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The 912 Project-Nebraska Message Board › Urgent! Your action is needed on LB577 Medicaid Expansion!

Urgent! Your action is needed on LB577 Medicaid Expansion!

Marjie
user 10257032
Wilber, NE
Post #: 296
Please get the word out!

If you care about your future tax burden...if you care about the ever increasing "dependency class" in our state...if you care about your health insurance premiums...if you care about physician shortages in Nebraska...

THEN YOU MUST READ THIS BRIEF LETTER AND TAKE ACTION BEFORE 10 a.m. ON TUESDAY, APRIL 16!

LB 577 in the Unicameral

LB 577, frequently referred to as the Medicaid Expansion Act, promises to dramatically expand the Medicaid program in Nebraska. Medicaid is the health care program for the poor. This expansion is authorized under provisions within "Obamacare."

As we all know, the devil is in the details where Obamacare has been concerned. The Supreme Court held, though, that the Medicaid expansion could NOT be forced upon the states (states pay a good chunk of the cost of Medicaid). It's up to our Nebraska Legislature to decide whether we expand the program.

The current Medicaid program currently costs Nebraska taxpayers about $645 million a year, and is slated to go up to $715 million in the next fiscal year, and $778 million in the '14-'15 fiscal year. That's without ANY expansion in coverage.

Currently, 13% of Nebraskans are enrolled in Medicaid. If expanded, closer to 20% of Nebraskans will be eligible for the program. Considering our current cost, an increase of that size will mean a significant hardship for Nebraska taxpayers, as they'll be footing the bill--either through increased taxes, or a reduction in state services in other areas--like education and roads!

Likewise, especially in our rural areas, an expansion of Medicaid threatens to over-stress our already understaffed physician population.

And, for those of us who have private insurance, we'll likely have a hidden tax placed upon us--in the form of higher health insurance premiums. Physicians and hospitals are already under-compensated for their Medicaid services, so they'll try to make up costs by charging higher rates to private insurers. One insurance consulting firm estimates that Americans with private health insurance already pay nearly $2000 more in premiums each year because of this "hidden tax."

Proponents have suggested that Nebraska should approve of this expansion, because the Federal government will be providing 90% of the money for it for the first year, and then slightly less over the following 2 years. But what happens then? And how does the Federal government get its money? Whether through inflation caused by the printing of money, or an added tax burden, you and I will pay for this expansion, one way or the other. And in a few years, when the Federal government cuts back significantly on its portion of the tab, we'll feel it even more directly, when our state taxes go up, or schools have to start cutting back on services because State Aid to Education is cut.

The idea of "helping" the poor with their medical care is a compelling one. But let's think about a few philosophical issues:
How much are the 4 in 5 willing to spend out of their own earnings (taxes, increased health insurance premiums), in order to cover the health care for the 1 in 5?
What does it say about a legislature that seems eager to put 20% of the population on the Medicaid dole?
How many people each year LEAVE the Medicaid system? Personally, I'd be more inclined to help people in short term circumstances if there was evidence that the government was doing more than just creating a dependency class--dependent on the government to take the money from some, and give it to others, on a long term basis.
What YOU NEED TO DO:

Action on LB 577 is imminent. Senators who are fighting Medicaid expansion say that the "For/Against" comments from constituents are coming in overwhelmingly FOR. We need to help turn the tide.

This WEEKEND! NOW! BECAUSE LB 577 will be on the floor of the Legislature on Tuesday morning.... We need you to EMAIL State Senators. We've created a list of all the senators, with their email addresses, which you can view here.
Use your own words. You can use some of the talking points from the note above, or you can read more from the Platte Institute, here.
Keep your note brief, but let the Senator know that you are AGAINST Medicaid expansion, and give one or two reasons why.
You can send email to multiple (or ALL) senators, but it's best if you don't batch mail it, i.e., if you're going to send to many, change what you write a bit, personalize it with a salutation to them (e.g. Dear Senator X), etc.
If you have limited time, concentrate on the senators who are highlighted in yellow on the sheet--they have been identified as the "undecideds" in the group.
When you write to YOUR senator, be sure to include YOUR ADDRESS, so that he/she knows that it's a constituent writing to them.
There are some senators who we KNOW are either for or against Medicaid expansion, and they're on the record. THEY STILL NEED TO HEAR FROM YOU--those who agree with us need to hear that people are standing with them, and those who disagree with us need to know that people will be watching their votes.
Be polite, but be sure they know what you want them to do--vote NO on LB 577.
ON MONDAY MORNING, it would be very helpful to if you would call some senators' offices--especially YOUR senator, and any of those highlighted in yellow. Their phone numbers are on this sheet, as well.
Darlene E.
user 14539080
Omaha, NE
Post #: 330
From Agenda 21 Focus Group: By now you have probably have already received info from various sources asking you to contact Nebraska state senators to vote no on the Medicaid Expansion bill, LB 577. Debate starts tomorrow morning at 10 am and will continue through Wednesday! Here's the latest: Proponents of this bill are nervous and are now offering a 3 year "sunset" amendment, which advocates that Nebraska will take the "free" federal money while the feds say they will pay 100%, and then opt out! By doing this, they hope to sway the undecided senators and we need to encourage them not to be fooled!!!! There never has been a law in Nebraska that was supposed to sunset that actually did.

Here's another thought: If the Sunset Provision was passed, what would happen to all the thousands of people that signed on for expanded Medicaid once the provision ended? Who would pay for their costs then?? Either these folks or the state of Nebraska would be in an even worse position!

More talking points are attached on the flyer and also below -- please pick the ones you like and use them in your emails and phone calls. PLEASE USE YOUR OWN WORDS!!!!!! (Senators' staffers can spot a form letter a mile away for some reason, and tend to disregard them.)

1. Federal money isn't "free" - taxpayers will pay for this one way or the other. It does not make sense to take the federal dollars only to sign up for a program that will bankrupt Nebraska!

2. Unlike Nebraska, the federal government is in terrible shape fiscally - is it wise for Nebraska trust them to deliver the money they say they will agree to?
3. Medicaid typically pays physicians 56 percent of the amount that private insurers pay. As more and more doctors refuse to accept Medicaid, it is increasingly difficult for Medicaid patients to find medical care. Especially in our rural areas, an expansion of Medicaid threatens to over-stress our already understaffed physician population.
4. The current Medicaid program currently costs Nebraska taxpayers about $645 million
a year. If expanded, close to 20% of Nebraskans will be eligible for the program.
An increase of that amount will mean a significant hardship for Nebraska taxpayers, as
we will be footing the bill--either through increased taxes, or a reduction in state
services in other important areas--like education and roads!

5. Are we creating an even larger class of people that are dependent on the government? How many folks do you know that have ever gotten off of Medicare/Medicaid?

6. Medicaid is a prime example of government’s inability to outperform—or even keep up with—the private sector. Medicaid should be reformed so that patients could be allowed to have access to private insurance in a consumer-driven market.

Here's a list of senators that need emails and calls to help them make up their mind: I have heard that emails from the other side have been coming in big numbers - we need to let them hear from the conservatives!

Name Contact By Email Capitol Phone
Adams Greg gadams@leg.ne.gov (402) 471-2756
Carlson Tom tcarlson@leg.ne.gov (402) 471-2732
Davis Al adavis@leg.ne.gov (402) 471-2628
Gloor Mike mgloor@leg.ne.gov (402) 471-2617
Hadley Galen ghadley@leg.ne.gov (402) 471-2726
Hansen Tom thansen@leg.ne.gov (402) 471-2729
Johnson Jerry jjohnson@leg.ne.gov (402) 471-2719
Karpisek Russ rkarpisek@leg.ne.gov (402) 471-2711
Kolowski Rick rkolowski@leg.ne.gov (402) 471-2327
Krist Bob bkrist@leg.ne.gov (402) 471-2718
Seiler Les lseiler@leg.ne.gov (402) 471-2712
Wightman Johnjwightman@leg.ne.gov (402) 471-2642
Coash, Colby ccoash@leg.ne.gov (402-471-2632
Pirsch, Pete ppirsch@leg.ne.gov (402-471-2621

THANK YOU SO MUCH FOR YOUR EFFORTS TOWARD LIBERTY IN NEBRASKA! YOUR CALLS AND EMAILS MAKE A HUGE DIFFERENCE!!!

Medicaid Expansion LB 577
MEDICAID%20EXPANSION%20BROCHURE%20%28sim­plified%29-1.pdf

Glen F.
user 11731625
Springfield, NE
Post #: 202
Lory Storm owns Senator Davis in this interview. Well worth your time...

http://www.ksdzfm.com...­
Darlene E.
user 14539080
Omaha, NE
Post #: 335
Excellent interview.
Darlene E.
user 14539080
Omaha, NE
Post #: 336
It's BACK!!!!!!!

RALLY CALL FOR THE CONSERVATIVES! LB 577 ON MEDICAID EXPANSION, THE SLEEPING GIANT, IS THREATENING AGAIN! HELP NEEDED ASAP!

Here's what's going on today!


Steve Lathrop opened up 577 again yesterday, using time that would not count against the debate.
Sen. Jerry Johnson from Wahoo removed his name “to force a vote” (on a bill that appeared to be dead for lack of support? NOT)
Radio stations, hospital lobbyists, etc. went into action at the same time.
Lobbying is "fierce" in the Capitol.
Sen. Johnson was handed a letter with 30 signatures of groups supporting 577
Folks, this is no coincidence. It is a coordinated “ambush” to push this over the top to pass this bill! We need to get back in the game – 100%.

Freedom Ringing Sounds A Lot Like Telephones - So let’s cover all the bases. Here’s the original list of Senators to persuade below (Put priority on those in red) and a list of talking points PLEASE USE YOUR OWN WORDS!!!!!! (Senators' staffers can spot a form letter a mile away for some reason, and tend to disregard them.)

1. Federal money isn't "free" - taxpayers will pay for this one way or the other. It does not make sense to take the federal dollars only to sign up for a program that will bankrupt Nebraska!

2. Unlike Nebraska, the federal government is in terrible shape fiscally - is it wise for Nebraska trust them to deliver the money they say they will agree to?

3. Medicaid typically pays physicians 56 percent of the amount that private insurers pay. As more and more doctors refuse to accept Medicaid, it is increasingly difficult for Medicaid patients to find medical care. Especially in our rural areas, an expansion of Medicaid threatens to over-stress our already understaffed physician population.
4. The current Medicaid program currently costs Nebraska taxpayers about $645 million
a year. If expanded, close to 20% of Nebraskans will be eligible for the program.
An increase of that amount will mean a significant hardship for Nebraska taxpayers, as
we will be footing the bill--either through increased taxes, or a reduction in state
services in other important areas--like education and roads!

5. Are we creating an even larger class of people that are dependent on the government? How many folks do you know that have ever gotten off of Medicare/Medicaid?

6. Medicaid is a prime example of government’s inability to outperform—or even keep up with—the private sector. Medicaid should be reformed so that patients could be allowed to have access to private insurance in a consumer-driven market.


THANKS FOR CALLING/EMAILING these senators & asking them to vote NO!!


Name
Contact By Email At
Capitol Phone
Adams Greg
gadams@leg.ne.gov
(402) 471-2756
Brasch Lydia
lbrasch@leg.ne.gov
(402) 471-2728
Carlson Tom
tcarlson@leg.ne.gov
(402) 471-2732
Coash Colby
ccoash@leg.ne.gov
(402) 471-2632
Davis Al
adavis@leg.ne.gov
(402) 471-2628
Gloor Mike
mgloor@leg.ne.gov
(402) 471-2617
Hadley Galen
ghadley@leg.ne.gov
(402) 471-2726
Hansen Tom
thansen@leg.ne.gov
(402) 471-2729
Johnson Jerry
jjohnson@leg.ne.gov
(402) 471-2719
Karpisek Russ
rkarpisek@leg.ne.gov
(402) 471-2711
Kolowski Rick
rkolowski@leg.ne.gov
(402) 471-2327
Krist Bob
bkrist@leg.ne.gov
(402) 471-2718
Pirsch Pete
ppirsch@leg.ne.gov
(402) 471-2621

Schumacher Paul
pschumacher@leg.ne.gov
(402) 471-2715
Seiler Les
lseiler@leg.ne.gov
(402) 471-2712
Wightman John
jwightman@leg.ne.gov
(402) 471-2642

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