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Orange New Balance 574

´╗┐Johnson urges Daugaard to expand Medicaid

Soli said the sacred texts that Christians, Jews and Muslims consult all indicate people need to take care of each other. She said the insurance industry follows the principle of shared risk and that the Constitution's preamble upholds the idea of public welfare. She said all of those sources point to the wisdom of expanding Medicaid, New Balance 373 Blue Pink

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The subsidies work on a sliding scale favoring those with the most modest earnings. But ironically, the law and the court ruling taken together left poor residents ineligible for the subsidies because they didn't earn enough money.

Sen. Tim Johnson appealed to South Dakota's sense of right and wrong Thursday as he urged Gov. Dennis Daugaard to reconsider his opposition to expanding Medicaid under terms of federal law.

Orange New Balance 574

Orange New Balance 574

Daugaard proposed to cover people in that coverage gap by expanding Medicaid up to 100 percent of poverty, but not up to 138 percent as the federal law dictated. secretary of health and human services. Once was by phone in January 2013. The second time was by letter during the 2014 legislative session. Both times she rejected the proposal, Venhuizen said.

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"A clear flaw in the law creates this problem," and the state's proposal would be a way to close the gap, he said.

He said afterward that one place the law could improve would be to have a single insurance exchange instead of the system now in place. Johnson said he is confident other parts of the law would survive. One is the provision letting young adults stay on parents' insurance plans through age 25. Another is the new protection guaranteeing coverage despite pre existing health conditions.

"Expanding Medicaid is the moral thing to do, but it also makes economic sense," Johnson said. "I continue to urge our state to work with the federal government to identify a path forward to expand Medicaid."

The proposal would cover the poor up to the 100 percent income level, and those earning more, while not eligible for Medicaid, would qualify for the tax credits to buy insurance on the federal insurance exchange, Venhuizen said.

swift response from the governor's office, where spokesman Tony Venhuizen said Johnson should buy into South Dakota's proposal for resolving the issue.

But much of the session emphasized Medicaid, where Johnson and Daugaard disagree on what's best for South Dakota.

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Another panel member, Deb Fischer Clemens, vice president of public policy at Avera Health, said there's much talk about repealing the Affordable Care Act in 2017, after two more congressional elections and after President Obama leaves office. She asked Johnson about that.

at a convention in Nashville. Daugaard asked her about the state's wish to go up only to 100 percent and was encouraged by what seemed to be her willingness to consider it, Venhuizen said. The state likely would not make a formal proposal to Burwell until early 2015, Venhuizen said.

"If Senator Johnson really wants to expand Medicaid in South Dakota, he should do what he can to encourage Obama administration officials to accept the plan that we've discussed, which has broad political support in the state Legislature," Venhuizen said.

"There just seems to be very little interest or energy coming from the administration. I'm trying to be gracious," she said.

Johnson hosted a forum that 26 people attended at the city health department in downtown Sioux Falls. He quizzed an eight member panel on the importance of sustaining the Children's Health Insurance Program, or CHIP, which would expire after September 2015 without congressional action.

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State Rep. Karen Soli, a Sioux Falls Democrat, another member of the panel, also criticized the governor's office.

His comment brought a New Balance 620 Sneakers

"I have to say yes. I want to add, however, I don't think this is a place where we need to be casting blame," she said.

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"I see a total repeal as very unlikely," Johnson said. "Partial repeal is more likely than total repeal, and I don't know what'll happen next."

Johnson said he has never talked directly with Daugaard about the issue.

Sylvia Burwell succeeded Sebelius in June and spoke that month with Daugaard and other governors New Balance 574 Fresh Foam Heritage

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Johnson asked Soli if she thought the lack of progress was a result of political partisanship.

Daugaard, a Republican, considers the Affordable Care Act a bad piece of legislation. He has said expanding Medicaid would create a new entitlement class and that promises by Congress that the federal government would pay most of the bills were unreliable given other challenges to the national budget.

Orange New Balance 574

Orange New Balance 574

The Supreme Court ruling, besides giving the Medicaid decision to states, also created a gap in coverage under language defining tax subsidies for low to middle income consumers. The Affordable Care Act created those tax credits for people buying health insurance if their income was 100 to 400 percent of the federal poverty level. People earning less than 100 percent of poverty $11,490 for an individual or $23,550 for a family of four were not eligible for the subsidy. They instead would be eligible for coverage through Medicaid, but, because of the court ruling, only in states that opted for the expansion.

Johnson, a Democrat who is retiring from politics at the end of this year, voted for the Affordable Care Act when Congress passed the law in 2010. The Supreme Court upheld most of the law in 2012. But the court struck down part of the law that would require states to expand Medicaid, saying that must be a state option. South Dakota so far has said no.

the state and federal program to provide health insurance for Orange New Balance 574 the poor.

Asked about Daugaard's communication with federal officials, Johnson said, "Quite a few Republican governors have joined in" the federal efforts to expand Medicaid. "I don't know why he hasn't," Johnson said.

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