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Jan Hudson, Senior Policy Analyst Email: jhudson@mlpp Health Action 2014 January 24, 2014

Expanding Medicaid Through Non-Traditional Waivers: Michigan’s Bumpy Journey. Jan Hudson, Senior Policy Analyst Email: jhudson@mlpp.org Health Action 2014 January 24, 2014.

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Jan Hudson, Senior Policy Analyst Email: jhudson@mlpp Health Action 2014 January 24, 2014

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  1. Expanding Medicaid Through Non-Traditional Waivers: Michigan’s Bumpy Journey Jan Hudson, Senior Policy Analyst Email: jhudson@mlpp.org Health Action 2014 January 24, 2014

  2. The League’s MissionTo foster economic opportunity, independence and security of Michigan’s economically vulnerable population by shaping public policy through objective data-driven research, education and advocacy 1223 Turner St. Suite G-1, Lansing, MI 48906-4369  (517) 487-5436 Fax: (517) 371-4546  Web site: www.mlpp.org A United Way Agency

  3. Michigan’s Legislative Journey • The Governor supported Medicaid Expansion. • His colleagues in the Legislature did not.

  4. Michigan’s Legislative Journey Call your Senators and tell them to “Take a Vote, Not a Vacation!” • The process did not go smoothly…

  5. Michigan’s Legislative Journey • Each chamber developed its own proposal and “Medicaid reforms.”

  6. Michigan’s Legislative Journey • Finally in early September, legislation was passed and sent to the Governor for signature – with a caveat…

  7. How We Got There Representative Shirkey • Conservative legislative champion moved from “hard no” to “yes.” • Intensive legislator education.

  8. Healthy Michigan Plan Legislation • Healthy Michigan Plan – focus on wellness. • Requires federal waivers to implement.

  9. Healthy Michigan Plan • Contribute up to 2% of income for individuals between 100% and 133% of poverty. • Copays for all enrollees at the current Medicaid amounts. • “Healthy behaviors” can reduce cost sharing. • Does not allow termination of coverage for non-payment of contribution or copays.

  10. Healthy Michigan Plan

  11. Outreach and Enrollment • Transition as many people as possible from current programs. • Search, find, educate, enroll the remainder.

  12. Concerns

  13. Michigan’s Journey

  14. More Information Is Available • Department of Community Health website www.michigan.gov/mdch • Expand Medicaid Coalition website www.expandmedicaid.com • Enroll Michigan website www.enrollmichigan.com • Michigan League for Public Policy website www.mlpp.org/our-work/health-care-in-michigan

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