State's Medicaid Reductions Getting Focus Of Lawmakers

North Carolina's Medicaid program is struggling to reach $356 million in cuts required by the state budget written by the Republican-led General Assembly.

Officials in Democratic Gov. Beverly Perdue's administration were expected Thursday to tell the Legislature's chief government oversight committee why the program faces a nearly $140 million cash shortfall this year.

The state Department of Health and Human Services says in a presentation posted on the committee's web page that regulatory approval delays, slow enrollment for managed care and outstanding federal government repayments are contributing to the shortfall.

GOP lawmakers have said state regulators should press the Obama administration to approve more quickly state changes to the Medicaid plan to accelerate savings.

Perdue vetoed the budget that contained the Medicaid cuts. The Legislature overrode the veto.


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States say they need the help largely because the federal stimulus, which provided states billions of dollars, ended this summer.

North Carolina has ended vision care for adults on Medicaid, according to Kaiser Health News.

Hawaii plans to cut medicaid hospital stays to 10 days a year beginning in april, and arizona will limit stays to 25 days a year starting at the end of this month.

Advocates for hospital executives say the move will restrict access to health care and increase insurance costs for privately insured patients.

The national association of state budget officers estimates state medicaid spending will rise 19 percent for fiscal year 2012 which begin July 1st.


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  • by bill Location: ENC on Oct 27, 2011 at 04:54 AM
    They can recoup some of this money by requiring people on unemployment and welfare to take drug test. If they fail transfer the money to this fund and not spend it on other programs.
    • reply
      by Anonymous on Oct 27, 2011 at 08:58 AM in reply to bill
      Also all the people on medicaid that run to the expensive ER with a paper cut or because the sneezed, make them pay the bill. Most are not emergencies.
  • by ace Location: j ville on Oct 27, 2011 at 04:48 AM
    She (Bev) could save 10% of this by not going to china or sending people to Europe on so called business trips!
  • by D.Jackson on Oct 26, 2011 at 10:28 AM
    Believe me when I can sell my house I worked and bought in USA I will gladly go as you self righteous bigots are discusting cant wait to get where people have manners and real christain values Til then I Will occupy here and excercise my rights as an american citizen you and likes of you dont own this country D Jackson Amnesty International USA/Ireland ps get saved
  • by D.Jackson on Oct 25, 2011 at 07:27 PM
    To cut medicaid is discrimination of the poor and working people those who have no health insurance have to die do we?Genocide next eh?I was born in USA Beaufort County but have a dual citizenship UK and North Ireland. I can be denied medical help in my country of birth but fly to North Ireland and have medical help.Whats wrong with this picture?Seems the ones all in favor of no medical plan for us has medical,has jobs or some just happy getting welfare and student loans.Us workingclass whos worked all our lives deserve to live don't we?Yet in America there are people dying cause they havent medical insurance and some dying cause they cant afford their medicine.Easy to judge when not you isnt it and before you slam us with your self righteous religious bigotry What would Jesus Do? He would be turning over the tables of the money changers.
    • reply
      by What?? on Oct 26, 2011 at 03:28 AM in reply to D.Jackson
      Your post is so far off base, I won't even justify it with a response. Just keep in mind, if the UK and North Ireland will treat you better than the U.S., please feel free to leave, noone is keeping you here.
      • reply
        by DJackson on Oct 26, 2011 at 10:37 AM in reply to What??
        You haven't a clue you probally never been any farther than Virginia.You are rude and self righteous I am a citizen of USA and have rights aswell and when I sell my house I worked for and bought It will be my pleasure to leave And I know I am free to do what I choose til then.Til I will say to you in Irish Heireann go bragh tiocfaidh ar la pogue mahone figure that out genius meantime get saved OCCUPY
        • reply
          by What?? on Oct 27, 2011 at 06:21 AM in reply to DJackson
          Wrong, as liberals usually are. I am from NY and have been all over the United States. I have no desire to leave this country, even with Obama, it is the greatest nation in the world. Don't bother to send a post card when you return to Ireland and when you are in the U.S. have the common decency to speak and post in English, thank you.
    • reply
      by Get real on Oct 27, 2011 at 04:42 AM in reply to D.Jackson
      I don't have health insurance and if I cannot afford something as far as medical care, I don't get it. Why should others pay my medical bills? Forcing other to do that makes them slaves. Stealing from others is not right no mater who you are. Stealing is what you do when other are forced to work to support you be it medicaid, welfare, foodstamps, student loans that are not repaid, etc. If people want to give let them give to the churches and let the churches help the people that really need the help and stop forcing people to be slaves.
  • by Barlow Location: Winterville on Oct 25, 2011 at 06:00 AM
    Well, no problem because the free market will take care of this right, Snake? Those who have will get and the rest, well...And this is the best healthcare in the world? lol. The best money can buy, have it you live, don't you die.
    • reply
      by Polls on Oct 25, 2011 at 07:30 AM in reply to Barlow
      Rasmussen, which you now are calling yet another childish "nickname" (grow up Barlow), doesn't even show a bump for your community organizer this week, what happened? As a matter of fact the congressional numbers are even going down for the democrats. How is the hope and change thing working out for the democrats Barlow? Did you possible set your "bar" too "low" when you elected this idiot? I think so, but don't be concerned, the republicans will bail out the democrats mess when they take over the white house in 2013, they always do!!
      • reply
        by Barlow on Oct 25, 2011 at 07:44 AM in reply to Polls
        I thought the article was about healthcare, but if you want to talk about popularity polls, Congress has a 12% approval rating. How does Obama's compare to that?
        • reply
          by Polls on Oct 25, 2011 at 08:41 AM in reply to Barlow
          Obama's approval ratings are still tanking Barlow, because of what he has done to the healthcare industry, the economy, home ownership, etc. etc. etc., the list goes on and on. As far as congressional overall approval rating, you are correct, HOWEVER, there are still more that would vote for the republicans in congress because they are the only ones holding Obama back from more frivelous, hand out spending policies that put us where we are to begin with.
        • reply
          by Polls on Oct 25, 2011 at 08:43 AM in reply to Barlow
          One more thing, Obama only has a rating of 18% who strongly approve, so in reality, he is not doing a whole heck of a lot better than the congress.
    • reply
      by REM on Oct 25, 2011 at 08:14 AM in reply to Barlow
      The government refuses to allow the free market to exist, so no. Healthcare, believe it or not, is still a luxury of a civilized and first world nation. The entitlement mentality has brought this country to it's knees, and this is yet another fine example. But I'm wasting my time telling you this because you worship the Obama and big government shrine every day. You think they should literally control every aspect of our lives...
      • reply
        by Barlow on Oct 25, 2011 at 09:04 AM in reply to REM
        In most civilized western nations healthcare is a right not a luxury. Somethings should not be for sale to the highest bidder.
        • reply
          by REM on Oct 25, 2011 at 09:40 AM in reply to Barlow
          So doctors should dedicate their lives to work without pay? Slaves essentially? The best way to keep costs low is to keep competition high; and the government sticking their noses where it doesn't belong ALWAYS drives up prices and lowers quality. Sad that you and a lot of others can't understand this. Same thing with education.
        • reply
          by Obama Snake Oil Co on Oct 25, 2011 at 11:27 AM in reply to Barlow
          You mean in those socialist civilized nations that have no more money to spend....they simply ran out of rich peoples money and are now burning the cities? Yeah, we heard of those. You really should find out "how to use google" or some other search engine. You would be better informed if you would start watching a real news station like Fox. You know, the number one with the number one show, O'Reilly? And that Glen Beck TV...awesome dude! All of his predictions to the Days of Rage in Wall street are dead nuts as usual. And Soros, poor guy, cannot find any garbage on him to post at mediamatters....think of all those millions he has spent...poor billionaire...
  • by Terry Location: Kinston on Oct 25, 2011 at 05:10 AM
    Obama care at it's finest!
    • reply
      by Voter on Oct 25, 2011 at 09:12 AM in reply to Terry
      You have NO clue. This has nothing to do with health care reform, this is WHY we needed health care reform that wasn't blocked and altered by the Republicans.
      • reply
        by Educated Voter on Oct 25, 2011 at 09:34 AM in reply to Voter
        I believe it is YOU "Voter" who has NO clue. Obamacare is the cause of alot of the problems with the economy today. Does the system need reform, no doubt, does it need Obamacare, absolutely NOT! Go read up and educate yourself on the cost of Obamacare to the taxpayers alone, then come back and talk about the advantages of this disaster of a health care bill after you have at least somewhat educated yourself on the topic.
        • reply
          by spin free on Oct 25, 2011 at 01:18 PM in reply to Educated Voter
          Really, GENIUS? how could the heath care reform bill affect the current economy when the majority of the measures take effect after 2012? Yea I guess extending coverage to children and closing the medicare donut hole cost millions of jobs and promoted home foreclosure. LOL
        • reply
          by Educated Voter on Oct 25, 2011 at 01:51 PM in reply to Educated Voter
          Well, GENIUS, it is really pretty simple. Employers are not hiring because they have no clue exactly what it will cost them to employ people when/if Obamacare takes effect and I am sure they are afraid of being sued if they lay off due to lack of funds caused by Obamacare. Is that simple enough for you?? Probably not.
      • reply
        by REM on Oct 25, 2011 at 09:41 AM in reply to Voter
        So we should have passed yet another bill that gives the federal government control over something that is completely contrary to the United States Constitution?
  • by Obama Snake Oil Co Location: Washington on Oct 25, 2011 at 04:50 AM
    Like I posted before, temporary stimulus for this kind of thing was asking from trouble. Now, we have trouble...
    • reply
      by Anonymous on Oct 25, 2011 at 09:11 AM in reply to Obama Snake Oil Co
      So if this had happened two years ago it would have been better? At least we know Donald Trump can afford more caviar on his yachts now.
      • reply
        by REM on Oct 25, 2011 at 09:42 AM in reply to
        So much animosity towards the rich, it's unbelievable! If you want to be wealthy, then YOU work hard just like they did! Oh wait, you want it for free, want it now, and want someone else to pay and work for it...
    • reply
      by Dawg on Oct 25, 2011 at 09:14 AM in reply to Obama Snake Oil Co
      And now they want to do the same with teachers, fire fighters and police officers with the new stimulus.
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