DHS Budget Bolsters Case for BadgerCare Expansion

Monday, September 22, 2014 at 5:05 PM by

Without intending to do so, the Department of Health Services (DHS) budget request has substantially strengthened the arguments for expanding BadgerCare and taking federal funding available for that purpose, which would  erase much of the state’s currently projected Medicaid funding shortfall.    There are many compelling reasons to accept the federal funding, and the DHS budget request unveiled last week adds to that list.  

The following are four aspects of the budget request that bolster the arguments for expanding BadgerCare eligibility for adults up to 138% of the federal poverty level (FPL).  Although the first point noted below is reason enough to take the federal funding, a closer reading of the DHS budget request reveals other reasons why the strong arguments for expanding BadgerCare are now even stronger.  

1)  The $760 million in additional state revenue needed simply for a cost-to-continue budget – The DHS budget request seeks an increase of $760 million simply to maintain current Medicaid and BadgerCare benefits.  Read more

Despite Calling Medicaid Expansion Funds Unreliable, State Lawmakers Rely on Other ObamaCare Funds

Tuesday, September 2, 2014 at 4:19 PM by

In the Wisconsin debate about whether to accept federal funding for expanding BadgerCare, there has been little attention paid to a significant inconsistency used in the arguments made by many opponents of using those funds.

Wisconsin Taxpayers Would Save Even More than Expected by Expanding BadgerCare, New Figures Show

Monday, August 18, 2014 at 9:29 AM by

Expanding BadgerCare coverage to all adults below 138% of the federal poverty level (FPL) would save significantly more money for state taxpayers than previously estimated. According to a memo prepared last week by the Legislative Fiscal Bureau (LFB), expanding BadgerCare but would save state taxpayers an estimated $206 million during the 2013-15 biennium, compared to current law, but would cover 87,000 more adults than the state now expects to insure via BadgerCare at the end of the current fiscal year. That savings is $87 million more than the LFB calculated when the budget bill was being debated. 

To put this news a little differently, by rejecting federal funding that would finance the full cost of providing BadgerCare to all newly eligible adults up to 138% of FPL, state lawmakers cost Wisconsin taxpayers $206 million in the current biennium and far more than that in the next biennial budget. One of the things making this news particularly significant is that the Department of Health Services estimated in late June that the state is facing a $93 million GPR deficit in the Medicaid budget. Read more

What’s Causing the Unexpected Decline in BadgerCare Coverage of Kids?

Tuesday, August 5, 2014 at 5:47 PM by

Advocates Seek DHS Help in Understanding the Decline

There have been a couple of big surprises in the recent data relating to BadgerCare.  One is the much greater-than-anticipated increase in the enrollment of adults without dependent children. (Read more here.)  The other is that the number of kids covered by BadgerCare has been decreasing, at a time when the budget bill assumed there would be a large increase.

A new WCCF fact sheet shows the BadgerCare enrollment trends since last September (and since the beginning of 2014), which are broken out for different categories of coverage and income levels. Here are two of the key findings relating to coverage of children:

  • The number of children over the poverty level who are enrolled in BadgerCare and Transitional Medicaid (TMA) has dropped by more than 22,000 (12.5%) since September of last year.
  • That decline has been partially offset by an increase of almost 13,500 children below the poverty level, yielding a net loss of more than 8,600 kids in BadgerCare and Transitional Medicaid.
  • Read more

Can State Lawmakers Count on Federal Funds for Highways and Health Insurance Subsidies?

Tuesday, July 22, 2014 at 7:06 PM by

Today’s Circuit Court Ruling Reinforces the Inconsistencies in State Lawmakers’ Reasoning 

Should state lawmakers turn down federal funds whenever there’s a risk that the funding in question could be cut in future years?  If so, why is Wisconsin proceeding with major highway and bridge construction plans at a time when Congress is using short-term gimmicks to keep the Highway Trust Fund from becoming insolvent?  And why did Wisconsin cut BadgerCare eligibility in half for parents, based on reliance on federal funding to subsidize the federal health insurance Marketplace? 

That last question has gotten little attention over the past year, but it will be raised more often following a ruling today by a subset of the DC Circuit Court of Appeals. Two of the three judges participating in that ruling concluded that federal subsidies for the health insurance Marketplace can only go to people in states that set up their own Marketplaces.  Read more

Should Counties Put a BadgerCare Expansion Question on the Fall Ballot?

Friday, July 11, 2014 at 11:59 AM by

At least 13 Wisconsin counties may include an advisory referendum on the November ballot asking voters whether Wisconsin should expand BadgerCare and take the federal funding that would cover the full cost of newly eligible childless adults.  The proposed ballot measure, which has already been approved in 4 counties and enjoys broad support, has generated debate about whether the Medicaid expansion topic is an appropriate matter for an advisory referendum.

There are many strong arguments in favor of taking the federal funding (see WCCF’s “Top Ten” list); however, some people who argue against including the BadgerCare question on the November ballot contend that it’s not a concern of county government.  But even if we assume for the moment that an interest in county residents’ access to affordable health care isn’t reason enough for counties to allow voters to weigh in on the issue, counties also have their own reasons to be very interested in whether the state expands BadgerCare and accepts the federal funds:

  • One very important consideration for counties is they bear the financial responsibility (rather than the state) for some community-based Medicaid services.
  • Read more

As Medicaid Participation Surges Nationally, WI Experiences Much Slower Growth

Wednesday, June 11, 2014 at 5:15 PM by

National data released last week show that there has been a sharp increase in Medicaid enrollment since last September, and that trend continued in April.  One surprising aspect of the latest HHS data is that the growth in Wisconsin trails that in most other states, even among the states that haven’t expanded Medicaid eligibility.

Nationally, 6 million more people were enrolled in Medicaid or the Children’s Health Insurance Program (CHIP) in April, compared to the 3-month period before open enrollment under the Affordable Care Act began last October. That includes growth of 1.1 million additional people in April, as compared to March (in the 48 states that reported data for both months).

The following graph illustrates that the increases have been much higher in the 25 states that have accepted federal funds to expand Medicaid eligibility for adults to 133% of the federal poverty level. The average increase of 10.3% for all 50 states compares with a jump of 15.3% in the expansion states in April (relative to the average enrollment in those states from July through Sept. Read more

Categories: BadgerCare Plus, Blog, health care reform, Medicaid | Comments Off

Changes in Census Survey Generate Misguided Criticism

Tuesday, April 22, 2014 at 6:21 PM by

The U.S. Census Bureau is making a long-overdue improvement in the questions they ask about health insurance in their annual Current Population Survey (CPS). Contrary to some recent news reports and commentary, the change in the survey is not going to be a significant impediment to understanding the effects of the Affordable Care Act (ACA) on the percentage of Americans who are insured.

Plans for the Surplus Neglect the $93 Million Medicaid Hole

Thursday, January 30, 2014 at 7:48 PM by

Perhaps it’s unrealistic to think that the $93 million Medicaid shortfall will prompt current lawmakers to reconsider their decision to reject the enhanced federal funding. But is it too much to expect that they will at least provide some insights on the plans to close that budget hole before they enact a special session bill that uses every dollar of the projected $912 million surplus?

New BadgerCare Legislation Is Added to January 8th JFC Agenda

Tuesday, January 7, 2014 at 7:29 PM by

Bill Implements Agreement between DHS and Federal Officials   

The Joint Finance Committee announced today that it is adding a new BadgerCare bill to the committee’s January 8th agenda.  As I explained in a Dec. 31 WCCF blog post, an agreement reached by the Dept. of Health Services (DHS) and federal officials requires a few changes to the Special Session bill that was signed into law shortly before the holidays.   

  • The new federal standards relating to income and family size (referred to as Modified Adjusted Gross Income or MAGI) will be applied to new applications from parents and caretakers beginning on Feb.1 (rather than April 1).
  • The reduction in eligibility to 100% of the poverty level will also apply to new applicants on Feb. 1, (but neither of these changes will apply until April 1 to people who enroll in BadgerCare before Feb 1).
  • The improvement in health care benefits for kids over 200% of the poverty level – from replacing the current Benchmark plan with Standard plan benefits – will also take place in February rather than April. 
  • Read more