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Congressman Gene Green

Representing the 29th District of Texas

Rep. Gene Green Introduces Bill to Incentivize Medicaid Expansion in States

May 25, 2017
Press Release

WASHINGTON, DC – Today, Representative Gene Green (TX-29), Ranking Member of the Health Subcommittee on the House Energy and Commerce Committee, joined by Representative Cedric Richmond (LA-02), introduced the Incentivizing Medicaid Expansion Act. Contrary to efforts by Republican-controlled Congress to repeal Medicaid expansion, this language will double-down on the federal commitment to this population by giving all states three years of full federal funding when they expand Medicaid under the Affordable Care Act (ACA).

“Expanding Medicaid is as much of a good deal for states as it is for patients. In our District alone, over 46,000 residents would gain coverage if Texas expanded Medicaid,” said Green. “Under the ACA, expansion comes at a minimal cost to the states with the federal government financing 100 percent of expansion costs for the first three years, and after that, no less than 90 percent on a permanent basis. This bill would allow non-expansion states who expand now or in the future to receive 100 percent funding for three years from the date of expansion, as was envisioned under the ACA.”

In choosing not to expand Medicaid, Texas has missed out on $9.22 billion in federal funds. Medicaid expansion would have increased gross state product and led to an increase of 100,000 jobs per year. At the same time, hospitals are baring billions in annual cost for treating uninsured patients. In turn, those uncompensated costs are being covered by taxes and insurance premiums paid by the state's businesses and residents, who are also footing the bill for expanding Medicaid in states that agreed to accept federal funds to offer coverage to nearly all low-income adults.

“The results are in and they prove that ACA is working,” said Richmond. “Medicaid expansion has provided more than 428,000 previously uninsured people in Louisiana with the peace of mind of quality health care. We should build on this progress rather than tear it down, and provide states that expanded late with the full federal support intended when the law was written. Our goal should always be to cover more people, not less.”

Read the bill text HERE