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Report: Controversial Drug Rationing Scheme Eyed By Trump, Biden Administrations

Expert panels decide whether extra years added by certain treatments worth the cost

… result is inequitable access to lifesaving drugs and treatments, the Goldwater report found. Lopez said the Affordable Care Act, also known as ObamaCare, bars Medicare from using QALY or similar metrics. (Medicare is the program that insures elderly Americans.) Some states have extended the prohibition … more

CapCon’s Top 10 Stories For 2019

Road Fix That Wasn’t, Gun-Free Zones, 1,100 Windmills Won’t Replace This Coal Plant

… Democratic governor is trying to reverse course on steps taken by her Republican predecessor to require childless, able-bodied beneficiaries of the Obamacare Medicaid expansion to meet work, training or community service requirements. In a February letter to the federal administrator of the program, Gov. … more

Whitmer Coy On ‘Medicare For All,’ But Went Extra Mile For Obamacare’s Medicaid

A parliamentary maneuver that raised eyebrows

… no ambiguity about what state Sen. Gretchen Whitmer thought about another Democratic health care policy, which was signing the state up for the Obamacare Medicaid expansion. Whitmer joined all Senate Democrats (and eight Senate Republicans) in voting “yes” on the expansion, which made more people eligible … more

Republicans Imposed Medicaid Work Requirements; Governor Wants to Undo Them

Gov. Whitmer wants U-turn on making able-bodied medical welfare recipients get a job

… Democratic governor is trying to reverse course on steps taken by her Republican predecessor to require childless, able-bodied beneficiaries of the Obamacare Medicaid expansion to meet work, training or community service requirements. In a February letter to the federal administrator of the program, Gov. … more

Practical Short-Term Health Coverage Unlikely Unless Legislature Acts

Useful option made possible by recent federal rule change, but GOP hasn’t moved and Dems likely to oppose

… unaffordable.” ACA, short for the Affordable Care Act, is the more formal name for Obamacare. Short-term health insurance plans typically cover fewer services but … expensive than a standard individual healthcare policies sold through the Obamacare exchanges. Unlike exchange-based policies, short-term policies are priced … more

Granholm: Income Tax Would Be Lower If GOP Left It Alone

Republicans repealed scheduled reductions in former Democratic governor’s 2007 tax hike

… difficult because government has become accustomed to the revenue,” he said. Pavlov pointed to special interests, including those focused on the 2013 Obamacare Medicaid expansion, and a steady increase in funding for public schools. His explanation for the initial 2007 vote to increase rates was that “the … more

Happy New (Fiscal) Year; State Spending Up But Not By Much

Inflation-adjusted figures show Snyder mostly held the line on spending

Spurred by the Obamacare Medicaid expansion and increases in the state gas tax and vehicle registration tax, overall spending by Michigan’s state government increased by $7.8 billion under Gov. Rick Snyder’s eight-year tenure. The figure is based on spending supported by both state tax revenue and federal … more

Gov. Rick Snyder’s Fiscal Policy Legacy

A review

… required to contribute to the costs of their health insurance as the result of a 2012 law. The Snyder administration pressed legislators to accept the Obamacare Medicaid expansion that made families and childless adults with incomes of up to 138 percent of the federal poverty level eligible for benefits. … more

Michigan Economy Rebounds, But Medicaid Enrollment Soars

Republicans drove increase in Medicaid spending while food stamps decline

… medical welfare has been largely driven by the Obamacare Medicaid expansion championed by Gov. Rick Snyder … might be called “traditional Medicaid” — the pre-Obamacare version — than in February 2009. That enrollment … more than 665,000 able-bodied adults in their Obamacare Medicaid expansion, despite promises that enrollment … more

Most Michigan Schools Surveyed Still Buying Union’s Costlier Health Insurance

After a five-year pause, costs again on the rise

… the Mackinac Center, said he believes that the Affordable Care Act, or Obamacare, may also have influenced health care costs. Van Beek said that he believes the expanded list of “essential benefits” mandated by Obamacare has driven up costs, since it began going into effect after Michigan lawmakers … more

Sponsor Of Medicaid Work Requirements: They’re The ‘Right Thing To Do’

Able-bodied beneficiaries would have to get a job, get training, go to school or do community service

… acceptance of the Medicaid expansion under the Affordable Care Act, or Obamacare. The Michigan Department of Community Health and Human Services would … specified amount of community service. The original bill authorizing the Obamacare Medicaid expansion also required the state to seek waivers allowing it … more

Michigan Legislature’s 10 Most Revealing Votes of 2017

Which side were your lawmakers on?

… was state’s hospital lobby. Big Hospital perhaps became the state’s most powerful special interest after the 2013 Legislature voted to accept the Obamacare Medicaid expansion. That move brought approximately $4 billion in annual “free” federal dollars that now flow to Michigan hospitals. Senate Bill … more

Update: D.C.’s Tax Reform Sausage Making May Still Work Out

Tax Foundation Calculates $2,500 gain per Michigan family

… repeal of the Accordable Care Act (Obamacare) individual mandate in its version … a decrease in Medicaid costs and Obamacare subsidies paid out for insurance … tax policy analysts and others. An Obamacare mandate repeal had not been part … remain intact. Will repealing the Obamacare mandate improve its chances? I don’t … more

Half Of Able-Bodied Michigan Medicaid Expansion Enrollees Don’t Work

More than 600,000 enrolled, while total state unemployment down to just 218,000

When Michigan legislators voted to accept the Obamacare Medicaid expansion in 2013, it was estimated that between 450,000 and 475,000 able-bodied, childless adults earning less than 138 percent of the federal poverty level would enroll in Medicaid. The actual number turned out to be more than 600,000. … more

Obamacare in Michigan: 32 Percent More Than Projected Take Medicaid Expansion

State’s free ride about to end on free coverage for able-bodied adults

… following Michigan’s adoption of the Obamacare Medicaid expansion could cost state … now they can quit and enroll in Obamacare expansion.” “It's saddling taxpayers … during his campaign to dismantle Obamacare, something the Republican-majority … lists to receive services, because Obamacare encourages states to expand Medicaid … more

State Health Policy Toolkit

10 reforms state lawmakers can implement now

… population. If the feds refuse, roll back eligibility to pre-ACA levels. 5. Increase the Supply of Health Care Providers Problem: Long before Obamacare became law Michigan was already rationing health care in many ways, including restrictive scope of practice laws on midlevel providers like nurse … more

The Most Important State Election This November: Michigan's Next House Speaker

Three representatives face off for the top spot

… with Greimel and Leonard “yes”), mandating license plate replacements every decade (VerHeulen “yes” with Greimel and Leonard “no”), accepting the Obamacare Medicaid expansion (VerHeulen and Leonard "no" with Greimel "yes"), and a few votes on select corporate tax breaks or subsidies (VerHeulen and Greimel … more

Michigan Budget on Course for $7 Billion Rise Under Republicans

From $47.6 billion in 2011 to $55 billion

… billion, from $47.6 billion to $55 billion. Much of this 16 percent increase will have been due to more federal money flowing into the state under the Obamacare Medicaid expansion. When federal dollars are excluded, state spending from state sources will have increased from $27.9 billion to $32.3 billion, … more

Legislation Would Prevent State From Advertising to Get More People on Medicaid

Program expanded 30 percent beyond projections

… Policy Committee for more than four months. “Healthy Michigan,” is the title the administration of Gov. Rick Snyder gave to its adoption of the Obamacare Medicaid expansion. During the expansion debate in 2013, it was estimated that somewhat more than 400,000 people in Michigan would eventually enroll … more

Governor’s Budget Pays for Medicaid Expansion with a Gas Tax

Michigan's revenue growth is set to continue

… decision to let more people sign up for Medicaid, part of a deal made under Obamacare. The state needs to cover 5 percent of the new costs in the upcoming fiscal … increased spending elsewhere, such as paying for the costs of implementing Obamacaremore

Legislature Hoping for Improbable Federal Rescue of Medicaid Expansion

Without waiver, it's back to the drawing board

The Obamacare Medicaid expansion approved by the Michigan Legislature in 2013 may be on the verge of … and grass roots GOP voters hostile to anything Obamacare. They did so on the condition that it incorporate … the prospect of having to take up a do-over Obamacare bill is sure to give heartburn to GOP lawmakers. … more

Bill Would Ban Advertising to Get More People on Medicaid

State Senator: This 'just encourages more people to become dependent on government'

… gave to its adoption of the Obamacare Medicaid expansion. The … enacting a key component of Obamacare, warned that state taxpayers … Expansion is Voting Yes on Obamacare' Obamacare Exchange: Michigan Dodged a Bullet Obamacare's Michigan Tale: Small Drop … more

Courser's and Gamrat's 'Orphan Bills'

Bills abandoned by the two former legislators

… Courser's and Gamrat’s complete voting record here and here, respectively. 12 Bills Introduced by Rep. Todd Courser (R) House Joint Resolution Z: Ban Obamacare exchange House Bills 4731, 4732 and 4733: Repeal marriage license requirement, and marriages performed by government officials House Bill 4380: Eliminate … more

Michigan’s Obamacare Medicaid Expansion

Incentives gone awry

… component of the federal Affordable Care Act, aka Obamacare. Given Republican control of the state House, … caught sacrificing to Satan than voting for Obamacare.” Lost in the hubbub surrounding the expansion … three of the many concerns raised about the Obamacare Medicaid expansion: Increased dependency, deeper … more

Politicians Misrepresent Road Funding Bills to Promote Tax Hike

Slower spending growth is not a 'cut'

… has fewer prisoners. There are fewer state employees. State economic growth has meant fewer people applying for government assistance, though the Obamacare-driven expansion of Medicaid will mean some increased spending. And while government pension costs are still high due to current and past underfunding, … more

Health Care Law Squeezes Public School Budgets

Employer mandate forces schools to privatize services and cut hours

The Affordable Care Act, aka Obamacare, has forced many public schools to cut employee hours or privatize noncore services. At issue is the ACA’s mandate that employers with 50 or more full-time workers provide health insurance to any who work 30 or more hours per week. The Baraga Area Schools in the … more

A Possible Uber Setback for Ride-sharing in California

Examining the distinction between a contractor and an employee

… Employers must comply with all labor laws, may reimburse expenses, pay half the Social Security and Medicare taxes of employees, and because of Obamacare, most must provide medical insurance. In this type of arrangement both the employer and the employee have much less freedom than they would as a … more

State-Based Obamacare Exchanges Cause More Pain Than Help

… individuals who don't have “qualified” and “affordable” coverage and on employers that don't offer it. If state lawmakers want to further entrench Obamacare in their state by setting up a SBE, they should first answer the question: Are you willing to forgo your taxpayer-subsidized health-insurance coverage … more

Obamacare Exchange: Michigan Dodged a Bullet

… news story titled “Nearly half of Obamacare exchanges are struggling over their … Michigan came close to creating a state Obamacare exchange. The Senate passed a bill … Supreme Court rules in June that Obamacare subsidies can only be provided through … we can expect an explosion of pro-Obamacare activism pressuring Michigan legislators … more

As Obamacare is Implemented, Part-Time Jobs at All Time High

U.S. has had a record 27 million people working 35 or fewer hours a week the past five years

… about how much of a role Obamacare has played in the rise of … Care Act, commonly known as Obamacare, was signed into law March … full implementation of the Obamacare employer mandate has been … legislation to repeal the Obamacare 30-hour-work-week provision. … written two books about Obamacare, said there was no proof … more

Michigan’s Obamacare Medicaid Expansion Exceeds Projections by 22 Percent

Cost may be much more expensive than originally assumed

… published a report on state enrollments under the Obamacare Medicaid expansion. Here’s what the authors say … lobbied the Michigan legislature to adopt his Obamacare Medicaid expansion plan, he too sold it on the … year. But more able-bodied adults enrolled in ObamaCare expansion in the first three months than the … more

What the New Legislature Should Stand For — And What It Should Not

… turned around, the Legislature strayed from its initial limited-government approach. It expanded a poorly performing welfare program by passing the Obamacare Medicaid expansion. Although the Legislature finally engaged Detroit’s fiscal problems rather than “kick the can down the road,” taxpayers were forced … more

Obamacare's Michigan Tale: Small Drop in Uninsured While Families Pay More

Four things about Obamacare in Michigan

… four things to know about Obamacare in Michigan: Contrary to popular belief, Obamacare was never designed to dramatically … Michigan Creeps Closer to Obamacare ‘Exchange’ How Obamacare Is Vulnerable Michigan Paid 'Stupidity of American Voter' Obamacare Architect $481,050 more

Lessons from Twenty Years in the Freedom Movement

… will demand or at least accept. This is the Overton Window in a nutshell. (Exceptions are called Overton’s Revenge. See Prohibition and possibly ObamaCare.) The states themselves are largely untapped, incredibly powerful engines of change in Washington. Not only do they exert political influence, but … more

What the New Legislature Should Stand For – and What It Should Not

A time for choosing in Michigan

… many legislative actions fell short of the limited government approach. The Legislature expanded a poorly performing welfare program by passing the Obamacare Medicaid expansion. The good news was, for the first time in a generation a governor and Legislature seriously engaged the problem of Detroit's finances … more

Governor Signs Bill Freeing Up Market Approach to Health Care

Medical retainer agreements for routine care won't be considered 'insurance'

… regulations that don't make sense for such arrangements. The concept is supported by all sides in the health policy debate, and are even authorized in Obamacare ‘exchanges’ when accompanied by a high deductible insurance policy for serious conditions.” Medical retainer agreements, which are also sometimes … more

Doctors Accepting More Medicaid Patients – for Now

… only” (2013 and 2014) the federal government increased Medicaid primary care reimbursements rates, part of the campaign to entice states adopt the Obamacare Medicaid expansion. But that extra federal money stopped flowing on Dec. 31. The Michigan Legislature appropriated $25 million to boost payments … more

Happy New Year! It’s Time for Tax Cuts

… cost increases have been imposed from Washington. Congress permitted President Bush’s tax cuts to expire and taxes and fees also went up under Obamacare, and that was in addition to the spiraling cost of existing health care plans. I can’t be the only person tired of being nickeled-and-dimed and … more

The Best of the Best: CapCon's Top 10 Stories of 2014

Police seize property; religious discrimination in school contracts; Obamacare piles on disabled family’s burdens

… Disabled Family Sees 300 Percent Increase in Health Insurance Costs Under Obamacare The Davert family in Bay City has been through a lot: Ken has cerebral … susceptibility to lung infections. The federal Affordable Care Act (“Obamacare”) increased the challenges by causing their health care premiums to quadruple. … more

Happy New Year!

The perfect time for tax cuts

… cost increases have been imposed from Washington. Congress permitted President Bush’s tax cuts to expire and taxes and fees also went up under Obamacare, and that was in addition to the spiraling cost of existing health care plans. I can’t be the only person tired of being nickeled-and-dimed and … more

December 17, 2014, MichiganVotes Weekly Vote Report

Obamacare “navigators,” unionized college athletes and more

… Passed 32 to 6 in the Senate To impose regulation and a “certification” requirement on the “navigators” authorized by the federal health care law (“Obamacare”) to assist persons applying for government-subsidized health insurance benefits through agency this law creates (the “exchange”). The bill authorizes … more

Michigan Paid 'Stupidity of American Voter' Obamacare Architect $481,050

Representative-elect asks for investigation

… the federal Affordable Care Act, also known as Obamacare. The Washington Post reported that Gruber received … warranted.” ~~~~~ Michigan Creeps Closer to Obamacare ‘Exchange’ How Obamacare Is Vulnerable More Confusion Over ‘Affordable … more

False Pretenses Should be Put to Rest

GOP candidates scrutinized

… Sure, Gov. Romney did not wear conservative principles comfortably, virtually ignored the need to speak of freedom and liberty, and barely mentioned Obamacare. But to hear many on the political right talk, one would think Gov. Romney was picked as the Republican nominee on a dark night in a smoke-filled … more

'Hastert Rule' May Impact Michigan House GOP Leadership Race

… effort to create a state healthcare exchange, which would help implement Obamacare in Michigan now that the court has ruled that Obamacare can’t be implemented without the state exchanges.”  Gamrat said that … more

October 10, 2014, MichiganVotes Weekly Report

… June 12, 2014 To require “certification” for the individuals and organizations acting as “navigators” authorized by the federal health care law (“Obamacare”) to assist individuals who apply for government-subsidized health benefits through the law's “exchange,” including criminal background check and … more

Obamacare Could Negatively Impact Women

Twice as likely to work low-hour schedules

… a new working paper for the Mercatus Center examining the impact of Obamacare’s “employer mandate” on various groups of workers. The mandate imposes … reports Mulligan. On the one hand, these workers become eligible for Obamacare insurance subsidies, without inflicting a penalty on their employers, … more

Choosing the Next Michigan Speaker of the House

Some key differences between the potential leaders

… Cotter and Leonard. It is difficult to tell, however, whether that assessment is accurate or primarily superficial. A key difference is on the Obamacare Medicaid expansion which Reps. Pscholka and Lyons voted for and Reps. Cotter and Leonard voted against. On the so-called internet tax, Rep. Cotter … more

House Committee Sitting on Bill That Would Let Qualified Nurses Write Prescriptions

Proposed law would help deal with potential shortages

… continued. “But whether this should be one of them is debatable.” Capitol Confidential asked Sen. Jansen if the prospect of physician shortages under Obamacare was one of his primary reasons for introducing Senate Bill 2. “I started on this three years ago, which was even before I was sure that we would … more

Disdain for Politics Gov. Snyder's Undoing?

An analysis of the gubernatorial race

… Medicaid expansion was the lesser evil of the two. Rather than adopting this message, the one chosen was a virtual mirror image of the president’s Obamacare rhetoric. Use of this message was like rubbing salt in the wounds of the political right; unnecessarily intensifying bitterness over the issue. … more

Political Predictions: A Glance at the Top of the Ballot in November

Where do Michigan's races for Governor and U.S. Senate stand?

… “I would say Terri Lynn Land in a squeaker,” Truscott said. “I think it is going to be a Republican year and once Gary Peters gets firmly tied to Obamacare and Washington I think it is really going to hurt him.” Darnoi said that, for the time being, Peters has to be seen as the favorite in the race. … more

Incumbent’s Record Targeted and Defended in Michigan's 46th

Rep. Bradford Jacobsen and John Reilly discuss their differences on energy mandates, select subsidies

… said. “He keeps equating my support for Healthy Michigan with support for Obamacare, and that is just not true.” “My position is that we need to keep steady, … sets aside funds for the future. I do not see it as an endorsement of Obamacare.” Capitol Confidential asked both candidates the following two questions. … more

Pricey GOP Primary Race For Michigan’s 4th Congressional District

State Sen. John Moolenaar and retired businessman Paul Mitchell discuss Export-Import Bank, energy and health policy

… The Affordable Care Act (Obamacare), the labyrinthine federal … are strongly against the Obamacare law and favor repeal. But … the health care system. “Obamacare is a glaring example of the … points out that he fought Obamacare health exchanges and Medicaid … continue to fight against Obamacare and other overreaching policies … more

Mitchell Ad About Moolenaar: Truthful or Over the Top?

Sen. Moolenaar: ‘The ad he is using is very deceitful’

… voted against a state-run Obamacare exchange in 2011 and against … rejection of a state-run Obamacare exchange. The 30-second … vote to “create a Michigan Obamacare exchange” and when he voted … expanded Medicaid and funded Obamacare.” As the ad levels its charges, … among those opposing the Obamacare exchange and Medicaid expansion,” … more

Obamacare's Survival up to State Legislators

Figures for Halbig's Michigan impact

… including many of the politicians who voted for the Obamacare Medicaid expansion — will loudly demand that … Michigan and 35 other states. In plain English, Obamacare will likely collapse if its subsidies are not … very difficult to claim that they also “oppose Obamacare.” (In 2011 the Michigan Senate voted to create … more

Michigan 8th Congressional District GOP Primary Getting Feisty

Former Sen. Mike Bishop vs. State Rep. Tom McMillin

… M. Cooley Law School. McMillin was elected to his third term in the Michigan House of Representatives in 2012. Both candidates are opposed to Obamacare and prefer a market-based insurance plan. Both candidates support U.S. Rep. Paul Ryan’s “premium support” plan on Medicare. The premium support plan … more

Insurance 52% to 119% Costlier Under Obamacare

County level comparisons now available

… for representative households exceed the pre-Obamacare rates even when subsidies are included. For … level, insurance costs are higher even with an Obamacare subsidy. Statewide, the median income level for … administrative fiat further suspending enforcement of Obamacare's employer mandate, the number of individuals … more

Contrast Over Right-to-Work, Film Subsidies, Detroit Bailout In 31st District Senate Race

State Sen. Mike Green vs. State Rep. Kevin Daley

… about three things: right-to-work, Obamacare and road funding," Rep. Daley said. … he would. He also voted for the Obamacare exchange. I'm totally against Obamacare and believe we should stay as far … vote against right-to-work and for Obamacare. Conservatives with courage voted … more

'He's Just Making That Up' — No Shortage of Attacks In 3rd Congressional District GOP Primary

Congressman Justin Amash vs. Brian Ellis

… judgment. But Medicaid expansion was a state issue. The bigger issue is Obamacare. That's what Congress has to deal with and I strongly oppose Obamacare. "I support local control and, having looked at this (common core) and … more

June 20, 2014, MichiganVotes Weekly Vote Report

Votes on “navigators,” pets, squatters, woodstoves, taxi-cartels, more

… in the Senate To require certification for the individuals and organizations acting as "navigators" authorized by the federal health care law ("Obamacare") to assist individuals who apply for government subsidized health benefits through the law's exchange, including criminal background check and training … more

How to Tell What a Bill Actually Does

We might not have the ObamaCare mess if more people judged legislation by what it actually does instead … but it may directly "subsidize" film makers. ObamaCare's official name is the Patient Protection and … an array of new taxes, fees and regulations. ObamaCare might be even better understood if we pretend … more

MICHIGAN CAPITOL CONFIDENTIAL

Spring 2014 Edition

… Nonprofit City Says Recording Device Ban Was Due To ‘Miscommunication’ Disabled Family Sees 300 Percent Increase In Health Insurance Costs Under Obamacare Bureaucrats Befuddled By America’s Auto Market State Agency Has 52 Employees Who Earn More Than $100K Michigan Assessors On the Path To Raise Property … more

Political Predictions for 2014

Political strategists talk minimum wage, big government and Obamacare

… rollout and implementation of Obamacare,” Resch said. “Our state … have been,” Kolt said. Is Obamacare’s negative impact on Democratic … exaggerating the evils of Obamacare, and how unpopular it is, … right,” Ballenger said. “Obamacare is unpopular, and it is hurting … evidence that dislike of Obamacare does spread across the political … more

Obama Drops a Minimum Wage 'Stink Burger' On Michigan

… minimum wage debate this year. Supporters hope for a two-for-one deal. They see the debate as a way to change the subject from the train wreck of Obamacare and to drive voter turnout on Election Day with an issue that energizes their base and polls well with both Democrats and Republicans. In February, … more

Minimum Wage Hike Puts Politics Over People

… meaning some politicians will be more interested in good politics rather than good policy. Reeling from woes created by the Affordable Care Act (Obamacare), many legislators are turning to an issue that polling data shows to be popular: Increasing the minimum wage. This issue might be good politics, … more

April 4, 2014, MichiganVotes Weekly Vote Report

Bills on militarized police, tax assessors, topless bars

… type insurance plans, health savings accounts and more. Also, to ask federal permission to allow employers subject to the federal health care law (Obamacare) employer mandate to provide high-deductible insurance policies to workers as an alternative to paying the mandate's penalties. Referred to committee, … more

Legislative Reforms in 2013 Leave Much to be Desired

… signed into law in 2013 were scarce, so we’ll begin with the bad news: Obamacare Medicaid Expansion. Maybe its members will amaze us with an awesome 2014, … last resort” for individuals with pre-existing conditions ends under Obamacare. So do the nonprofit insurer’s extensive tax breaks under a new law finalized … more

Medicaid Expansion Studies Weren't Trustworthy

Analysis reveals multiple flaws

… report on the potential impact to employers if Michigan did not adopt the Obamacare Medicaid expansion has been exposed as being essentially bunk due to flagrant … all Americans have since learned, beware the promises (or warnings) of Obamacare supporters and apologists.  more

Not Pretty: 2013 Legislative Roundup

… were scarce, so we'll begin with the bad news: Obamacare Medicaid expansion: Maybe its members will amaze … individuals with pre-existing conditions ends under Obamacare. So do the nonprofit insurer's extensive tax … mischievous provision suspending the phase-in if the Obamacare Medicaid expansion is ever rescinded. Gov. Snyder … more

Who Is Behind The Minimum Wage Increase Drive?

A look at the Restaurant Opportunities Center

… attention from what's going on in Washington, D.C., and particularly Obamacare? A: Certainly, they can't afford to let the election be about Obamacare, and this is clearly a unified effort in multiple states. I think we just … more

Commentary: A Legislative Agenda for 2014

Get back to the 2011 and 2012 reform agenda.

… the only real and durable "best practices incentive." Legislators will inevitably succumb to pressure and hollow out other forms.) -- Repeal the Obamacare Medicaid expansion. Instead, join with other states to press for the federal government to "block grant" the program with no strings attached to … more

The Certificate of Need 'CON' Job

Regulation increases health care costs 11 percent

… is just one of many ways states including Michigan have artificially jacked up health care costs. Before legislators here make more noise about Obamacare disruptions, they should start cleaning up the mess this state has made with health care regulations that serve special interests at the expense … more

Disabled Family Sees 300 Percent Increase In Health Insurance Costs Under Obamacare

Video report: An Obamacare odyssey for special needs family

… costs. The Davert's experience with Obamacare is not just frustrating, it could … that are baked into the current Obamacare policies," McHugh said. "That doesn't … See also: Media Ignore Facts On Obamacare Rates Michigan Insurance Companies: … Commentary: Country Cannot Afford Obamacare more

Minimum Wage Drumbeat Grows Louder

… political gambit that some speculate is intended to distract voters from Obamacare failures come November, among other issues. Recently the New York Times' … likely Democratic candidate for governor, Mark Schauer, who voted for Obamacare while in Congress, has already come out in favor of a higher minimum wage … more

Public-Private Compensation Gaps Still With Us

The public sector's misconception of reality

… decade — including the creation of a "deep state" in "homeland security," financial regulation and social welfare realms (the NSA, Dodd-Frank and Obamacare, among many others) — has greatly increased the potential rewards for favor — or protection-seeking special interests to hire lobbyists and other … more

Tax Cut ‘Fever’?

Happy New Year!

… Medicaid medical welfare program, which is a key Obamacare component. Michigan taxpayers will be on the … tax cuts. And of course there's a raft of new Obamacare taxes, not to mention increased insurance prices … premiums starting today as a direct function of Obamacare's new 2014 taxes and fees. All of which raises … more

2013 In Review: Worker Freedom, Medicaid Expansion Took Center Stage

… critical component of the Affordable Care Act (Obamacare) was put in place in Michigan. Union executives … wish. Doing so implemented a key component of Obamacare and by some estimates, puts Michigan residents … Doing so helps the Obama administration put Obamacare in place. President Barack Obama offered billions … more

Happy New Year: The Center Looks Back and Looks Forward

… depth and breadth.  The most egregious of these was passage of a bill meant to facilitate the unpopular federal legislation known colloquially as, "Obamacare" (the Affordable Care Act). In addition to numerous new regulations and requirements, it is estimated that in 2022, Michigan taxpayers will be on … more

December 13, 2013, MichiganVotes Weekly Vote Report

… "No" House Bill 4044, Ban mandating all health insurance go through "Obamacare“ exchange: Passed 72 to 37 in the House To prohibit a state “exchange” … "Yes" and Who Voted "No" House Bill 4816, Require insurers disclose “Obamacare” price hikes: Passed 67 to 42 in the House To require bills sent to customers … more

Michigan Insurance Companies: It's Too Late To Reinstate Old Health Care Plans

President forced to admit his promise couldn't be kept, but insurance companies had already adjusted

… the Affordable Care Act (Obamacare) until after the 2014 elections. … converted their policies to fit Obamacare's significant rules and requirements, … the imminent approach of Obamacare, health insurers began cancelling … health plans and offering Obamacare-compliant policies for 2014. … to reports, the switch to Obamacare-compliant plans was generally … more

November 22, 2013, MichiganVotes Weekly Vote Report

… and authorizes penalties of up to $150,000. Referred to committee, no further action at this time. House Bill 4816: Require insurers disclose “Obamacare” price increase in customer bills Introduced by Rep. Mike Shirkey (R), to require bills sent to customers for health insurance policies or HMO plans … more

Exemptions, Navigators and New Members

Big Labor's payback from Obamacare

… increasing exemptions from Obamacare, a law they championed and … that will struggle due to Obamacare's mandates. Health plans are … plans." Despite calling Obamacare "highly disruptive," however, … are continuing to support Obamacare. Some unions could see large … book, "Shadow Bosses," that "Obamacare is an SEIU and AFSCME membership … more

Bipartisan Senate Panel To Investigate Possible MEA Right-to-Work Violations

Teacher: '[Since dropping union] I have been subjected to intimidation, bullying and even threats to ruin my credit rating'

… has been a teacher in Michigan for 29 years and paid union dues all along. "What I want to say to the MEA is that as we are being told to accept Obamacare because it is the 'law of the land,' they have to accept Freedom to Work as the 'law of the land,' " Sen. Brandenburg said. "To besmirch someone's … more

Obamacare Opponents Need to Show a Way Out

Those who oppose Obamacare talk about delaying, altering or … offer is a pathway out of Obamacare. Predicting that Obamacare will be a train wreck has … prove insufficient. Even if Obamacare crashed and burned, its opponents … picturing what the status of Obamacare is likely to be a year from … more

October 4, 2013, MichiganVotes Weekly Vote Report

… adjourn the 2013 legislative session immediately (rather than the usual time in the last week of December, so that the federal health care law ("Obamacare") Medicaid expansion can go into effect at the start of 2013. When the legislature approved the expansion in August they did not give the measure … more

Obamacare Costs Still A Mystery Days Before Key Provision Takes Effect

… for enrollment to begin on Obamacare exchanges is just days away, … to accurately track how Obamacare is going to affect Michigan's … businesses. “To comply with Obamacare, [insurance] carriers can … adjusted to comply with Obamacare. Making the adjustments in … Sidney also said that under Obamacare insurance agents will have … more

Media Ignoring Facts on Obamacare Rates

Preliminary analysis show sharp hikes

… Health and Human Services on individual insurance rates available on the Obamacare “exchange.”  Specifically, the law’s cheerleaders are boasting that rates … eligible. Those who are not eligible will be even worse off. Nationwide, “Obamacare will increase underlying insurance rates for younger men by an average … more

MiChild Reimbursement Rate Being Cut

… reimburse hospitals and other providers at amounts higher than Medicaid rates.” Capitol Confidential asked Edison if – due to the impending approach of Obamacare – people should expect to see continuing reimbursement rate declines in government-provided health care coverage, such as the one taking place with … more

Republicans Backsliding After Solid Reforms

… 2013, a new Legislature is backsliding and risks fully slipping into its business-as-usual mode. Recent examples include a measure to implement Obamacare’s Medicaid expansion and to raise many fees. Coming soon may be a net-sales tax increase on internet shoppers, and authorizing new local government … more

September 6, 2013, MichiganVotes Weekly Vote Report

… expand Medicaid eligibility to 138 percent of the federal poverty level, which implements a key component of the federal health care law (called Obamacare by most people). This House vote sends the measure to the Governor for his signature. In both the House and Senate, leaders took the unusual step … more

GOP Controlled Legislature Passes Medicaid Expansion; Headed to Governor for Signature

State Rep.: 'Medicaid does not offer the best option of care for the expanded population'

… Michigan, which is a key to the implementation of Obamacare, is now headed to Gov. Rick Snyder for his signature. … legislator can feel comfortable about a critical Obamacare implementation measure being adopted on his or … Senate Republicans Join Democrats In Passing Obamacare Medicaid Expansion New Medicaid Study: 'Waivers … more

Implementing Obamacare

… families and childless adults up to 138 percent of the federal poverty level, which implements a key component of the federal health care law, called Obamacare by most people. Under that law, the feds are supposed to pay 100 percent of the expansion’s cost during the first three years, with the state responsible … more

Michigan Medicaid Expansion: A Win For President Obama?

… expansion bill, it moved a key Obamacare provision closer to becoming … well for Obama as far as Obamacare is concerned," Ballenger … supposed to happen with Obamacare, but didn't." Ballenger … to Obama was when he got Obamacare passed and signed the bill. … Join Democrats In Passing Obamacare Medicaid Expansion New Medicaid … more

Eight Senate Republicans Join Democrats In Passing Obamacare Medicaid Expansion

Bill headed back to the House

… Bill 4714) and move the key Obamacare provision closer to reality … with the implementation of Obamacare, which Republicans almost … another attempt to expand Obamacare," Sen. Colbeck said during … Medicaid is a key part of Obamacare. It's nothing short of government … “Hitching our wagon to the Obamacare train is very risky," Sen. … more

Hospitals: Careful What You Wish for on Medicaid

New research shows expansion could hurt providers

… care consulting firm, suggests the Obamacare Medicaid expansion may cost hospitals … be available to many through the Obamacare exchange). Lewin only examined … Hampshire by 99,100 compared to pre-Obamacare figures, compared to a reduction … a key component of implementing Obamacaremore

'Voting Yes on Medicaid Expansion is Voting for Obamacare'

State Senate takes another turn on Medicaid expansion issue

… with the implementation of Obamacare or be among several states … expansion is voting for Obamacare," said Jack McHugh, senior … important step needed to put Obamacare in place. In the summer of … Supreme Court ruled that Obamacare was constitutional, it also … the nationwide battle over Obamacare. Gov. Rick Snyder and state … more

Two Democrats Join Republicans at Top of Tea Party Scorecard

Ratings shows bipartisanship on issues like fee increases, corporate welfare

… expansion, which is a key component of implementing Obamacare, Hamman said the group scored two votes on the … by most conservative groups," Hamman said. "Obamacare is a major reason that tea parties were started, … a costly and ineffective Medicaid expansion. Obamacare is a disaster for both deficit spending and effective … more