Citizen groups voice concerns about Medicaid expansion

A few days after the Republican-controlled House of Delegates reached a bipartisan compromise on Medicaid expansion, both conservative and progressive citizen groups are voicing their concerns.

The proposal, HB 338, would require “able-bodied adult” individuals seeking Medicaid to fulfill a work requirement – to pursue training, employment, education, or “other community engagement opportunities” – in order to obtain health care coverage. The work requirement would not apply to children, or to adults who are over 65, have certain disabilities or are the primary caregiver for a dependent.

The Family Foundation, a Richmond-based grassroots conservative organization, urged residents in a blog post on Tuesday to contact their delegates and voice their opposition to the notion of expanding Medicaid.

“After eight years of holding the line and refusing to ‘take the bait’ for a massive federal power grab, corresponding spikes in healthcare costs, and virtually guaranteed new tax liabilities for hardworking Virginians, the House plan would now capitulate to the specious promise of ‘free money’ from the federal government to pay for healthcare,” the post said.

The organization acknowledged that more Virginians will receive care under the plan but argued that it would come at a cost to taxpayers.

“While tax increases may not be immediate, they are inevitable if this policy goes through,” the post said.

Progress Virginia, a liberal advocacy organization, also spoke out against the proposal, but for different reasons. It argued that while the House plan to expand Medicaid is a step in the right direction, the work requirement is a cause for concern.

“From the outset, we have opposed attempts to put punitive barriers between Virginians and access to care,” the organization stated in a press release on Sunday. “We have serious reservations about language in the House budget that puts financial restrictions on families’ access to care, premises access to care on the ability to find a good-paying job, or locks our friends and neighbors out of access.”

In a blog post, Progress Virginia argued that work requirements are ineffective and ultimately make health care harder to obtain. The organization also urged progressives to contact their delegates in support of a “clean Medicaid expansion” – Medicaid expansion without the work requirement.

“People have to be healthy in order to work, but that isn’t possible when they don’t have health insurance and can’t see a doctor when they need to,” Progress Virginia said. “Work requirements don’t create jobs or raise wages – they put onerous and punitive requirements between our friends and neighbors and the healthcare they need.”

Gov. Ralph Northam said that while he supports a more “straightforward” expansion of Medicaid, he is willing to compromise with Republicans.

“I respect the priorities of the House majority and I am encouraged by and supportive of our work together to bring about a new ‘Virginia Way’ on Medicaid,” Northam said in a statement on Sunday.

“I look forward to working with the House and Senate to finalize this proposal, ensure its passage and pursue an implementation plan that will provide the benefits of expanded coverage to Virginia families.”