In the Chillicothe Gazette, State Senator John Carey notes:
Medicaid - a state-federal entitlement program designed to provide health care for low-income and medically vulnerable individuals - has been growing at an alarming rate. In fact, between 2006 and 2007, almost 38 percent of Ohio’s two-year budget was dedicated to the program.
While it is hard to deny the important role Medicaid plays in caring for Ohioans in need, we must work to rein in costs or be forced to reduce or cut other needed services. Unfortunately, the cost of the program is already having an impact on other areas of the budget.
Medicaid loads are higher than anticipated, contributing to Ohio’s tight fiscal situation. As a result, the governor has proposed cuts to other programs, such as PASSPORT and state parks, to help cover these unexpected Medicaid costs. The governor has also had to halt proposed expansions to some areas of Medicaid to keep the problem from worsening.
Through the passage of House Bill 66 in the 126th General Assembly, the Legislature enacted several reforms to Medicaid in an effort to slow the growth of the program, while maintaining essential services. This effort must continue.
Perhaps the first step that should be taken is to prevent the Governor from trying to expand eligibility in the program. If it’s already too expensive, it makes no sense to increase spending.
As far as reforms go, I’d urge Sen. Carey and his colleagues to read the Buckeye Institute report Reforming Medicaid In Ohio: A Framework for Using Consumer Choice and Competition to Spur Improved Outcomes. It has some good ideas on how to restructure Ohio’s Medicaid program to both better serve recipients as well as relieve the burden on taxpayers.