PHOENIX — An affecting administrator says Arizona should annihilate its Medicaid affairs because neither the cash-short accompaniment nor the debt-ridden federal government can allow it.
“We’ve congenital our bloom affliction basement on an unsustainable model,” Sen. Andy Biggs said. The Senate Appropriations Board chaired by Biggs is appointed Tuesday to accede a bill he proposed to annihilate the state’s Medicaid program.
Under the bill, the program, accepted as the Arizona Bloom Affliction Amount Containment System, would be replaced with a much-smaller affairs adjourned abandoned by the state.
Arizona, now in the fourth year of a account crisis brought on by the Great Recession and the apartment industry’s collapse, get about two-thirds of its allotment for AHCCCS from the federal government.
“That money is not there. It is in forms of bonds and IOUs, so we’re demography money from our approaching bearing to pay for accepted year medical services,” Biggs said.
He cited the federal government’s debt and AHCCCS’ acceptance of 1.3 actor low-income people, or almost one of every bristles accompaniment residents.
Biggs’ board is bedeviled by budgetary conservatives like him, but it’s cryptic how far his legislation could go.
Republican Gov. Jan Brewer has appropriate bottomward accommodation for about 250,000 bodies aing abatement to advice aing a projected $1.1 billion account shortfall.
She did not accompaniment a close position back asked Tuesday about Biggs’ bill.
However, she said she wants to assure affliction for the actor or so bodies who would be larboard on the affairs if her proposed accommodation abeyance is accustomed as allotment of the aing accompaniment budget.
“The basal band is I accept we charge to accept a ample agitation on that issue. Certainly I’m activity to assignment adamantine to assure the 1 actor that are on AHCCCS,” Brewer said.
Prospects for Brewer’s own angle avant-garde aftermost anniversary back federal Bloom and Human Casework Secretary Kathleen Sebelius said Arizona has elbowroom to apparatus Brewer’s proposed accommodation abridgement on Oct. 1 if the angle is allotment of the state’s appliance for accepted reauthorization for the accompaniment program.
Health affliction advocates accept said that aloof Brewer’s proposed accommodation abridgement — let abandoned a abounding aition — would bankrupt bodies of bare affliction and aching the bloom affliction industry and added broadly the state’s economy.
Biggs said his proposed state-only affairs would acceptable serve abandoned 75,000 bodies at most, acceptable the actively mentally ill and bodies acute abiding care.
Brewer’s AHCCCS administrator Tom Betlach , told a House board aftermost ages that abounding aition would amount the accompaniment about $7 billion in anniversary funding. And it would leave the accompaniment after abundant money to accommodate affliction for anybody added than bodies accepting abiding care, Betlach said.
Elimination, Betlach said, “is not absolutely a applicable option.”
Texas admiral accomplished the aforementioned cessation back assembly in that accompaniment broached the abstraction of repealing Texas’ Medicaid affairs because of account troubles.
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