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What Perry's Stance on Medicaid Expansion Means to Texas Hospitals

Margaret Dick Tocknell, for HealthLeaders Media, July 11, 2012

So far, a handful of Republican governors have announced via various media outlets their intention not to have their states participate in the Medicaid expansion program that is part of the Patient Protection and Affordable Care Act.

I tried to find out if any of these governors actually contacted the federal Department of Health and Human Services to officially opt out of the Medicaid program, but received no responses. It ends up that PPACA doesn't have a statutory deadline related to the Medicaid expansion so no official word is necessary.

That didn't stop Gov. Rick Perry (R-TX) from dashing off a letter on Monday to HHS Secretary Kathleen Sebelius explaining that he stands "proudly with the growing chorus of governors who reject the PPACA power grab….Neither a state exchange nor the expansion of Medicaid under the Orwellian named PPACA would result in better patient protection or in more affordable care."

He asked the secretary to let President Obama know that "I oppose both the expansion of Medicaid….and the creation of a so called state insurance exchange because both represent brazen intrusions into the sovereignty of our state." As he notes as the end of the letter, expanding Medicaid "would threaten even Texas with financial ruin."

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2 comments on "What Perry's Stance on Medicaid Expansion Means to Texas Hospitals"


Lou DeNino (7/27/2012 at 12:14 PM)
I think there is penty of room for negotiation between Texas and HHS on perhaps phasing-in expansion of medicaid in exchange for waivers allowing Texas to launch an "experiment" in tailoring benefits and co-pays for medicaid beneficiaries. It could be a win-win and Texas could take the credit and claim victory. It's all in how you spin it.

Karen Willingham (7/12/2012 at 1:08 PM)
I'm hoping that the political factors do not play a part in the healthcare structure that has been set forth by our President and that over time many states will allow the plan to role out and see the benefit in providing healthcare for everyone. This will benefit the economy by increasing the employment market, with healthcare growing as rapidly as it is, this is sure to bring even more jobs in healthcare. We need to stop fighting the programs that are going to benefit the people, help the needy, and the economy.