Politics

States Watching Medicaid Standoff Between Florida, Obama

Published

9 years ago

May 7, 2015

KELLI KENNEDY, Associated Press

MIAMI (AP) — The Obama administration rebuffed Florida’s Gov. Rick Scott’s proposal to extend federal funds for hospitals that treat the uninsured, increasing the pressure on states that have refused to expand coverage for low-income people under the president’s health care law.

The decision means Florida’s already acrimonious state budget process will likely become tenser. The standoff also has implications for eight other states, including Texas, which draw billions of dollars from the same pool of hospital funds. And like Florida, several are also refusing to expand Medicaid coverage. Republican leaders in those states are adamant about not expecting any federal money tied to Obama’s Affordable Care Act.

Florida’s funding is the first to expire on June 30 and Scott has filed a lawsuit, with support from Texas and Kansas, alleging the federal government is breaking the law by coercing states to expand Medicaid in order to get the hospital funds. The hospital funds are an optional program, not entitlement programs like Medicaid, meaning the federal government has broad discretion whether to grant them, experts say.

The snub from the Obama administration came Wednesday when Scott met with Health and Human Services Secretary Sylvia Burwell in Washington. The Republican governor wants the administration to extend $1 billion in low-income pool funds for hospitals, but the federal government wants Florida to expand Medicaid, arguing its more efficient to give people insurance than to pay hospitals for caring for the uninsured retroactively.

Neither side has budged. The gridlock stalled Florida’s legislative session, prompting the House to abruptly adjourn three days early last week. Scott and lawmakers had asked the Obama administration to bypass a roughly two-month-long required public comment and review period and give a preliminary answer on the funds so lawmakers could agree on a budget when they convene for a special session in June. Burwell declined.

The Obama administration also noted in its statement that Florida and other states have known for well over a year that the funds were ending and Florida was granted an extension last year on the condition it seek alternative funding.

It’s unlikely the federal government will drop the hospital funds entirely, but the Obama administration has been clear that those states will get less funding because the Obama administration will not pay for health care for low-income individuals that would be covered in a Medicaid expansion.

Scott told the Obama administration that taking away the money will hurt Florida families, yet the governor refuses to expand Medicaid insurance to more than 800,000 low-income Floridians under a proposal from the Senate that would eventually allow them to buy private insurance.

Two years ago, when Scott was getting ready to run for re-election, he spoke in support of Medicaid expansion, calling it a compassionate and common sense solution. He’s since reversed his position, saying Floridians will have to pay a share of it, and that will mean higher taxes.

The expansion is fully funded by Washington through 2016, and never dips below 90 percent after. That’s well above what the federal government pays now for the regular Medicaid population.

Most Texas Republicans also remain staunchly opposed to Medicaid expansion. The state’s existing five-year, nearly $30 billion Medicaid waiver — which includes the hospital funds — is set to expire in September 2016. Republican leaders in Tennessee’s Legislature also oppose Medicaid expansion, even though Gov. Bill Haslam has pushed for it.

Texas Rep. John Zerwas, an anesthesiologist, supports an alternative to Medicaid expansion that would offer coverage to low-income people. The Republican doesn’t think the hard line approach the feds are taking will change lawmakers’ stance in his state.

“My sense is people will just continue to be, at least in Texas, very opposed to the expansion,” he said.

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Oakland Post: Week of April 24 – 30, 2024

The printed Weekly Edition of the Oakland Post: Week of April 24 – 30, 2024

Published

2 days ago

April 26, 2024

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MAYOR BREED ANNOUNCES $53 MILLION FEDERAL GRANT FOR SAN FRANCISCO’S HOMELESS PROGRAMS

San Francisco, CA – Mayor London N. Breed today announced that the U.S. Department of Housing and Urban Development (HUD) has awarded the city a $53.7 million grant to support efforts to renew and expand critical services and housing for people experiencing homelessness in San Francisco.

Published

1 week ago

April 20, 2024

Oakland Post

Mayor London Breed

FOR IMMEDIATE RELEASE:

Wednesday, January 31, 2024

Contact: Mayor’s Office of Communications, mayorspressoffice@sfgov.org

***PRESS RELEASE***

MAYOR BREED ANNOUNCES $53 MILLION FEDERAL GRANT FOR SAN FRANCISCO’S HOMELESS PROGRAMS

HUD’s Continuum of Care grant will support the City’s range of critical services and programs, including permanent supportive housing, rapid re-housing, and improved access to housing for survivors of domestic violence

San Francisco, CA – Mayor London N. Breed today announced that the U.S. Department of Housing and Urban Development (HUD) has awarded the city a $53.7 million grant to support efforts to renew and expand critical services and housing for people experiencing homelessness in San Francisco.

HUD’s Continuum of Care (CoC) program is designed to support local programs with the goal of ending homelessness for individuals, families, and Transitional Age Youth.

This funding supports the city’s ongoing efforts that have helped more than 15,000 people exit homelessness since 2018 through City programs including direct housing placements and relocation assistance. During that time San Francisco has also increased housing slots by 50%. San Francisco has the most permanent supportive housing of any county in the Bay Area, and the second most slots per capita than any city in the country.

“In San Francisco, we have worked aggressively to increase housing, shelter, and services for people experiencing homelessness, and we are building on these efforts every day,” said Mayor London Breed. “Every day our encampment outreach workers are going out to bring people indoors and our City workers are connecting people to housing and shelter. This support from the federal government is critical and will allow us to serve people in need and address encampments in our neighborhoods.”

The funding towards supporting the renewal projects in San Francisco include financial support for a mix of permanent supportive housing, rapid re-housing, and transitional housing projects. In addition, the CoC award will support Coordinated Entry projects to centralize the City’s various efforts to address homelessness. This includes $2.1 million in funding for the Coordinated Entry system to improve access to housing for youth and survivors of domestic violence.

“This is a good day for San Francisco,” said Shireen McSpadden, executive director of the Department of Homelessness and Supportive Housing. “HUD’s Continuum of Care funding provides vital resources to a diversity of programs and projects that have helped people to stabilize in our community. This funding is a testament to our work and the work of our nonprofit partners.”

The 2024 Continuum of Care Renewal Awards Include:

$42.2 million for 29 renewal PSH projects that serve chronically homeless, veterans, and youth
$318,000 for one new PSH project, which will provide 98 affordable homes for low-income seniors in the Richmond District
$445,00 for one Transitional Housing (TH) project serving youth
$6.4 million dedicated to four Rapid Rehousing (RRH) projects that serve families, youth, and survivors of domestic violence
$750,00 for two Homeless Management Information System (HMIS) projects
$2.1 million for three Coordinated Entry projects that serve families, youth, chronically homeless, and survivors of domestic violence

In addition, the 2023 CoC Planning Grant, now increased to $1,500,000 from $1,250,000, was also approved. Planning grants are submitted non-competitively and may be used to carry out the duties of operating a CoC, such as system evaluation and planning, monitoring, project and system performance improvement, providing trainings, partner collaborations, and conducting the PIT Count.

“We are very appreciative of HUD’s support in fulfilling our funding request for these critically important projects for San Francisco that help so many people trying to exit homelessness,” said Del Seymour, co-chair of the Local Homeless Coordinating Board. “This funding will make a real difference to people seeking services and support in their journey out of homelessness.”

In comparison to last year’s competition, this represents a $770,000 increase in funding, due to a new PSH project that was funded, an increase in some unit type Fair Market Rents (FMRs) and the larger CoC Planning Grant. In a year where more projects had to compete nationally against other communities, this represents a significant increase.

Nationally, HUD awarded nearly $3.16 billion for over 7,000 local homeless housing and service programs including new projects and renewals across the United States.