{"id":17470,"date":"2018-11-08T12:46:20","date_gmt":"2018-11-08T20:46:20","guid":{"rendered":"https:\/\/associatednews.info\/content\/after-midterm-defeat-advocates-for-montanas-medicaid-expansion-turn-to-legislature\/"},"modified":"2018-11-08T12:46:20","modified_gmt":"2018-11-08T20:46:20","slug":"after-midterm-defeat-advocates-for-montanas-medicaid-expansion-turn-to-legislature","status":"publish","type":"post","link":"https:\/\/associatednews.info\/content\/after-midterm-defeat-advocates-for-montanas-medicaid-expansion-turn-to-legislature\/","title":{"rendered":"After Midterm Defeat, Advocates For Montana&#039;s Medicaid Expansion Turn To Legislature"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a target=\"_blank\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2018\/11\/08\/665770578\/after-midterm-defeat-advocates-for-montanas-medicaid-expansion-turn-to-legislatu?utm_medium=RSS&amp;utm_campaign=healthcare\">Eric Whitney<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2018\/11\/08\/665770578\/after-midterm-defeat-advocates-for-montanas-medicaid-expansion-turn-to-legislatu?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2018\/11\/08\/gettyimages-625321570_custom-6952ecfe222e606fcbb2af4107eaeb9346066d3c-s1100-c15.jpg\" alt><\/p>\n<div>\n            <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2018\/11\/08\/gettyimages-625321570_enl-6952ecfe222e606fcbb2af4107eaeb9346066d3c-s1200.jpg\"><\/a><\/div>\n<div>\n<div>\n<div>\n            <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2018\/11\/08\/gettyimages-625321570_enl-6952ecfe222e606fcbb2af4107eaeb9346066d3c-s1200.jpg\">Enlarge this image<\/a>\n        <\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Montana Gov. Steve Bullock, a Democrat, warned that failure of a Medicaid-funding initiative on the ballot could make for a tough legislative session in 2019.<\/p>\n<p>                <b><\/p>\n<p>                    William Campbell\/Corbis via Getty Images<\/p>\n<p>                <\/b><br \/>\n                <b><b>hide caption<\/b><\/b>\n            <\/p>\n<\/p><\/div>\n<p>            <b><b>toggle caption<\/b><\/b>\n    <\/div>\n<p>    <span><\/p>\n<p>        William Campbell\/Corbis via Getty Images<\/p>\n<p>    <\/span>\n<\/div>\n<\/p><\/div>\n<p>A ballot initiative that would have continued funding Montana&#8217;s Medicaid expansion beyond June 2019 has failed. But advocates say they&#8217;ll continue to push for money to keep the expansion going after that financial sunset. <\/p>\n<p>&#8220;We now turn our attention to the legislature to maintain Montana&#8217;s bipartisan Medicaid expansion and protect those enrolled from harmful restrictions that would take away health insurance coverage,&#8221; <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.healthymontana.org\/2018\/11\/07\/statement-185-results\/\">said a concession statement Wednesday<\/a> from Chris Laslovich, campaign manager with the advocacy group Healthy Montana, which supported the measure.<\/p>\n<p>The initiative, <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/ballotpedia.org\/Montana_I-185,_Extend_Medicaid_Expansion_and_Increase_Tobacco_Taxes_Initiative_(2018)\">called I-185<\/a>, was the single most expensive ballot measure in Montana history. Final fundraising tallies aren&#8217;t in yet, but <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.mtpr.org\/post\/record-spending-against-montanas-i-185-tobacco-tax\">tobacco companies poured more than $17 million into Montana this election season<\/a> to defeat the initiative. That&#8217;s more than twice as much cash as supporters were able to muster. <\/p>\n<p><!-- END ID=\"RES665820415\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>Most of the money in favor of I-185 came from the Montana Hospital Association. &#8220;I&#8217;m definitely disappointed that big money can have such an outsized influence on our political process,&#8221; said Dr. Jason Cohen, chief medical officer of North Valley Hospital in Whitefish.<\/p>\n<p>The ballot measure would have tacked an additional $2 per-pack tax on cigarettes. It would have also taxed other tobacco products, as well as electronic cigarettes, which aren&#8217;t currently taxed in Montana. <\/p>\n<p>Part of that $74 million in additional tax revenue would have funded continuation of <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/mtpr.org\/term\/medicaid-expansion\">Medicaid expansion<\/a> in Montana. <\/p>\n<p>Unless state lawmakers vote to continue funding the Medicaid expansion, it&#8217;s set to expire. If that happens, Montana would become the first state to undo a Medicaid expansion made under the Affordable Care Act. <\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<p>In September, <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.mtpr.org\/post\/gov-bullock-warns-budget-problems-if-tobacco-tax-initiative-fails\">Gov. Steve Bullock, a Democrat, told the Montana Association of Counties <\/a>that if the Medicaid initiative failed, &#8220;we&#8217;re going to be in for a tough [2019 legislative] session. Because if you thought cuts from last special session were difficult, I think you should brace, unfortunately, for even more.&#8221; <\/p>\n<p>Republican State Rep. <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/mtpr.org\/term\/nancy-ballance\">Nancy Ballance<\/a> opposed I-185 and disagrees with Bullock&#8217;s position. &#8220;I think one of the mistakes that was made continually with I-185 was the belief that there were only two options: If it failed, Medicaid expansion would go away; if it passed, Medicaid expansion would continue forever as it was.&#8221; <\/p>\n<p>Ballance, who didn&#8217;t receive money to campaign against the initiative, said Medicaid expansion in Montana can be tweaked without resorting to a sweeping new tax on tobacco products.<\/p>\n<p>&#8220;No one was willing to talk about a middle-ground solution where Medicaid expansion is adjusted to correct some of the things that we saw as issues or deficiencies in that program,&#8221; she said. &#8220;I think now is the time to roll up our sleeves and come up with a solution that takes both sides into consideration.&#8221;<\/p>\n<p>Ballance says conservatives in the Legislature want recipients of expansion benefits to face a tougher work requirement, and for means testing, so those with low incomes who also have significant assets like real estate won&#8217;t qualify.  <\/p>\n<p>In any event, Ballance said she suspects that if the initiative had passed, it would have immediately faced a court challenge.<\/p>\n<p>North Valley Hospital&#8217;s Cohen said he hopes Montana will pass a tobacco tax someday. &#8220;We all know how devastating tobacco is to our families, our friends and our communities,&#8221; Cohen said. &#8220;And I think we also all know how important having insurance coverage is, and so I think people are dedicated to fighting this battle and winning it.&#8221;<\/p>\n<p><em>This story is part of NPR&#8217;s reporting partnership with Montana Public Radio and <\/em><a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.kaiserhealthnews.org\/\"><em>Kaiser Health News<\/em><\/a><em>. Montana Public Radio&#8217;s Edward O&#8217;Brien contributed  to the story.<\/em><\/p>\n<p><strong><a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n<p>Source:: <a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2018\/11\/08\/665770578\/after-midterm-defeat-advocates-for-montanas-medicaid-expansion-turn-to-legislatu?utm_medium=RSS&amp;utm_campaign=healthcare\" target=\"_blank\" title=\"After Midterm Defeat, Advocates For Montana&#039;s Medicaid Expansion Turn To Legislature\" rel=\"nofollow\">https:\/\/www.npr.org\/sections\/health-shots\/2018\/11\/08\/665770578\/after-midterm-defeat-advocates-for-montanas-medicaid-expansion-turn-to-legislatu?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2018\/11\/08\/665770578\/after-midterm-defeat-advocates-for-montanas-medicaid-expansion-turn-to-legislatu?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2018\/11\/08\/gettyimages-625321570_custom-6952ecfe222e606fcbb2af4107eaeb9346066d3c-s1100-c15.jpg\" alt><\/p>\n<div>\n            <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2018\/11\/08\/gettyimages-625321570_enl-6952ecfe222e606fcbb2af4107eaeb9346066d3c-s1200.jpg\"><\/a><\/div>\n<div>\n<div>\n<div>\n            <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2018\/11\/08\/gettyimages-625321570_enl-6952ecfe222e606fcbb2af4107eaeb9346066d3c-s1200.jpg\">Enlarge this image<\/a>\n        <\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Montana Gov. Steve Bullock, a Democrat, warned that failure of a Medicaid-funding initiative on the ballot could make for a tough legislative session in 2019.<\/p>\n<p>                <b><\/p>\n<p>                    William Campbell\/Corbis via Getty Images<\/p>\n<p>                <\/b><br \/>\n                <b><b>hide caption<\/b><\/b>\n            <\/p>\n<\/p><\/div>\n<p>            <b><b>toggle caption<\/b><\/b>\n    <\/div>\n<p>    <span><\/p>\n<p>        William Campbell\/Corbis via Getty Images<\/p>\n<p>    <\/span>\n<\/div>\n<\/p><\/div>\n<p>A ballot initiative that would have continued funding Montana&#8217;s Medicaid expansion beyond June 2019 has failed. But advocates say they&#8217;ll continue to push for money to keep the expansion going after that financial sunset. <\/p>\n<p>&#8220;We now turn our attention to the legislature to maintain Montana&#8217;s bipartisan Medicaid expansion and protect those enrolled from harmful restrictions that would take away health insurance coverage,&#8221; <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.healthymontana.org\/2018\/11\/07\/statement-185-results\/\">said a concession statement Wednesday<\/a> from Chris Laslovich, campaign manager with the advocacy group Healthy Montana, which supported the measure.<\/p>\n<p>The initiative, <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/ballotpedia.org\/Montana_I-185,_Extend_Medicaid_Expansion_and_Increase_Tobacco_Taxes_Initiative_(2018)\">called I-185<\/a>, was the single most expensive ballot measure in Montana history. Final fundraising tallies aren&#8217;t in yet, but <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.mtpr.org\/post\/record-spending-against-montanas-i-185-tobacco-tax\">tobacco companies poured more than $17 million into Montana this election season<\/a> to defeat the initiative. That&#8217;s more than twice as much cash as supporters were able to muster. <\/p>\n<p><!-- END ID=\"RES665820415\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>Most of the money in favor of I-185 came from the Montana Hospital Association. &#8220;I&#8217;m definitely disappointed that big money can have such an outsized influence on our political process,&#8221; said Dr. Jason Cohen, chief medical officer of North Valley Hospital in Whitefish.<\/p>\n<p>The ballot measure would have tacked an additional $2 per-pack tax on cigarettes. It would have also taxed other tobacco products, as well as electronic cigarettes, which aren&#8217;t currently taxed in Montana. <\/p>\n<p>Part of that $74 million in additional tax revenue would have funded continuation of <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/mtpr.org\/term\/medicaid-expansion\">Medicaid expansion<\/a> in Montana. <\/p>\n<p>Unless state lawmakers vote to continue funding the Medicaid expansion, it&#8217;s set to expire. If that happens, Montana would become the first state to undo a Medicaid expansion made under the Affordable Care Act. <\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<p>In September, <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.mtpr.org\/post\/gov-bullock-warns-budget-problems-if-tobacco-tax-initiative-fails\">Gov. Steve Bullock, a Democrat, told the Montana Association of Counties <\/a>that if the Medicaid initiative failed, &#8220;we&#8217;re going to be in for a tough [2019 legislative] session. Because if you thought cuts from last special session were difficult, I think you should brace, unfortunately, for even more.&#8221; <\/p>\n<p>Republican State Rep. <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/mtpr.org\/term\/nancy-ballance\">Nancy Ballance<\/a> opposed I-185 and disagrees with Bullock&#8217;s position. &#8220;I think one of the mistakes that was made continually with I-185 was the belief that there were only two options: If it failed, Medicaid expansion would go away; if it passed, Medicaid expansion would continue forever as it was.&#8221; <\/p>\n<p>Ballance, who didn&#8217;t receive money to campaign against the initiative, said Medicaid expansion in Montana can be tweaked without resorting to a sweeping new tax on tobacco products.<\/p>\n<p>&#8220;No one was willing to talk about a middle-ground solution where Medicaid expansion is adjusted to correct some of the things that we saw as issues or deficiencies in that program,&#8221; she said. &#8220;I think now is the time to roll up our sleeves and come up with a solution that takes both sides into consideration.&#8221;<\/p>\n<p>Ballance says conservatives in the Legislature want recipients of expansion benefits to face a tougher work requirement, and for means testing, so those with low incomes who also have significant assets like real estate won&#8217;t qualify.  <\/p>\n<p>In any event, Ballance said she suspects that if the initiative had passed, it would have immediately faced a court challenge.<\/p>\n<p>North Valley Hospital&#8217;s Cohen said he hopes Montana will pass a tobacco tax someday. &#8220;We all know how devastating tobacco is to our families, our friends and our communities,&#8221; Cohen said. &#8220;And I think we also all know how important having insurance coverage is, and so I think people are dedicated to fighting this battle and winning it.&#8221;<\/p>\n<p><em>This story is part of NPR&#8217;s reporting partnership with Montana Public Radio and <\/em><a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.kaiserhealthnews.org\/\"><em>Kaiser Health News<\/em><\/a><em>. Montana Public Radio&#8217;s Edward O&#8217;Brien contributed  to the story.<\/em><\/p>\n<p><strong><a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20],"tags":[],"class_list":["post-17470","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/posts\/17470","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/comments?post=17470"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/posts\/17470\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/media?parent=17470"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/categories?post=17470"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/tags?post=17470"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}