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FromDependenceto
Independence
EntitlementReform
inWisconsin
GovernorScottWalker
February13,2013
Dependence
2/13/2013
TheNumberofMedicaidEnrolleesHasGrownfrom10%to21%oftheStates
Population
1,175,355
73%Increasein
Enrollment
From20032012
MedicaidAverageMonthlyEnromment
25%
Enrollees
800,000
21%
20%
681,342
Enrollees
15%
10%
10%
400,000
5%
MedicaidEnrollmentasaPercentageofTotalStatePopulation
1,200,000
0%
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
MedicaidEnrollment
MedicaidasaPercentageofStatePopulation
TheMedicaidProgramSpendingHasGrownFrom$1billionin1987toOver$8
Billionby2015
$10,000
$8.1billion
$8,000
ExpendituresinMillions
FederalFunding
ARRAEnhancedFederalFunding
$6,000
StateFunding
Temporaryincreasein
federalfundingoffsetcosts
ofprogram expansionfor
threeyears.
$4,000
$2,000
$1.1billion
$0
2/13/2013
StateFundingofMedicaidIncreasedby562Percentfrom19872013
$4,000
$3,500
$3,000
$3.034Billion
99PercentIncrease
from20032013
StateExpendituresinMillions
$2,500
$2,000
$1.526Billion
$1,500
$1,000
$500
$0
MedicaidFundingUnderGovernorWalker
GovernorWalkerProvided$1.24billioninnewGPRinFY201113,andan
additional$644millionGPRinthecurrentbudget.
Ofthe$644millionGPRoverthebienniumrequiredtocoverongoingcosts,
nearly40percent,orabout$258million,isduetothefederalgovernment
reducingfundingforMedicaidforourstate,increasingcostsduetochangesin
theAffordableCareAct,andincreasingpaymentsforMedicarecoverage.
FY2012
BaseBudget
GPRIncreaseinBudget
TotalGPR
FY2013
FY2014
FY2015
$599,019,400
$221,354,500
$422,275,500
2/13/2013
NonElderlyAdultsbySourceofInsurance
2,500,000
2,327,635
NumberofPeople
2,000,000
1,500,000
1,000,000
477,100
500,000
284,966
0
0
ESI&Individual
Medicaid
Exchange
Uninsured
*DataRepresentsDecember2013ProjectedSourceofCoverage
224,580
4
2/13/2013
ImpactonUninsuredNonElderlyAdultsUnderVariousProposals
UninsuredNonElderly 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%
ComparingtheOutcomes
Plan
Uninsured
Total
Change
Medicaid
%Change
Total
Change
PrivateMarket&Exchange
%Change
Total
Change
%Change
1.Governor'sPlan
252,520 (224,580)
47%
279,549
(5,417)
2%
2,557,632
229,997
2.ACAMandate
224,422 (252,678)
53%
375,657
90,691
32%
2,489,622
161,987
10%
7%
3. AlternativeOption
336,175 (140,925)
30%
180,721 (104,245)
37%
2,572,805
245,170
11%
300,000
1.Governor'sPlan
200,000
245,170
229,997
2.ACAMandate
161,987
3.AlternativeOption
90,691
100,000
ChangeIn Uninsured
ChangeIn Medicaid
0
(5,417)
ChangeIn Private
Market&Exchange
(100,000)
(104,245)
(140,925)
(200,000)
(224,580)
(252,678)
(300,000)
2/13/2013
224,580
EnrollmentScenariosBasedonIncomeUnder
FederalHealthInsuranceExchange
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
Familyof4
$47,100
200%
6.3%
$247
*Thepremiumamountsarethemaximumthatpersonswouldhavetopay
forthesecondlowestcostsilverplan.Dependingontheplanspeople
choose,theirpremiumscouldbehigherorlowerthantheseamounts.These
amountsarebasedonthe2013PovertyLevels.
Household
Annual
Income
(2013FPL)
FPL
Premiumas%
ofIncome
MonthlypremiumsabovewerecalculatedbytheDepartmentofHealthServicesbasedoncriteriaoutlinedintheAffordableCareAct.
2/13/2013
USNationalDebtClock
$16,521,200,000,000
Source:USDebtClock.org
FederalGovernmentNationalDebt
18,000.0
16,066.2
16,521.2
16,000.0
14,790.3
13,561.6
14,000.0
11,909.8
DollarsinBillions
12,000.0
10,024.7
10,000.0
9,007.7
8,507.0
7,932.7
8,000.0
7,379.1
6,783.2
6,000.0
4,000.0
2,000.0
0.0
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Current
(est.)
Year
2/13/2013
AfterDroppingasaResultofWelfareReformin1998,FoodShare EnrollmentHas
Grown,onAverage11%PerYear,WhileBenefitsPaymentsAreGrowinganAverage
of20%PerYear.
$1,400,000,000
1,200,000
1,085,995
$1,200,000,000
$1,177,814,176
1,000,000
Benefits
Enrollment
$1,000,000,000
800,000
$800,000,000
600,000
$600,000,000
448,723
400,000
$400,000,000
$210,843,522
200,000
$200,000,000
$0
CY1995
CY2000
CY2005
CY2010
75,878
JobTraining
2/13/2013
UnemploymentInsuranceinWisconsin
121,791ResidentsCurrentlyReceive
UnemploymentBenefits
AverageTimeIndividualsareonUI
16.6weeks
2/3rdsAreNotRequiredtoSearchforWork
DuetoCurrentWorkSearchExemptions
40,200RegistrantsRequiredtoSearchforJob
2xPerWeek
Proposed
4orMore
SearchesPer
Week
9
2/13/2013
WisconsinitesCurrentlyEnrolledinEntitlementsorUnemployed
1,400,000
1,200,000
1,175,355
1,085,955
NumberofWisconsinites
1,000,000
800,000
600,000
400,000
202,600
200,000
Medicaid
Foodshare
Unemployed
BOLD
ENTITLEMENT
REFORM
10
2/13/2013
ReformingEntitlementsinWisconsin
FS:JobTraining
UI:2to4perweek
MA:ReduceUninsuredandThose
DependentonGovernment
Healthcare
SELFRELIANCE
11
2/13/2013
Independence!
FromDependenceto
Independence
EntitlementReform
inWisconsin
GovernorScottWalker
February13,2013
12