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The Superior Express
Superior, Nebraska
March 31, 2016     The Superior Express
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March 31, 2016

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8A THE SUPERrOIq EXPRESS Tnursaay. March 31. 2016 Letter to the 38th Legislative District By Sen. John Kudm, Nebraska I.~tslalure The ~tan of the next week of the Nebraska Legislature will begin with t~te Over LB ]032. the "[ ra~silioIla] Health Insnraace Prograln ArJ. AI- thotigh it ha~ ~ Te-|eT]r,~ 10 by scv- elal different ilame% it is the fcturth attez-lipt at expansion ol the Medicaid p~'~>.eram lit Neb~a~k~z. UrJ.deT t]l~ Af- fordahlc ('are Act. ~tane.,. s~ive addj- ltonaJ federal dollars at a mulch fate h~her than eMsglng Medicaid pro- grazes to expand the n-ml~r of people e]iglbie tor go~crnnlem health cover- ~ge, |~1', IOU~. LlnSUWessfu].efforLs have attemp|t.xl ~o exp~nd I~r~ i l to|at Iml"di- atd coverage. The current prolx'esal, I.B H132. uses Iederal and. state dollars to purchase privatu health insu-ranee ~'c~r w,~rking adulls who meel im.~m ~mtl~ I unquestionably suppofl e~pand- |ng access Io heal|he,re fur Neh~a.s- kans. Access issues are complicated, and m~.lude the availability of provid- ers, t~.L,hUcs and ",~rvice availability. the regulatory burden O~ hea~th ~,~a~. and the ;t.~t olproviding Ir~maJ-~, emer- gent:y, and advam.-ed cam services. In rural commumhes+ having, emmgh health care prote~,ionals and keeping co~t ol pro,,~d,ng ~rvic rea~nabl are the greatest ~hallenges faint~ our c|inics and h~spitals, Providing pri- vate hea~th insmanoe to wodcing adults doe-s not ,~O~Ve the access and co~t 15Sties facing rural health care. WhLte the slum lerm and hmg tClTn IX=hL~ dlsc'us~,ion al~>und thE' eXptUl. ~ion of public health insurance cnnlm- ues. the ].egi~lalarc will he addres>ing a very_ spc,l,c pn=pos~l in I.B 1032 "l-he |atrial k'tlsl of LB 1032 as plaq~+sc-d wtru]d ha~ ct~t over :$1 billion ,~,_-r the course td' the nexl decade_ rn an a~tellt[51 R~ redncc the II'npa,Et tO tht.I stale G~etal Fund, hill prof,,ate|Is ha~'e rewnrked it several times. "rhe prot~+sa] lu he deb~ted =nn 111 floor wj II fund the slate" ~ ~itare of th,.2 expanduxt program uxlng dollarr, fnm] the Health ('ape ('ash Fund. Although the program is adveni~o~ a~. "tlmwing down fi.~k'ral ~on,:y+" it '.li]~ ha~ a cos1 ~hare Io the Nehra.ska b,dgul 'l~ec[~ra:nt fi,.,:al uotepm3ects a ~ ~*d ~1 ILl~',t shy t~ ..~ ]ll million the first ~ear. almost $54 tmlllon the second .'year. and .~X? 5 ntl;hon tt{e third yea+:, wl~,n zh rrr=~gtanl e'~ plren. [ fextew..ted. f~mrth year stun., osl~,,.,~pand Io $1 I i mlllnqt. Ba~'d ~+zn pneh+ectnn~,s, thai is a 5~ 51 ntillmn state cost dLtring the three y~ life =~1 the program. While pro- posed a~, a throe yea~' "'pflol prt~gram.'" previous IIllgalu,n ha'- Static .'llminat- ins a g, wemmt, nl 111fl Iclnctll r~'ogrant ~14.'ag J t, i nl[X ~-~M la bl.1 .~l-~ ~,ll,.ill[.'u'~l .L=blL'J..tlt|U ll~ I.B IO32 4I I~', ~.~.llqeltl t~llll r~ tile k~'~.'LI ~+I t~'l~." ['~,.'+[l]l (-dUV tas~I ['ILIId to IIit%'t the ,laK" .~[," +~' Ih vonl 111.-