Dunleavy Legally Obligated to Accept Medicaid Expansion Funds
JUNEAU, AK—Representatives Tiffany Zulkosky (D-Bethel), Zack Fields (D-Anchorage), and Ivy Spohnholz (D-Anchorage) released a memorandum from the non-partisan Division of Legal and Research Services confirming that the Governor of Alaska is legally obligated to accept federal funding to cover the Medicaid expansion population in Alaska. The memo’s authors note that the governor cannot simply eliminate funding for Medicaid expansion by refusing to receive federal funds. The memo goes on to stipulate that any restriction on how Medicaid funds are to be spent must be made by statute – not the budget.
“Expanding Medicaid access to Alaskans just barely above the poverty line was the right and moral thing to do, and it is the right thing for Governor Dunleavy to continue. Eligibility, cost, and access should not be barriers to advanced medical care that protects the life and limb of our friends and neighbors,” said Rep. Zulkosky. “The federal funding that Medicaid expansion brings to our state provides essential resources that help thousands of Alaskans remain in the workforce or to get back into it. Those dollars enable hospitals across the state to continue offering local, accessible, and comprehensive care. Hopefully, Governor Dunleavy will follow the advice of the legal and healthcare experts by keeping Medicaid expansion in place in Alaska. “
“Medicaid expansion is essential for our state’s efforts to control health care costs and fight crime by expanding addiction treatment. Medicaid expansion has reduced the cost of uncompensated care at hospitals, which saves money for Alaskans who are covered by private health insurance. Alaska’s leading business organizations advocated for Medicaid expansion based on a need to reduce uncompensated care and bring new investment to the state,” said Rep. Fields.
“The evidence is clear that Medicaid expansion is good for Alaska, good for our economy, and Alaskans support it. If Governor Dunleavy wants to end Medicaid expansion, he needs to file a bill and convince lawmakers it’s the right thing to do. Medicaid expansion has insured 37,000 working Alaskans and has been a lifeline for our economy through the recession. A recent analysis found that eliminating Medicaid Expansion in Alaska would cost Alaska’s economy nearly 3,700 jobs, $267 million in annual labor income, and $556 million in annual total economic output under State Fiscal Year (SFY) 2018 conditions. That’s not a cost Alaskans should be willing to accept,” said Rep. Spohnholz.
Medicaid expansion in Alaska started in 2015 and has brought nearly $1 billion in federal investment to the state while ensuring 37,000 Alaskans have health insurance. Since expansion was implemented, health care is the only industry sector in Alaska that has consistently added jobs, moderating the impact of the ongoing recession brought on by low oil prices.
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The Alaska Marine Lifeline
The current conversation Alaskans are having was spurred by Governor Mike Dunleavy’s initial budget proposal for 2020, which would cut funding to the AMHS by 75 percent and essentially end most operations by October.