Florida Gov. Rick Scott reverses stance on Medicaid. Win for White House? (+video)(Read article summary)
An early 'Obamacare' foe, Republican Gov. Rick Scott announced his support for expanding Florida's Medicaid program. The move pits him against conservative governors with different plans.
Florida Gov. Rick Scott on Wednesday said he will support expansion of his stateâ€™s Medicaid program to cover an additional one million low-income Floridians. It was a sudden and complete position reversal for GOP Governor Scott, who has been a fierce opponent of President Obamaâ€™s Affordable Care Act, which generously subsidizes Medicaid expansions as a major means of providing more Americans with health insurance nationwide.
Scott said that he had gained a new perspective on the issue following his motherâ€™s death last year.
â€śBefore I ever dreamed of standing here today as governor of this great state, I was a strong advocate for better ways to improve healthcare than the government-run approach taken in the Presidentâ€™s health-care law,â€ť he said at a news conference. â€śI believe in a different approach. But, regardless of what I or anyone else believes, a Supreme Court decision and a presidential election made the presidentâ€™s health-care mandates the law of the land.â€ť
Wow. In terms of political health-care news, this is about as big as it gets. Is Scottâ€™s decision a major victory for the White House?
Maybe. We qualify the statement only because Scottâ€™s move does not make Florida Medicaid expansion a done deal. The legislature must still approve it, and thatâ€™s not certain. The speaker of the Florida House, Will Weatherford, insisted to National Review Online Thursday that his chamberâ€™s support is far from assured.
Republican Weatherford, who opposes to the move, says a bipartisan select committee of state lawmakers is now looking into the matter. â€śItâ€™s completely incumbent on the legislature,â€ť he told NROâ€™s Betsy Woodruff.
Still, if Scottâ€™s decision prevails it will be a major blow to the hopes of conservative Republicans who are aiming to curtail or derail â€śObamacareâ€ť via state inaction. On Thursday they were describing Florida Medicaid expansion as the equivalent of a white flag of surrender, given that Scott had campaigned and won office as a committed Obamacare foe. Scott had vowed to not expand as recently as last July, when the Supreme Court ruled that states did not have to make such a move.
But at the moment the Florida governorâ€™s approval ratings are abysmal, in the 30 percents, and heâ€™s facing a tough reelection bid in 2014. Thatâ€™s what swayed his decision, according to many on the right.
â€śMight as well let Florida roll that rock up the hill and take advantage of Governor Scottâ€™s terrible mistake,â€ť Erickson wrote.
Medicaid is a giant state/federal entitlement program which has long covered medical costs for the lowest income Americans. Under terms of Obamaâ€™s health-care law, states that raise eligible incomes to 138 percent of the poverty line and allow many more participants in the program will have their additional costs picked up by Washington for three years. After that the federal government has said their subsidy will cover 90 percent of state costs.
Currently, Washington pays only half the cost of Medicaid programs, so the expansion is a fiscal good deal for states, particularly those such as Florida, which have a high percentage of uninsured residents. Conservatives see the expansion as creeping federal control, however, and point out that in an era of curtailed government spending Washingtonâ€™s proffered subsidies could easily disappear.
Scottâ€™s decision only adds to the perception that Republican governors are split into two camps over dealing with the ACAâ€™s provisions, Politico pointed out Thursday. On one side are pragmatists such as New Jerseyâ€™s Chris Christie, Ohioâ€™s John Kasich, and New Mexicoâ€™s Susana Martinez. All represent states won by Obama in 2012, and all have agreed to Medicaid expansion.
â€śItâ€™s an intra-party struggle that mirrors the same fight thatâ€™s engulfed the Republican Party since Election day, pitting anti-Obama hardliners against those concerned with appealing to a broader swath of voters,â€ť wrote Politicoâ€™s David Nather and Jason Millman.
For the anti-expansion holdouts one problem is that rejecting Washingtonâ€™s Medicaid subsides does not lower their residentsâ€™ federal taxes. So Texans, Louisianans, and South Carolinians will help foot the bill for Floridaâ€™s new Medicaid beneficiaries without getting any US largesse in return.
â€śPerhaps all states declining to expand would be better than no states declining to expand, but if some states expand and others donâ€™t you clearly want to be among the expanders,â€ť he wrote.