How the Nov. 8 state elections will affect healthcare
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Trump's victory will have profound effects on healthcare policy. So will dozens of state-level races, although Republican control of the White House and Congress may now determine the course of Medicaid expansion. Here are the governors' seats, statehouses and initiatives in play Nov. 8 in states that have resisted expansion and where new leaders might alter their expansion programs. Voters also had their say on citizen-backed efforts to tame drug prices, establish single-payer healthcare, legalize marijuana use and other causes.
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Election Guide
Party control in 19 states that have resisted Medicaid expansion
Three states where changes in state leadership could lead to changes to expansion programs
25 ballot measures across the U.S. that could affect health and healthcare
Related content: 10 stories on the healthcare decisions at stake in the 2016 elections
No expansion
Expansion vulnerable to change in state leadership
| Governor's seat | House control | Senate control | ||||
|---|---|---|---|---|---|---|
| Before | After | Before | After | Before | After | |
> Montana "state-name-short">Mont.
|
D
|
D
|
R
|
R
|
R
|
R
|
> North Dakota "state-name-short">N.D.
|
R
|
R
|
R
|
R
|
R
|
R
|
> New Hampshire "state-name-short">N.H.
|
D
|
R
|
R
|
R
|
R
|
R
|
2016 ballot measures
| Ballot proposal | Description | Status | |
|---|---|---|---|
> Arizona "state-name-short">Ariz.
|
Recreational marijuana
|
Proposition 205: Legalizes recreational marijuana use for people 21 and older. Oppenents of the measure include the Arizona Health and Hospital Association and Insys Therapeutics, a company that makes a cannabis-based pain medication.
|
|
> Arkansas "state-name-short">Ark.
|
Medical marijuana
|
Issue 6: Amends the state's constitution to legalize and tax medical marijuana. The revenue from the tax would be used to cover administrative costs and a variety of other purposes. The issue is opposed by Arkansas Surgeon General Greg Bledsoe.
|
|
> California "state-name-short">Calif.
|
Medi-Cal hospital fee program
|
Proposition 52: Requires the legislature to get voter approval to use fee revenue for purposes other than generating federal matching funds and funding enhanced Medicaid payments and grants for hospitals. The initiative, which was written by the California Hospital Association and is supported by most state lawmakers, would also make the program permanent, requiring a supermajority in the legislature to end it.
|
|
> California "state-name-short">Calif.
|
Tobacco tax
|
Proposition 56: Increases the state's cigarette tax by $2 a pack and impose an "equivalent increase on other tobacco products and electronic cigarettes containing nicotine." The revenue primarily would support healthcare programs.
|
|
> California "state-name-short">Calif.
|
Prescription drug price regulations
|
Proposition 61. Ties the prices California state agencies pay for prescription drugs to the discounts negotiated by the U.S. Veterans Affairs Department. The initiative, backed by the AIDS Healthcare Foundation, has drawn more than $100 million in spending from opponents, most of it from the pharmaceutical industry.
|
|
> California "state-name-short">Calif.
|
Legalization of recreational marijuana
|
Proposition 64: Legalizes recreational marijuana use for people 21 and older and creates taxes on the cultivation and retail sale of the drug.
|
|
> Albany, Calif. "state-name-short">Albany, Calif.
|
Soda tax
|
A 1 cent per ounce tax on sugary beverages
|
|
> San Francisco, Calif. "state-name-short">San Francisco, Calif.
|
Soda tax
|
A 1 cent per ounce tax on sugary beverages
|
|
> Oakland, Calif. "state-name-short">Oakland, Calif.
|
Soda tax
|
A 1 cent per ounce tax on sugary beverages
|
|
> Colorado "state-name-short">Colo.
|
ColoradoCare, a single-payer health system
|
Amendment 69: Amends the state's constitution to establish a universal healthcare system financed by payroll taxes and governed by an elected 21-member board of trustees. The plan is opposed by Colorado Hospital Association.
|
|
> Colorado "state-name-short">Colo.
|
Cigarette tax
|
Amendment 72: Amends the state's constitution to increase the cigarette tax from 84 cents a pack to $2.59 a pack. Most of the revenue would fund health-related programs, research into tobacco-reated health issues and education and prevention. E-cigarettes are exempt.
|
|
> Colorado "state-name-short">Colo.
|
Physician-assisted suicide
|
Proposition 106: The End of Life Options Act allows physicians to prescribe a lethal drug to their terminally ill patients and allows terminally ill patients to be prescribed lethal drugs to end their life.
|
|
> Boulder, Colo. "state-name-short">Boulder, Colo.
|
Soda tax
|
Imposes a 2 cent per ounce tax on sugary beverages.
|
|
> Florida "state-name-short">Fla.
|
Medical marijuana
|
Amendment 2: Changes Florida's constitution to allow people with specific illnesses to be prescribed medical marijuana from a physician.
|
|
> Maine "state-name-short">Maine
|
Recreational marijuana
|
Question 1: Legalizes recreational marijuana use for people 21 and older. The measure is opposed by the Maine Hospital Association and the Maine Medical Society.
|
|
> Massachusetts "state-name-short">Mass.
|
Recreational marijuana
|
Question 4: Legalizes recreational marijuana use for people 21 and older. The measure is opposed by the Massachusetts Hospital Association and the Massachusetts Medical Society.
|
|
> Missouri "state-name-short">Mo.
|
Cigarette tax
|
Amendment 3: Gradually increases the tax on cigarettes by 60 cents a pack to generate a trust fund for early childhood health and education. The amendment has the support of large tobacco producers and opposed by public health advocates, who say the tax is too small to make a dent in smoking rates.
|
|
> Missouri "state-name-short">Mo.
|
Cigarette tax
|
Proposition A: Increases tax on cigarettes by 23 cents. The measure is backed by small cigarette producers and opposed by public health advocates.
|
|
> Montana "state-name-short">Mont.
|
Medical marijuana
|
I-182: Amends current marijuana law to allow patients diagnosed with chronic pain, including PTSD, to be prescribed medical marijuana and repeals a three-patient limit for each licensed provider.
|
|
> Nevada "state-name-short">Nev.
|
Recreational marijuana
|
Question 2: Legalizes recreational marijuana use for people 21 and older.
|
|
> Nevada "state-name-short">Nev.
|
Medical equipment tax
|
Question 4: Exempts medical equipment like oxygen machines and hospital beds from the state sales tax.
|
|
> North Dakota "state-name-short">N.D.
|
Tobacco tax
|
Measure 4: Increases the cigarette tax from 44 cents per pack to $2.20 per pack and increases the tax on all other tobacco products from 28% to 56% of the wholesale purchase price.
|
|
> North Dakota "state-name-short">N.D.
|
Medical marijuana
|
Measure 5: Legalizes medical use of marijuana for patients with certain illnesses and develops procedures to regulate its dispense and use. The North Dakota Medical Association is opposed.
|
|
> Oklahoma "state-name-short">Okla.
|
Mental health funding
|
Question 781: Directs funds saved from another ballot measure reclassifying felony drug and property crimes as misdemeanors to counties to support substance abuse and mental health treatment.
|
|
> Washington "state-name-short">Wash.
|
Taxes on stand-alone dental plans
|
Advisory Vote 14: Allows the state to levy assessments and insurance premium taxes on some stand-alone family dental plans as a funding source for offering dental plans on the state exchange.
|
|
Election Stories
By Harris Meyer October 14, 2016
Trump could boost Medicaid expansion by swaying down-ballot state elections
By Bob Herman and Shannon Muchmore October 29, 2016
Healthcare leaders send cash to Hillary Clinton, shun Donald Trump
By Harris Meyer October 22, 2016
Front-runners in the race for Hillary Clinton's top health posts
By Merrill Goozner October 29, 2016
Editorial: Drugs and insurance affordability will top the post-election agenda
By Shelby Livingston October 27, 2016
California hospitals turn to voters to protect Medicaid fee program
By Maria Castellucci October 22, 2016
Taking the initiative in healthcare: Will California voters cap drug prices?
By Shelby Livingston October 22, 2016
In Colorado, a push for single-payer healthcare
By Harris Meyer September 10, 2016
What Ryan's healthcare proposals look like from Janesville
By Harris Meyer August 6, 2016
Could Trump loss spur ACA deal with Clinton?
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