Arizona lawmakers pass Medicaid expansion
Thu, Jun 13 2013
By David
Schwartz
PHOENIX (Reuters) - A divided Arizona Senate passed a key piece of President
Barack Obama's Medicaid expansion agenda on Thursday, handing Republican
Governor Jan Brewer a policy victory over fierce opposition from conservatives
in her party.
By an 18-11 vote, the Senate approved the bill with the backing of a
bipartisan coalition of lawmakers that will add hundreds of thousands of the
state's poorest residents to the Medicaid healthcare rolls, but was opposed by
conservative Republicans.
The state House of Representatives approved the same measure by a 33-27 vote
early on Thursday after a marathon debate.
Brewer, who has been a feisty opponent of the Obama administration over its
immigration policies, said the addition of $1.6 billion in federal funds for the
Affordable Care Act expansion was the right move. She is expected to sign the
legislation.
"By joining me in extending health coverage to hundreds of thousands of
Arizonans, legislators of my own party have come under sharp criticism in some
quarters," Brewer said in a statement. "But I also know this in my heart: The
great majority of Arizonans stand with us," she added.
She thanked lawmakers who pulled together to approve the bill, saying they
acted with "courage and conviction" - an apparent reference to the moderate
Republicans who broke party ranks to support the act slammed by conservatives as
"Obamacare."
But critics said the legislation could be a costly mistake if the federal
funds run dry.
"I think that Obamacare is the biggest mistake that we've made in our
country," said Republican State Senator Kelli Ward, who voted against the bill.
"And bringing it into Arizona is the biggest mistake that we're going to
make."
Brewer, a staunch conservative in this desert southwestern state, has said
Arizona had no choice but to agree to provide care to 300,000 poor and disabled
residents through the federal-state program.
She said the decision would also protect rural and other hospitals from being
jeopardized by the rising costs of paying for uninsured patients, inject $2
billion into the state's economy and create thousands of jobs.
But she added that any plan would include a "circuit breaker," that would
call an automatic halt to the expansion if the federal reimbursements
decrease.
Under the Affordable Care Act, the federal government agreed to increase
Medicaid eligibility and cover 100 percent of the costs for three years, after
which coverage would be reduced to 90 percent.
Last June, the U.S. Supreme Court upheld Obama's healthcare overhaul but
allowed states to opt out of a provision expanding the Medicaid program.
If signed into law Arizona would become the 24th state moving forward to
participate in the Medicaid expansion, according to the Kaiser Family
Foundation, a California-based nonprofit that tracks the issue. Twenty states
are not participating with the balance undetermined, the group said.
Brewer became a leading Obama administration antagonist when she signed
Arizona's tough crackdown on illegal immigration in 2010. One of its key
provisions, one that allowed police to question those they stopped and suspected
were in the country illegally about their immigration status, was upheld by the
U.S. Supreme Court.
(Editing by Tim Gaynor and Lisa Shumaker)
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