States Struggle With Budget Cuts And Medicaid Funding Issues

News outlets report on a variety of health issues at(Kansas Health Policy) Authority's executive board
the state level especially budget cuts and Medicaidapproved $1.13 million in cuts Friday as it copes with
funding issues.budget reductions ordered by Gov. Mark Parkinson in
The Honolulu Star-Bulletin reports on budget cuts to thelate November. ... These cuts are in addition to a 10
State Department of Health: "About $40,000 is beingpercent cut to all Medicaid provider payments already
cut from Gregory House Programs, Hawaii's onlyannounced. That is expected to save $22 million. 'This
statewide HIV/AIDS housing provider (which is 10is really a triple hit: We're cutting the reimbursement
percent of the budget); $110,000 from two Liferates we pay to our providers; we're cutting the
Foundation prevention contracts; and $157,000 for theadministrative support that helps providers get what
Community Health Outreach Work Project to Preventlittle they are supposed to be paid; and we're cutting
AIDS. The position of HIV/STD prevention coordinator,the resources needed to help people get enrolled in
held 19 years by Nancy Kern, also is being eliminatedthe programs in the first place,' said KHPA board
and she is moving to another Health Departmentchairman Joe Tilghman" (Koranda,12/5).
branch" (Altonn, 12/6).The Jackson (Miss.) Clarion-Ledger reports on budget
Belleville News Democrat/The Associated Presscuts in Mississippi: "Gov. Haley Barbour is whittling
reports on children's health insurance in Missouri: "It'sanother $54.3 million from the state budget as
known as 'Express Lane Eligibility' — an effort to putrevenues continue to fall, but Mississippi's remaining
children on the fast track for government-run health$160 million shortfall likely will be addressed in January
care coverage. But in Missouri, the Express Lane hasafter the legislative session begins. ... The cuts
become the slow lane. Documents obtained by TheThursday include a 5 percent reduction to most
Associated Press show the Missouri Department ofagencies and programs, including Medicaid, which will
Social Services recommended the adoption this springtake the hit in February. Barbour said he allowed the
of a half-dozen measures intended to enroll moredelay in order to give physicians and other providers
children in government health care programs for low-time to adjust to the decrease in state payments"
and middle-income families. With winter now(Crisp, 12/4).
approaching, none of those recommendations hasThe (West Lafayette, Ind.) Journal and Courier/Gannett
been implemented" (Lieb, 12/6).Washington Bureau: "Indiana can't afford a proposed
The Baltimore Business Journal reports on efforts inexpansion of Medicaid, even if the federal government
Maryland to shuffle health care dollars to fund Medicaidpicks up most of the cost, Gov. Mitch Daniels said
and cover the uninsured: "State health officials havetoday. The expansion is included in health care
tapped a $15 million surplus in Maryland's senioroverhaul legislation moving through Congress. ... Not
prescription drug program to help fund swellingevery governor sees the bill the same way. A
Medicaid enrollment. The Maryland Board of Publicspokesman for Michigan Gov. Jennifer Granholm, a
Works approved the fund transfer Nov. 18, along withDemocrat whose state is in worse financial shape
$362 million in overall state budget cuts. The move isthan Indiana, has said the Medicaid expansion wouldn't
the latest attempt by state health officials to preserveoverburden the state's budget, and doing nothing would
funding for Medicaid, the government-run healthbe worse. Expanding Medicaid, the federal-state health
insurance program for the poor, and chip away atinsurance program for the poor and disabled, is a
Maryland's growing ranks of the uninsured" (Dash, 12primary way lawmakers aim to shrink the number of
4).uninsured Americans" (Groppe, 12/4).
The Kansas City Star reports on Medicaid cuts: "The