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What We're Reading: Midterm Elections, Healthcare Edition—Medicaid Expansion, Ballot Measures, Single Payer
November 07, 2018 – AJMC Staff
What We're Reading: 2019 ACA Enrollment; Idaho Gov. Backs Medicaid Expansion; Medi-Cal Audit
October 31, 2018 – AJMC Staff
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October 30, 2018 – AJMC Staff
AJMC® in the Press, October 26, 2018
October 26, 2018 – AJMC Staff
What We're Reading: Transgender Protections; Medicare for All and Single Payer; Birth Control Targeted
October 22, 2018 – AJMC Staff
AJMC® in the Press, October 19, 2018
October 19, 2018 – AJMC Staff
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October 18, 2018 – Allison Inserro
What We're Reading: New Medicaid Head; First Flu Death; Pharma Campaign Tracker
October 16, 2018 – AJMC Staff
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October 15, 2018 – AJMC Staff

What We're Reading: Midterm Elections, Healthcare Edition—Medicaid Expansion, Ballot Measures, Single Payer

AJMC Staff
Healthcare was a key factor in the 2018 midterm elections and gave Democrats the ability to stop the Trump administration’s efforts to repeal the Affordable Care Act and make some other changes to Medicare and Medicaid, but did not produce enough of a victory to advance major changes; voters in 2 states rejected 2 separate union-backed ballot measures that would have affected dialysis clinics and hospitals; in California, Governor-elect Gavin Newsom campaigned on a platform of single-payer health insurance overhaul, but now that he’s won, he and the Democratic-controlled legislature will take a slower approach.

Medicaid Expansions Set to Increase 

Healthcare was a key factor in the 2018 midterm elections and gave Democrats the ability to stop the Trump administration’s efforts to repeal the Affordable Care Act and make some other changes to Medicare and Medicaid, but did not produce enough of a victory to advance major changes, Kaiser Health News reported. Republicans retained control of the Senate while Democrats now control the House of Representatives. In addition, Medicaid expansion was passed by voters in Utah, Idaho, and Nebraska; a continuation of expansion appeared likely in Montana. In Kansas, Medicaid might be expanded with the victory of Democratic gubernatorial candidate Laura Kelly; expansion there was previously vetoed by former GOP Governor Sam Brownback. In Maine, Democratic candidate Janet Mills, who won the governorship, has promised to implement Medicaid expansion, which outgoing GOP Governor Paul LePage refused to do.

 

Ballot Measures on Dialysis Clinics, Hospitals Fail in California, Massachusetts

Voters in 2 states rejected 2 separate union-backed ballot measures that would have affected dialysis clinics and hospitals. California voters rejected Proposition 8 in California, which would have imposed a cap on the profits of dialysis chains like DaVita and Fresenius, The Los Angeles Times reported. The measure would have required clinics to give rebates to insurers and pay a penalty to the state on revenue that exceeded 115% of certain costs to deliver care. DaVita and Fresenius spent $110 million to defeat the measure. In Massachusetts, voters rejected a measure that would have capped the numbers of patients assigned to hospital nurses. The Boston Globe said the ballot question was difficult for many voters to understand and provoked a fierce, expensive campaign.

 

Governor-Elect Newsom Expected to Slow Walk Healthcare Changes in California

In California, Governor-elect Gavin Newsom campaigned on a platform of single-payer health insurance overhaul, but now that he’s won, he and the Democratic-controlled legislature will take a slower approach, California Healthline reported. Concerns about the cost—by one estimate, $400 billion annually—and opposition from the Trump administration are forcing him to take a more realistic approach, although that could also upset his relationship with the donors and unions that supported him.

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