entitlement reform in wisconsin - governor scott walker 021313

7/29/2019 Entitlement Reform in Wisconsin - Governor Scott Walker 021313

1/12

2/13/20

FromDependence

to

Independence

EntitlementReform

inWisconsin

GovernorScottWalker

February13,2013

Dependence


2/12

2/13/20

TheNumberofMedicaidEnrolleesHasGrownfrom10%to21%oftheStates

Population

10%

21%

0%

5%

10%

15%

20%

25%

0

400,000

800,000

1,200,000

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

MedicaidEnrollmentasaPercentageofTotalStatePopulation

MedicaidAverageMonthlyEnromment

MedicaidE nro ll me nt Me di cai dasaPercentageofStatePopulation

681,342Enrollees

1,175,355Enrollees

73%Increase

in

Enrollment

From20032012

TheMedicaidProgramSpendingHasGrownFrom$1billionin1987toOver$8

Billionby2015

$0

$2,000

$4,000

$6,000

$8,000

$10,000

ExpendituresinMillions

FederalFunding

ARRAEnhancedFederalFunding

StateFunding

Temporaryincreasein

federalfundingoffsetcosts

ofprogram expansionfor

threeyears.

$1.1billion

$8.1billion


3/12

2/13/20

$0

$500

$1,000

$1,500

$2,000

$2,500

$3,000

$3,500

$4,000

StateExpendituresinMillions

$1.526Billion

$3.034Billion

99PercentIncrease

from20032013

StateFundingofMedicaidIncreasedby562Percentfrom19872013

FY2012 FY2013 FY2014 FY2015

BaseBudget $1,416,326,200 $1,416,326,200 $2,015,761,200 $2,015,761,200

GPRIncreaseinBudget $645,478,700 $599,019,400 $221,354,500 $422,275,500

TotalGPR $2,061,804,900 $2,015,345,600 $2,237,115,700 $2,438,036,700

GovernorWalkerProvided$1.24billioninnewGPRinFY201113,andan

additional $644millionGPRinthecurrentbudget.

Ofthe$644millionGPRoverthebienniumrequiredtocoverongoingcosts,

nearly40percent,orabout$258million,isduetothefederalgovernment

reducingfundingforMedicaidforourstate,increasingcostsduetochangesin

theAffordableCareAct,andincreasingpaymentsforMedicarecoverage.

Medicaid

Funding

Under

Governor

Walker


4/12

2/13/20

NonElderlyAdultsbySourceofInsurance

NumberofPeople

2,327,635

284,966

0

477,100

0

500,000

1,000,000

1,500,000

2,000,000

2,500,000

ESI&Individual Medicaid Exchange Uninsured

*DataRepresentsDecember2013ProjectedSourceofCoverage

224,580


5/12

2/13/20

Uninsured

Non

Elderly Adults Number Rate

Current CensusCPSASEC2011 477,100 14%

Change Governors

Proposal

252,520

(224,580)

7%

ACAMandate 224,422

(252,678)

6%

Alternative Option 336,175

(140,925)

10%

ImpactonUninsuredNonElderlyAdultsUnderVariousProposals

ComparingtheOutcomes

Plan Uninsured Medicaid PrivateMarket

&

Exchange

Total Chan ge %Cha nge Total Chan ge %Change Total Change %Change

1. Governor'sPla n 252,520 (224,580) 47% 279,549 (5,417) 2% 2,557,632 229,997 10%

2. ACAMan date 224,422 (252,678) 53% 375,657 90,691 32% 2,489,622 161,987 7%

3. AlternativeOption 336,175 (140,925) 30% 180,721 (104,245) 37% 2,572,805 245,170 11%

(224,580)

(5,417)

229,997

(252,678)

90,691

161,987

(140,925)

(104,245)

245,170

(300,000)

(200,000)

(100,000)

0

100,000

200,000

300,000

1.Governor'sPlan

2.ACAMandate

3.AlternativeOption

ChangeIn Uninsured ChangeIn Medicaid

Change

In Private

Market&Exchange


6/12

2/13/20

224,580

Household Annual

Income

(2013FPL)

FPL Premiumas%

ofIncome

Monthly

Individual/

Family

Premium

Share*

Individual $11,490 100% 2% $19

Familyof4 $23,550 100% 2% $39

Individual $15,282 133% 3% $38

Familyof4 $31,322 133% 3% $78

Individual $22,980 200% 6.3% $121

Familyof

4 $47,100 200% 6.3% $247

*Thepremiumamountsarethemaximumthatpersonswouldhavetopay

forthesecondlowestcostsilverplan. Dependingontheplanspeople

choose,theirpremiumscouldbehigherorlowerthantheseamounts.These

amountsarebasedonthe2013PovertyLevels.

EnrollmentScenariosBasedonIncomeUnder

FederalHealth

Insurance

Exchange

MonthlypremiumsabovewerecalculatedbytheDepartmentofHealthServicesbasedoncriteriaoutlinedintheAffordableCareAct.


7/12

2/13/20

USNational

Debt

Clock

$16,521,200,000,000

Source:USDebtClock.org

6,783.2

7,379.1

7,932.7

8,507.09,007.7

10,024.7

11,909.8

13,561.6

14,790.3

16,066.216,521.2

0.0

2,000.0

4,000.0

6,000.0

8,000.0

10,000.0

12,000.0

14,000.0

16,000.0

18,000.0

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Current

(est.)

DollarsinBillions

Year

FederalGovernmentNationalDebt


8/12

2/13/20

AfterDroppingasaResultofWelfareReformin1998,FoodShare EnrollmentHas

Grown,onAverage11%PerYear,WhileBenefitsPaymentsAreGrowinganAverage

of20%PerYear.

$210,843,522

$1,177,814,176

448,723

1,085,995

0

200,000

400,000

600,000

800,000

1,000,000

1,200,000

$0

$200,000,000

$400,000,000

$600,000,000

$800,000,000

$1,000,000,000

$1,200,000,000

$1,400,000,000

CY1995 CY2000 CY2005 CY2010

Benefits

Enrollment

75,878

JobTraining


9/12

2/13/20

121,791ResidentsCurrentlyReceive

UnemploymentBenefits

AverageTimeIndividualsareonUI

16.6weeks

2/3rdsAreNotRequiredtoSearchforWork

DuetoCurrentWorkSearchExemptions

40,200RegistrantsRequiredtoSearchforJob

2xPer

Week

UnemploymentInsuranceinWisconsin

Proposed

4orMore

Searches

Per

Week


10/12

2/13/20

1,175,355

1,085,955

202,600

200,000

400,000

600,000

800,000

1,000,000

1,200,000

1,400,000

Medicaid Foodshare Unemployed

WisconsinitesCurrentlyEnrolledinEntitlementsorUnemployed

NumberofWisconsinites

BOLDENTITLEMENT

REFORM


11/12

2/13/20

ReformingEntitlementsinWisconsin

FS:JobTraining

UI:2to4perweek

MA:ReduceUninsuredandThose

DependentonGovernment

Healthcare

SELFRELIANCE


12/12

2/13/20

Independence!

FromDependence

to

Independence

EntitlementReform

inWisconsin

GovernorScottWalker

February13,2013

entitlement reform in wisconsin - governor scott walker 021313

Documents