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Rejection of Medicaid expansion to cost Ohio $700M in funds for mental health, drug abuse

Published: Sun, April 21, 2013 @ 12:36 p.m.

Rejection of Medicaid expansion to cost Ohio $700M in funds for mental health, drug abuse

Associated Press


Rejecting the expansion of health care coverage for more low-income Ohioans will mean the loss of $700 million over the next two years for medical care and treatment programs for people with mental illness or substance abuse problems, the governor’s administration says.

Advocates of Ohio Gov. John Kasich’s proposal to expand Medicaid under President Barack Obama’s health law say turning down the expansion will have a ripple effect on state and county agencies that deal with people who are uninsured and battling addictions and mental illness.

“There is a great deal at stake,” said Tracy Plouck, director of the Ohio Department of Mental Health.

Expanding treatment programs, she said, could help keep people out of jail and allow counties to free up money they spend on mental illness or substance abuse programs.

Republicans in the Ohio House this past week removed the Medicaid expansion from the upcoming state budget while agreeing to continue discussing health coverage for the poor and adding $100 million over the next two years for mental health and substance abuse.

Opponents of Medicaid expansion fear being stuck with the long-term costs of the program, which now is being paid for mainly by the federal government. Many conservatives also are philosophically against the idea of expanding government programs and opposed to the federal health care law that calls for mandated health coverage.

What happens next with Medicaid is up to the state Senate.

Greg Moody, director of the Governor’s Office of Health Transformation, says the needs of those with mental health problems and addictions are much bigger than $50 million a year.

The administration estimates its plan would provide $627 million annually for those two areas once the Medicaid expansion takes full effect.

Estimates show that about 215,000 people in Ohio would be eligible for substance abuse treatment if the state expanded Medicaid, according to the U.S. Substance Abuse and Mental Health Services Administration.

That’s more than double the current number now in treatment programs.


1papa1(711 comments)posted 3 years ago

this is a stupid, stupid decision to turn down 100% government funded money to help treat people with mental illness and substance abuse problems. haven't they seen enough carnage and dead children to convince them that something has to be done to help those who are unstable, whatever the reasons?

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2redeye1(5514 comments)posted 3 years ago

papa This isn't stupid decision at all, , you see they are looking towards the future. What happens when the money does run out, who pays then ? The people of Ohio , that's who! And they don't want to put that burden on your kids or mine. They really should think about re-opening the mental hospitals that the liberals closed years ago. That is something that is really need today.

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3Guins(15 comments)posted 3 years ago

When is our government going to figure it out? Do they even realize how hard it is to get somebody into either type if treatment without insurance? Their best options are Turning Point and Neil Kennedy in this area and BOTH have an extremely long wait time to receive treatment. This is beyond ridiculous. They want gun control but they don't want to fix the real issues. Absurd.

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