Medicaid expansion

Don't Call It Medicaid Expansion

Jun 16, 2015

Is Republican House Speaker Chuck Kleckley calling for Medicaid expansion? No, that can’t be right. 

In the 2010 legislative session, Gov. Jindal signed into law a largely symbolic bill declaring all Louisianians free from quote “governmental intrusion in choosing or declining to choose any mode of securing health insurance coverage.” That was shortly after the federal Affordable Care Act passed, and 31 Republican lawmakers, including Kleckley, co-authored the measure.

Fast forward to today. Kleckey pushed the resolution allowing Louisiana’s next governor to pay for Medicaid expansion. Both houses approved, and the governor has no say.

Dallas's Parkland Hospital treats a lot of people without health insurance. On a November day in 1963, emergency room doctors at this county hospital frantically tried to save an American president who could not be saved. These days, emergency room doctors frantically try to treat 240,000 patients every year.

"So you can see we have every treatment area filled up. Beds are in the hallways and the rooms are all full," says Dr. John Pease, chief of emergency services.

They took every penny they could find.

“The House efforts have solved 850-million of the one billion dollar problem,” Appropriations chairman Jim Fannin announced.

They even decided what to do with some money they’ve not yet found.

“This 31-million for the medical school in Shreveport would be put in a priority line if that funding is available,” Shreveport Rep. Thomas Carmody said, in support of Rep. Bubba Chaney’s amendment to HB 1.

It took six hours of debate, but he full House passed a 24-billion dollar budget for the fiscal year that starts July 1, resolving over half the $1.6-billion dollar shortfall.

Five years after the Affordable Care Act passed, the law's provision allowing the expansion of Medicaid coverage to more people is still causing huge fights in state legislatures.

“This is not, and should not be a partisan issue, Rep. John Bel Edwards said last Thursday.

When it comes to Medicaid expansion, want to bet? The same concept with the same arguments supporting it was heard from a different author in a different committee Monday, and got a very different reception.

Republican House Speaker Chuck Kleckley’s resolution sailed through House Appropriations yesterday, while Democratic Rep. John Bel Edwards’ resolution failed to pass out of House Health and Welfare last Thursday.