The pressure to fully implement the Affordable Care Act continued to build in state capitals this week as new reports showed the extent of the financial pain that both business and hospitals will feel if their states refuse to participate in the expansion of Medicaid (since the pain felt by the millions of people who would find themselves uninsured in those states was clearly not enough to win conservative support). In some states where previously opposed governors have already agreed to support expansion, conservative legislators are putting up a fight.
It's already March, but it felt a bit like Groundhog Day this week as U.S. Rep. Paul Ryan (R-WI) unveiled — for the third straight year — a conservative House budget proposal steeped in austerity, divorced from reality, and as unpopular as ever. But another budget proposal was released this week that actually does redirect the debate away from austerity and toward job creation.
In contrast to the conservative policies we've seen move in the states over the past two years, 2013 has so far seen at least a handful of states where progressive policies are being introduced and enacted across a range of issue areas. With legislative sessions about midway through, here's a roundup of the policies moving in a couple of those states -- Minnesota and Colorado:
State legislators from 46 states are sending a clear a message to Congress: if the federal budget sequester is allowed to take effect as scheduled later this week, the results would be devastating for state economies.
With the across-the-board cuts in the federal budget sequester set to go into effect starting Friday, the White House is releasing a series of fact sheets outlining exactly how hard the cuts would hit state economies.
A longtime staunch opponent of the Affordable Care Act decided to support expanding Medicaid in his state this week, adding to the list of conservatives who are having a change of heart on the issue, as advocates (as well as hospitals and other industry forces) continue to lobby hard for states to take full advantage of the federal funding provided in the ACA. At the same time, lawmakers from states including Mississippi continued their efforts to push for expansion as well. As full enactment of the law draws closer and closer, progressive lawmakers are growing bolder in their advocacy for full implementation of the ACA, and events this week signaled a clear shift in the political terrain in favor of supporters of health reform:
With a Supreme Court decision and a presidential election now come and gone, conservatives in many states seem to be having second thoughts about their opposition to the Affordable Care Act. Meanwhile, progressive lawmakers in Iowa and Michigan signaled they were set to introduce legislation on Medicaid expansion: