Center Urges Support for Medicaid Redesign Act
*Jon Bailey will be at the Unicameral today, testifying in support of LB 472 and specifically discussing details of the new Center for Rural Affairs report entitled, LB 472 and Leveraging Federal Dollars to Reform Corrections. His written testimony is available here:
http://www.cfra.org/sites/www.cfra.org/files/LB472testimony.pdf
Lincoln, Nebraska – Today at the Unicameral, the Health and Human Services Committee is hearing public testimony on LB 472 – a legislative proposal that would help redesign Nebraska’s Medicaid program and close the existing health care coverage gap for low-income, working Nebraskans.
“The Center for Rural Affairs supports LB 472, the Medicaid Redesign Act, for all of the supportive reasons you are hearing today and the for the reasons we supported LB 887 in 2014 and LB 577 in 2013,” said Jon Bailey, Director of Rural Policy at the Center for Rural Affairs. “We support providing health insurance to thousands of low-income working Nebraskans who are unable to obtain traditional Medicaid coverage, who do not have access to employer-sponsored private insurance, and who are unable to afford insurance plans in the health insurance marketplace, and thus fall into a coverage gap not of their making.”
Nebraska is losing over $930,000 every day by failing to provide health coverage to its low-income, working citizens and the federal funding that will provide it. Since January 1, 2014, Nebraska has lost a total of over $391 million in available federal Medicaid funds, Bailey added.
“Today we come in support of LB 472 for another reason,” Bailey testified. “Today, in conjunction with Nebraska Appleseed, we released a report, LB 472 and Leveraging Federal Dollars to Reform Corrections, showing the benefits of a redesigned Medicaid program to our corrections program, our corrections population and the state’s taxpayers.”
“Nebraska clearly has issues in its corrections programs that affect the state’s taxpayers and public safety. Just as clear is the connection between mental health and substance abuse treatment and criminal offenses and recidivism. Examples from initiatives in other states and long-term research show that this connection can be addressed through mental health and substance abuse treatment to low-income people where needed and to offenders released from the corrections population or on parole or probation.”
Jon Bailey, Center for Rural Affairs
Bailey further explained to the Committee, based upon Nebraska corrections data, findings from other states, and findings from research on the connections between Medicaid and health insurance coverage, necessary treatments, and criminal justice system outcomes, that:
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A lack of mental health services and substance abuse treatment is a primary cause of re-offending, recidivism and a return to jail or prison.
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A redesigned Nebraska Medicaid program such as proposed in LB 472 would help keep nearly 400 people from returning to prison in one year.
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A redesigned Nebraska Medicaid program such as proposed in LB 472 would result in gross savings to the state’s correctional budget of nearly $11 million in one year.
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A redesigned Nebraska Medicaid program could save additional state and county dollars that have already been invested or will be invested in corrections reform.
“Research clearly shows recidivism can come from a lack of health coverage,” continued Bailey. “There is a consensus among national and Nebraska research and analysis that mental health and substance abuse treatment are what many in the corrections population need. Examples from national research and from other states clearly show linking people to coverage and necessary treatments work in reducing criminal offenses and recidivism.”
Since traditional Medicaid is unavailable to most of the correctional population and private health insurance is unattainable, Nebraska needs LB 472 to make these necessary connections. The Nebraska taxpayer and public safety, as well as those in the corrections population, will all be beneficiaries, Bailey concluded.
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