Maine governor defies ballot initiative expanding Medicaid

 In Politics

Maine residents voted decisively last fall to expand the state’s Medicaid program. But almost six months later, Gov. Paul LePage, a tea party Republican, still refuses to take action as the state’s legislative session winds down, putting the Obamacare coverage program in doubt.

LePage, a tea party Republican who’s derided Medicaid expansion as a “boondoggle,” for years vetoed bills to join the program. Frustrated state lawmakers thought they finally found a way around the recalcitrant governor last November, when nearly 60 percent of Maine voters approved the first-ever ballot initiative on Medicaid expansion.

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“That we have had to fight this battle time and again is discouraging,” said Andi Parkinson, an organizer with the nonprofit Kennebec Valley Organization.

The ballot initiative made Maine the 32nd state to embrace Medicaid expansion and one of the rare states to do it as the Trump administration pushes unprecedented new restraints on the program, including work requirements for some.

Undeterred by Maine’s fight, however, health care advocates are backing similar ballot initiatives in other Republican-led states this year, hoping that voters will override conservative governors and legislatures. Ballot measure campaigns are underway in Idaho, Nebraska and Utah. Meanwhile, Virginia‘s legislature is the only statehouse where lawmakers are seriously debating Medicaid expansion this year.

LePage, now in his last year in office, has insisted he won’t green-light expansion, which is expected to cover 80,000 low-income Maine adults, unless state lawmakers meet his conditions for funding the program that he contends could otherwise bankrupt the state. As chances of a deal with LePage dwindle, the organizers of the Maine ballot initiative are now preparing for a legal showdown to enforce voters’ wishes.

“The law is clear,” said Robyn Merrill of Maine Equal Justice Partners, an advocacy group that spearheaded the Medicaid expansion referendum. “People will have a right [to coverage] and we will represent them in court.“

Individuals are supposed to become eligible for Medicaid coverage on July 2, according to the Maine ballot measure. The legislative stalemate leaves few options other than litigation to force LePage’s hand. Ultimately, the issue may not be resolved until after Maine elects its next governor in the fall.

Supporters say there’s no doubt the state will eventually adopt the program — it’s just a question of whether it comes after a quick legislative resolution or a protracted legal fight.

Obamacare supporters in Maine say the LePage administration has already ignored timelines mandated by the ballot initiative. Maine earlier this month skipped a deadline to file routine paperwork notifying the Centers for Medicare and Medicaid Services it would join the Obamacare expansion.

LePage’s office and the Maine Department of Health and Human Services did not respond to requests for comment.

Medicaid expansion under the Affordable Care Act covers low-income adults earning up to 138 percent of the federal poverty line — roughly $16,800 for an individual and $34,600 for a family of four. While the federal government provides the vast majority of Medicaid expansion funding, states this year must contribute 6 percent of the costs, and their share eventually rises to 10 percent.

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