Kokomo Tribune; Kokomo, Indiana

National news

February 7, 2014

Model Arkansas way of expanding Medicaid at risk

LITTLE ROCK, Ark. (AP) — Arkansas' plan for expanding Medicaid by buying private insurance policies for the poor instead of adding them to the rolls was heralded as a model for convincing more Republican-leaning states to adopt a key part of President Barack Obama's health care overhaul.

But now, as Republican lawmakers face election season and step up attacks on what they deride as Obamacare, the state that pioneered the private option is on the brink of abandoning it. The plan has lost two supporters in the Senate, leaving backers worried that they won't have enough votes to keep it alive after the Legislature convenes Monday.

Rejecting the program could jeopardize the state's budget and reverberate through other states considering similar options for expanding Medicaid as the federal government wants.

"The ramifications are way beyond Medicaid and they're way beyond the people who would now go uncovered and they're way beyond the hospitals that would be severely impacted," Gov. Mike Beebe, a Democrat, told reporters. "The ramifications are huge, and the Legislature will have to figure that out."

Narrowly approved by the Republican-led Legislature last year, Arkansas' plan uses federal money to purchase the private insurance for those newly eligible under the new health care law. Republicans believed private insurers would administer the benefits more efficiently than the Medicaid program, which they consider bloated. Republicans also saw it as a step toward finding more options around Medicaid.

"Prior to Arkansas you had two options: expand Medicaid or don't," said Matt Salo, executive director of the National Association of Medicaid Directors. "With Arkansas going to the table, other states saw there's now a third option."

More than 83,000 people signed up and now have coverage through Arkansas' plan. Thousands more are expected to enroll.

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