Idaho - Oppose H. 464 | Council For Citizens Against Government Waste

Idaho - Oppose H. 464

State Action

February 6, 2018

House Committee on Health and Welfare
Idaho House of Representatives
Room EW20
Boise, ID  83720-0038

Dear Representative,

You will soon consider H. 464, an Act that will provide the authority for the state’s Department of Insurance agency director to apply to the secretary of the U.S. Department of Health and Humans Services for a State Innovation 1332 waiver under the Patient Protection and Affordable Care Act (ACA), better known as Obamacare, and a Medicaid 1115 waiver.

The Council for Citizens Against Government Waste (CCAGW) is particularly concerned with the 1115 waiver, which would expand Medicaid by creating a new “Complex Medical Needs Program.”  According to the January 22, 2018, Idaho Department of Health and Welfare draft proposal, the goal of the 1115 waiver “is to allow Idahoans with Complex Medical Needs (CMN), who have household incomes up to 400% of the Federal Poverty Level (FPL), to access comprehensive coverage under the Medicaid program.”  While this is a supposed attempt to “stabilize” the ACA exchange, it is Medicaid expansion by any other measure.  On behalf of the 11,606 CCAGW members and supporters in the state of Idaho, I ask that you not support this waiver.

Encouraging more Idahoans to participate in Medicaid promotes the progressive agenda to push all Americans into government-run healthcare.  Furthermore, the state is unwisely sending some of its most vulnerable citizens into a program that is known for its limited access to physicians, especially specialists.  In a November 11, 2017, speech before the National Association of Medicaid Directors, Centers for Medicaid and Medicare Administrator Seema Verma noted that “despite our growth in spending, and in regulations, more than 1/3 of doctors won’t even see Medicaid patients.”  Not getting access to the care these types of patients require will drive up costs, not lower them.

In a September 13, 2017 Business Insider article, Idaho Department of Insurance Director Dean Cameron said, “We need to remove federal government interference in the marketplace.  The rules, restrictions and requirements of Obamacare are driving the costs — the desire that we have one-size-fits-all policies.”  Pushing people with complex medical needs into Medicaid is not the way to accomplish this worthy goal.  If this waiver is adopted, it will open the floodgate to expand Medicaid even further.

Instead, we urge you to join CCAGW and tens of millions of Americans to keep pressure on our elected representatives in Washington, D.C. to repeal Obamacare.

Sincerely,

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