The study, by former Texas deputy comptroller Billy Hamilton, says Texas shouldn’t pass up the chance to insure up to 2 million of its more than 6 million uninsured people.
Hamilton cited other benefits. Expansion of the Medicaid rolls would “provide relief to local taxpayers and increase the financial stability of the health care infrastructure on which all Texans depend,” he wrote.
Texas Impact, a statewide interfaith group with a progressive bent, and San Antonio-based Methodist Healthcare Ministries, which owns half of the largest hospital and health care system in South Texas, commissioned Hamilton’s study. It was released last month but on Monday, the sponsoring groups issued this update, which breaks out the financial effects and numbers of newly covered persons by county and by legislative district.
Gov. Rick Perry and other state GOP leaders oppose the Medicaid expansion, saying the state-federal program is a mess and a budget-buster.
Hamilton’s study, though, says if Texas agrees to the expansion, the state would reap $27.5 billion in new federal health care spending from 2014-2017. That would generate an estimated 231,000 jobs by 2016, and just under $68 billion of new economic activity in the state over the four-year period, he found. Hamilton said the additional economic jolt would throw off $2.5 billion in new local tax collections statewide in 2014-2017.
Under his “moderate enrollment growth” scenario, in which about 1 million adults statewide would gain Medicaid coverage, Dallas County would attract $612 million annually in federal Medicaid match by 2016 and Collin County, $132 million. Those figures compare with combined county, hospital district and/or private hospital charity care costs of $691 million in Dallas County, and $9 million in Collin County, for the most recent year for which data were available.
“As if saving local taxpayers millions on low-income care isn’t enough, lawmakers can actually bring new revenues to their districts without raising taxes — and make their constituents healthier in the process,” said Bee Moorhead, an ordained Presbyterian clergy woman who is Texas Impact’s executive director.
See here for the initial Texas Impact report, and click on the “this update” link in the story to see what’s new. Basically, they broke out the numbers by House and Senate district, so if you want to contact your legislators and let them know why they should be behind this effort (hint, hint) you can have some facts at your fingertips. You might also contact your County Commissioner about it, since the numbers are based on county figures. Speaking of counties and Commissioners Courts, Travis County has passed a resolution calling on the Lege to take action on expanding Medicaid, following the lead of Dallas County. Bexar County will vote on this on February 26. What is your county doing? Whatever it is, keep up the pressure. You can’t be heard if you’re not making noise. And the more Rick Perry feels the need to defend himself, the better.
Here’s more from the Chron:
Hospital districts, county health care services, jails and charities in Harris County spent $920 million providing services to the uninsured for which they were not reimbursed, according to 2011 figures. If the Texas Legislature approves Medicaid expansion, at least $645 million and as much as $1.4 billion in federal funding would reach Harris County in 2016 to provide services for many of the currently uninsured, depending on how state leaders would structure the expanded coverage, according to estimates.
Using data from hospitals, the census and current legislative proposals, the report also estimated increases to local tax revenue from expanding services to an additional one million adults, which in Harris County could be as high as $411.5 million over four years starting in 2014.
Elena Marks, a health policy expert at Rice University’s Baker Institute for Public Policy, said federally funded Medicaid expansion is too good to pass up, citing a 2012 study by The Perryman Group titled, “Only One Rational Choice.”
Rather than looking at the flow of federal, state and local tax dollars in health care, that study looked at the overall economic impact of reducing uncompensated care, enhanced productivity from healthier Texans and other multiplier effects. It concluded that every dollar spent by the state on Medicaid would return $1.29 in revenue over the first 10 years of the expansion.
Marks warns, however, that expanding Medicaid would not be enough, hoping that local funds freed by federal and state dollars could go toward improving care.
She points to a federal grant program operated through Regional Healthcare Partnerships that funds innovative improvements to providing primary care, serving at-risk populations and targeting particular diseases.
El Paso and Dallas counties have passed resolutions urging legislative approval, and a network of state non-profits, including Houston’s The Metropolitan Organization, are encouraging others to follow suit.
“American taxpayers already have funded the increased health insurance coverage, but it’s the governor’s decision whether eligible Texans will be allowed access to it,” said Kevin Collins, TMO co-chairman and a Catholic pastor, in a press release about a rally at the state capitol Wednesday. “Access to affordable, quality health care is a fundamental right for all.”
Yes, let’s not forget the Perryman report or the Legislative Budget Board recommendation, either. The usual nattering nabobs are quoted in both stories fretting about the Medicaid match maybe someday being reduced by the Feds (at which point Texas could choose to back out if it wanted to) or Medicaid not being perfect but not addressing any of the points about the economic boon that Medicaid expansion would be or the lives that it would save, and surely not having any viable alternatives because they don’t care about that sort of thing. Oh, they also express concern about there not being enough doctors to handle the influx of new Medicaid recipients, which while valid on its face is deeply ironic coming from the kind of people that crammed tort “reform” down our throats partly on the premise that drastically limiting liability on doctors would lead to a flood of new MDs in our state. So yeah, I don’t really take any of their whining seriously. Even Florida Governor Rick Scott, who was one of the lead plaintiffs in the suit against Obamacare, has agreed to expand Medicaid for at least the first three years, when the feds are picking up 100% of the cost. Dallas County Judge Clay Jenkins, writing in the Trib, has more.