The New Jersey Governor became the eighth Republican to take the Medicaid expansion deal.
What I found notable is that he essentially mimicked Florida Republican Governor Rick Scott in reserving the right to back out in future years if the feds don't keep their funding promises. While the feds are paying 100% of the cost of expansion in the first three years, that support ultimately drops to 90% in later years.
Said Christie, “If that [the fed's funding promise] ever changes because of adverse actions by the Obama
administration or broken promises, I will end it as quickly as it
started."
One of the primary reasons some Republican governors are balking at taking the expansion is because they think Medicaid is unsustainable and the feds will ultimately have to renege on the deal.
In fact they may be right––presuming we never do anything to reform the program.
But, as Scott and now Christie have shown, they can condition their expansion on those promises being kept.
The remaining Republican governors are just plain running out of excuses for why they think it is a good idea to leave millions of people without at least basic Medicaid health insurance.
Related posts:
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Refusing to Implement the Medicaid Expansion Republican Governors May
Be Making the Republican Block Grant Proposals Impractical
Florida's Republican Governor Scott Does a Deal With Sebelius on Medicaid
A Health Care Reform Blog––Bob Laszewski's review of the latest developments in federal health policy, health care reform, and marketplace activities in the health care financing business.
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