate Tuesday on the 13 bills that make up next year’s state budget.
The three bills that encompass the state’s Medicaid program don’t include Governor Jay Nixon’s (D) proposed expansion, although House Democrats may try to offer amendments to change that. Budget chairman Rick Stream (R, Kirkwood) says the state should have more of a say in how Medicaid dollars are handled.