Virginia Legislature sends Medicaid expansion to governor, who’s expected to sign

Amanda Michelle Gomez

Amanda Michelle Gomez Health Reporter, Think Progress

Advocates have been trying to get the Virginia Legislature to expand Medicaid for at least five years, and on Wednesday, lawmakers handed them a big win.

Four Senate Republicans joined all 19 Democrats, by a vote of 23-17, to pass a two-year $115 billion budget that includes Medicaid expansion. When state senators initially voted to add Medicaid expansion, only three Republicans joined. The Senate passed its $115 billion two-year budget on Wednesday, and later in the evening the House followed suit, by a vote of 67-31.

The bill now heads to Gov. Ralph Northam’s (D) desk, and he is expected to sign it into law.

Virginia will likely join 32 states, as well as the District of Columbia, that have expanded Medicaid eligibility under the Affordable Care Act (ACA), providing health coverage to about 300,000 to 400,000 low-income residents.

The House passed a budget with Medicaid expansion in April — a reality many advocates likely couldn’t have predicted years ago. Republicans in Virginia’s General Assembly have resisted Medicaid expansion for years, despite the fact that 61 percent of residents supported it as early as September 2014.

Medicaid expansion was only possible after a record number of voters, largely mobilized by heath care, elected more Democrats to the House last November. Going into the election, Republicans held a 66-34 majority, but now barely maintain control at 51-49. The turn of events was notable as poor heath is associated with lower levels of voter turnout — but Medicaid has proven to be a galvanizing political force. (States that expanded Medicaid see higher voter turnout.)

While the budget bill is a big deal for progressive advocates, there’s a catch. In addition to providing health care to thousands of low-income residents, some beneficiaries will likely have to jump through extra hoops to stay covered. The budget includes a provision which asks the federal government to approve work requirements for newly covered starting in January 2019. It would condition eligibility on 80 hours of reported work a month after 12 months of enrollment. If beneficiaries fail to meet the requirement, they’ll be locked out of coverage until the end of such 12-month period. Many newly covered beneficiaries will also have to pay premiums and copays.

In an interview with WTOP on Wednesday, Northam said work requirements were part of the “give and take on both sides,” adding that Virginia will “try to approach it with a carrot rather than a stick.” But it’s unclear how the state will do that.

Wednesday’s Medicaid expansion vote means many could be insured for the first time. Some 138,000 residents fell in the coverage gap, as they earn too much money to qualify for Medicaid, but too little to qualify for subsidized private insurance available on the Obamacare marketplace.

The Senate GOP leadership has been resistant, citing potential costs. The federal government pays for the bulk of costs associated with Medicaid expansion. By resisting Medicaid expansion, Virginia has given up approximately $142 million in federal funding every month.

In a strange turn of events, former Pennsylvania Sen. Rick Santorum (R), who has a home in Virginia, paid a visit to the Virginia Legislature Wednesday, according to Daily Press reporter Dave Ress. He reportedly tried to dissuade Senate Republicans from voting for Medicaid expansion, claiming federal lawmakers are trying to repeal Obamacare. (Congress still doesn’t have the votes needed to pass Trumpcare.) But his efforts were apparently unsuccessful. And should Republicans successfully repeal the ACA, Virginia’s Medicaid expansion will end, under the bill’s language.

Virginia’s landmark vote comes on the heels of other recent Medicaid wins. On Tuesday, the Utah ballot measure aiming to expand insurance to 150,000 people officially earned enough signatures to be included on the November ballot, according to POLITICO reporter Rachana Pradhan.

This story has been updated to include news that the House passed the Senate’s budget later Wednesday evening, sending Medicaid expansion to the governor’s desk. 

***

Reposted from Think Progress

Posted In: Allied Approaches

Union Matters

Get to Know AFL-CIO's Affiliates: National Association of Letter Carriers

From the AFL-CIO

Next up in our series that takes a deeper look at each of our affiliates is the National Association of Letter Carriers.

Name of Union: National Association of Letter Carriers (NALC)

Mission: To unite fraternally all city letter carriers employed by the U.S. Postal Service for their mutual benefit; to obtain and secure rights as employees of the USPS and to strive at all times to promote the safety and the welfare of every member; to strive for the constant improvement of the Postal Service; and for other purposes. NALC is a single-craft union and is the sole collective-bargaining agent for city letter carriers.

Current Leadership of Union: Fredric V. Rolando serves as president of NALC, after being sworn in as the union's 18th president in 2009. Rolando began his career as a letter carrier in 1978 in South Miami before moving to Sarasota in 1984. He was elected president of Branch 2148 in 1988 and served in that role until 1999. In the ensuing years, he worked in various roles for NALC before winning his election as a national officer in 2002, when he was elected director of city delivery. In 2006, he won election as executive vice president. Rolando was re-elected as NALC president in 2010, 2014 and 2018.

Brian Renfroe serves as executive vice president, Lew Drass as vice president, Nicole Rhine as secretary-treasurer, Paul Barner as assistant secretary-treasurer, Christopher Jackson as director of city delivery, Manuel L. Peralta Jr. as director of safety and health, Dan Toth as director of retired members, Stephanie Stewart as director of the Health Benefit Plan and James W. “Jim” Yates as director of life insurance.

Number of Members: 291,000 active and retired letter carriers.

Members Work As: City letter carriers.

Industries Represented: The United States Postal Service.

History: In 1794, the first letter carriers were appointed by Congress as the implementation of the new U.S. Constitution was being put into effect. By the time of the Civil War, free delivery of city mail was established and letter carriers successfully concluded a campaign for the eight-hour workday in 1888. The next year, letter carriers came together in Milwaukee and the National Association of Letter Carriers was formed.

More ...

There is Dignity in All Work

There is Dignity in All Work