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Breuer warns Congress of the costs for the States

Republican Governor Jan Breuer on Wednesday warned that health care reform by Democrats in Congress figures pressed to increase costs borne by states, the creation of a "disastrous situation" for Arizona and other states already teetering on financial collapse.

Several proposals have its way through Congress, but they share the objective to bring Health Insurance to millions of Americans now without it. One approach is to to expand Medicaid eligibility. The question is who will foot the bill.

With Arizona Government before a $ 1500000000 budget deficit for the rest of this year Brewer called it "incomprehensible that Congress is considering a huge unfunded mandate claim is for the States." "I implore you, taking into account the fiscal realities States, as we get responsible balanced budgets, while trying to preserve our most vulnerable residents, "Brewer wrote in a letter to U.S. Senator Max Baucus, Democrat of Montana spearhead health care reform efforts in the Senate.

Brewer's concerns mirror those of more than a dozen of her fellow Republican governors. Your biggest concern would be the expansion, entitled to Medicaid, force cash-strapped countries either Programs in other areas or raise taxes to cut, say the governors.

Baucus' proposal would be the eligibility for state programs to expand Medicaid households earning up to 133 percent of the federal poverty level, just over $ 22,000 per year for a family of four.

Arizona offers already free or low cost health insurance
to around 1.3 million people live at or below the poverty line with the Arizona Health Cost Containment System, the State Medicaid version.

"We can not afford," said Breuer, The Arizona Republic on Wednesday. "We can not afford the AHCCCS program, we currently have. "

The governor is not an estimate of how many more Arizona residents would be eligible for Medicaid under Baucus 'Plan.

But to illustrate the potential burden, outlining the additional costs the state can grow up when all those now on the program approved but not yet done so were logs.

If they enrolled 200,000, would the additional cost to the state as much as $ 4,000,000,000 more than five years or more, in her letter.

Even without a Medicaid expansion program that critics view as a deterioration in drag on the budget. State General Fund contributions to AHCCCS grew by 230 percent in the past decade, Brewer said, and the total cost of the program funding from all sources is planned to seven billion U.S. dollars this year alone not exceed.

State Rep. Kyrsten Sinema, a member of the Task Force of President Barack Obama health care reform, admitted that government costs are not practicable under the current proposal Baucus. Sinema, a Phoenix Democrat, said they have a competing plan of the House Democrats, draws on the new state Medicaid costs a period of several years would phase.

Health Advocate Kim Vanpelt said inaction would be costly, as well, with the rising prices for health care leading more employers from the coverage, thus swelling state Medicaid rolls.

"The solution is to say should not necessarily health care reform not occur, "said Vanpelt, Associate Director for St. Luke's Health Initiatives.

The Foundation supports research and public policy Grants for health issues.

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