Sebelius to Texas: Now will you expand Medicaid? Please?

posted at 1:21 pm on July 23, 2013 by Erika Johnsen

When our oh so august and Democratic bureaucrats were originally formulating the, ahem, Patient “Protection” and “Affordable” Care Act, the plan was to get all of the states to expand their Medicaid coverage qualifications so that all residents earning less than 138 percent of the federal poverty line would become eligible. Getting the states to cooperate to help them pay for the major expansion of one of America’s biggest and most debt-fueled entitlement programs was one of the law’s key provisions, but unfortunately for the Obama administration’s best laid plans, the Supreme Court ruled last year that individual states could preserve the option to not participate in the expansion.

To entice the states to do so voluntarily, the revised expansion program shifts 100 percent of the costs for new enrollees onto the federal government for the first three years, and then the federal match rate will taper down to 90 percent by the end of the decade — but so far, only 23 states and the District of Columbia have decisively taken the bait.

At least 21 states are opting out of Medicaid expansion for next year. In another six states, legislators are still weighing their options, according to the Kaiser Family Foundation, which is tracking the states’ plans. …

A number of governors, particularly in red states, have stood their ideological ground and chosen not to expand, citing concerns about the additional financial burden. The federal government will pay for 100% of the expansion for the first three years, then gradually reduce its subsidy to 90% by 2020.

Some governors have said that expansion would involve additional costs that they couldn’t afford and enlarge a program that they consider broken. In many states, however, various analyses show that states would stand to gain millions of dollars by expanding the program, at least initially.

Yes, initially states might save millions by taking “free money” from our $17-trillion-in-debt federal government, but that little stopgap won’t last forever and states are worried about being plunged ever further into debt by a broken and ineffective program.

Texas has been a leader in resisting the federal government’s advances, admonitions, and pleas for Medicaid expansion, but as the most populous state after California and amidst all of ObamaCare’s implementation struggles, the Obama administration would really appreciate it if Texas would please just do them a solid and abandon their so very heartless and stubborn crusade of big-government defiance:

Health and Human Services Secretary Kathleen Sebelius today held out hope that Texas would reconsider its decision not to expand its Medicaid program.

“We are still hopeful that the decision about Medicaid can continue to be looked at because the return on investment for Texas is huge — about $90 billion in federal money that could come into the state to help some of the poorest uninsured Texans take advantage of coverage,” she said in an interview. …

“We’re building that kind of partnership in cities across this country so that they will be the ones to carry the information to their communities —- here’s what can happen, here’s what kind of help is available. That’s the way to drill through the noise about the back and forth political information and get real information to people on the ground.”

Something tells me that Gov. Perry isn’t going to be convinced.


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NO.

/grumpycat

CurtZHP on July 23, 2013 at 1:24 PM

Will you please go Fluke yourself, Kathy?

Doughboy on July 23, 2013 at 1:26 PM

ot:
daughter of sam nunn runs for senate awesome and praise
daughter of dick cheney boo hiss and vilify
-lsm

cmsinaz on July 23, 2013 at 1:26 PM

No and HELL NO!, Madame Secretary. Shove it where the sun don’t shine!

TXUS on July 23, 2013 at 1:27 PM

What part of Texas’ “we decline to participate” statement isn’t clear?

ProfShadow on July 23, 2013 at 1:28 PM

Texas to Sebelius:

{initially censored}

Go Pound Sand, Queen of Death

22044 on July 23, 2013 at 1:28 PM

She was here in Dallas yesterday, huddling with County Judge (basically the county’s “mayor”) Clay Jenkins (a Dem) to try to push people to sign up for OCare. There’s a green t-shirted brigade of volunteers called the “Texas Organizing Project” (probably funded by Soros or or some other commie) going door-to-door trying to sign people up. They need lots of young healthy people to sign up (to subsidize older, less healthy people), but I don’t think they’re going to succeed.

Texas campaign seeks candidates for affordable health insurance

Ward Cleaver on July 23, 2013 at 1:28 PM

Perry to Sebelius:

Don’t mess with Texas!

Another Drew on July 23, 2013 at 1:29 PM

Obamacare is meant to set up exchanges in Texas so they have a way of getting people onto the voter rolls. Its their way of trying to turn TX blue. Once the poor and those fairly new in TX sign up they are gonna get hit with some much propaganda about becoming a Democrat it will not be funny.

Brass Knuckles on July 23, 2013 at 1:30 PM

NO

Already Texus is no longer free and the 10th is dead, dead, dead.

Schadenfreude on July 23, 2013 at 1:30 PM

Can’t a federal judge just order them to do so..?

d1carter on July 23, 2013 at 1:31 PM

BOOM! Here we go – the “Texas Organizing Project” is ACORN-related:

American Spectator: Texas Organizing Project Is Newest ACORN Spinoff Group

Ward Cleaver on July 23, 2013 at 1:31 PM

NO, you’re not gon’ do this to Texas, you pimps of DC.

http://wpc.281e.edgecastcdn.net/80281E/u/u/thumbs/2010/Jan/23/460322_56_avatar.gif

Shaughnessy on July 20, 2013 at 1:35 PM

From HA Headline thread, last Sat.

p.s. this will never happen, at least not literally. That is LADY Liberty, Not Mr. Liberty. However, obama and Boehner will scroom the land, royally.

Schadenfreude on July 23, 2013 at 1:32 PM

What the Federal Gov’t “gives” you, it can also “take away” from you.

GarandFan on July 23, 2013 at 1:33 PM

Washington DC is a magnet for worthless people. I could not possibly despise Washington politicians more. They are scum of the earth.
Go away, Sibelius.

Texas Aggie on July 23, 2013 at 1:34 PM

Sorry Queen of Death, no ‘bait and switch’ in Texas today… or any other day…

Khun Joe on July 23, 2013 at 1:34 PM

Can’t a federal judge just order them to do so..?

d1carter on July 23, 2013 at 1:31 PM

“Sure, it’s in the enlightened and grounded clause, rubes” — livelikeaslavebigotandracist of HA

Schadenfreude on July 23, 2013 at 1:34 PM

For your children, read and spread this around.

Schadenfreude on July 23, 2013 at 1:35 PM

If Texas would actually secede, I’d pack up my moving van for the Republic of Texas tomorrow.

Chris of Rights on July 23, 2013 at 1:36 PM

Sebelius to Texas: Now will you expand Medicaid Please?

F*ck off Poltergeist.

ToddPA on July 23, 2013 at 1:36 PM

go away you shrew

DanMan on July 23, 2013 at 1:36 PM

Well, she can always lead a pink shoe parade and pander to the press, and accuse Perry of a war on wimmenses. So there’s that.

Marcola on July 23, 2013 at 1:37 PM

Tune in next week, when Kathy joins the
Chorus Line of the Hail Satan gals….

ToddPA on July 23, 2013 at 1:39 PM

Go Pound Sand, Queen of Death

22044 on July 23, 2013 at 1:28 PM

Nurse Ratched

Schadenfreude on July 23, 2013 at 1:39 PM

Gov. Brewer is a traitor to her state and her land.

Schadenfreude on July 23, 2013 at 1:40 PM

She seems to think “drill through the noise” is a good thing. We think the “noise” is itself the good thing and the “drill” she refers to is inherently evil and destructive of everything that made this country possible.

Go Texas!

MTF on July 23, 2013 at 1:44 PM

Prince Muhammed is about to meet the public for the first time.

http://video.foxnews.com/v/1155606982001/

PappyD61 on July 23, 2013 at 1:44 PM

“We are still hopeful that the decision about Medicaid can continue to be looked at because the return on investment for Texas is huge — about $90 billion in federal money that could come into the state to help some of the poorest uninsured Texans take advantage of coverage,” she said in an interview. …

Heh. Whats the matter with you Texans anyway? She called it a return on investment. Must be rock solid.

a capella on July 23, 2013 at 1:48 PM

My memory fails me. In what year did Sebelius run in the Preakness?

bw222 on July 23, 2013 at 1:51 PM

The Chart That Shows Why Republicans Would Be Crazy Not To Nominate Chris Christie

Many Republicans are resigned to the idea that they can only win national elections by the thinnest of margins.

Mitt Romney’s infamous “47%” remarks were an explanation for why nearly half the country would be unwilling to even consider voting for him.

The GOP has only won a plurality of the national vote once in the last six presidential elections: George W. Bush’s 51% win in 2004.

But a new Quinnipiac poll out yesterday shows a simple GOP roadmap to winning big: Nominate Gov. Chris Christie (N.J.).

Here’s the key chart. Typically, candidates are very unpopular with the opposing side and split independents evenly, but most everybody likes Christie.

What’s Christ Christie’s position on OBAMACARE?

PappyD61 on July 23, 2013 at 1:52 PM

We’re 17 Trillion in the red & Sebilius, who was caught illegally extorting money from the corporations she is over to get funds to spend (also illegal) to decrease the cost of Obamacare, is promising the Federal Govt will fit the entire Bill for years?!

I would be tempted to respond to Sebilius, were I ‘Texas’, by saying, “Yes, I will agree … IF you step down from government, confess you broke the law, and agree to legal punishment / prosecution, whether it be fine or incarceration.”

easyt65 on July 23, 2013 at 1:52 PM

Every time I see that pic of Sebelius I think it’s Virginia Karns who played Mother Goose in Laurel and Hardy’s March of the Wooden Soldiers:

http://www.lordheath.com/?p=1_421_Virginia-Karns%3C/

Dr. ZhivBlago on July 23, 2013 at 1:52 PM

Perry’s not calling a special session on this, so it’s more just Kathleen trying to score PR points for her side. But at the same time, the state’s huge revenue boom from oil drilling via fracking of its South and West Texas formations (with a new one, the Cline Shale, about to come on line), Texas can afford to tell Sebelius to go ennema herself, since the state can offset the funding loss via local valuation revenues.

A drilling economic downturn would hurt Texas, but given that fracking states are about all that’s keeping the current U.S. economy from looking like a total train wreck, any sort of downturn would be a far bigger problems for Obama and the other Democrats than it would be for Rick Perry.

jon1979 on July 23, 2013 at 1:56 PM

$90b of Fed $(queue your money) into the state of 30m. So $3k apiece before the administrators peel off 80% of it to keep the lights on and mark their parking spaces. So that leaves about $600 of (queue your money) to spend, or about fifty bucks a month (queue your money) you are forced to send back to the sender.
Perfect.

Limerick on July 23, 2013 at 1:58 PM

If only Perry would lend one of his b**s to that wimp Snyder.
Snyder’s actions (trying to intimidate Michigan’s Senate to accept the expansion) is particularly egregious because he knows damn well the cost will eventually be dumped on Michigan, he just doesn’t care. He’ll be long gone, so screw it.

AmeriCuda on July 23, 2013 at 1:58 PM

The Texas legislature won’t meet again until 2015, when ØbamaCare’s destructive forces will be in full swing. Fat chance of getting us to sign on then.

Kafir on July 23, 2013 at 2:00 PM

This is part of the turn Texas Blue Strategy… I know she’s been ginning up support of municipalities with big public hospital systems to lobby the legislature for free Obama money. Out here in my neck of the woods, the County just approved $162 million in bonds to build neighborhood health clinics (which will be subsidiaries of the County Hospital) that will directly compete with private primary care physicians.

2nd Ammendment Mother on July 23, 2013 at 2:01 PM

No such thing as “Federal money.” Federal money is just repurposed State money which is to say Taxpayer Money if it ever becomes more than just a number printed on worthless paper.

The Feds are going to “give” someone money? Who the hell falls for this gimmick? I mean what serious people fall for this gimmick?

Um, no Kathleen. We’ll not perpetuate the lie for you.

AnonymousDrivel on July 23, 2013 at 2:03 PM

I just don’t see what is wrong with Uncle Sugar controlling my drip, pain meds, eating habits, or supplying me a Spanish speaking translator so the doc can tell me my rash is really nothing to worry about.

Limerick on July 23, 2013 at 2:10 PM

Texas to Sebelius: F*** OFF!

annoyinglittletwerp on July 23, 2013 at 2:14 PM

Once someone gives you money, be it the government or your parents, they get to tell you how to live your life.

WestTexasBirdDog on July 23, 2013 at 2:21 PM

Democrats are evil, straight out evil. A party of criminals, liars, and thieves.

jukin3 on July 23, 2013 at 2:23 PM

“We’re building that kind of partnership in cities across this country so that they will be the ones to carry the information to their communities —- here’s what can happen, here’s what kind of help is available. That’s the way to drill through the noise about the back and forth political information and get real information to people on the ground.”

Translation….. We are spamming people with Obamaphones. We are reaching out to welfare deadbeats and telling them that there is still free money on the table. We are going to community agitators to go out there and rile up poor stupid people to cow elected officials into doing the will of HHS and the rat-eared mullato.

Happy Nomad on July 23, 2013 at 2:26 PM

Right, $90 billion that just appears in the air thanks to unicorn farts.

The Rogue Tomato on July 23, 2013 at 2:32 PM

Texas is clearly in the cross hairs of the Liberals/Democratic Party.

Democrats Make Inroads Toward Turning Texas Blue

Dr. ZhivBlago on July 23, 2013 at 2:36 PM

Democrats are evil, straight out evil. A party of criminals, liars, and thieves.

jukin3 on July 23, 2013 at 2:23 PM

There you go, minimizing again.

Mason on July 23, 2013 at 2:57 PM

Shorter Sebelious: “Now will you make it easier for unemployed welfare illegals to vote for Democrats by promising them your money?”

MarkT on July 23, 2013 at 2:58 PM

This goes back a bit, and I’ve posted this before, but has anyone else seen it? http://www.nationalreview.com/article/350047/obamacare-oklahoma-leads-editors

The way I read it, they are saying that the law as written cannot tax individuals or employers in non-participant states-i.e. if the state does not participate, the subsidy doesn’t apply, and therefore the tax/penalties do not apply.
If true, I would think non participant states could expect a windfall of job relocation.

questionmark on July 23, 2013 at 3:05 PM

I just don’t see what is wrong with Uncle Sugar controlling my drip, pain meds, eating habits, or supplying me a Spanish speaking translator so the doc can tell me my rash is really nothing to worry about.

Limerick on July 23, 2013 at 2:10 PM

You’ve been gone so long, I think you misplaced the </sarcasm> tag. Seriously, welcome back, and it is an Arabic-speaking translator you’ll be needing.

Steve Eggleston on July 23, 2013 at 3:15 PM

Hey Supercilious how many fingers am I holding up? Thats right, just the middle one. This Texan says he\\ no! Has the Federal Government given a dime to the people of West? Nope. Wasn’t it your bunch who are trying to turn Texas blue? Didn’t y’all say that Wendy Davis was wonderful? I hope Perry tells her to put it where the sun don’t shine.

neyney on July 23, 2013 at 3:15 PM

My memory fails me. In what year did Sebelius run in the Preakness?

bw222 on July 23, 2013 at 1:51 PM

1896.

Freddy on July 23, 2013 at 3:21 PM

Only a fool falls for the “free lunch” routine. Bottom line, Texas is better off with folks working and paying their own bills, rather than incentivizing poverty. So are we all. And there are 23 governors out there who have done the wrong thing for the long term.

Murf76 on July 23, 2013 at 3:26 PM

Texas just needs to leave the union and forge a new conservative path, liberals need not apply

redguy on July 23, 2013 at 3:32 PM

Can’t wait for Perry’s response. It should be an instant classic.

Tater Salad on July 23, 2013 at 3:46 PM

Sweetcheeks, Houston swallowed half the blue out of New Orleans. Silicon Valley is plotting bolt holes to Austin for when Pelousy kicks the bucket, and half the cars on the road are from other states.

We voted redder in ’12 than ’08.

If the House holds out til the August break, you can forget about the illegals. As for Austin, they are outnumbered by the combination of Plano, Arlington, Round Rock, and The Woodlands alone. Pushing more blue voters into the cities causes conservatives to make the suburbs bigger and redder. You have absolutely nothing with which to threaten Texas.

Sekhmet on July 23, 2013 at 4:06 PM

Hey, let’s commit to an agreement with Obama that he can change by royal whim whenever he pleases!

Who’s with me?

Meremortal on July 23, 2013 at 4:52 PM

it’s a trap!!!

burserker on July 23, 2013 at 5:32 PM

So the bait is that current politicians can curry favor with the poor because the additional costs will be carried by the Federal government, itself not exactly flush with tax revenues, for three years and that tapers down to 90% over about another seven years.

A pretty obvious case of play now pay later, at least to me.

This all presumes that Congress, due to some currently unknown event, decides to change the rules at some point putting perhaps substantially more of the burden on the States.

We have a hotel room tax here, imposed by the State, which the Counties get a share of it. Then during the recent budget troubles, the State legislature proposed that it was going to keep ALL of the hotel room tax revenues. Since the Counties, we have four, had come to depend on that share of the room tax that accrued to them, they were not particularly happy with the proposal.

Russ808 on July 24, 2013 at 2:29 AM

It appears that in Texas the taxpayers and not the public sector unions are in charge.

J Baustian on July 25, 2013 at 2:26 AM