Skip Navigation

Close and don't show again.

Your browser is out of date.

You may not get the full experience here on National Journal.

Please upgrade your browser to any of the following supported browsers:

GOP Governor Wins Waiver To Expand Access To Obamacare GOP Governor Wins Waiver To Expand Access To Obamacare

This ad will end in seconds
 
Close X

Not a member? Learn More »

Forget Your Password?

Don't have an account? Register »

Reveal Navigation
 

 

Health Care

GOP Governor Wins Waiver To Expand Access To Obamacare

Iowa gets approval for privatized Medicaid expansion

Iowa Gov. Terry Branstad is an ardent defender of the Renewable Fuel Standard.(STEVE POPE/Getty Images)

photo of Sam Baker
December 10, 2013

The Obama administration signed off Tuesday on a Republican governor's proposal for accepting the Affordable Care Act's Medicaid expansion.

Iowa Gov. Terry Branstad won approval for a plan to essentially privatize the health care law's Medicaid expansion. Iowans eligible for expanded Medicaid program will be covered by private insurance sold through the state's exchange.

Iowa is the second state to win approval for a privatized Medicaid expansion. The first was Arkansas, where Democratic Gov. Mike Beebe faced resistance from the GOP-controlled state legislature. Former President Bill Clinton has repeatedly talked up the private model as a way to expand coverage even in states that are reluctant to implement Obamacare.

 

Under the waiver the Centers for Medicare and Medicaid Services approved for Iowa, the federal government will initially pay the full cost of the expansion – as it would for traditional Medicaid. The federal contribution gradually falls to 90 percent.

People eligible for the Medicaid expansion – those with incomes between 100 and 133 percent of the federal poverty line – are covered, but with private plans sold through the exchange, rather than traditional Medicaid. CMS said the private option would give Iowa more flexibility to experiment with structural Medicaid reforms.

"Iowa has pioneered innovative, state-based solutions for Medicaid expansion, and we are pleased to grant this waiver," CMS Administrator Marilyn Tavenner said in a statement. "CMS stands ready to work with other states to explore options that aim to improve care and lower costs in the Medicaid program."

LIKE THIS STORY? Sign up for Health Care Edge

Get your daily dose of National Journal's health care coverage.

Sign up form for Health Care Edge
Job Board
Search Jobs
Digital and Content Manager, E4C
American Society of Civil Engineers | New York, NY
PRODUCT REVIEW ENGINEER
American Society of Civil Engineers | CA
Neighborhood Traffic Safety Services Intern
American Society of Civil Engineers | Bellevue, WA
United Technologies Research Fellow
American Society of Civil Engineers | New York, NY
Process Engineering Co-op
American Society of Civil Engineers | Conshohocken, PA
Electrical Engineer Co-op
American Society of Civil Engineers | Findlay, OH
Application Engineer/Developer INTERN - Complex Fluids
American Society of Civil Engineers | Brisbane, CA
Application Engineer - Internships CAE/CFD Metro Detroit
American Society of Civil Engineers | Livonia, MI
Chief Geoscientist
American Society of Civil Engineers
Application Engineer - Internships CAE/CFD Metro Boston
American Society of Civil Engineers | Burlington, MA
Professional Development Program Engineer
American Society of Civil Engineers | Farmington Hills, MI
Civil Enginering Intern - Water/Wastewater/Site-Development
American Society of Civil Engineers | Sacramento, CA
Staff Accountant
American Society of Civil Engineers | Englewood, CO
Biomedical Service Internship Position
American Society of Civil Engineers | Flint, MI
 
Comments
comments powered by Disqus