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Hope’s Medicaid Expansion Bill Defeated

Del. Patrick Hope speaks at a ribbon-cutting for the new Route 50/N. Courthouse Road interchange(Updated at 11:40 a.m.) Del. Patrick Hope (D) says Virginia can no longer afford not to expand its health coverage to cover the currently uninsured.

But the estimated 400,000 state residents who do not have health insurance will have to continue to wait after Hope’s healthcare bill, HB 2212, was defeated by voice vote by a House of Delegates subcommittee.

“Disappointed my bill [to] expand access to 400k Virginians was defeated,” Hope tweeted yesterday. “The uninsured aren’t going away; neither am I.”

Hope has been the lead delegate in the House of Delegates’ Democratic Caucus on health care, with efforts again focused on expanding Medicaid as part of the Affordable Care Act. The issue is one of Gov. Terry McAuliffe’s priorities for this legislative session.

Speaking to ARLnow.com last week, Hope said he believed bipartisan support was possible for his bill, either in its proposed form or after amendments.

“I’m optimistic we are going to pass this bill or a version of it,” he said. “Virginia is getting closer and closer to that day. We really can’t ignore the economics of this. It’s mainly because we’re really double and triple taxing our residents every single day if we don’t do anything.”

The state’s wealthier residents are already paying taxes to fund federal Medicaid expansion, Hope said, and if Virginia doesn’t expand Medicaid, the money “goes right to Washington, not us.” In addition, Hope said, hospitals that care for uninsured patients who can’t pay their bills pass on the expenses in the forms of higher premiums and costs to those paying for insurance.

Hope said expanding Medicaid would inject $2 billion into the economy by covering holes in the budget, creating Medicaid-related jobs and lowering premiums. The state budgets $200 million for prison reform, mental illness and indigent care, Hope said, all of which would be covered by Medicaid and the federal government.

“Virginia families all over the commonwealth are one accident or one illness away from financial ruin,” Hope said. “The economics are so overwhelming, and I just don’t see how much longer we can walk away from $2 billion because people will still be getting sick.”

On the phone from Richmond this morning, Hope was defiant about expanding Medicaid, saying Republicans are putting “politics before economics” in a year every member of the General Assembly is up for re-election. Thirty states have voted to expand Medicaid, he said, 10 of which have Republican governors.

“Virginia’s just not there in an election year,” he said. “I think it’s just going to reach a point where we can no longer let our politics get in the way of what’s right. I generally have a policy of when I see $2 billion on the ground, I pick it up.”

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