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Ohio Obamacare expansion costs $3 billion in first 15 months

By   /   April 29, 2015  /   News  /   No Comments

Part 13 of 27 in the series Ohio's Obamacare expansion
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SO FAR, NOT SO GREAT: Ohio Gov. Kasich’s Obamacare Medicaid expansion has already cost taxpayers more than $3 billion

By Jason Hart | Ohio Watchdog

Americans’ tax burden is already $3 billion heavier because of Ohio Gov. John Kasich’s expansion of Medicaid under Obamacare.

By putting more able-bodied, working-age childless adults on Medicaid than Kasich projected, Obamacare expansion is reducing incentives to work and threatening traditional Medicaid recipients’ access to care faster and at greater cost than anticipated.

After Kasich expanded Medicaid unilaterally, a state panel approved $2.56 billion in Obamacare spending for the expansion’s first 18 months. The money was meant to last until July, but it ran out in February.

Kasich’s Obamacare expansion cost $323 million in March — 84 percent greater than estimates revised just six months earlier.

Using monthly figures released by the Ohio Department of Medicaid, the Republican governor’s Obamacare expansion cost slightly more than $3 billion from January 2014 through March 2015.


Kasich’s Obamacare expansion is on track to cost more than $4 billion by the end of June.

With federal taxpayers on the hook for all benefit costs and Ohio facing a growing state share in 2017, Obamacare expansion may soon consume 10 percent of Ohio’s budget.

“Comparing budgets to actual and holding those responsible accountable is how private enterprise would work and, in my opinion, also how government should work,” State Rep. Paul Zeltwanger said in an email to Ohio Watchdog.

Expressing concern over Obamacare expansion’s promised federal funding, Zeltwanger said the federal government “already has way too much debt and cannot support all of these additional costs from Obamacare let alone $1.3 billion overruns from one state.”

“I want Ohio to be part of the solution” instead of adding to the $18 trillion national debt, Zeltwanger said. “As elected officials, we need to show fiscal discipline and restraint. We owe this to our children.”

Zeltwanger suggested Medicaid reforms should be put in place before the state even considers expanding the program. In a separate email to Ohio Watchdog, State Rep. Nino Vitale agreed.

“Although we want to help people, there does come a time when there is no more money, and we either have to use debt or cannibalize other programs such as education, to offset these programs,” Vitale said.

“Or, we simply have a limit on what we can do,” Vitale continued. “We all do this in our personal family budgets, or in business, why not in government?”

Vitale and Zeltwanger, both Republicans, were elected to their first two-year terms in the Ohio House last fall. Since 2013, conservative and free-market groups have warned lawmakers not to rely on the Kasich administration’s cost and enrollment projections.

“AFP Ohio has said all along that Medicaid expansion would come at a great cost to state and federal taxpayers,” Americans for Prosperity Ohio deputy state director Baylor Myers wrote in an email to Ohio Watchdog.

“These funding levels, which unsurprisingly exceed initial expectations, are unsustainable,” Myers added.

Budget-busting Obamacare expansion costs are resulting from a combination of exploding enrollment and higher-than-expected benefit costs per enrollee.

Since taking effect January 2014, Kasich’s Obamacare expansion has enrolled 527,821 people — 44 percent more than the Kasich administration estimated would sign up by July 2015.

As of February, only 42 percent of the Ohioans enrolled in Kasich’s Obamacare expansion were employed.

Despite the welfare expansion’s costs, the Republican supermajority in the Ohio House didn’t strip Obamacare expansion funding from the governor’s proposed 2016-17 budget.

Several House Republicans criticized Kasich’s Obamacare expansion before voting in favor of the budget last week.  Zeltwanger, Vitale and three other Republicans voted against the budget because of higher spending driven by Obamacare.

The Kasich administration has not responded to Ohio Watchdog requests for comment as Obamacare expansion’s costs and enrollment have left projections in the dust over the past several months.

Part of 27 in the series Ohio's Obamacare expansion
  1. Obamacare expansion passes Ohio governor’s July 2015 projection
  2. Will Ohioans be taken in by Obamacare Medicaid spin?
  3. Ohio Gov. Kasich wants rubber stamp for Obamacare money
  4. Obamacare adds 450,000 Ohioans to Medicaid rolls
  5. Ohio: Who’s paying for Kasich’s Medicaid expansion?
  6. Ohio budget relies on billions in new Obamacare spending
  7. Ohio Obamacare expansion 33 percent over budget in first year
  8. Two-thirds of Ohio’s Obamacare enrollees are on Medicaid
  9. No money, no problem for Ohio Obamacare expansion
  10. Obamacare puts half a million Ohioans on Medicaid
  11. Ohio lawmakers show no inclination to stop budget-busting Obamacare expansion
  12. Ohio House Republicans embrace Obamacare expansion
  13. Ohio Obamacare expansion costs $3 billion in first 15 months
  14. Ohio’s Obamacare expansion already $1 billion over budget
  15. At $4 billion, Ohio Obamacare expansion blows past projected costs
  16. Ohio’s dependence on Medicaid is the worst in the Midwest
  17. Three-fourths of Ohio Obamacare enrollees are on Medicaid
  18. Ohio Medicaid spending is skyrocketing under Gov. Kasich
  19. Ohio’s Obamacare expansion has cost taxpayers $5 billion
  20. Ohio Obamacare expansion keeps getting bigger
  21. Has Ohio Gov. Kasich really restrained Medicaid growth?
  22. Flashback: Gov. Kasich’s Medicaid expansion end-run
  23. Kasich’s Medicaid expansion has cost taxpayers $7 billion
  24. Ohio Medicaid expansion sign-ups keep crushing projections
  25. How many Ohio Medicaid expansion enrollees have jobs?
  26. Ohio Medicaid expansion costs top $7.5 billion
  27. Ohio’s budget-busting Medicaid expansion trend continues


Jason was formerly a reporter for Watchdog.org