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Congressman Mark Pocan

Representing the 2nd District of Wisconsin

Reps. Pocan, Moore and Kind Call on Governor Walker to Close His Health Insurance Coverage Gap

Nov 19, 2013
Press Release

Washington, DC— Today, Congressman Mark Pocan (WI-02) along with Congressman Ron Kind (WI-03) and Congresswoman Gwen Moore (WI-04) sent a letter to Governor Scott Walker expressing frustration with his most recent BadgerCare decision and urging him not to delay insurance coverage for approximately 80,000 Wisconsinites.

Under Governor Walker's previous plan, about 80,000 low-income Wisconsinites would be transferred into the Affordable Care Act exchange from the BadgerCare program. At that same time, Governor Walker would accept about 80,000 new BadgerCare recipients. Last week, he announced his intent to delay the transfer. However, to offset that cost he would also delay covering those newly eligible Medicaid recipients.  

“The most viable option for Governor Walker has been an option available to him all along—expand health care access in Wisconsin at no cost to the state. We simply would not be in this situation if Governor Walker had not rejected the $4 billion in federal funds to expand BadgerCare and provide families with secure, affordable and accessible health care. The health security of Wisconsin residents is too important to be used in a game of political football,” said Rep. Pocan.  

“I am extremely disappointed that Governor Walker is once again turning his back on our most vulnerable populations,” said Rep. Moore. “As he touts his latest health care agenda item encouraging the legislature to keep current BadgerCare recipients on the program through March, the health of thousands could be in jeopardy. He is no hero. At a minimum, I urge our governor to keep his word and cover those newly eligible for BadgerCare beginning January 1. I continue to encourage him to stop his partisan games and accept federal funds to expand Medicaid.”  

“Governor Walker never should have rejected federal support for Medicaid expansion in the first place. There are federal funds available right now for low-income Wisconsinites who need health care coverage, and all that’s standing in the way is the Governor,” said Rep. Kind. “He needs to put partisanship aside, and follow the example of many Republican governors around the country who have expanded Medicaid coverage for low-income individuals.”

The letter reads as follows:

The Honorable Scott Walker

Governor of Wisconsin

115 East Capitol

Madison, WI 53702

Dear Governor Walker,

We are writing to express our concern about the impending health insurance coverage gap that could result for the 80,000 individuals under 100% of the poverty level, as a consequence of your recent proposal to the state legislature.

Last Thursday, November 14th, we felt relief when you announced that you would allow a three-month extension of BadgerCare coverage to the approximately 77,000 low-income Wisconsinites whose coverage is due to expire on January 1, 2014. Given the challenging rollout of the Marketplaces thus far, we agree with your assessment that these individuals—who are scheduled to be transferred to the Affordable Care Act Health Insurance Marketplaces—would benefit from a longer enrollment period. We also support your proposal to extend the state’s high-risk insurance plan, known as the Health Insurance Risk-Sharing Plan (HIRSP), for three additional months. 

However, we are gravely concerned about the fate of the 80,000 individuals under 100% of the poverty line, who were promised access to BadgerCare as of January 1, 2014 in your budget request. As you know, your budget would have granted BadgerCare eligibility to all those under the poverty level, including childless adults. Your Department of Health Services has been engaging in an outreach plan to the newly-eligible population, and some individuals who have applied for BadgerCare (through the Marketplaces or elsewhere) have already received confirmations of BadgerCare coverage. We were dismayed to learn that you now plan to renege on the promise to cover those below the poverty line in January 2014, and have now proposed delaying their eligibility until April 1, 2014.  

The key source of our concern is that individuals below 100% of the poverty level are ineligible for premium tax credits to purchase coverage in the Marketplace. As a result of your budget proposal, the newly-eligible BadgerCare population will fall into a three-month gap in coverage; they will be unable to sign up for the BadgerCare program but also unable to purchase subsidized coverage in the Marketplace. Due to their low income level, they would not have the means to purchase coverage without a subsidy. This group would thus be in a unique and inequitable situation—essentially, worse off and with fewer options than other Wisconsinites. Given that this is a vulnerable population—they are already living in poverty and are more likely to be in poor health than the rest of the overall population—we strongly urge you to reconsider your plan for this group.

We realize that you plan to utilize the “savings” from delaying coverage for the 80,000 individuals under the poverty line to pay for coverage for about 77,000 parents currently on BadgerCare. However, we encourage you to seek alternative budgetary savings, which would allow you to provide coverage for both populations through March 2014. In addition, we once again recommend that you reconsider your choice not to fully expand BadgerCare under the Affordable Care Act. You have the option to expand BadgerCare with a 100 percent match for all newly-eligible enrollees. This funding would allow you to offset the cost of continuing coverage for BadgerCare enrollees above the poverty line.

It is time to move past politics and do what’s right for Wisconsin.  The Affordable Care Act provides the opportunity for Wisconsin to receive $119 million to ensure that our most at risk populations have health care access and coverage.  We urge you to join your Republican Governor colleagues and expand Medicaid.  Gov. Jan Brewer of Arizona, Gov. Rick Snyder of Michigan, and Gov. John Kasich of Ohio, among others, recognized the need to move beyond political rhetoric and put their constituents’ health first.

We remain dedicated to collaborating with you, and the Obama Administration, to ensure the best possible outcome for Wisconsin under the Affordable Care Act. We request that you consider our suggestions for the most vulnerable population in our state. We look forward to your response.

Sincerely,

Gwen Moore                                      

Member of Congress 

 

Ron Kind                                             

Member of Congress 

 

Mark Pocan

Member of Congress                                     

 

Cc: The Honorable Kathleen Sebelius, Secretary, U.S. Department of Health and Human Services

 

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