texas will not be participating in medicaid expansion. >> reporter: rejection of the medicaid expansionople without health insurance, many of them poor single mothers. wendy davis, a single mom at age 19, supports the expansion. as a governor, she would help the uninsured in texas on a road to recovery. texas is not the only state to reject the medicaid expansion. in fact, 26 states have said no to this key provision of obama care. and that risks gutting a huge part of what this law was supposed to be chiefly about. insuring the uninsured. "new york times" estimates around 60% of the country's uninsured working poor live in the states opting out of the medicaid expansion. but if wendy davis can reverse opposition to medicaid expansion in the biggest state of the south, that might be the trigger to get texas's neighbors on board as well. in fact, if you look at the map of these states rejecting medicaid expansion, you'll see that many of them are clustered in one geographic region of the country. jamelle bowie offers a particularly provocative comparison noting that nearly half of the st

he does not want the medicaid expansion. his plan is a fiscal disaster for the commonwealth of virginia. we cannot grow and diversify when we cut public education and much-needed money we need to grow our economy. >> that is time. mr. cuccinelli, you have 90 seconds. >> the washington post said a lot of what you just heard from terry mcauliffe was not true. my tax cut plan would grow 58,000 jobs and raise the business income tax. i am the only candidate with enact jewel plan with details to grow new jobs. we pay for that because, unlike washington, we reduced the growth of government spending to just under the world 3.5% and cut one sick -- 1/6. the only major spending program i have proposed is in the area of mental health. i have said how i would pay for that. it is to move jobs that are now used for non--healthcare services over to treat children non-healthcare services over to treat children with mental health needs. i have explained how i will pay for my proposals. terry mcauliffe has proposed spending. he pretends to g

we'll tackle another key feature of obamacare, the expansion of medicaid to insure poor americans. this battle is not in washington but in the states. [applause] >> reporter: when president obama signed the affordable care act, a key element expansion to the state. the federal poverty line is more than $11,000 for individuals and over 23,000 for a family of four. the law seeks to expand medicaid eligible fo ability for those wh income with 138% of the poverty line. not to exten8 million americanso much t to be eligible for medicd but make too little to buy insurance. the administration contends, the affordable healthcare has been in de . >> and there are going to be glitches in the sign up. i don't recall anybody threatening apple because of ipad. that's not how we do things in america. we make things work, we make them better, and we keep going. >> the website shut down so technicians could make r improvements to the site. >> joining us now to discuss the affordable care act is reporter jeffrey young, the healthcare reporter for huffington post. the government shutdown over obamaca

he has openly supported medicaid expansion in their state. e-election in 2014 and offered this. inspiration about expanding medicaid. >> when you die and get to the meeting with st. peter he's probably not going to ask you about what you did to keep government small but he's going to ask you what you did for the poor. you better have a good answer. >> after ohio's republican legislature passed a budget bill that included language specifically forbidding the expansion of medicaid in ohio, the governor used his line item veto powers to eliminate that provision, just strike it. so that block of the expansion of medicaid was gone from the law. but the governor then brought the issue to a little-known committee in ohio called the controlling board and got them to vote 5-2 to accept $2.5 billion in medicaid funds to provide coverage for 275,000 ohio citizens. today a "wall street journal" editorial board attacked the governor in the article entitled medicaid and the apostle kasich. the editorial said now mr. kasich seems to view signing up for this

when they don't get medicaid expansion in their state. thehe irony right now is poor is going to be left out of health care. a whole lot of people at the very, very bottom of our incomes and are work spectrum. who usuallye people have incomes below the federal poverty level. they have very erratic work histories, and so forth, and they really have no options for getting health insurance. act hadrdable care contemplated they would be part of this medicaid expansion. so when the 26 states decided not to expand, there were provisions for people between poverty, of ironically, the people below 100% are not going to get help. they have no money to buy expensive health insurance. in most of the states, i think it is worth noting that the medicaid programs that do exist do not offer benefits to childless adults. that is especially true in places where they have huge numbers of people in these populations. >> when does the states that have decided against medicaid expansion, when will people be affected? >> there are ready being affected because

medicaid program. and the only way currently without the expansion and withouted adoption of the polics in the health care reform, then therefore the only way you can be on medicaid in mississippi is, first of all, you have to be poor. and then if you are a male and you are anywhere between 19 and 64 it doesn't matter your income or health condition unless you're totally disabled, you cannot qualify for medicaid. for instance, if you are 19 and under and your family is poor, then the children in that family under age 19 are eligible for medicare. but if a female is in that family age 19 or older, if that female, only way that fee maim who is over 19 is eligible is that they become pregnant and they're eligible through the pregnancy and the subsequent children are eligible for medicaid. but once that -- yes. >> i want to take a moment quickly to look the at specifically the racial component to this because the newspapers here are absolutely staggering. black women today in mississippi earn less than the average american in 1960. black men today in mississippi have a shorter life expectancy than the average

you here again, the medicaid expansion.he magic money tree that funds talkshing terry mcauliffe about. the $300 million in new spending that will cost every family $1700 more in new taxes every year. >> dr. harry wilson, your question for terry mcauliffe. >> many citizens say they want elected officials that will compromise to get eggs done. at the same time, people want -- compromise to get things done. how can you know when to compromise and when to fight for principles? can you give an example form your own experience when it was right to compromise and an example of when it was right to stick to your principal? medicaid expansion is critical for virginia's future. i spoke to both democratic caucuses twice. i thought it was important for how we grow our economy. i want every woman to know that i trust women to make their own decisions about their own health care did -- health care decisions. my opponent will not compromise. rigida rigid -- he has a ideological agenda. it is my opponent who threatened and bullied the boar

some good news in ohio is it looks like in spite of the legislature that we're going to see medicaid expansion. there's discussion about an announcement today. it's not final but it looks good in that direction. it's $3 million in the state, it means hundreds of thousands of people are going to get health insurance that wouldn't have otherwise. >> he's joined the rhino caucus, as it were? >> perhaps. it's not my party. >> right. >> johnny has to answer for them. >> do you think, last question for you, is a big deal going to be done or is this going to end with a small deal and hopes for a big deal? >> somewhere in between. i think we'll get a deal done. i think we'll get the government back open. i think we'll get the debt ceiling lifted for a period of time, which i hope is certainly longer than six weeks and goes into next year so we can sit down and do some tough negotiating on debt, deficit and

through 2016 and 90% is how much the foft will cover medicaid expansion after 2016.llion. that is the number left uninsured because their states opted not to participate in the medicaid expansion. when we come back, there are some similarities we would like to tell you that are shared by those 8 million uninsured people. mine was earned in djibouti, africa. 2004. vietnam in 1972. [ all ] fort benning, georgia in 1999. [ male announcer ] usaa auto insurance is often handed down from generation to generation. because it offers a superior level of protection and because usaa's commitment to serve military members, veterans, and their families is without equal. begin your legacy, get an auto insurance quote. usaa. we know what it means to serve. >>> so, take a look at this map. it's a map from the 26 states that have chosen not to participate in the medicaid expansion. now, remember, the federal government is picking up 100% of the cost for this expansion through 2016. look at the map. what do you think these states have in common? well, of those 26 states, 23 of them ar

so i predict within two years you're going to see pretty much every state taking that medicaid expansion money and young people need health insurance just like everybody else does they're less likely to die of old age diseases but they're far more likely to have accidents. you know to be involved in a car accident or a skateboarding axe or anything else and people need insurance people know that young people know that they're there they're not dumb and so you know i would suggest that your concern. assuming that you're not a troll caller who's trying to put out doubt which is what the republicans are not only doing but paying people to do assuming that you were actually genuinely asking us and you know chill out don't worry this is going to work out fine jeff in los angeles say jeff what's on your mind. trying you know the longest time to be talking about gerrymandering i don't think people really understand how that works because juries shouldn't be strictly used government by the minority you can have twenty six percent of the voters decide who's going to run for congress. just distric

>> have you done any polling on medicaid expansion of the states? >> i've done a lot -- i've done a lot of polling on medicaid expansion because we've had -- our client base includes some of the republican governors who supported medicaid expansion. i've done a lot of work on trying to explain and build support for medicaid expansion. and again, good-humored leak, i was after the forthcoming we said no, there's an argument that would convince the majority of republicans to support medicaid expansion. because if i can do it in the first or polls, i'm not going to do in this one. so i think medicaid expansion is systemic in terms of public opinion. i am very supportive and again, i don't mean from policy perspective, just somewhat from a political perspective. you do policy. i do politics big i said that i believe that from a governor perspective, he or she, to expand medicaid for the purposes we're talking about, i as republicans have if i were you as republican governor of would put in a kicker that says this is all based on the government keeping h

number one the medicaid expansion would help tremendously.s of dollars invested in these communities up quality lifesaving care. why do many people get forced into poverty? a lot of buzz health? a lot of buzz health care cost? a lot of buzz health care costs in number to cut transportation. i supported the transportation plan did my opponent side of the tea party and tried to you railed the governance transportation plan. we have to get trucks off of 81. i support the expressway. transporttransport ation. i talk about what we need to do. broadband cell phone access. i was in highland county recently and i was out of cell phone coverage for an hour in 10 minutes. it's hard to grow community if you can't get cell phone coverage. i talk about the great work at or cheney tech carbon capture is so important. i met with professor mike mccormick said the idea we can create these new jobs with this technology is spectacular. it's there and it's in front of us and we need to invest in the research and keep it going and i commend or cheney tech for the

what medicaid expansion does is expand that to much more of our population.ould argue for good reasons, because they're being served often in the emergency room and so forth. the dilemma i had was this: in a very period of short period of i would have had to have put a brand new bureaucracy together at a time period that i couldn't meet, i knew i couldn't meet it when my current bureaucracy couldn't handle the medicaid cost overruns that were currently happening. by the way, in my state it ended up being over $500 million over projections set forth by my previous legislature and my previous governor. over $500 million overprojection. that's out of a $20 billion budget, so it's a pretty big hit. there went all my teacher raises right there or infrastructure money. so the medicaid expansion is, i think, one of most difficult issues on governors' plates right now. let me tell you the other issue that we are having, and that is that the rules and standards weren't written. in fact, even in the last four or five weeks the administration has sent us new regs on med

we decided not to do medicaid expansion.t's almost in the media almost says you're not doing medicaid expansion. they don't realize it's part of obamacare. and the reason we did not do medicaid expansion, first of all, we couldn't deal with the debt of our existing which is for women, the elderly, shoulder and disabled. what medicaid expansion does was show more of the population and i could argue for good reasons. because they're being served often and so forth. when my current obamacare couldn't hajtdz -- handl medicare cost overrides that were already happening. my state ended up being over $500 million over projection set forth by the previous legislature and the previous governor. over $500 million. over projection. out of a $20 billion budget. it's a pretty big hit. there went all of my teachers raises right there. infrastructure. so the medicaid expansion is i think one of the most difficult issues on the governor's plates right now. let tell me the other issue we are having. that is that the riewlts -- rules and stan

the medicaid expansion is working well.ieve that oregon has already signed up 60,000 people and there were five million americans, mostly in the south, a lot of them but by no means all of them members of racial minorities who are being cut off from the possibility of getting health insurance because of decisions by their states, enabled by a conservative supreme court decision to say we're not going to give our people health care. there should be a lot more outrage about this. >> all of these human interest stories are going to be outweighing and really outmuscling and winning the argument at the end of the day with all the antis out there trying to destroy the law, not the bill, the law. it's here. you can't turn anywhere without getting negative talk about obama care. it's all over the place. we have had generations in the past in this country that would take on any challenge except the challenge, america was great, we could get it done. our air waves are permeated with negative talk and a hope for failure. we're talking

medicaid expansion and reform. approaches for modernizing medicaid to expand coverage. our first speaker will be matt. matt was named executive director of the national association of medicaid directors in 2011. the newly formed association represents all 56 of the nation's state and territorial medicaid directors. he does a quiz to see if the people can name the extra six and provides them with a strong and unified voice in national discussions as well as a locus for technical assistance and practices. he spent 12 years at the national governor's association where he worked on the governor's healthcare and human services reform agendas and spend five years prior to that as a health policy analyst working for the state medicaid directors. our second speaker will be claudia schlossberg. claudia is director of the healthcare policy reform administration for district of columbia healthcare and finance. she is responsible for overseeing regulations and policy management, the division of eligibility of policy and the division of research and rate-setting analysis. claudia ha

and another 13 million will be covered for medicaid expansion.t is the song and dance about here? >> martin, i was at the white house yesterday when the president addressed this at the rose garden. and he principally said this is a win-win for the american people and i think that's what the republicans afraid. do you know that six out of ten americans can now get health insurance for less than $100 a month. that's unheard. and if you're a pregnant woman, for those down that road, for most part, they could not get health insurance before, because that was a preexisting condition. it no longer is. >> being pregnant was a preexisting condition. >> yes. >> fantastic. what a great system. and that's a system that they want to maintain, as republicans. >> exactly. so it's -- it's a -- if you want that narrative, you want a continued war on women. and that's not a good narrative for the republican party. >> right. joy, if speaker boehner and i address to both of you, really, wanted to do something about economic growth, would he have not got behind the

now of course-- of course i imagine that the state when asked why they didn't accept the medicaid expansion don't probably list spite as the answer. so let's see what their reason is. you there, governor of the state in this nation that has the most uninsured children out of any other state. >> medicaid expansion is simply put a misguided and ultimately doomed attempt to mask the shortcomings of obamacare. >> to expand this program is not unlike adding a thousand people to the titanic. >> jon: true, that's true. that's really true. if the titanic had crashed into a hospital. (laughter) >> you know what, everything's big never texas, especially tumors. what about you, mississippi. you, mississippi, or as you are also known, the 49th healthiest state in the union-issippi. >> of all the states in the country that should be embracing some of the changes coming from obamacare, your critics without say mississippi should be at the front of the list. >> peter, the problem is, it is the worst system of delivering health care known to man. >> jon: no, it's not. listen, it's not perfect. a lot of thi

or attempted expansion of medicaid, the supreme court decision made it a decision that the states would make, and many have, including states with republican governors, and others have not, leaving out many americans from having access to medicaid. no, no, no. the affordable care act is not a website. the issue is do you have access to affordable health insurance. the individual responsibility provision is there for those individuals who, even though they have access to affordable health insurance, do not purchase it and are therefore held responsible for that. the law addresses that as written. in terms of the deadlines that were being discussed, i was a technology in to disconnect between the two deadlines in the first year only and that hhs is looking at that and will be issuing guidelines soon. that thecorrect to say administration is looking into flexibility as far as the individual mandate? because the enrollment. has become more complicated? drawatever conclusions you , i think you can draw them. it is clear that if people d

i don't -- that's because of the medicaid expansion. part of the affordable care act. challenge you to find another time in history when you've all of a sudden covered 10% of the uninsured in a state in three weeks. and if you look at some of the cost advantages, if you look at the people that are already benefitting, the kids on their parents' plans, the prevent active care, the prescription cost for seniors, you can see the benefits rolling out. here is a real glitch. and the glitch has to be fixed. the good news, the shopping center at the end of the road is highly functional and will do what it's supposed to do. but we've got to fix the road. we certainly have. dana milbank and jared bernstein, thank you to both. and before the president spoke today, he gave the floor to one of the health exchange's first enrollees, who was not shy about the pros and cons of her experience. >> i have the privilege to say that i'm the first person in the state of delaware to enroll for health insurance through the new marketplace. like many -- like many consumers out there, it took

if you look at the states where they have not accepted the medicaid expansion, it is much more expensive and some of the states are big states like texas. >> speaking of texas, rick ary will not run for reelection. we will talk about one of the people who is. >> we want every child the matter where they start in texas to receive a world-class education. davis,mber her, wendy filibustered against sweeping abortion restrictions, she is running for governor of texas and she has a great personal story. >> she does. whoses a teenage mother marriage broke up, living in a trailer home then later went on to harvard law school and received her degree and now she is age 50 and had an accomplished career and what we have seen happen with her is something similar to what we saw with elizabeth warren in massachusetts. she bolted from a sturdy -- obscurity to the national stage by being seen as a passionate defender of liberal values. i would not say that is typically the way to get elected statewide in texas by being a passionate defender of liberal values, that is why there is interest in her. she h

it was for two hours i sat in a hearing where all they incured was testimony for medicaid expansion. >> there's a lot of good arguments in favor of it. >> you wouldn't have heard anything else at the controlling board. they didn't allow it. it was established with a chairman that was appointed by the administration with hand picked members of the controlling board to make the point they are going to pass medication, even though as you said in your opening, and you were kwitd right, that the legislature would not pass medicaid. and that's required to follow the intent. >> you have a republican governor. you have polling in the state that shows 62% of ohioans agree. they want medicaid expanded. i don't want to keep belaboring this, but this is where democrats and republicans and conservatives and liberals butt heads. i see before me 275,000 people in the state, people not making a lot of money. between 16,000, $28,000, somewhere in there, who have the ability to get health insurance. it seems to me there is implaquable desire to stop them from getting health insurance. why don't you wa

many were supposed to be covered by an expansion of medicaid. but a supreme court ruling alawed states to opt out of that expansion and citing costs and other objections, more than 20 did. as a result, the congressional budget office estimates that 3 million fewer people will be eligible f coverage under obamacare. a recent analysis of census data by "the new york times" found southern states were hit hardest. 68 percent of eligible african-americans are excluded as are two-thirds of all single mothers. paul sweeney is avirginia res didn't stranded without coverage. he's an adult without children and unemployed. under the new law he would have qualified for medicaid but his state opted out. >> medicaid and medicare was put into a system to help people just like me. and like i said, i'm not qualified, you don't know what i want to say abouts it, you know. it's just-- that's not right. >> his doctor said sweeney is just one of many of his patients facing a tough path. >> the vast ma majority of my patients are uninsured, many unemployed, the others

>>ñr again, if we did medicaid expansion in louisiana, for every uninsured person more than one person be in medicaid. i think you need more people pulling the cart than in theÑi cart. it would cost my taxpayer upÑi to $1.7 billion over ten years. just expanding medicaid doesn't necessarily improve health care outcomes. after two years -- this is a credible study, nonpartisan -- showed no improvement in physical health outcomes after medicaid expansion. what we'reÑi doing instead, there was in lakeÑi charles, american press editorial praising our public-privateçó partnerships saying peopleÑi are getting better access to specialty health care. we're goingbq=bÑp+e a level oneráuza care center. a number two trauma care center in new orleans. we've got the v.a. children's hospital working together on a $2 billion health care complex. we believe we've got a better approach. 900,000 people out of an outdated paying for services, now paying for outcomes approach, we've got a better approach providing services to those people. if you believe the exchange claims -- and i'm not sure they're goin

she's uninsured. >> opted out of the medicaid expansion. children t, my qualified for medicaid.uts the poverty level. and the amount that i would have insurance urchase my would drop below the poverty level. is there a federal insurance to medicare and medicaid that can cross the borders that out of that expansion to purchase us insurance that will not drop us below the poverty level? i had.thought if your income is above the overty level and 100% of poverty for an individual is 11,500 and for a family of four, is, i believe, around $45,000, $40,000 or so, if -- if you're in -- that 400% of the poverty line, that last figure. if you're above the poverty line, you should be able to get to purchase coverage on the health insurance exchange. this is one of the interesting about the health law. if you are below 100% of poverty and you live in a state that not take the medicaid expansion, you're below 100% of subsidy you can't get a to buy on the exchange. in your case, it sounds like you might be able to get that to exchange.your the second part of your question about what you do if

. >> take a way the balance of coverage of people who are getting blocked from medicaid expansion, of whom there are millions of people to go talk to, and are being told you won't get help. that market which i was in for a number of years when i was a freelance writer, you get notices every year that your insurance is changing. >> you can say that there's 100,000 people from any given state whose insurance was cancelled. but the fact is, if there was no obama care, if there was no affordable care act, you would see probably about 80,000 of those people having their insurance policy cancelled and turn over, i think there's about 17% of people maintained in the individual markets their insurance from year to year because it simply, this is not even talking about how sub standard that product is. >> as someone who i think is also in the same place i am, which i would say singer payer left. i believe that everyone in the pool, medicare for all, social insurance for everyone. i'm very happy about the affordable care act, because i think it gets us massive improvement on the status quo. >>

>> have you done any polling on medicaid expansion? >> i have done a lot includes the governors that include medicaid expansion. trying to build support could achieve riviera would say that there with no argument that would convince them to expand its support medicaid expansion so i cannot do in the first for polls i cannot do with this it is sustainable with public opinion. i am very supportive the year she was on a sustainable public opinion ground for purposes three talk about rebutted a kicker that says they keep their word has some governors did don't expand medicaid and i would do all those things but i said it was sustainable politically for medicaid expansion however that does not mean you could produce a majority republicans that support that position you can get that with the support but to think it is so high but also with somebody running the republican primary so with the manner woman that experience medicaid expansion under obamacare. i don't see a lot of challengers running the republican primaries whose champion the cau