N.H. May Charge Poorest for Medicaid
By THE ASSOCIATED PRESS
Published: May 9, 2005
CONCORD, N.H. (AP) -- As states struggle to cut Medicaid costs, New Hampshire has proposed going further by making the poorest of the poor -- even families with no income at all -- contribute to their coverage.
No other state has ever gone so far. And even if the idea makes it through the Legislature, New Hampshire is going to need to federal approval.
Under federal law, the very poorest do not have to pay anything for Medicaid coverage. Those making higher amounts pay premiums or other expenses on a sliding scale according to their income.
Under the New Hampshire proposal, families with no income would have to pay $10 a child per month, up to a maximum of $30. Families who have some income but are still in the lowest category would pay as much as $20 a month, for a maximum of $60.
The move would save the state roughly $12 million over the next two years in a nearly $9 billion state budget, or about one-tenth of 1 percent....
http://www.nytimes.com/aponline/national/AP-Medicaid-Cuts.htmlON EDIT: Adding lead story from today's NYT:
States Propose Sweeping Changes to Trim Medicaid by Billions
By ROBERT PEAR
Published: May 9, 2005
WASHINGTON, May 8 - Governors and state legislators have devised proposals for sweeping changes in Medicaid to curb its rapid growth and save billions of dollars.
Under the proposals, some beneficiaries would have to pay more for care, and states would have more latitude to limit the scope of services.
The proposals, drafted by separate working groups of governors and state legislators, provide guidance to Congress, which 10 days ago endorsed a budget blueprint that would cut projected Medicaid spending by $10 billion over the next five years.
Many of the proposals resemble ideas advanced by President Bush as part of his 2006 budget. In some cases, the governors embrace Mr. Bush's proposals but go further. At the same time, they also reject some of the president's recommendations that they believe would shift costs to the states....
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A coalition of beneficiary advocates, labor unions and health care providers is already gearing up to fight any significant cutbacks in Medicaid. The coalition includes AARP, Families USA, pediatricians, hospitals and nursing homes....
http://www.nytimes.com/2005/05/09/national/09medicaid.html?hp&ex=1115611200&en=78df747bc97cab95&ei=5094&partner=homepage