“I am a Frederick Douglass Republican” – thus begins K. Carl Smith’s method for penetrating the walls that separate conservatives from minority voters.
On the premise that many minority families hold conservative values (eg. school choice, life, self reliance) and have much in common with us, yet are conditioned by upbringing and / or liberal propaganda to reject conservative thought, Mr. Smith explained how for many, “Republican”, or “Conservative” means “Racist”. Starting from that perspective, it is no wonder that “outreach” efforts are difficult.
In order to “retake control of the narrative” with Black and Hispanic constituencies from the liberal media and the Democrat party, we must expose their ongoing practice of rewriting history and routine accusations of racism against any who oppose them. Example: Lincoln (a Republican) ended slavery, and was opposed by the Democrats who were invested in it, yet the DNC website claims that “Democrats have been the champion of civil rights for 200 years!”
Frederick Douglass, a Black contemporary of Lincoln, has said “The best representation of slavery in politics is the Democrat Party”. He was a strong supporter of the Constitution, life, the limited power of government, and personal responsibility. By identifying with Douglass, in K. Carl Smith’s view, we can begin to explain that conservative principles are color blind, and knock down the wall that limits dialogue.
Mr. Smith holds seminars on his methods, and has helped local GOP groups do effective outreach, and his lectures at the three PBCTP chapters this month were well received. For more information, check out his book: “Frederick Douglass Republicans: The Movement to Re-Ignite America’s Passion for Liberty”
The current tax code has been grossly manipulated to reward elite interests. Compliance has become increasingly difficult and expensive. The federal income tax is extremely unfair to wage earning Americans and the average citizen of your district. Your leadership is imperative and is respectfully requested on this important issue.
The Fair Tax is fair to all Americans, and simple to understand. The Fair Tax bill represents an idea whose time has come. National polls show that more than two-thirds of Americans want fundamental tax reform. I am one of those Americans. I live, work, and vote in your district. I am personally requesting your support for the Fair Tax.
I ask you seriously to consider the Fair Tax for the following reasons:
The Fair Tax Act offers long-needed tax relief to all Americans; allows us to keep 100 percent of our paycheck; allows families to save more for home ownership, education, and retirement; protects and ensures funding of Social Security and Medicare; empowers the low-income earners; puts choice and control back in the hands of every American; stimulates economic growth; removes hidden taxes; eliminates the Internal Revenue Service; and stimulates job creation and taxes ALL Americans fairly.
I urge you to become fully informed about the Fair Tax bill through Americans for Fair Taxation (FairTax.org). They can be reached at 1-800-FAIRTAX (324-7829).
The public hearings on the county budget are Monday 9/9/13 and 9/23/13 at 6:00 PM.
This past weekend in Orlando, Americans for Prosperity Foundation hosted a conference for grassroots activists from around the nation.
With informative breakout sessions in the mornings to highlight successes on the state and local levels, and “big tent” events in the afternoon with national conservative leaders, there was something for everyone, including ample free time to “network”.
The “malaise” that affected many of us locally after the bitter results of the 2012 Presidential election has been pretty widespread, and organizers from many locations reported falling attendance at many of their events. Hopefully, that is now starting to change. Although we are still licking our wounds, conferences like this one demonstrate that there is still life in the conservative grassroots, we have leaders in the movement that “get it” and have the fortitude to take it to the President – to lead the fight against the train wreck that is Obamacare, the endless debt and deficits, the administration that cares little for the rule of law, the separation of powers, or the role of the states in our constitutional republic.
“It’s amazing what is possible in America“, said Louisiana Governor Bobby Jindal, when people are free – free to make their own choices, free from the suffocating regulations of intrusive government. He talked about education as the key for the jobs of tomorrow, and the success they have had in his state in shutting down failing schools and greatly expanding the charter school system which has done a lot to improve the lot of minority children. Last week, unfortunately, Obama’s Justice Department has decided to sue Louisiana to roll back these reforms and return students to their failing schools. Judging by his fiery critique of the President and his policies, it is clear he will stand up against our rogue Attorney General and fight to retain the success they achieved.
Our own Senator Marco Rubio declared “There is nothing wrong with America – but there is something wrong with this President“. The good news, he said, is that “we still have time to save the American Dream“, by reforming the tax code and eliminating regulations. “We don’t need Common Core”, he said, and he will not vote for any budget that funds Obamacare or to increase the debt ceiling without a balanced budget amendment and specific cuts.
Unfortunately for Senator Rubio, there is still a lot of anger in the movement about his role in passing the “gang of eight” Senate immigration bill. In the hall were members of Flimen with pink shirts that said “Pink Slip Rubio”, and throughout his speech you could hear sporadic calls for “No Amnesty”. Although he avoided this issue in the speech, he did address it in a smaller group that met with him prior to the session. In a hotel suite with about 40 supporters, after answering some questions about Syria, Obamacare and other issues for which he was among friends, someone in the back asked “what about immigration”. A hush fell across the room at this point and he had no choice but to address it with a somewhat lengthy justification that amounted to “the status quo is unacceptable so we have to do something“. To me it sounded like doubling down. Not good.
Then Arthur Brooks, President of American Enterprise Institute, succinctly summed up the Obama message: “Rich people have your stuff and I’m going to get it back for you.” This shouldn’t have worked as envy is not American, but unfortunately all our side had to say to his supporters was “You’re a moocher” – no wonder we lost. The words “fairness” and “compassion” have been kidnapped by the left and we should take them back and own them, because progressive ideology is neither fair nor compassionate. As a humorous and memorable side comment illustrating our difference in values, he recalled a bumper sticker seen in San Francisco – “Your body may be a temple but mine is an amusement park”.
Next up was Governor Rick Scott, gearing up his re-election bid with a positive jobs message. Recalling his 2010 pledge to create “700,000 jobs in 7 years”, he reported us as on-track, with the likelihood of 900,000 jobs created by 2018. Scott is still popular with the Florida grassroots, although his support for Medicaid expansion had a lot of heads scratching. We do still remember that he declined to create a state Obamacare exchange, though. A few hecklers in the audience periodically shouted “No Common Core”, reflecting dissatisfaction with the direction that our education system has taken over the last few years. Scott talked about his activities as a booster of the state’s business climate and his good-natured rivalry with Texas and Governor Rick Perry who was the last major speaker of the day.
A 2012 Presidential candidate until his campaign faltered early in the primary process, he is possibly gearing up for another run in 2016. Well known as a jobs governor, the record of the Texas economy on his watch has been very impressive. As he makes the rounds of the states selling the Texas miracle, he has gained the ire of many blue state governors who do not appreciate his pointing out the shortcomings of their performance or the failings of the Progressive economics.
On another theme, “All roads lead back to the states“, said Perry. One size fits all federal programs (like Obamacare) are anathema to the founding principles of this country. A favorite target of the Obama administration, whose ideology sees the power in the states to be a roadblock to their big government agenda, Texas is now being sued by Eric Holder and the Justice Department as they try to end-run the Supreme Court and re-impose Voting Rights Act restrictions that require federal permission for such things as Voter ID laws.
On the final day of the conference, Texas Senator Ted Cruz, another possible 2016 presidential candidate and clearly the favorite of the gathering gave us reasons for optimism. With the success of Rand Paul’s filibuster on drones, and the failure of gun control initiatives after Sandy Hook, the President was forced to “listen to the people”, he said. On Syria, with Obama now going to Congress for authorization, on immigration, on common core, – the people are making their voices heard and throwing a wrench into the Obama agenda. His job as a Senator, he says, is to restore economic growth as the lack of growth is related to all of our other problems. Tax Reform (“Abolish the IRS“), and regulatory reform (“Repeal Obamacare – every single word“) are the key. He sees Obamacare as the greatest job killer of all time and sees de-funding it in the upcoming budget process as the key. In answer to skeptics that see that tactic as a political liability for Republicans, he says “You lose 100% of the fights you surrender at the outset.” Standing ovations were frequent for this speech.
All in all, the speakers reminded us that conservatism is not “in trouble” as the mainstream media may have you believe, but resurgent and full of fire. With his agenda in tatters, the Obama team sees winning back the House and holding the Senate next year as their only chance to have a legacy of anything but failure. Any thought of compromise or even dealing with a Republican House is not is the President’s wheelhouse. Although 2014 will be a harder slog than 2010 when we took them by surprise, at the end of this conference it was clear that we have depth, we have tools and we have a maturity that comes from adversity and learning from the losses of 2012. Thanks to AFP and organizations like them, the conservative grassroots will have help and structure that will amplify our effectiveness going forward.
After leveling off last year following 4 years of decline, property values seem to have turned a corner and have ticked up 3.7% this year, easing pressure on county and municipal budgets. As the county has cranked up the millage rate as the valuations fell, will they now start to decrease them? Apparently not.
NOTE: The Boca Raton Chapter Meeting, normally the first Tuesday of each month (or, April 2nd) is cancelled, as is the Wellington Chapter Meeting, normally the second Monday of each month (or, April 8th). Bring your patriotic spirit to Wellington on April 14th, and join us for a fun-filled day with a great line-up of speakers and activities!!!! Stay tuned to our web site and FaceBook page for more details!
With a crystal-clear night on the back end of a Florida “cold-snap” (getting into the 40’s the day before), there was another exciting night of patriotism from the Palm Beach County Tea Party. Though the turnout was lighter than this past month, it was an unquestionably exciting evening of brisk dialogue amongst Patriots in Boca Raton. Slade O’Brien was the guest speaker, and his perspective as a leader of grassroots movements, and dealing with politics on the LOCAL level, was quite illuminating. As the Florida Director of Americans For Prosperity, Slade has an extraordinary inside perspective on Florida politics, with access to all the “movers and shakers” within the political sphere in our state.
What he revealed about statewide graft and corruption in state contracts from legislators “thanking” their lobbyists and supporters who got them elected was both sickening and motivating at the same time. Slade also updated us on the “Five For Florida” initiative that AFP began last year, and updated us on their progress. While much has been accomplished, we have a “long road ahead”, as Slade said.
This also marked the return to Boca Greens Country Club, and exceptional venue for our group in terms of space, facilities, location, and food. Salad, Rolls, Chicken, and Salmon was served with a Vodka Penne dish, and a yummy-looking Apple-Cobbler type of dessert (I did not partake). It was a great crowd, populated by both familiar faces, as well as many new people. PBCTP Co-Founders Mel and Barbara Grossman made the trip from Jupiter to be with us, as did Terry Brady.
Boca Chapter Coordinator Alex Berry began the proceedings at 7:00pm with the Pledge of Allegiance. Carlos Manuel Santana then regaled us with his impassioned version of the National Anthem. After the usual protocol of explaining what the PBCTP is, and what it stands for, Alex made general announcements, and then asked former Board member Francisco Rodriguez to come to the podium. Francisco explained how he has recently published a book that addresses the critical issue of WINNING ELECTIONS, and how that starts on the local level, something we can all participate in. And this dovetailed well with Slade O’Brien’s discussion of the “pragmatics” of politics….
Alex then introduced Slade, who held the crowd captive with a personal account of his observations on how Florida has foolishly discouraged entrepreneurial activity with miles of red tape. He was actually very encouraging, however, because he drew parallels between what Scott Walker has done in Wisconsin, and what is possible here in Florida.
Slade followed his presentation with a boisterous “Q&A” session with the audience, moderated by Alex Berry. Tea Party members donated the raffle prizes, and the winners were announced at the drawing, concluding the evening.
We look forward to more great meetings in 2013 for our Boca Chapter—please INVITE YOUR FRIENDS to our next event, which will be on April 2nd, 2013!!! Remember—we always have our Boca Chapter Dinner/Speaker event on the FIRST TUESDAY of every month, so mark your calendars! Please get involved if you aren’t yet, and STAY involved if you already are! Remember, we are LOOKING FOR ADDITIONAL BOCA TEAM LEADERS, including a Boca Chapter Coordinator (leader in Boca). Please help out if you can!
The following was a letter from Mark Meckler. Please review and comment .. . and most importantly, pick out the key points that mean the most to you and immediately send emails and make phone calls to your state legislators!
To Tea Partiers across Florida:
From my perspective it’s very simple.
1. Tea Partiers put principle before politics. One of the core principles of tea partiers is fiscal responsibility. As tea partiers, our job is to stand on principles, not be convinced by the politics of the moment. Expanding huge, inefficient, bloated, government programs for which our federal government must borrow 43 cents of every dollar spent is hardly fiscally conservative. In fact, supporting such a program expansion would be the antithesis of what the movement stands for.
2. The best conservative Governor’s in the nation are opposing the expansion of Medicaid. Gov. Scott Walker, Gov. Rick Perry, Gov. Bobby Jindal, Gov. Nikki Haley, etc. When the leading conservative Governors in the nation are rejecting the program, it’s hard to see how tea partiers could think accepting it is a good thing.
3. Four Important Points about the proposed Medicaid expansion that everyone should know:
Four Important Points About Medicaid Expansion
A. Support for Medicaid Expansion is Support for Obamacare. If your tea party group supports the expansion of Medicaid, it is a major statement in support of Obamacare. One of the major provisions of Obamacare was the expansion of Medicaid, which is intended to dramatically increase the number of people dependent on the federal government. The rejection of the Medicaid expansion, which states were given the right to do by the Supreme Court in the only conservative victory on Obamacare, is one of the few tools remaining to help prevent Obamacare from swallowing the nation.
B. The Medicaid Expansion is a Fiscal Nuclear Time Bomb. Medicaid is a fiscal time bomb; today, states and the federal government jointly fund the program, but over time, Congress is almost certain to curtail its support due to Washington’s fiscal pressures.
C. The Medicaid Expansion Drives the Cost of Insurance Up for Everyone Else. Medicaid drives up the cost of insurance for everyone else, because hospitals overcharge people with private insurance to make up for the fact that they’re underpaid by Medicaid.
D. Medicaid is a Broken Program Providing Terrible Health Outcomes. Medicaid provides the worst health outcomes of any insurance plan in America; in many cases, it’s worse than having no coverage at all.
To me, it’s not even a close call for tea partiers. If we won’t do our best to hold the line here…we should just fold up our tea party tents and go home. It is impossible for fiscal conservatives to support the expansion of a bloated, broken federal program that borrows 43% of every dollar spent, and still consider ourselves principled fiscal conservatives. If we support (or don’t vociferously oppose) the expansion of Medicaid, then the criticism sometimes leveled at us that we are willing to cut, but not when those cuts affect us, is true. Are we Democrat-lite, or are we true fiscal conservatives who will stand on principle? In Florida, the time to make that decision is now.
Below you will find a summary of where each state currently stands (as of Feb. 20) on the proposed expansion.
Where each state stands on ACA’s Medicaid expansion
A roundup of what each state’s leadership has said about their Medicaid plans
February 20, 2013
- See the Advisory Board’s library of resources on Medicaid, ranging from projections of patient volumes to strategies for better care management.
Text last updated on Feb. 20, 2013, at 5:30 p.m. ET
The Supreme Court’s ruling on the Affordable Care Act (ACA) allowed states to opt out of the law’s Medicaid expansion, leaving each state’s decision to participate in the hands of the nation’s governors and state leaders.
Based on lawmakers’ statements, press releases, and media coverage, the Daily Briefing and American Health Line editorial teams have rounded up where each state currently stands on the expansion.
We will continue to update this map and list as more information becomes available. Send us news, tips, and feedback by commenting below or emailing firstname.lastname@example.org.
* indicates a state’s participation in the multistate lawsuit against ACA
NOT PARTICIPATING (13 states)
- Alabama*: Gov. Robert Bentley (R) on Nov. 13 announced that Alabama will not participate in the Medicaid expansion “because we simply cannot afford it” (Gadsden Times, 11/13; Lyman,Montgomery Advertiser, 11/13).
- Georgia*: Gov. Nathan Deal (R) in an Atlanta Journal-Constitution/Politico/11 Alive interview on Aug. 28 said, “No, I do not have any intentions of expanding Medicaid,” adding, “I think that is something our state cannot afford.” When asked about the insurance exchanges, Deal said “we do have a time frame for making the decision on that I think, especially on the exchanges,” adding that “we have just a few days after the election in order to make a final determination on that” (Wingfield, “Kyle Wingfield,” Atlanta Journal-Constitution, 8/28).
- Idaho*: Gov. C.L. Otter (R) in his 2013 State of the State address delivered on Jan. 7 said that while “there is broad agreement that the existing Medicaid program is broken,” the state “face[s] no immediate federal deadline” to address the situation. He added, “We have time to do this right … [s]o I’m seeking no expansion of” the program. Otter said he’s instructed the state Health and Welfare director to “flesh out a plan” that focuses on potential costs, savings and economic impact, which he plans to introduce in 2014 (Ritter Saunders, Boise State Public Radio, 1/7; Young, Huffington Post, 1/7; Petcash, KTVB, 1/7).
- Louisiana*: Gov. Bobby Jindal (R) in an NBC “Meet the Press” interview on July 1 said, “Every governor’s got two critical decisions to make. One is do we set up these exchanges? And, secondly, do we expand Medicaid? And, no, in Louisiana, we’re not doing either one of those things.” However, state Sen. Karen Carter Peterson (D) and other Democratic leaders after the Nov. 6 election urged Jindal to reconsider his opposition or the state will not be forced to accept a “one-size-fits-all” plan, CBC News “Money Watch” reports (Barrow, New Orleans Times-Picayune, 7/2; “Money Watch,” CBS News, 11/9).
- Maine*: Gov. Paul LePage (R) on Nov. 16 said that Maine will not participate in the Medicaid expansion. He called the expansion and the state-based insurance exchanges a “degradation of our nation’s premier health care system” (Mistler, Kennebec Journal, 11/16).
- Mississippi*: Gov. Phil Bryant (R) on Nov. 7 said Mississippi will not participate in the Medicaid expansion, reiterating previous statements that he had made about the ACA provision (Pender/Hall, Jackson Clarion-Ledger, 11/7).
- North Carolina: Gov. Pat McCrory (R) on Feb. 12 announced that his state will not expand Medicaid or establish its own health insurance marketplace under the Affordable Care Act. McCrory said state officials conducted a comprehensive analysis to determine the advantages and disadvantages of expanding Medicaid and the right type of exchange option in the state, and concluded that it is “abundantly clear that North Carolina is not ready to expand the Medicaid system and that we should utilize a federal exchange.” He said the review included discussions with other governors, White House officials, health care providers, and leaders in the state Legislature (AP/Myrtle Beach Sun News, 2/12; Binker/Burns, “@NCCapitol,” WRAL, 2/12; Cornatzer, Raleigh News & Observer, 2/12).
- Oklahoma: Gov. Mary Fallin (R) on Nov. 19 said Oklahoma will not participate in the Medicaid expansion. “Oklahoma will not be participating in the Obama Administration’s proposed expansion of Medicaid,” she said in a statement. She noted that the program would cost the state as much as $475 million over the next eight years (Greene, Tulsa World, 11/19).
- Pennsylvania*: Gov. Tom Corbett (R) on Feb. 5 sent a letter to HHS saying he “cannot recommend a dramatic Medicaid expansion” in Pennsylvania because “it would be financially unsustainable for Pennsylvania taxpayers.” He noted that the expansion would necessitate “a large tax increase on Pennsylvania families” (Tolland, Pittsburgh Post-Gazette, 2/5).
- South Carolina*: Gov. Nikki Haley (R) on July 1 announced via Facebook that South Carolina “will NOT expand Medicaid, or participate in any health exchanges.” The state Legislature is expected to make a decision on the Medicaid expansion during the 2013 session (Gov. Haley Facebook page, 7/1; Holleman, Columbia State, 11/9).
- South Dakota: Gov. Dennis Daugaard (R) in his annual budget address on Dec. 4 said he does not plan to participate in the Medicaid expansion. “I really think it would be premature to expand this year,” he said, adding that he hoped for more flexibility for the state program (Montgomery, Sioux Falls Argus Leader, 12/4).
- Texas*: Gov. Rick Perry (R) in a statement on July 9 said, “If anyone was in doubt, we in Texas have no intention to implement so-called state exchanges or to expand Medicaid under ObamaCare.” Perry also sent a letter to HHS Secretary Kathleen Sebelius on July 9 asserting this position. The Dallas Morning News reported that on Nov. 8, Perry reiterated his opposition to the expansion, saying, “Nothing changes from our perspective” (Office of Gov. Perry release, 7/9; Gov. Perry letter, 7/9; Garrett, Dallas Morning News, 11/11).
- Wisconsin*: Gov. Scott Walker (R) on Feb. 13 announced his rejection of the Medicaid expansion. He proposed an alternative plan that would expand coverage to low-income state residents through private health care exchanges (Spicuzza, Wisconsin State Journal, 2/13).
LEANING TOWARD NOT PARTICIPATING (5 states)
- Iowa*: Gov. Terry Branstad (R) on July 2 said that he expects to opt out of the expansion. Reiterating the position in an Aug. 22 interview, Branstad spokesperson Tim Albrecht said the governor remains opposed to the expansion. Branstad likely will instead pursue state-based efforts to make health insurance coverage more affordable, Albrecht said (Totland, Washington Times, 7/2; Wiser, Waterloo Cedar Falls Courier, 7/3; AP/Omaha World-Herald, 8/22).
- Nebraska*: Gov. Dave Heineman (R) in a statement on his website on June 28 said, “As I have said repeatedly, if this unfunded Medicaid expansion is implemented, state aid to education and funding for the University of Nebraska will be cut or taxes will be increased. If some state senators want to increase taxes or cut education funding, I will oppose them.” Heineman on July 11 sent a letter to state lawmakers saying the state could not afford the expansion, but he stopped short of saying that the state will not participate in the expansion, according to Reuters(Office of Gov. Heineman release, 6/28; Wisniewski, Reuters, 7/11).
- New Jersey: Gov. Chris Christie (R)—in an interview on Fox News’ “Fox and Friends” in July—said, “Medicaid is pretty well expanded in our state already because of the legacy of previous Democratic governors” and noted that he is leaning toward not raising the program’s eligibility limit any further. In April 2011, New Jersey opted to expand Medicaid eligibility ahead of 2014 to nearly 70,000 childless adults through a Section 1115 waiver allowed under the ACA. The Examiner on Nov. 12 reported that New Jersey likely would opt out of the expansion (Defalco,AP/Philadelphia Inquirer, 4/15/2011; “Fox News Insider,” Fox News, 7/3; Livio/Friedman, Newark Star-Ledger, 7/3; Reilly, The Examiner, 11/12).
- Virginia: Gov. Bob McDonnell (R) on Nov. 8 said he opposes expanding Medicaid, noting that he does not “believe the federal government can possibly deliver its commitment to fully fund the program, and I don’t want to be part of contributing trillions of dollars to the national debt.” However, McDonnell said Virginia could change course at a later date (AP/Modern Healthcare, 11/8).
- Wyoming*: Gov. Matt Mead (R) on Nov. 30 recommended that Wyoming not participate in the Medicaid expansion, but added that his position could change in the future and urged “everyone to keep an open mind on this.” The state legislature will make the final decision on whether to expand the program, the AP/Jackson Hole Daily reports (Brown, Wyoming Tribune Eagle, 12/1; Graham, AP/Jackson Hole Daily, 12/1).
LEANING TOWARD PARTICIPATING (3 states)
- Kentucky: Gov. Steve Beshear (D) when asked about the expansion in July said, “If there is a way that we can afford that will get more coverage for more Kentuckians, I’m for it.” However, state lawmakers are putting pressure on Beshear to reject the expansion (Office of Gov. Beshear release, 6/28; AP/Evansville Courier & Press, 6/28; AP/Evansville Courier & Press, 7/17; Autry, WYU, 7/5; Cross, Louisville Courier-Journal, 6/29).
- New York: Gov. Andrew Cuomo (D) in a statement on his website on June 28 said he was “pleased the Supreme Court upheld the [ACA]” and looks forward “to continuing to work together with the Obama administration to ensure accessible, quality care for all New Yorkers.” On July 26, Danielle Holahan—project director for New York’s health insurance exchange planning—said the state “largely meet[s] the federal required Medicaid levels already.” Although Cuomo’s office has not officially announced a decision, the Associated Press reported on Nov. 13 that New York will expand Medicaid (Office Gov. Cuomo release, 6/28; Grant, North Country Public Radio, 7/27; Delli Santi/Mulvihill, AP/San Francisco Chronicle, 11/13).
- Oregon: Gov. John Kitzhaber (D) said on June 28 that he is confident that the Oregon Legislature will approve a state Medicaid decision. In an interview with the Oregonian just hours after the Supreme Court issued its ruling on the ACA, Kitzhaber said, “We’ll make a decision on whether or not to expand the Medicaid program really based on, I think, the resources we have available in the general fund for that purpose going forward” (Budnick, Oregonian, 6/28).
PARTICIPATING (23 states and the District of Columbia)
- Arizona*: Gov. Jan Brewer (R) in her 2013 State of the State speech, delivered on Jan. 14, announced that Arizona will participate in the Medicaid expansion, which would extend health care services to an estimated 300,000 more state residents. Brewer noted that the expansion plan will “include a circuit-breaker that automatically” would reduce enrollment if federal reimbursement rates decrease. Brewer was expected to offer further details of the plan in her budget proposal, which is subject to approval by the Republican-controlled Legislature (Christie,AP/Sacramento Bee, 1/14; Sanders/Wingett Sanchez, Arizona Republic, 1/14; Fischer, Sierra Vista Herald, 1/14; Safier, Tucson Citizen, 1/14).
- Arkansas: Gov. Mike Beebe (D) on Sept. 11 said he planned to participate in the Medicaid expansion, the Associated Press reports. According to the AP, Beebe agreed to participate in the expansion after officials assured him the state could opt out later if it faces a financial crunch. Beebe said, “I’m for it. I think it’s good for our people because it’s helping folks that don’t have insurance now that are working their tails off. They’re not sitting on a couch somewhere asking for something” (Brantley, Arkansas Times, 9/11).
- California: Gov. Jerry Brown (D) in a statement on June 28 said the Supreme Court’s ruling “removes the last roadblock to fulfilling President Obama’s historic plan to bring health care to millions of uninsured citizens.” California got a head start on expanding its Medicaid program in November 2010 with its “Bridge to Reform” program, which aimed to bring at least two million uninsured Californians into Medicaid (Office of Gov. Brown release, 6/28; DeBord, “KPCC News,” KPCC, 6/28).
- Colorado*: Gov. John Hickenlooper (D) on Jan. 3 announced that his state will participate in the expansion. In a news release, his office said the move would extend Medicaid coverage to about 160,000 low-income residents and save Colorado an estimated $280 million over 10 years without affecting the state’s general fund (Stokols, KDVR, 1/3; Wyatt, AP/Denver Post, 1/3).
- Connecticut: Gov. Dannel Malloy (D) was among the first governors to sign up for the Medicaid expansion after the ACA was enacted in March 2010. Soon after the Supreme Court ruling on June 28, Malloy said “it’s great … [and a] very important decision for the people of Connecticut. 500,000 people would have lost coverage if Republicans had their way” (Davis, WTNH, 6/28).
- Delaware: Gov. Jack Markell (D) in a statement on June 28 said, “The Supreme Court’s ruling enables Delaware to continue to implement provisions of the Patient Protection and Affordable Care Act to provide access to health care benefits for Delawareans.” He added, “On the Medicaid front, Delaware already voluntarily expanded the state’s Medicaid coverage program in 1996 to cover many Delawareans not previously covered” (Office of Gov. Markell release, 6/28).
- District of Columbia: D.C. Mayor Vincent Gray (D) in a statement on June 28 said, “The District is not at risk of losing any Medicaid funding as a result of this ruling, because District officials have already begun implementation of the ACA’s Medicaid-expansion provisions and will continue to implement the expansion” (Executive Office of the Mayor release, 6/28).
- Florida*: Gov. Rick Scott (R) on Feb. 20 announced that the state will participate in the ACA’s Medicaid expansion, citing HHS’s conditional support for a waiver to shift most of the state’s Medicaid beneficiaries into a managed-care program. However, Scott said that Florida would only participate in the expansion for three years before reevaluating the decision. Supporters of the ACA heralded Florida’s shift as a major reversal; Scott mounted his successful campaign for governor in 2010, in part, by being one of the nation’s foremost critics of President Obama’s planned health reforms (Kennedy/Fineout, Associated Press, 2/20; Office of Gov. Scott release, 2/20).
- Hawaii: Gov. Neil Abercrombie (D) in a statement on June 28 welcomed the Supreme Court’s ruling and said the ACA “is our ally” in the effort to “support a health care system that ensures high quality, safety and sustainable costs.” Pat McManaman, director of the state Department of Human Services, said Hawaii’s Medicaid eligibility requirements in July would fall in line with the law’ guidelines, meaning an additional 24,000 people will be eligible for the program by 2014 (Office of Gov. Abercrombie release, 6/28; Garcia, AP/CBS News, 6/29).
- Illinois: Gov. Pat Quinn (D) on June 28 praised the court’s decision and said he “will continue to work with President Obama to help working families get the healthcare coverage they need,” including expanding Medicaid (Office of the Governor release, 6/28; Thomason, Rock River Times, 7/3; Ehley, Fiscal Times, 8/20).
- Maryland: Gov. Martin O’Malley (D) in a statement on June 28 said the Supreme Court’s decision “gives considerable momentum to our health care reform efforts here in Maryland,” adding that the state will move forward to implement the overhaul (Office of the Governor release, 6/28).
- Massachusetts: Gov. Deval Patrick (D) in late June said Massachusetts is “an early expansion state as you know and we’re expecting further resources from the federal government to sustain the experiment here in Massachusetts.” Patrick called the ruling “good news for us” (Walker, YNN, 6/28).
- Michigan*: Gov. Rick Snyder (R), in a statement released on Feb. 6, announced that his fiscal year 2014 budget proposal includes a plan to expand the state’s Medicaid program under the Affordable Care Act. The plan would extend Medicaid benefits to about 320,000 eligible residents. Snyder said the plan contains safeguards that will ensure the financial stability of the program and protect against changes in the government’s financial commitment to the expansion (Office of Gov. Snyder release, 2/6).
- Minnesota: Gov. Mark Dayton (D) said in a statement on June 28 said, “Today’s ruling will be met with relief by the Minnesotans whose lives have already been improved by this law.” Dayton in 2011 used federal money to expand Medicaid early to 84,000 adults with annual incomes below $8,400 (Lohn, AP/San Francisco Chronicle, 6/28).
- Missouri: Gov. Jay Nixon (D) on Nov. 29 announced that Missouri will participate in the Medicaid expansion. Nixon said he will include the expansion in the state budget proposal he submits to lawmakers. “We’re not going to let politics get in the way of doing the best thing for our state,” he said (Crisp, “Political Fix,” St. Louis Post-Dispatch, 11/29).
- Montana: Gov.-elect Steve Bullock (D) — who takes office on Jan. 7 — on Jan. 4 announced several changes to outgoing Gov. Brian Schweitzer’s (D) two-year budget recommendations, but retained the proposal to expand Medicaid. During a news conference, Bullock said the Medicaid expansion is part of his “Access Health Montana” plan to increase health care coverage for more Montana families. (Johnson, Billings Gazette, 1/5; Johnson, Montana Standard, 1/5).
- Nevada*: Gov. Brian Sandoval (R) on Dec. 11 announced that the state will participate in the Medicaid expansion. “Though I have never liked the Affordable Care Act because of the individual mandate it places on citizens, the increased burden on businesses and concerns about access to health care, the law has been upheld by the Supreme Court,” Sandoval said in a statement, adding, “As such, I am forced to accept it as today’s reality and I have decided to expand Nevada’s Medicaid coverage” (Damon, Las Vegas Sun, 12/11).
- New Hampshire: Gov. Maggie Hassan (D) in her Feb. 14 budget address said that New Hampshire will opt into the ACA’s Medicaid expansion because “it’s a good deal…[that will] allow us to save money in existing state programs, while increasing state revenues.” A state report estimates that the expansion will cost New Hampshire about $85 million through 2020, but will bring in $2.5 billion in federal funds and help reduce the number of uninsured residents from roughly 170,000 to 71,000 (Ramer, AP/Seacoastonline.com, 2/14)
- New Mexico: Gov. Susana Martinez (R) on Jan. 9 announced that her state will participate in the Medicaid expansion, which potentially could extend health coverage to nearly 170,000 additional low-income uninsured residents. Martinez noted that contingency measures will be established if federal funding for the expansion diminishes, which would mean scaling back the expansion by dropping newly covered beneficiaries from the Medicaid rolls (Massey/Montoya Bryan, AP/Santa Fe New Mexican, 1/9; Schirtzinger, Santa Fe Reporter, 1/9; Reichbach, New Mexico Telegram, 1/9).
- North Dakota*: Gov. Jack Dalrymple (R) in January said the politics associated with the ACA should not prevent North Dakota from participating in the Medicaid expansion. He is supporting a bill that would allow the state health department to access federal funds allocated through the ACA. Dalrymple also said he will include the expansion in his budget proposal and that members of his staff will testify in favor of the expansion before state lawmakers (Jerke, Grand Forks Herald, 1/12).
- Ohio*: Gov. John Kasich (R) on Feb. 4 announced that the state will be participating in the Medicaid expansion, the Cleveland Plain Dealer reports. He made the announcement in his two-year budget announcement, but warned that Ohio would “reverse this decision” if the federal government does not provide the funds it has pledged to the expansion (Tribble, Cleveland Plain Dealer, 2/4).
- Rhode Island: Gov. Lincoln Chaffee (I) in a statement on his website on June 28 said, “I have fully committed to ensuring Rhode Island is a national leader in implementing health reform whatever the Supreme Court decision, and this just reinforces that commitment.” According to Steven Costantino, the state’s secretary of health and human services, “The expansion is easy to do and makes sense.” Moreover, on July 12, USA Today reported that Chaffee planned to participate in the expansion (Chaffee statement, 6/28; Wolf, USA Today, 7/12; Radnofsky et al.,Wall Street Journal, 7/2).
- Vermont: Gov. Peter Shumlin (D) on June 28 said Vermont’s Medicaid program already meets the requirements under the health reform law’s Medicaid expansion (Steimle, WCAX, 7/1).
- Washington*: In an email responding to a query by American Health Line, Karina Shagren—a deputy communications director in Gov. Chris Gregoire’s (D) administration—in early July said “the governor supports the Medicaid expansion—and Washington will move forward.” U.S. Rep. Jay Inslee (D)—who supports the expansion—was elected governor on Nov. 6 (Shagren email, 7/5; Washington Secretary of State website, 11/12).
UNDECIDED/NO COMMENT (8 states)
- Alaska*: Gov. Sean Parnell (R) on Aug. 8 said he is guarded on the expansion “because our history with the federal government right now is they cut what they promise to fund.” Parnell said he wants to thoroughly understand the costs to the state before making a decision (Bohrer, AP/San Francisco Chronicle, 8/8).
- Indiana*: Gov. Mitch Daniels (R) in a statement on June 29 said, “Any decision to expand Medicaid in 2014 is entirely the province of the next General Assembly and governor.” U.S. Rep. Mike Pence (R) was elected governor on Nov. 6. In a position statement earlier this year, Pence noted that the Medicaid expansion would double “down on an already broken and unaffordable Medicaid system.” Addressing the Affordable Care Act as a whole, he wrote, “I believe the State of Indiana should take no part in this deeply flawed healthcare bureaucracy” (Office of Gov. Daniels release, 6/29; Pence letter).
- Kansas*: Gov. Sam Brownback (R), who has been a vocal opponent of the Affordable Care Act, has not stated whether to opt in or out of the Medicaid expansion, the Associated Pressreported on Nov. 9 (AP/NECN, 11/9).
- Tennessee: Gov. Bill Haslam (R) has not decided whether Tennessee will participate in the Medicaid expansion. However, two lawmakers—Sen. Brian Kelsey (R) and Rep. Jeremy Durham (R)—already have committed to introducing legislation that would block expansion, and the state’s new Republican supermajority in the General Assembly means such a bill could pass (Bohs, “Bohs Column,” The Jackson Sun, 11/9).
- Utah*: In an email responding to a query by American Health Line, Nate McDonald—public information officer for Gov. Gary Herbert (R), who won re-election in the state’s gubernatorial race in November 2012—said “[n]o official decision” has been made on the Medicaid expansion (McDonald email, 11/9).
- West Virginia: Gov. Earl Ray Tomblin (D) in a statement on his website on June 28 said, “We know what the law is but as I’ve said before, I will continue to do what is best for West Virginia … We’re going to review the Supreme Court’s ruling, and work with our federal delegation on how we move forward.” In the state’s gubernatorial race in November 2012, Tomblin was re-elected (Office of Gov. Tomblin release, 6/28; AP/Marietta Times, 11/7).
Hope this helps you in your work in Florida.
Mark Meckler, President
Citizens for Self-Governance