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Wyoming Medicaid expansion faces uphill battle


By Associated Press
Posted: February 15, 2014 - 9:00 am ET
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The Wyoming state Senate has voted to introduce a bill that would expand the Medicaid system in the state, but even the sponsor says it faces long odds of becoming law.

The Senate voted 21-9 on Friday, the deadline for bill introductions, to advance the measure sponsored by Sen. Chris Rothfuss, a Laramie Democrat.

Two other Medicaid expansion bills sponsored by the Interim Labor, Health and Social Services Committee died this week in the Senate and the House.

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Rothfuss told the Senate his bill would allow Wyoming to keep its Medicaid expansion options open. But speaking after the Senate vote, Rothfuss said he is not sure his bill will get out of the Senate Labor, Health and Social Services Committee, where it was assigned after introduction.

Committee Chairman Charles Scott (R-Casper) has been a vocal opponent of blanket Medicaid expansion.

Expanding the federal program is an essential element of the federal Affordable Care Act. Wyoming joined with other states in an unsuccessful challenge of the federal law's requirement that people buy health insurance.

Wyoming last year rejected $50 million in federal funding to extend Medicaid coverage to 17,600 low-income adults. Gov. Matt Mead has continued to oppose Medicaid expansion, saying he doubts federal promises to continue funding.

The Wyoming Health Department projects expanding Medicaid would save Wyoming money. According to the department's figures, the state's Medicaid program likely will need an infusion of nearly $80 million in state general funds in coming years without any expansion, while expansion promises the state nearly $50 million in savings by reducing demand on other programs.

The Wyoming Hospital Association has supported expanding Medicaid. Hospitals in the state currently cover more than $200 million a year in uncompensated care for people who don't have health insurance, according to the association.

Dan Perdue, president of the Wyoming Hospital Association, said this week his group would support any effort to discuss Medicaid expansion in this legislative session.

In addition to saving the state money, Perdue said, "We feel it's good for patients by adding over 17,000 people to the insurance rolls."


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