I-185 won’t fund Medicare or traditional Medicaid

Print Article

Montana voters are being asked to make a major policy decision this year that will have long-term effects on the state budget and the tax burden of all Montanans. Iím referring to I-185, the ballot initiative that would make permanent an expensive entitlement program called Medicaid Expansion.

As voters prepare to make this serious choice about the direction of state spending, itís important to understand exactly which programs, and people, are affected.

One major program not impacted by I-185 is Medicare, which covers healthcare costs for the elderly as well as some younger people with disabilities. Medicare is meant to ensure that those who cannot work or have retired after decades of paying into the Medicare system receive the proper care they need.

A second major program not impacted by I-185 is traditional Medicaid, which has been the healthcare safety net for the most vulnerable Americans like low-income pregnant women, single parents, and the disabled. Medicaid has always been a lifeline for those who could not afford health insurance on their own.

The program that is affected by I-185 is Medicaid Expansion. Under the Affordable Care Act (Obamacare), states were authorized to offer Medicaid benefits to a much larger population. In 2015, the Montana legislature enacted the HELP Act, which authorized Medicaid Expansion in the state for a four-year trial basis.

Nearly 100,000 Montanans have participated in Medicaid Expansion. Of those new enrollees, more than 75 percent are working-age adults, and more than half do not have children.

To recap, I-185 does not affect the health programs for Montanans over age 65, or for the recipients of traditional Medicaid. It only affects the relatively new entitlement program, Medicaid Expansion.

And this is the choice Montanans will need to make in November: should we continue to pay for Medicaid Expansion? How, and under what circumstances?

The legislature passed this program on a trial basis with the intention of assessing whether it was effective and if it could be afforded.

However, I-185 completely cuts the legislature out of the process, bypassing them and avoiding the examination of Medicaid expansion originally planned. Instead, I-185 asks the voters to create a permanent statutory appropriationĖ one that might even be unconstitutional, according to the Legislative Services Department.

I-185 leaves the Department of Public Health in charge of the program. Bureaucrats will get to decide how much money they need to fund Medicaid Expansion and spend whatever amount they say is necessary. The measure doesnít contain any requirements for legislative oversight, cost controls, accountability or transparency. Thatís a scary thought, especially in light of healthcare costs spiraling out of control.

Itís also important to note that though I-185 raises nearly $75 million from taxes on tobacco products, only a fraction of this new revenue is dedicated to paying for Medicaid Expansion. I-185 allocates no more than $26 million per year, about 40 percent of the projected cost of Medicaid Expansion, meaning that all Montana taxpayers will be responsible for covering a $34 million unfunded mandate.

It is irresponsible to take away planned legislative oversight of a massive, expensive program and permanently put taxpayers on the hook for a massive permanent appropriation.

We already know that there are problems that need to be fixed in Medicaid Expansion. Itís proven to be nearly twice as expensive as originally estimated. It included a workforce-training program to help enrollees find higher-paying jobs to get them off government assistance, but less than a quarter of enrollees have signed up.

I-185 does absolutely nothing to address these problems; in fact, it makes them worse by bypassing planned legislative oversight.

The bottom line is I-185 would lock into place an immensely expensive program before we have a chance to fix it.

Please join me and vote NO on I-185.

Bob Keenan is a Republican member of the Montana State Senate representing District 5. Sen. Keenan was vice chair on the Health and Human Services Committee in the 2017 legislative session.

Print Article

Read More Editorial

Shop local, dine local to support your small-business heros

November 16, 2018 at 5:00 am | Western News Every year after Thanksgiving, Americans kick off the holiday shopping season with big stores advertising deal after deal. Not long ago, Americans during the holiday season typically would visit loca...


Read More

Let us aim to be a best place

November 09, 2018 at 5:00 am | Western News Days ago, I hunted up the reservoir. It had rained overnight, and larch needles and leaves had been falling. I took a road over a ridge to the south. As I reached the top, the road swung toward the s...


Read More

People of faith must support I-185

November 01, 2018 at 4:04 pm | Western News As people of faith, we believe we have the moral obligation to take care of our neighbors. Often that means helping individuals by donating clothes after a house fire or providing dinner after the lo...


Read More

Libby schools revisiting communication protocol following threat

October 30, 2018 at 5:00 am | Western News For decades, schools across the nation have been receiving threats similar to what we recently found at Libby Middle/High School. Such threats have been created by students for a variety of reasons: ...


Read More

Contact Us

(406) 293-4124
311 California Ave.
Libby, MT 59923

©2018 The Western News Terms of Use Privacy Policy