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Medicaid expansion set for a vote Wednesday

Published on NewsOK Modified: April 20, 2013 at 10:28 am •  Published: April 20, 2013

BATON ROUGE, La. (AP) — Nearly a year after Gov. Bobby Jindal declared that Louisiana wouldn't tap into billions of federal dollars to expand Louisiana's Medicaid program, lawmakers will take their first vote on whether to challenge his stance.

Political squabbling over the federal health care law championed by President Barack Obama will be the nearly sole focus of Wednesday's House Health and Welfare Committee hearing.

Five measures on the agenda, all sponsored by Democrats, seek to enact the Medicaid expansion under the law. Similar proposals await debate in the Senate.

Both sides are expected to arrive armed with facts, figures and strong political rhetoric about the federal Affordable Care Act. Republican and Democratic party officials have fired off attacks in anticipation of the Medicaid expansion debate.

Jindal, considered a possible 2016 presidential candidate for the GOP, has made rejection of the Medicaid expansion a central plank of his political philosophy. Democrats accuse the governor of putting his political ambitions ahead of citizens' health care.

But the issue has grown murkier than partisan politics. Several Republican lawmakers — particularly in the Senate — have suggested the state should at least consider different expansion models to offer coverage to hundreds of thousands of uninsured.

Jindal said the expansion would eat into state dollars that would otherwise pay for education and infrastructure, expand an inefficient health care program and shift people from private insurance to taxpayer-funded Medicaid. He said the expansion would mean 41 percent of Louisiana's residents would be on Medicaid.

"We can't continue to grow this program. It would be unsustainable. We cannot continue to put more and more people into these expensive entitlements, into these expensive government-run programs," the governor said Thursday.

Estimates are that anywhere from 675,000 to more than 800,000 people are uninsured in Louisiana.

The Louisiana Hospital Association, which represents private and community hospitals, has announced its support of the Medicaid expansion. It also has been championed by Democratic U.S. Sen. Mary Landrieu, and health care advocacy groups are pushing it as a moral imperative for a poor and unhealthy state.

"Medicaid expansion offers a path to regular access to health care for working adults," former Louisiana health secretaries David Hood and Fred Cerise said in a newspaper ad promoting the expansion.

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