Medicaid

All year long on Alabama Public Radio, we’ve been looking at rural health care. Advocates of rural health in Alabama say one of the biggest issues is access to health care in rural areas. The state is facing a massive shortage of physicians, and the doctors we do have are largely concentrated in metropolitan areas.

The situation gets worse when it comes to specialty and subspecialty care. The vast majority of the state’s specialists are in Birmingham, Huntsville or Mobile. But doctors are now starting to use technology to bring specialty care into rural Alabama.

When people are encouraged to understand others, they’re often told to walk a mile in their shoes. Alabamians have the chance to do just that at poverty simulations put on by the group Alabama Possible. APR Student Reporter Allison Mollenkamp attended a simulation hosted by the United Way of Alabama. She takes this look back… 

Volunteers are at a Alabama Possible poverty simulation. The group gathers in a gymnasium. There’s nothing on the walls--just groups of chairs in the middle of the room. Each cluster represents a family in the fictional town of Realville.

Alabama Senators will be debating how to divvy up the state’s portion of oil spill settlement money amid a looming hole in the Medicaid budget.

The Alabama Senate is expected to take up the settlement bill today. A version of the legislation passed the House last week. Debate on the Senate floor could get contentious, though, as Senators can’t seem to agree on how much money should help Medicaid and how much should go toward road projects on the Alabama coast.

The Alabama House of Representatives will take up debate on a lottery proposal championed by Governor Robert Bentley after it narrowly passed the Senate last week.

The bill would put the establishment of an Alabama lottery to the voters for the first time since 1999. The House Tourism Committee could hear the bill tomorrow.

Alabama’s Senate and House of Representatives are back in Montgomery once again to try and find a solution to the state’s budget woes.

Governor Robert Bentley called the special session of the state’s legislature to find funding for Medicaid, infrastructure and state debt repayment. One of the most popular plans is to amend the state constitution to set up a lottery, with revenue directed into Alabama’s ailing General Fund.

The Alabama House and Senate are set to gather in special session today.

Governor Robert Bentley wants lawmakers to consider a constitutional amendment to create a state lottery. If the legislature says yes, then state voters will get to vote up or down on the idea in November. The Governor wants the money to go the general fund to help pay for Medicaid.

Senate President Pro Tem Del Marsh says lawmakers will have questions and suggestions.

With all of the wet weather along the Gulf Coast, The National Weather service is issuing a Flash Flood Watch in that area for the next few days. 

The flood watch is effect for some areas until Saturday morning.  It stretches along the Gulf Coast from southeastern Louisiana to the Florida Panhandle.

The NWS says periods of moderate to heavy rain are expected through Friday across portions of coastal southwest Alabama.

Alabama Gov. Robert Bentley says he is still considering a special session on Medicaid funding but has not made a final decision.

The governor says Medicaid needed at least an additional $15 million in order to have adequate funding in the next fiscal year. Bentley adds he expects to announce a decision soon.

Lawmakers budgeted $700 million for the state Medicaid program. Bentley said $785 million was needed to maintain the program.

Alabama’s Medicaid program has announced its first real-world impact of the state budget cuts.

The program announced yesterday that it would no longer offer enhanced reimbursement payments for primary care doctors starting next month. The enhanced payments, commonly referred to as the “primary care bump”, brought Medicaid reimbursement up to the level offered by Medicare for certain health providers. It was designed to get more doctors to accept and treat Medicaid patients.

State Medicaid officials say they opposed Medicaid language temporarily inserted in the 2013 budget that could have benefited a client of House Speaker Mike Hubbard.

Medicaid Commissioner Stephanie Azar testified today that Medicaid officials were caught off guard by language added in the House.  It would have set requirements for any pharmacy benefit manager the state might hire.

Common threads link the effort to remove Roy Moore as Alabama's chief justice with the case that resulted in his ouster from the same post more than a decade ago.

Each case involves Moore's conservative Christian beliefs and his views on the power of federal courts.

The Republican is suspended and faces a trial after judicial investigators filed a complaint Friday.  It accuses him of failing to respect U.S. Supreme Court and lower federal court decisions that cleared the way for gay marriage.

An Alabama judicial regulatory body will decide whether Roy Moore should be removed as Chief Justice of the state Supreme Court.

Moore faces removal from the bench over his effort to block same-sex marriage from coming to Alabama despite a U.S. Supreme Court ruling effectively legalizing gay marriage nationwide. The Alabama Judicial Inquiry Commission filed ethics charges against Moore late last week, accusing him of abusing his authority and failing to respect the judiciary.

Alabama lawmakers plan to hold hearings on the state's Medicaid program tomorrow.

The House and Senate general fund budget committees have scheduled a joint meeting tomorrow to discuss funding options for the government health care program that covers approximately a million Alabamians.

House Speaker Mike Hubbard says lawmakers plan to question Medicaid officials about the agency's finances and costs.

Alabama Governor Robert Bentley is not happy the state legislature voted to override his veto on the General Fund Budget.  Lawmakers yesterday voted to enact the $1.8 billion general fund budget which will go in to effect on Oct. 1.  Bentley spoke to the media today along with Medicaid Commissioner Stephanie Azar.  Bentley had sought an additional $100 million for Medicaid. The Legislature only increased the funding for Medicaid by $15 million.

Alabama lawmakers are expected to give their final approval to the General Fund budget later today. That will set up an expected veto by Gov. Robert Bentley over what he calls inadequate Medicaid funding.

Governor Bentley says the spending plan in its current form is unacceptable and he plans to veto it. The budget is $85 million short of the amount Bentley and state Medicaid commissioner Stephanie Azar say is needed to adequately fund the state's Medicaid program.

The Alabama House of Representatives has approved a bare-bones General Fund budget that Gov. Robert Bentley has already threatened to veto over inadequate Medicaid funding.

Representatives approved the spending bill on a 65-35 vote yesterday after a five-hour filibuster by black lawmakers. Democrats harshly criticized the proposed spending plan, which comes up $85 million short of the amount Bentley says is needed to adequately fund Medicaid.

Montgomery Rep. John Knight says Medicaid provides medical care to 1 million vulnerable Alabamians and has few programs to trim.

Gov. Robert Bentley is hinting that lawmakers could be back in special session if they fail to pass a budget that he feels adequately funds Medicaid.

Bentley says he would veto any budget without an additional $100 million for Medicaid. While lawmakers could override his veto, Bentley says that did not preclude a special session.

Commissioner Stephanie Azar says Medicaid needs that amount to avoid cuts and continue a switch to managed care.