MADISON, Wis. (AP) — Gov. Scott Walker's plan to reject federally funded Medicaid expansion and instead tighten income eligibility for the program to move more people near the poverty line into private insurance drew criticism from Democrats and even one Republican on the Legislature's budget committee Wednesday.
Walker's Medicaid plan is the centerpiece of his health care proposals, which were discussed by the Legislature's Republican-controlled Joint Finance Committee during the second of four days of budget briefings. The committee will eventually vote on changes to the budget before sending it to the full Legislature for consideration in late June.
Democratic state Rep. Jon Richards, one of the most vocal critics of Walker's decision to reject the Medicaid expansion and $4.4 billion in federal money, said that move can still be overturned.
"It's not too late to do the right thing, and this committee can do the right thing," Richards said.
Republicans control both the Senate and Assembly, and leaders haven't signaled any desire to stray from Walker's approach to Medicaid. But Sen. Luther Olsen, a Republican member of the budget committee, asked Walker's head of the Department of Health Services why the state would turn down the federal money.
"In my life, I never leave any money on the table," Olsen said. "But here it seems like we're leaving some money on the table."
Had Walker accepted the federally funded expansion, people earning up to 138 percent of the federal poverty level, or about $15,000 for a single person, would have been covered under the state's BadgerCare Medicaid program. Walker would only cover adults up to 100 percent of poverty, or $11,490 a year.
Currently, BadgerCare covers people earning up to 200 percent of the poverty level, or $22,980, but there is a cap on enrollment for single adults. Walker would lift that cap for those at or below poverty level.
Those just above the poverty line could purchase federally subsidized health insurance coverage through a private marketplace known as an exchange. Walker said his plan would drop the number of uninsured people in the state by 224,600.
Democratic critics say the insurance offered through the exchange was never meant for people earning just above the poverty limit. People buying insurance that way will have to pay deductibles as well as premiums, raising their costs even more.
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