Despite mounting pleas from California and other states, the Trump administration isn’t allowing states to use Medicaid more freely to respond to the coronavirus crisis by expanding medical services.
In previous emergencies, including the 9/11 terrorist attacks, Hurricane Katrina and the H1N1 flu outbreak, both Republican and Democratic administrations loosened Medicaid rules to empower states to meet surging needs.
But months into the current global disease outbreak, the White House and senior federal health officials haven’t taken the necessary steps to give states simple pathways to fully leverage the mammoth safety net program to prevent a wider epidemic.
That’s making it harder for states to quickly sign up poor patients for coverage so they can get necessary testing or treatment if they are exposed to coronavirus.
And it threatens to slow efforts by states to bring on new medical providers, set up emergency clinics or begin quarantining and caring for homeless Americans at high risk from the virus.
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One reason federal health officials have not acted appears to be President Trump’s reluctance to declare a national emergency. That’s a key step that would clear the way for states to get Medicaid waivers to more nimbly tackle coronavirus, but it would conflict with Trump’s repeated efforts to downplay the seriousness of the epidemic.
Another element may be ideological: The administration official who oversees Medicaid, Seema Verma, head of the government’s Centers for Medicare and Medicaid Services, has been a champion of efforts by conservative states to trim the number of people enrolled in Medicaid.
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“Medicaid could be the nation’s biggest public health responder, but it’s such an object of ire in this administration,” said Sara Rosenbaum, a Medicaid expert at George Washington University. “Their ideology is clouding their response to a crisis.”
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On Thursday, the American Medical Assn., the American Hospital Assn. and the American Nurses Assn. sent a joint letter to Vice President Mike Pence calling for the president to issue a declaration.
But the White House hasn’t indicated whether Trump will make such a move.
State leaders are wary of criticizing the president directly, fearing that he may attack them personally or retaliate against their states.
Last week, Trump called Washington Gov. Jay Inslee a “snake” after the governor, a Democrat, criticized the administration’s slow coronavirus response.
LA Times
Also the plan: run out the clock when interviewed.
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