231), pp 71420-71423, at http://www.gpo.gov/fdsys/pkg/FR-2012-11-30/pdf/2012-29035.pdf. Kaiser Commission on Medicaid and the Uninsured, The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid (Kaiser Family Foundation, October 2013), http://www.kff.org/health-reform/issue-brief/the-coverage-gap-uninsured-poor-adults-in-states-that-do-not-expand-medicaid/. Utah Economic Council, Utah Economic Outlook 2014, http://business.utah.gov/wp-content/uploads/2014UtahEconomicOutlook.pdf. Ward says states like his also can take advantage of savings, because Medicaid expansion makes providing health care to certain groups, like prisoners, more affordable. federal government and in part by the state government. The ballot title for Proposition 3 was as follows:[13], This initiative seeks to increase the current state sales tax rate by 0.15%, resulting in a 3.191% increase in the current tax rate. The bill to restrict Medicaid expansion is moving fast, and could reach the governor's desk as soon as next week. who support a broader social safety net should be wary of this deeply flawed, one-size-fits-all model. UHPP, and our partners in the community, should be ready. Utah does not practice automatic voter registration. federal funding back to our state every year from Washington D.C. money that is already set aside for Utah. states have determined that expansion has boosted their economies, improved health outcomes and Health deadlines pile up as Congress adjourns for August, Top Five Ways to Connect Fragmented Healthcare Data. The Department of Human Services didnt spend another $24.4 million due to similar reasons in long term care services. In Utah, the death rate for influenza and pneumonia is 17 per 100,000, compared to 15 per 100,000 nationally (The Centers for Disease Control and Prevention (CDC), National Center for Health Statistics, Division of Vital Statistics , National Vital Statistics Reports (NVSR) Volume 61, Number 4, Table 19, May 8, 2013, http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_04.pdf). How to run for office | The bill also included provisions establishing a work, volunteer, or vocational education requirement as a condition of coverage; limits on enrollment expenses; and an automatic repeal in place for if the federal government paid any less than 90 percent of costs. In all, state officials expect 70% of Medicaid beneficiaries to be exempt from the work requirements, which Utah refers to as community engagement requirements. [2][3], Utah is an all-mail voting state that offers vote centers for voters that choose to vote in person. little to qualify will have access to Medicaid. Who Is Eligible? Medicaid was established by the As of 2016, around 2.6 million people fell into this coverage gap across the 19 states that did not expand Medicaid. Other topics addressed by legislatively altered initiatives included elections and campaigns, term limits, education, business regulation, law enforcement, minimum wage, taxes, and gambling. From 2010 through 2018, 97 initiated state statutes and two initiated ordinances in D.C. were approved by voters. This initiative The percentage of those opposed to the Medicaid expansion proposed by this initiative increased from October 2017 through February 2018 from 29 percent to 34 percentalthough the opposition dropped two points from November 2017 to February 2018. There is much to watch in Utah looking forward. AARP supports this measure because Proposition 3 allows us to be fiscally responsible and significantly 10:05 Review of Department of Health and Human Services' Health Care Administration Base Budget State and local courts | coverage, based on income, for previously ineligible low-income adults. [11] As the federal government would contribute 90 percent of the funds needed for Medicaid expansion in 2020 and subsequent years, the state needs to use revenue to cover the remaining 10 percent. The FKGL for the ballot summary is grade level 14, and the FRE is 29.5. make adjustments to coverage to keep the program from growing to an unsustainable level. To read more about this bill and the differences between it and the traditional expansion proposed by this initiative, click here. Birth Certificate Homeless Waiver Pilot Expansion Page 6 of 8. . Click here for the Utah State Legislature's statute defining accepted ID to ensure you have the most current information. The Senate concurred with the House's amendments, and the governor signed the bill on February 11, 2019. U.S. figure from Bureau of Labor Statistics, Unemployment Rate (Seasonally Adjusted) (August 18, 2014), http://data.bls.gov/cgi-bin/surveymost?bls. We already have a responsible, compassionate Utah solution to care for our most vulnerable. [37], Proponents of this initiative reported submitting about 165,000 signatures before the deadline on Monday, April 16, 2018. Utah has implemented an online voter registration system. So far, Utah lawmakers remain unconvinced by studies like Ward's. After federal incentives spurring widespread adoption more than a decade ago, EHRs have become the bedrock of clinical data in the healthcare industry. To learn more about the eligibility requirements, click here. The Governors Office of Management and Budget concluded that this program would be fiscally sound. Medicaid is a government-sponsored health insurance program for eligible low-income adults, Medicaid always ends when the recipient makes a dollar above Topics covered: M&A, health IT, care delivery, healthcare policy & regulation, health insurance, operations and more. Let Healthcare Dive's free newsletter keep you informed, straight from your inbox. Utah experienced the third fastest population growth rate of 3.3% from 2010 to 2012.86 Despite a low unemployment rate and high share of individuals with employer-sponsored coverage, more than one in seven Utahans were uninsured prior to January 1, 2014. For more information about Urban/Rural definitions, see: USDA Economic Research Service, Rural Definitions State-Level Maps: Utah (2000), http://www.ers.usda.gov/datafiles/Rural_Definitions/StateLevel_Maps/ut.pdf. His alternative proposal, SB 96, would cap the number of individuals who would qualify for Medicaid, add work requirements and lower the annual income limit. enables Utah taxpayers to expand healthcare access while promoting individual responsibility and smart use of does, is bad policy. Prior to joining U Health, he worked . 3 would mean fewer people getting health coverage, and the state would receive less money from the federal government. . NACHC analysis of the 2011 Uniform Data System. For a listing of participating health insurance companies, see: Healthcare.gov, Health Plan Information for Individuals and Families, https://www.healthcare.gov/health-plan-information/. Proposition 3 is accompanied with a sales tax increase on non-food items equivalent to about In states that did not expand Medicaid, many of these adults fell into a coverage gap in which they neither qualified for Medicaid nor for federal tax credits to purchase health insurance. Governor: 2018 Statewide Ballot Questions, Yes on 3 - Utah Decides Healthcare website, Yes on 3 - Utah Decides Healthcare Facebook, Yes on 3 - Utah Decides Healthcare Twitter, Yes on 3 - Utah Decides Healthcare YouTube, https://voteinfo.utah.gov/wp-content/uploads/sites/42/2020/05/Voter-Registration-Form5-20.pdf, State and local government budgets, spending and finance, Petition drive deadlines and requirements, Changes in 2018 to laws governing the initiative process, https://ballotpedia.org/wiki/index.php?title=Utah_Proposition_3,_Medicaid_Expansion_Initiative_(2018)&oldid=7891747, Pages using DynamicPageList3 parser function, Initiated statute certified for the 2018 ballot, contact our editorial staff or report an error, Conflicts in school board elections, 2021-2022, Environmental, social and corporate governance (ESG) policy, Special Congressional elections (2023-2024), 2022 Congressional Competitiveness Report, State Executive Competitiveness Report, 2022, State Legislative Competitiveness Report, 2022, Partisanship in 2022 United States local elections, Expand coverage to 138 percent of the federal poverty line, Extend expanded coverage and increase tobacco taxes, Expand to 138 percent of the federal poverty line and increase sales tax, Upheld health insurance tax to fund expanded coverage, Voter registration deadline: Oct. 9 (mail), or Oct. 30 (online or in-person). Despite low obesity rates statewide, those who identify as Black or Hispanic (both 26%) are slightly more likely to be obese than those who identify as White (24%).26 Hispanics (32%) are less likely than Whites (39%) or Blacks (38%) to report experiencing frequent mental distress.27 In addition Hispanics (24%) and Blacks (17%) are more likely to report being in fair or poor overall health than Whites (12%).28 Further, Hispanics (16%) and Blacks (15%) are 1.5 times as likely to be binge drinkers as Whites (10%).29, Disparities in access to care also exist in Utah. Read Ballotpedia's entire 2018 ballot language readability report here. How to Apply? South Dakota finished fiscal year 2023 at the end of June with an average yearly Medicaid and Childrens Health Insurance Program enrollment around 146,000 peaking at nearly 154,000 in March and ending around 123,500. National Association of State Budget Officers (NASBO), State Expenditure Report (November 2013), http://www.nasbo.org/sites/default/files/State%20Expenditure%20Report%20%28Fiscal%202011-2013%20Data%29.pdf. a currently valid United States military identification card; one of the following identification cards, whether or not the card includes a photograph of the voter: two forms of identification not listed under Subsection (76)(a) or (b) but that bear the name of the voter and provide evidence that the voter resides in the voting precinct, which may include: a current utility bill or a legible copy thereof, dated within the 90 days before the election; a bank or other financial account statement, or a legible copy thereof; a check issued by the state or the federal government or a legible copy thereof; a paycheck from the voter's employer, or a legible copy thereof; a currently valid Utah hunting or fishing license; a currently valid license issued by an authorized agency of the United States; a certified copy of court records showing the voter's adoption or name change; a valid Medicaid card, Medicare card, or Electronic Benefits Transfer Card; a currently valid identification card issued by: a college, university, technical school, or professional school located within the state; or. entirety, which is estimated to cost over $700 million per year. In Utah, 37.9% of adults reported experiencing frequent mental distress, compared to a US average of 35.6% (KCMU analysis of the Center for Disease Control and Prevention (CDC)'s Behavioral Risk Factor Surveillance System (BRFSS) 2012 Survey Results). That changed Note: A copy of related materials and an audio recording of the meeting can be found at www.le.utah.gov. After six years of talking about Medicaid expansion, voters approved the ballot measure on Nov. 6, with 53 percent in favor. Utah House Bill 128 (2011), http://www.exchange.utah.gov/images/stories/hb0128_-_Legislation_2011_Session.pdf. The ACA accomplishes this through insurance reforms and by establishing new coverage pathways, including the expansion of Medicaid to cover nearly all nonelderly individuals up to 138% FPL ($16,105 for an individual, $27,310 for a family of 3 in 2014), and by providing premium subsidies to most individuals with incomes up to 400% FPL, who are not eligible for other coverage, to purchase coverage on the Health Insurance Marketplace (Figure 9). US Census Bureau, 2010-2012 American Community Survey, County Total Population Estimates. 3 supporters had wanted the coverage available for people who made up to 138 percent of the federal poverty level, or about $16,000 a year. For additional information about FQHCs in Utah compared to the rest of the U.S., see: Peter Shin, Jessica Sharac, and Sara Rosenbaum, The Potential Impact of the Affordable Care Act on Uninsured Community Health Center Patients: A Nationwide and State-by-State Analysis (George Washington University School of Public Health and Health Services, October 16, 2013), http://sphhs.gwu.edu/sites/default/files/GG%20uninsured%20impact%20brief.pdf. care. The report is . "And that factory is going to bring, in the case of Montana, $600 million of outside money into the state that we're going to pay to workers here.". More specifically, the Proposition provides that: Under the Affordable Care Act as it currently exists, the federal government will pay Utah legislators envision a multi-step process to implement their plan to extend Medicaid eligibility to people with incomes below the poverty line ("partial expansion"), as opposed to below 138 percent of the poverty line, as the ACA requires and the full expansion approved by the voters would put in place. State Health Facts, Status of State Action on the Medicaid Expansion Decision, 2014 (August 28, 2014), https://www.kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/. Slonaker says changing the scope of Prop. Ward recently published a report on the economic impacts of Medicaid expansion in Montana during the first two years of that program. Colin Bircumshaw Vicar General, Diocese of Salt Lake City, Patricia Gamble-Hovey Commissioned Minister Holladay United Church of Christ Holladay, Reverend Shesh Tipton Holladay United Church of Christ; Holladay, Reverend Jodi Bushdiecker; Bountiful Community Church United Church of Christ; Bountiful, Ogden; Coalition of Religious Communities, Imam Shuaib Din; Utah Islamic Center; Sandy, Chaplain Vicki Neumann; SLIHN Epiphany Fellowship; Sandy, Reverend Marijke Rossi; First Congregational Church; Salt Lake, Bishop Karen P. Oliveto; Mountain Sky Conference of The United Methodist Church, Reverend Dean Nosek; Price United Methodist Church; Price, Reverend Elizabeth McVicker; Centenary United Methodist Church; Salt Lake, Reverend Kimal James; First United Methodist Church; Marriott-Slaterville, Pastor David Sauer; Aldersgate United Methodist Church; Brigham City, Reverend Michael Chamness; Shepherd of the Hills United Methodist Church; St. George, Reverend Gary Haddock; Community United Methodist Church; Washington Terrace, Reverend Brian Diggs; Executive Director, United Methodist Committee on Relief; West Depot, Reverend Dennis Shaw; Hilltop United Methodist Church; Sandy, Reverend Harold K. Straughn; Salt Lake City, Reverend Russell Butler; Christ United Methodist Church; Salt Lake City, Reverend Marv Vose; Superintendent of the Utah/Western; Colorado District United Methodist, Reverend Cherie Cobb; Mountain Vista United Methodist Church, West Jordan, Reverend Olga Hard; Retired United Methodist Clergy; West Jordan, Reverend Tevita Ofahengaue; Tongan United Methodist Church; West Valley, Reverend Uamuli F. Sua; EFKS New Jerusalem UCC; Midvale, Reverend Vinnetta Golphin-Wilkerson; Granger Community Christian Church; West Valley, Reverend Lorrie Gaffney; Congregational United Church of Christ. use the tax increase described below to pay for Medicaid and CHIP? Christopher Gray St. Mary of the Assumption Catholic Church, Park City, Rev. The full text of the initiative is available here. John Holahan, Rebecca Peters, and Kevin Lucia, The Launce of the Affordable Care Act in Selected States: Insurer Participation, Competition, and Premiums (Robert Wood Johnson Foundation and Urban Institute, March 2014), http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2014/rwjf411402/subassets/rwjf411402_3. Additionally, approximately 20,000 children who are currently eligible for GOMB explicitly warned in its fiscal estimate that Proposition #3 could be fiscally unsound in future years.. The 10 percent state match needed to trigger federal funding for Medicaid expansion would come Patrick Elliot Retired, Salt Lake City, Rev. Individuals businesses, and provide life-saving healthcare to individuals earning less than $17,000 annually. [10], Proposition 3 was designed to require the state government to provide Medicaid to persons under the age of 65 and with incomes equal to or below 138 percent of the official poverty line. What was the status of Medicaid and Obamacare in Utah? Coronavirus is back, but how worried should you be? On Saturday (7/27/19), federal officials announced they do not intend to approve a key element of SB 96 phase two implementation, that is, the request to increase federal cost-sharing for Medicaid expansion from 70% to 90% to serve the coverage gap population. [14], The following legislators were listed in the official argument against Proposition 3 as opponents to the initiative:[21], Utah Governor Gary Herbert (R) said, "Medicaid is the budget-buster of all budget-busters in our state budget. Thirty-three states have already expanded Medicaid, resulting in substantial job benefits and economic growth Public Consulting Group, State of Utah Medicaid Expansion Assessment: Impact Analysis: 2014-2023 (May 2013), http://www.health.utah.gov/documents/PCGUtahMedicaidExpansionAnalysis.pdf. [35], During the 2018 session, the Utah State Legislature passed a billHouse Bill 472with a modified Medicaid expansion plan. "They are not obligated to balance the budget," he argues. Dan Jones & Associates conducted a series of polls on Medicaid expansion in Utah. The states with the most total cases of legislative alterations of initiatives approved since 2010 were Mainewith four initiatives altered out of eight approvedand Colorado and Oregoneach with three initiatives altered out of five approved. The ACA was designed to decrease the amount the federal government covers to 94 percent in 2018, 93 percent in 2019, and 90 percent in 2020 and subsequent years. United Health Care Foundation, Americas Health Rankings: State Ranking Overview: 2013 (2013), http://www.americashealthrankings.org/reports/annual. For a list of U.S. National Parks by state, see: http://www.listofusnationalparks.com/national-parks-list-by-state/. Please donate here to support our continued expansion. Martha Heberlein, Tricia Brooks, Joan Alker, Samantha Artiga, and Jessica Stephens, Getting into Gear for 2014: Findings from a 50-State Survey of Eligibility, Enrollment, Renewal, and Cost-Sharing Policies in Medicaid and CHIP, 2012-2013 (January 2013), http://www.kff.org/medicaid/report/getting-into-gear-for-2014-findings-from-a-50-state-survey-of-eligibility-enrollment-renewal-and-cost-sharing-policies-in-medicaid-and-chip-2012-2013/ and Federal Register, January 21, 2014 (Vol 79, No. That money supported about 6,000 jobs, he adds, or about $350 million in additional income for residents. Utah also requires eligible Medicaid recipients to enroll in employer-sponsored health insurance if it is available to them, with Medicaid picking up the tab for premiums and other out-of-pocket expenses. Expanding Medicaid eligibility as originally envisioned by the Affordable Care Act (Obamacare), as this initiative Verdict reached in trial of cop who placed woman in patrol car hit by train, 'Truly Very Sorry': Family of Fallen Marine Apologizes After Congressman Claims Pentagon Charged Them for Remains Transfer, The Great Post-Pandemic Medicaid Purge Continues, Paperwork problems drive surge in people losing Medicaid health coverage, Health care, not handcuffs, says NC governor in pitch for Medicaid expansion funding, Centene aims to enroll back some lost Medicaid members, Republicans want to cut food assistance for 5 million low-income babies and parents. Vote YES on Proposition 3.[14]. To the contrary, The limited expansion would have made an estimated 70,000 additional people eligible for Medicaid, compared to 150,000 additional covered people under traditional expansion to 138 percent of the federal poverty line.[4][10][36]. by the federal government and in part by the state government. One committeeUtah Decides Healthcarehad registered in support of this initiative. Its a discussion legislators have had with the state Department of Social Services many times, said Rep. Linda Duba, D-Sioux Falls.

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