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Home My WebLink AboutResolution 2019 (19) Resolution No. 19 (2019) ST. C}l UN "Y. CONSIDERATION OF HEALTH AND HUMAN SERVICES BOARD " ~~~ � POSITION RELATED TO MEDICAID EXPANSION PROPOSED IN THE 2019-2021 STATE BUDGET 1 Medicaid Expansion Resolution 2 3 WHEREAS, Governor Evers' 2019-2021 Executive Budget recommends the use of available 4 federal funding for Medicaid Expansion; and 5 6 WHEREAS, Medicaid eligibility would expand from the current 100% of the federal poverty 7 level (approximately $12,000 annual income for a household of one per federal poverty 8 guidelines effective February 1, 2019) to 138% of the federal poverty level (approximately 9 $17,000 annual income for a household of one per federal poverty guidelines effective February 10 1, 2019); and 11 12 WHEREAS, From 2014 through 2016, states were reimbursed for 100% of the cost of 13 covering newly-eligible groups, with a declining federal share in subsequent years until reaching 14 90% in 2020 and thereafter; and 15 16 WHEREAS, the standard federal medical assistance percentage for Wisconsin is currently 17 approximately 59%; and 18 19 WHEREAS, Medicaid expansion will allow the state to draw down new federal funds 20 resulting in $324.5 million in state general purpose revenue savings; and 21 22 WHEREAS, the Governor's Administration estimates that expansion will enable 23 approximately 82,000 additional individuals to access affordable health insurance coverage, of 24 which an estimated 660 are St. Croix County residents; and 25 26 WHEREAS, the Wisconsin Department of Health Services provided a summary of $17 27 million of Medicaid expansion benefits specific to St. Croix County, which is attached to this 28 resolution. 29 30 NOW, THEREFORE, BE IT RESOLVED that the St. Croix County Board of Supervisors does 31 support Medicaid expansion as proposed in Governor Evers' 2019-2021 Executive Budget; and 32 33 BE IT FURTHER RESOLVED that the St. Croix County Board of Supervisors directs the 34 County Clerk to forward a copy of this resolution to the office of the Wisconsin Governor, the 35 office of Wisconsin Department of Health Secretary, St. Croix County Legislators, and Wisconsin 36 Counties Association. 37 38 (Clerk note: This resolution was approved by the St. Croix County Board of Supervisors on 39 June 4, 2019.) Resolution No. 19 (2019) ST. O! NT UY R CONSIDERATION OF HEALTH AND HUMAN SERVICES BOARD 00, POSITION RELATED TO MEDICAID EXPANSION PROPOSED IN THE 2019-2021 STATE BUDGET Le-gal—Fiscal—Administrative Approvals: Legal Note: Fiscal Impact: Pa rink'Thf ryfipson,County Adm4listil"a'tor 4/5/2019 04/10/19 Health & Human Services Board MEETING CANCELLED Next: 05/08/19 ................... RESULT: MEETING CANCELLED Next: 5/8/2019 5:00 PM ................................................................................................................................................................................................................................................................................................................. 05/08/19 Health & Human Services Board APPROVED .................................................................................................................................................................................................................................................................................................................................... RESULT: APPROVED [5 TO 2] Next: 6/4/2019 5:00 PM MOVER: Tammy Mootheclan, Supervisor SECONDER: Deb Lindemann, Board Member AYES: Ostness, Anderson, Lindemann, Ward, McGinnis NAYS: Tom Coulter, Dan Fosterling ABSENT: Buck Malick, Tammy Mootheclan 05/08/19 Health & Human Services Board APPROVED .................................................................................................................................................................................................................................................................................................................................... RESULT: APPROVED [6 TO 2] MOVER: Tammy Mootheclan, Supervisor SECONDER: Deb Lindemann, Board Member AYES: Mootheclan, Ostness, Anderson, Lindemann, Ward, McGinnis NAYS: Tom Coulter, Dan Fosterling ABSENT: Buck Malick Vote Confirmation. Dave Ostness HHS,Chairman J14J2019 SL Croix County Board of Supervisors Action: Roll Call - Vote Requirement— ............................................................................................................................................................................................................................................................................................................................ . RESULT: ADOPTED BY BOARD OF SUPERVISOR [13 TO 4] MOVER: Dave Ostness, Vice Chair SECONDER: Roy Sjoberg, Supervisor AYES: Schachtner, Sjoberg, Malick, Moothedan, Fosterling, Ostness, Larson, Hansen, Peterson, Anderson, Achterhof, Hable, Peavey NAYS: Jim Endle, Lynda Miller, Tom Coulter, Bob Feidler ABSENT: District 13, District 14 This Resolution was Adopted by the St. Croix County Board of Supervisors on May 8, 2019 Cindy Campbell, County Clerk I-- c"r �Jr b.0 as o a� ��1 I cin lYi 2� CIO U,,, ftp I li p C D -Cl C2 Yw 0 u Go Cie) Q.D rl cW� � e CIS r-�i �� I,�- .�� tla) •`�' — t� Ell fir t:ar`C'1 (r't o Cr) 0 WISCONSIN DEPARTMENT Governor Evers' Budget o.f'HEALTH SERVICES Better, more affordable care, covering more Wisconsinites x an in ' Me is iPositive Economic Impacts With Governor Evers' budget, Wisconsin can cover more people for less state money.The savings from this expansion leverages hundreds of millions in new federal funding to invest in the health and well-being of every citizen. Medicaid is a foundation of health care and 1.2 million Wisconsin residents rely on Medicaid for high quality health care. States that accept federal dollars for Medicaid expansion saw positive impacts to their economies, including increased numbers of practicing providers, reductions to uncompensated care, reductions in medical debt, and positive correlations between Medicaid enrollment and employment. Health care coverage for more Wisconsinites The budget expands Medicaid to cover childless adults, parents, and caretakers up to 138%of the federal poverty level (FPL) which is $17,000 per year for a single person working full time.This expansion will enable an estimated 82,000 additional individuals to access affordable health coverage. By covering individuals who currently lack insurance, uncompensated care for providers will decline. This proposal will generate$324.5 million in savings which is invested back in health care to improve the lives of every Wisconsinite. Increasing access to health care Hospitals and other health care providers are the cornerstones of Wisconsin communities and drivers of local economies. The budget includes funding to increase Medicaid reimbursement for hospitals as well as primary care and specialty providers. Investing in these critical providers will foster economic growth and increase financial stability by reducing uncompensated care for these community anchors. Higher reimbursement rates will help attract and retain medical professionals in Wisconsin. Attracting more primary care doctors and other providers to Wisconsin Physicians play a critical role in the health care industry by providing an estimated 54.6% of all health care visits.The budget proposes to increase provider payments to help attract and retain medical professionals in Wisconsin.The budget will include funding to improve Medicaid reimbursement rates by$69 million for providers across the state to ensure access to quality care for all Wisconsin communities. Increasing reimbursement rates to family physicians, behavioral health professionals, and specialty physicians will help address provider shortages,- especially in rural areas. Improved financial health More providers, more jobs A National Bureau of Economic Research study found A single primary care provider working in a clinic in a that in the 29 states that expanded Medicaid,there rural community helps create an average 6.6 jobs. If was a positive impact on financial well-being by the provider works at a hospital,the job yield is 19.7 reducing medical debt by$900 per Medicaid enrollee jobs.The total labor impact of wages and benefits is and preventing 50,000 bankruptcies. almost$1.4 million for local economies. P-02366 (02/2019) WISCONSIN DEPARTMENT Governor Evers' Budget 0,,. of HEALTH SERVICES Better, more affordable care, covering more Wisconsinites Supporting t. Croix County Medicaid expansion is the lever that Wisconsin pulls to infuse new federal dollars into the rest of our healthcare system, with the aim of improving the health and well-being of every citizen. Medicaid is a critical part of our health care system. In Wisconsin, 1.1 million residents rely on Medicaid for high-quality health care.The budget expands Medicaid to cover childless adults, parents, and caretakers with incomes up to 138%of the federal poverty level, which is about$17,000 per year for a single person working full time.This expansion will enable an estimated 82,000 additional individuals to access affordable health care. Medicaid expansion will also allow the state to draw down new federal funds and save Wisconsin taxpayers$324.5 million. The budget proposes to reinvest these savings into new initiatives to improve health care access and quality for all St. Croix County residents, not just those enrolled in Medicaid. The expansion plus the new initiatives will enable us to draw down a total of$1.6 billion in new federal funding. When we combine these new initiatives with all other investments for Department of Health Services programs—from both the state and federal government—the budget provides a total of $2.6 billion in new funding. Of this, $2.4 billion will be invested in Wisconsin communities, including$17 million in St. Croix County. $17 million of new investments in St. Croix County ® $5.48 million Expanding Medicaid to an estimated 660 St. Croix County residents o $408,000 Expanding access to behavioral health, including crisis intervention and telehealth services ♦ $515,000 Preventing childhood lead poisoning through lead abatement and supporting children with lead poisoning through the Birth to 3 Program ♦ $396,000 Improving access to dental services by increasing payments to dental providers, including those who serve people with disabilities, and expanding the Seal-A-Smile program o $767,000 Enhancing Medicaid benefits and services, including support for the new community health benefit and postpartum coverage for new mothers ® $608,000 Increasing funding for physicians $562,000 Increasing hospital funding $749,000 Increasing funding for providers in long-term care programs and services—including Family Care IRIS, and nursing homes—and boosting personal care worker wages ® $7.47 million Continuing to provide coverage to current Medicaid, BadgerCare Plus, SeniorCare, and FoodShare Employment and Training program members; and permanently ending the waitlist to serve all eligible children in the Children's Long-Term Support Waiver Program o $77,000 Supporting the Mental Health Consultation program, conditional and supervised release, and the Dispatcher Assisted'Cardiopulmonary Resuscitation program P-02410(04/2019)