expanding medicaid through non-traditional waivers: michigan’s bumpy journey jan hudson, senior...
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Expanding Medicaid Through Non-Traditional Waivers:
Michigan’s Bumpy Journey
Jan Hudson, Senior Policy AnalystEmail: [email protected]
Health Action 2014 January 24, 2014
The League’s Mission
To foster economic opportunity, independence and security of Michigan’s economically vulnerable population by shaping public policy through objective data-driven research, education and advocacy
1223 Turner St. Suite G-1, Lansing, MI 48906-4369 (517) 487-5436Fax: (517) 371-4546 Web site: www.mlpp.org
A United Way Agency 2
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Michigan’s Legislative Journey
The Governor supported Medicaid Expansion.
His colleagues in the Legislature did not.
Michigan’s Legislative Journey
The process did not go smoothly…
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Call your Senators and tell them to “Take a Vote, Not a Vacation!”
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Each chamber developed its own proposal and “Medicaid reforms.”
Michigan’s Legislative Journey
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Finally in early September, legislation was passed and sent to the Governor for signature – with a caveat…
Michigan’s Legislative Journey
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Conservative legislative champion moved from “hard no” to “yes.”
Intensive legislator education.
How We Got There
Representative Shirkey
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Healthy Michigan Plan Legislation
Healthy Michigan Plan – focus on wellness.
Requires federal waivers to implement.
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Healthy Michigan Plan
Contribute up to 2% of income for individuals between 100% and 133% of poverty.
Copays for all enrollees at the current Medicaid amounts.
“Healthy behaviors” can reduce cost sharing.
Does not allow termination of coverage for non-payment of contribution or copays.
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Healthy Michigan Plan
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Outreach and Enrollment
Transition as many people as possible from current programs.
Search, find, educate, enroll the remainder.
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Concerns
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Michigan’s Journey
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More Information Is Available
Department of Community Health website www.michigan.gov/mdch
Expand Medicaid Coalition website www.expandmedicaid.com
Enroll Michigan website www.enrollmichigan.com
Michigan League for Public Policy website www.mlpp.org/our-work/health-care-in-michigan