CBS/AP/ June 29, 2012, 6:23 PM

Some Republican states want to abandon Medicaid expansion

Minnesota, for example, has already begun drawing more federal money to expand its Medicaid program ahead of schedule. Officials in Connecticut, Iowa, Arkansas and elsewhere said they will move forward with plans to raise their Medicaid income eligibility thresholds, citing the chance to cover hundreds of thousands of additional people with the lion's share of the cost coming for the federal government.

In New Mexico, Republican Gov. Susana Martinez has supported increased state money for Medicaid since taking office last year, though she hasn't decided whether to back the federal expansion to 133 percent of the federal poverty level — an amount equivalent to $14,856 annually for an individual or $30,657 for a family of four. The expansion would add 170,000 people to the state's Medicaid rolls, reducing the number of uninsured New Mexico residents by almost 40 percent.

"I think New Mexico would be foolish not to expand its Medicaid program," said state Sen. Dede Feldman, a Democrat, who is chairwoman of a legislative study committee that deals with health care.

Despite the reluctance of some state officials to embrace the Medicaid expansion, history suggests that the federal government's financial carrot can be a powerful incentive. When the federal government offered enhanced payments to expand health coverage for children in the 1990s, all states eventually implemented the program, said Jennifer Tolbert, director of state health reform at the Kaiser Family Foundation, a nonpartisan informational clearinghouse.

Now states have an even higher-stakes offer to expand coverage for adults.

Even in Florida, which took a leading role in fighting the health care overhaul, officials have not ruled out participating, although Gov. Rick Scott said it is unlikely. Other states are biding their time, too.

"The federal government is putting a lot of money on the table," Tolbert said. "It may be difficult for states to walk away from that money while simultaneously leaving their lowest income residents uninsured."

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Associated Press writers Chris Blank in Jefferson City; Jamie Stengle in Dallas; Emily Wagster Pettus in Jackson, Miss.; Grant Schulte in Lincoln, Neb.; Charles Wilson in Indianapolis; David Pitt in Des Moines, Iowa; Chuck Bartels in Little Rock, Ark.; Susan Haigh in Hartford, Conn.; Barry Massey in Sante Fe, N.M.; Marc Levy in Harrisburg, Pa.; Gary Fineout in Tallahassee, Fla.; and John Seewer in Toledo, Ohio, contributed to this report.


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© 2012 CBS Interactive Inc. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.
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jambo223 says:
I guess that is what happens when you elect Neanderthals to positions of power.
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Nocults says:
Did I miss the alternative proposals introduced by the anti American GOP economic terrorist pimps for Big Insurance over the past 3 years????

Why is it a bad thing for American children to have health care when every other industrialized nation has health care for their children?????????????????

It was passed by a Constitutionally elected Congress, signed by a Constitutionally elected President, and upheld by the Supreme Court per their Constitutional authority.

But the anti American GOP economic terrorist pimps for the 1% refuse to accept Democracy at work per our Founders vision??????????
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sjc_1 replies:
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It is the same socialist redistribution argument. If you did not live in American, you would not be able to earn the money. Most of it you made off the backs of others. The majority says what will be and if you don't like it, leave.
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rayward73446 says:
I see that many of the rightwinged greedyguts have posted their vile words of me, me, and let everyone who are on Medicaide die so I won't need to support their healthcare tripe. Which brings me to offer a reality check for them.
We who pay the lions share of taxes are proud that we can contribute to the American way of life. We believe if some of our taxes can help those less fortunate than ourselves, that it is the right thing to do, and we should do it.
But these greedy, self centered GOP fanatics are any thing but Christain in their words and their actions. They expose a greed that is so callouse, so self serving, that they would rather see hundreds, if not millions, of poor people die, rather than to lift a dollar or two from their taxes, or their pockets. Being so greedy makes me wonder what else they have done to satisfy this terrible greed. Are they crooks, like the bankers and wall street thugs that made poor people out of millions of people in the continuing financial meltdown? Would they lie, cheat, or steal to get more money, or to not spend thier own money? What kind of a person would be so callouse to completly disregard their fellow man's right to life?
Unfortunately this is the kind of people that the GOP leadership are targeting with their lack of empathy, reckless disregard for the poor, aged, and disabled. They attack women, workers, common sence, and totally fail to do their urgent jobs for the American people, to persue political bickering, and stonewalling all needed economic policies to stand against the President of the united States, because he is half black. These GOP leaders have continued to receive huge paychecks during the worst productive 3 1/2 years of Congress, they haven't tried to comporomise even once. They still continue their war on the American public, by deneying us an active government that is working to get people back to work. That alone would solve many of the problems we face today and for years to come.
It has come down to do we allow these greedy cold hearted people take our government from us or do we as a people stand against this movement to serve only the wealthy, and let the disadvantaged just die. Vote Democrat all the way in Novenber to stop these pathetic money grabbers.
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tryingtodogoodwork says:
I'm ashamed to admit that in my first two national elections I voted Republican. I'll never make that mistake again.

The GOP: What an utterly reprehensible group of low-lifes.
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jambo223 replies:
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Right you are!!
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Maria0420 says:
The Republicans need to stop their empty rethoric and show some work. They are getting a lot of taxpayers money to do what? Why is Eric Cantor wasting time, energy and money pushing a stupid symbolic vote against ACA when there are so many urgent, important issues that Congress should be workin on? Where is his moral compass? Republicans need to know that Congress is the house of the people, all the people, and not their private political headquarters. They are showing no civic culture, no respect for the law and no remorse for stealing taxpayers money to do nothing. Please refer to their 2011 spitfire campaign promises.
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sjc_1 replies:
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The Tea Party bumped off many Republicans running in House races. Their Wrong Wing scorched earth policies managed to get the U.S. credit rating downgraded last summer, that is their accomplishment.
jambo223 replies:
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I don't think any republican has had an original idea in at least 50-years. They are simply shills for their wealthy puppet masters. Why anyone would vote for a republican is really a mystery.
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mary-miami says:
The incredible thing is that many of the GOP that don't want the new Health Care Act, call themselves "Christian". They are giving a bad name to Christianity. GOP don't care about people who have no way to pay for a doctor, dentist, or vision care. There are people that work hard everyday, earning wages that are not living wages and they can barely afford to pay their bills, let alone insurance. Christ would preach helping the poor and the sick; he also preached that it was good for the rich to pay more taxes. Christ told a rich man to give to the poor. When Christ was shown a coin he said "Give to Caesar what belongs to Caesar" GOP have become extreme rightwing and hypocrites. Health Care is a human right and should be free to everyone who needs it. Tax The Rich and use the money to help all the people of our nation.
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sjc_1 replies:
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Consider taxes the cost of doing business in American. If you do not want to pay the cost, then leave, but don't sit around whining about it.
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audemus says:
How can anyone other than a freakin' psychopath , support a political party that has no qualms whatsoever about watching the poorest and least powerful among us die from easily treatable illness and disease ?
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didit1959 says:
A lot of these Republican states. Don't have a majority of voters registered Republican. Democrats out number Republicans. The Republicans can be ousted fast. If they were smart ride it out.
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starving1968-3 says:
"For elected officials, the high court decision presented a stark choice: agree to accept an ambitious expansion of Medicaid or leave behind a vast pile of federal money that could provide health care to millions of poor constituents."







Alienating MILLIONS of poor constituents in key battleground swing states?

Hmmm, I wonder which was those voters are going to vote - for the republicans or for their health care?

I know!! Let's claim that they are all "illegal voters" and purge them from the voting rolls!!
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didit1959 replies:
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The Republicans are good at wanting to leave people out of this. Was voting against Obama. But if the state I live in votes to leave people out. My vote and my families will vote against all Republicans.
sjc_1 replies:
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In 2000 Florida purged thousands from the voter roles knowing full well they were similar names and had the right to vote. The governor being Bush's brother had nothing to do with that what so ever...of course not.
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Nocults says:
So, Wal-Mart will be forced to close their stores in the hate filled States, or pay a living wage to their employees rather than have them migrate to a more civilized area.

Sounds like a plan!!!!!!!!!!

Yep, the nations largest employer, Wal-Mart, has the highest percentage of the working poor that earn so little that they pay no taxes and qualify for food stamps, Medicaid and housing assistance.
What should they do to keep the rich from suffering a 2% tax increase that would reduce our deficits, save Social Security, Medicare, and our local governments???????
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AOCGUY replies:
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I keep seeing that claim about WalMart employees yet I know several in my area and they do pay taxes and are not on assistance. Must be hiding in the back stock room.So where are these working poor that WalMart hires?
retmw2 replies:
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dingleburt

Are you suggesting people should work for chinese wages? I know that's the gop's goal.
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