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2/13/2013

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

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


$645,478,700

$599,019,400

$221,354,500

$422,275,500

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

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