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.”
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The National Defense Authorization Act passed the House this morning by a 375-34 vote. The bill, which heads to the Senate next week for final consideration, would fund the military to the tune of $618.7 billion, "about $3.2 billion more than the president requested for fiscal 2017. ... The White House has issued a veto threat on both the House and Senate-passed versions of the bill, but has not yet said if it will sign the compromise bill released by the conference committee this week."
"Republicans have elected Rep. Greg Walden (R-OR) the next chairman of the powerful House Energy and Commerce Committee. Walden defeated Reps. John Shimkus (R-IL) and Joe Barton (R-TX), the former committee chairman, in the race for the gavel" to succeed Michgan's Fred Upton.
"Democratic and Republican members of the Senate Judiciary Committee are working on legislation that would limit deportations" under President-elect Donald Trump. Leading the effort are Judiciary Committee members Dick Durbin (D-IL) and Lindsey Graham (R-SC). Sen. Jeff Flake (R-AZ) is also expected to sign on.
Donald Trump has selected retired Marine Gen. James 'Mad Dog' Mattis as his secretary of defense, according to The Washington Post. Mattis retired from active duty just four years ago, so Congress will have "to pass new legislation to bypass a federal law that states secretaries of defense must not have been on active duty in the previous seven years." The official announcement is likely to come next week.