Trinity Health Systems will lose money if Iowa does not adopt the Medicaid expansion included in the federal Affordable Care Act.
Commonly called Obamacare, the health care reform passed in 2010 initially forced all states to expand Medicaid. The law was challenged and reviewed by the U.S. Supreme Court, with the act surviving but the Medicaid expansion optional for states.
Illinois plans to follow that portion of the bill. But if Iowa does not, Trinity is expecting a $2 million annual cost just for the Bettendorf facility for treating uninsured and under-insured patients, Rick Seidler, Trinity president and CEO said Friday afternoon.
Mr. Seidler explained the effects of the decision with Iowa state Reps. Phyllis Thede, D-Bettendorf, and Frank Wood, D-Eldridge, and state Sens. Chris Brase, D-Muscatine and Rita Hart, D-Wheatland.
"Without that expansion, we're afraid there's no safety net," he said.
Mr. Seidler said the Medicaid expansion is an integral part of the federal health care package. Leaving it out, he said, would weaken the whole framework provided under the law.
A bill outlining the adoption of Medicaid expansion has left an Iowa Senate committee, but action is still needed by the full Senate, as well as the Iowa House of Representatives.
It also must be signed by Gov. Terry Branstad who has presented his own proposal called the Healthy Iowa Plan to provide healthcare to the poor, according to the legislators at Friday's meeting.
A news release on the governor's website provided some details of the plan, but there is no statement directly calling it an alternative to the Affordable Care Act's Medicaid expansion. Instead, the plan is described as using a "sustainable financing strategy that provides hardworking Iowa taxpayers with budget certainty."
"The proposal fits within Branstad's two-year budget and five-year budget projection with a total funding pool of $162 million," the site states."New funding for the plan comes through Medicaid savings created by synchronizing traditional Medicaid eligibility with benefits available through the Affordable Care Act.
"The savings is redirected to covering uninsured Iowans at or below the poverty level."
The plan targets about 89,000 Iowans identified as uninsured who also earn less than 100 percent of the federal poverty level, the March 4 release states.Iowans above that level would get tax credits to help buy private health insurance, according to an additional report included with the release.
The legislators and Mr. Seidler expressed concerns about the measure, mainly because the entire plan has yet to be unveiled.Mr. Seidler said that, based on what he knows of it so far, he does not know if it would have the required funds to cover all those needing care.
More on Gov. Branstad's plan can be found at https://governor.iowa.gov/2013/03/branstad-reynolds-to-implement-modernized-health-care-program/ .
Today is Thursday, July 31, the 212th day of 2014. There are 153 days left in the year.
1864 -- 150 years ago: A corps of surgeons now occupies the new hospital quarters at the Garrison Hospital on the Rock Island Arsenal. A fence has been installed to enclose the prison hospital. 1889 -- 125 years ago: B. Winter has let a contract to Christ Schreiner for a two story brick building with a double store front on the south side of 3rd Avenue just west of 17th Street. The estimated cost was $4,500. 1914 -- 100 years ago: Germany sent simultaneous ultimatums to Russia and France, demanding that Russia suspend mobilization within 12 hours and demanding that France inform Germany within 18 hours. In the case of war between Germany and Russia, France would remain neutral. 1939 -- 75 years ago: Civil service offices at the post office and the Rock Island Arsenal were swamped as more than 700 youths sought 15 machinist apprenticeships at the Arsenal. 1964 -- 50 years ago: Last night, American Legion Post 246 in Moline figuratively handed over the trousers to a female ex-Marine and petticoat rule began. Olga Swanson, of Moline, was installed as the first woman commander of the post . 1989 -- 25 years ago: The Illinois Quad City Civic Center captured the excitement and interest of a convention of auditorium managers this weekend in Reno, Nev. Bill Adams, civic center authority chairman, said the 10,000-seat arena planned for downtown Moline has caught the eye of construction firms, suppliers, management teams and concession groups.