Maine GOP advance compromise medicaid expansion bill

Posted Tuesday, February 25, 2014 in News

Maine GOP advance compromise medicaid expansion bill

by Andi Parkinson

(11:45 AM UPDATE) The plan has now been released and as anticipated, it involves combining proposals from Senator Roger Katz and Speaker of the House Mark Eves:

Katz’s proposal includes a three year “sunset provision”, which he floated out to lawmakers as an amendment during last year’s LD 1066 floor debate. That motion passed the Senate by a 23-12 vote.


Democrats released more information on the proposal and statements from leadership:


Rumor overnight via Maine Wire about state GOP lawmakers making a move to expand Medicaid seems to be accurate:

Senate Minority Leader Roger Katz (R-Kennebec)

Senate Minority Leader Roger Katz (R-Kennebec)

A pair of Republican state senators are set to roll out a bill that would expand the state’s Medicaid program, MaineCare — a proposal that so far has been largely opposed by Republican Gov. Paul LePage and rank-and-file members of the party. On Tuesday, state Sen.’s Tom Saviello, R-Wilton and Roger Katz, R-Augusta, will unveil their plan to members of their party during a caucus meeting and then take their pitch to the editorial boards of two of the state’s daily newspapers.

Democrats have also been uncharacteristically quiet about the measure, which would allow the state to accept federal funding to expand the state’s low-income health care system under the federal Patient Protection and Affordable Care Act.

But state Sen. Margaret Craven, the Senate chair of the Legislature’s Health and Human Services Committee, said she was setting aside time Wednesday for her committee to hold a public hearing on the measure.

The bill, LD 1487, “An Act To Implement Managed Care in the MaineCare Program” was carried over last July and as such, needs a simple majority to pass both chambers. However, it would need 2/3s vote as an emergency bill and to override a veto from Governor LePage, who is vehemently opposed to expansion.

Current thought is that LD 1578, “An Act To Increase Health Security by Expanding Federally Funded Health Care for Maine People”, would be tacked on as an amendment to the bill.

The Joint Standing Committee on Health and Human Services is scheduled for 3 pm work sessions tomorrow on LDs 1636 and 1663 after the conclusion of the legislative session (audio link here).

The news has garnered some positive and negative reactions among Republicans. Former LePage communications director Dan Demeritt posted on Twitter with a photo of Senator Katz:

"What governing looks like. Also a strong resemblance to leadership. " 


House GOP Communications Director David Sorensen fired off a press release before the senate caucus to media. Here is a portion:

Sorensen later took to Twitter himself, to share the following slap-down and documents to back up his claim:

"Medicaid expansion is bad for the environment." 


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So what does all of this mean?

It would finally mean expansion of Medicaid to 70,000 Mainers, which Democrats have tried to do but been unsuccessful both as LD 1546, “An Act To Strengthen Maine’s Hospitals, Increase Access to Health Care and Provide for a New Spirits Contract” , the combination hospital debt payoff- Medicaid expansion- liquor contract bill and as the stand alone bill LD 1066, “An Act To Increase Access to Health Coverage and Qualify Maine for Federal Funding”.

This story is still unfolding and will be updated.

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