@BarstoolBigCat My submission for the next PMT FAQ: For those of us with no exposure to the rest of the Barstool universe, who is Mintzy? What's his deal? Why is the mere mention of his name a punchline?
@PFTCommenter You're really slipping, man. During today's discussion of how "humans got to America," @hen_ease said, "Columbus..." and you let it slide.
i am really not feeling this whole "all journalists and critics need to be on-camera personalities now" thing. and it's not only because I'm old and weird looking
Truly unbelievable out of Georgia's Department of Community Health. And that is saying something.
Let's walk through this step by step.
Pathways to Coverage, Georgia's extremely limited Medicaid expansion program, has a work requirement.
Using Georgia as a model, the One Big Beautiful Bill Act enacted a nationwide Medicaid work requirement, but one with eligibility that is more lenient than Pathways (e.g. more and broader exemptions for the work requirement, including the medically frail, people with children up to age 13).
First, let's marvel that even compared to the Trump requirement's stringent Medicaid expansion law, Pathways is MORE stringent. That probably has something to do with its pathetically low uptake.
But they will now have to update their eligibility to comply with the OBBBA. That means more patients covered, and more state money being spent.
The Affordable Care Act wanted to help states expanding Medicaid by offering a 9:1 federal match. Meaning for every $1 the state spends, the feds will match it with $9 to cover the cost of expansion. Pretty good deal!
But to avail themselves of this federal money (which we've already been paying for more than a decade), the ACA stipulates that the state must raise its Medicaid eligibility to people making up to 138% of the federal poverty level.
Pathways to Coverage is available to people only making up to 100% of the federal poverty level. Traditional Georgia Medicaid, even more harsh, only covers patients making up to 35% of the FPL. Just to put this in real dollar terms, that's the eqivalent of about a $5,500 annual salary for a single person, $11,500 for a family of four.
Georgia Republicans’ goal, apparently, is to cover fewer people. Note this is different than having a goal of improving the health of the state so that they need less care. They just want the state to pay less, and for more patients, providers, and hospitals to eat the costs.
But given that the OBBBA--again, someow more lenient than Pathways--will grow the Georgia Medicaid population because more people will be eligible. So Georgia DCH wants that federal match. They want the money. They just don't want to do it in the way that complies with the law as written.
So instead of raising the income cutoff to 138% of the federal poverty level--the conditions set forth in the ACA for the 9:1 federal match--they want to keep their income cutoff low...
…but get the money anyway.
They want the Medicaid expansion money, but they don't want to fully expand Medicaid.
Will the federal government say yes to this? Hard to say, this administration doesn't seem to be too intent on following precedent or paying attention to laws.
But maybe that's the point. Maybe Georgia DCH wants the federal government to say no.
Because that will give them the excuse to say, "Oops, Pathways is too expensive now, the state can't cover it, so it's gone." Thereby allowing them to pull the plug on a program that has, frankly, underperformed in the most humiliating way possible, all while averting the blame.
Either way, they need to figure it out by the end of the year. And a new governor will be sworn in in January.
In case you didn't think it matters much who gets elected governor, this is one of many, many reasons why.
https://t.co/jllCf7I8D9
The DeKalb DA's Office had to shut down its child support enforcement unit, which collected and distributed $9 million a year, because the state wouldn't give it $125,000.
In my conversations with sexual assault victim service orgs, these disregards are resulting in sizable staff cuts.
So many orgs have wait lists and can't serve our communities most vulnerable.
Georgia Republicans chose that. It was a choice.
An audit of all 1.11 million ballots cast in Georgia’s runoff elections found just 23 “discrepancies.” Every one of them involved hand-marked paper ballots. #gapol
https://t.co/EsJ7fSNzzb
It also takes every minute of a kid's time almost year-round, leaving no time for anything else, including other sports that might aid overall athletic development.
100% true. If you have a six year old who is any good at all in the US, your options currently are:
A) cheap rec league soccer where your child gets zero coaching and no real competition
OR
B) shell out thousands per year to a travel club
Completely broken system.
Real story:
Judge was about to throw out the case bc Trump controls both parties.
Before it’s dismissed, Trump tells both parties to reach a “settlement.”
Settlement shields Trump from any future audit and creates a secret slush fund that can dole out money to anyone with no transparency.
Mind-boggling corruption.
@SpeakerJohnson - you may not know it, but your job is to conduct oversight of the admin. You can’t run away from this one.
Fulton DA Fani Willis and DeKalb DA Sherry Boston vow to challenge “this illegal bill.”
“Sadly, thanks to the irresponsible actions of the Republican majorities in the legislature and Governor Kemp, taxpayers will be the ones footing the bill to defend it in court.” #gapol