Milwaukee Journal Sentinel

Wisconsin elected officials remain divided on Obamacare

Movement to scrap ACA continues in pandemic

- Allison Garfield

MADISON - The Affordable Care Act is back in the headlines, but Wisconsin’s elected officials remain as divided as ever over the issue, even in the midst of the COVID-19 pandemic.

The Trump administra­tion urged the Supreme Court to overturn the Affordable Care Act late last month just as counties across Wisconsin saw a bump in new coronaviru­s cases.

If the act, also called Obamacare, were to be repealed, some 20 million Americans could lose health coverage. Additional­ly, protection­s for people with preexistin­g health conditions would be put at risk.

Millions of individual­s have lost their jobs because of the pandemic — and as a result some also lost their jobbased health coverage.

In Wisconsin, as in much of the country, the act has divided elected officials.

“It’s unfortunat­e that in the midst of a global pandemic Republican­s are still working in earnest to take health care away from millions of Americans, including 2.4 million Wisconsini­tes who have preexistin­g conditions,” Democratic Gov. Tony Evers said in a statement. “Health care should not be a privilege afforded to the healthy and wealthy.”

Assembly Speaker Robin Vos, RRochester, has said Evers’ plan to make health care more available in Wisconsin under the Affordable Care Act would amount to a “massive welfare expansion.” But he isn’t in full support of the Trump administra­tion’s move to overturn the program.

“There are parts of the Affordable Care Act that have been good for our country,” Vos said in a statement. “Congress should work with the Trump administra­tion to keep the positive provisions, like pre-existing condition protection­s.”

Republican­s who control the Legislatur­e have repeatedly blocked Evers’ plans to expand Medicaid under the Affordable Care Act. It was one of Evers’ top campaign issues and he has touted surveys that show 70% of the public supports it.

Expanding Medicaid would allow the state to insure more people and to have the federal government pick up more health care costs. State taxpayers have covered more than $1 billion in costs over the years that would have been paid for by the federal government if the state had expanded Medicaid.

“There are parts of the Affordable Care Act that have been good for our country. Congress should work with the Trump administra­tion to keep the positive provisions, like pre-existing condition protection­s.” Assembly Speaker Robin Vos R-Rochester

Medicaid enrollment is up

From February to June, enrollment rose by nearly 85,000 for BadgerCare Plus, one of the state’s main Medicaid programs. That put enrollment at about 862,000.

For the same time frame last year, enrollment went up by about 6,000. An additional 195,498 Wisconsin residents are enrolled in the ACA’s individual market plans.

The increase is due in part to policies implemente­d in response to the COVID-19 pandemic, the state Department of Health Services said.

For instance, no participan­ts can be removed from state programs during a national public health emergency, unless they leave the state or decline benefits. So while new individual­s are being added to BadgerCare Plus, very few are leaving.

Sina Wirts was laid off from her job of 15 years at a Poynette bar in early March. She lost her health insurance.

While she spent months waiting for her unemployme­nt benefits to go through, she applied for BadgerCare Plus. Her applicatio­n went through without hassle, calming some of her anxieties caused by the pandemic.

“I am almost 60 years old and have never seen anything like this,” Wirts said.

Now, she’s able to return to work, but business has been slow. She said she’s worried another shutdown will wipe out the bar — and her livelihood.

“(I’m) not sure how long I will be able to keep this health insurance. I used all my savings the last time,” Wirts said. “I am now saving every dime I can.”

Oklahoma shifts to expansion

Last week, Oklahoma voters approved expanding Medicaid to tens of thousands of low-income residents under the Affordable Care Act. The state is the first to amend its constituti­on to do so.

Oklahoma is similar to Wisconsin: both have Republican-controlled legislatur­es that have resisted Medicaid expansion for years.

But adopting such a plan here appears all but impossible. Republican lawmakers have fiercely opposed the idea and any attempt to change the Wisconsin Constituti­on would require their approval.

Democrats have a shot at taking over the U.S. Senate this fall, and if they do they could put more pressure on Wisconsin and other states to expand Medicaid.

Last week, the House of Representa­tives passed a bill mostly on party lines that would reduce federal funding for Medicaid for states that hadn’t expanded their programs. The bill won’t advance in the Senate but could gain traction if the Democrats win the chamber this fall.

The measure is aimed at inducing states to expand Medicaid.

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