HomeMy WebLinkAboutSubmittal-Sen. Rene Garcia - Health Choice Legislative Session 2015Health Choice
Legislative Session 2015
LD 1410 THE
PUBLIC RECORD FOR
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Uninsured Persons in the U.S
Kaiser Family
figure I
Current Status of State Medicaid Expansion Decisions, 2014
▪ implementing Expansion In 2014 (21 States including DC)
® Open Debate (5 States)
❑ Not Moving Forward at this Time (19 States)
NO'tS: tbla are as of March 21), 2014. 'AR and It. have app,o .eo Warven for Mcd.cald expanson_ MI has, an appruved waiver fur exparwn
And piens to *mptemerit in Apr. 2014 IN And PA have pendnq waivers for alternative Medicaid raper Pone Ws amended its M-disaid stale glen
end e4i50$iK W,Wer to tent* adult - sun tO 100%FOL. but did rot adopt the eaJansto'+. NH has paSSed $egiii4Gon app+Ovwe the Medcoid
•xp.n k'n in Mrr. 7014; she lietiVation saes, fur the rxpansixr In bogie I.dy 2014
Kaiser Family sougc*S'Stales •n*n spl±erfnrg In 2014 and not moveng forward At MA 11,41e art t,atedan data from CMS herr. Stiles noted a Wulf
afte
are based on KCfdld analysis af State af the State Addresses:: recent public staternerAs made by the Governor, -ssuarsce of %waiver proposals or
_ _ pAsvge of A Meth car! espansion bit In At knit one chamber ofthe legislature.
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PUBUC RECORD FOP
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Florida Coverage Gap
Figure 3
In states that do not expand Medicaid under the ACA, there will
be large gaps in coverage available for adults.
* 'Alt
O% FPL
Limited to Specific
Low income Groups
State Medicaid Eligibility Limit
for Parents as of Jan. tote
(Median: 46%)
100% FPL
(Sii.,90 for
an individual)
400% FPL
CS45,96o for
an individual)
Kaiser Family NOT[: Applies to states that do not expand Medicaid_ In most states not moving forwarl! with Me eapans,or., adults without
children are lneliatble for Medicaid
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Who qualifies for Medicaid Expansion in
Florida? Approximately 760,000 individuals
Families USA
Unemployed
23%
• If Medicaid is expanded, the
majority of persons who
would qualify are productive
and employed.
Currently
Students, — Working
Disabled, or 51%
non -working
Spouse
26%
■ Currently Working
Students, Disabled, or non -working Spouse
SUMT LED INTO°UPLir` PPrOP r-rt
. •
f.
■ Unemployed
Florida Economic Impact
Consequences of not Expanding Medicaid:
► Federal Medicaid Funding Lost in a 10-year span in Florida: $50 - $66 billion
► Hospital reimbursement lost in a 10-year span in Florida: $22.6 billion
How much will it cost Florida to expand Medicaid?
► 10-year total cost: Approximately $5.3 billion
If Medicaid is expanded:
► In 2016, Florida would receive approx. $5.2 billion
► This would support approximately 71,300 new Florida jobs in 2016
► As a result of an increase in jobs, Florida economic activity will result in:
► $8.9 billion in 2016
Robert Wood Johnson Foundation S I.3 BM ITTED INTO THE
ULC ECORD FOR
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Miami Dade County
Corksci
—Boynton‘
Beach
6 Delray Beach
Boca Ra ton 0 Deerfield
Pompano c:Beach
Beach
Plantation °Fort
Lauderdale
Fontainebleau
:IGables
M
0
ood
Miami -Dade County, Fla.
Uninsured 29.8%
Privately insured 41.5%
Publicly insured 24_3%
Public and private 4.3%
Population 2,476,609
Islamorada
• Health Council of South Florida
• U.S Census/New York Times
• http://www.nytimes.com/newsgraphics/2013/12/18/uninsured-map/
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Jackson Memorial Hospital
Current Fiscal Year
Intergovernmental
Transfers (IGT)
Low -Income Pool (LIP)
Disproportionate
Share Hospital
Payments (DSH)
Jackson Memorial $378 million donated to
Hospital
LIP on behalf of JMH
JMH receives
approximately $512
million from LIP
JMH receives $67.8
millions from DSH**
• The federal government has stated that the LIP grant extension will come to an end in June
• Due to a provision within the Affordable Care Act, Disproportionate Share Hospital (DSH)
Payments will begin to decrease throughout the years.
What will happen to Jackson Memorial Hospital if we do not expand Medicaid and lose the fe.
What will happen to Uncompensated Care and the growing population in Miami Dade County?
• Is Jackson going to cut more jobs?
• Are they going to turn away patients?
• Are they going to close down facilities?
r)r,
pc-
How does Medicaid Expansion Impact
Miami -Dade County?
County
Uninsured
Population
under 65
Residents
Eligible for
Coverage
Jobs Created
(with $52
billion in 10
year span)
Labor Income
(10 year span)
Miami -Dade 724,406
211,000-
280,000
23,000-24,000 $9.5 Billion
By Expanding Medicaid, We are:
• Creating over 23,000 jobs
• Insuring almost a quarter of a million citizens
• Generating roughly $9.5 Billion dollars in labor income
• And we are preserving one of the most important entities in our
county and state, Jackson Memorial Hospital.
• Florida CHAIN / Florida Hospital Association
• United States Census, Small Area Health Insurance Estimates, 2012
• Florida Legislature, Office of Economic and Demographic Research, Social Service Estimating Conference, March 7, 2013
• University of Florida, Economics Impacts of Extending Health Care Coverage in Florida, March 2013
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