Obama offers to help governors on health care costs

McClatchy NewspapersFebruary 28, 2011 

WASHINGTON — Looking for some goodwill from the nation's governors, President Barack Obama said Monday that he's willing to bend a bit to help them deal with their budgetary problems stemming from health care costs — and the political heat rising from his 2010 law to expand health care.

Obama, addressing governors in town for the National Governors Association, said he supports a move to let states design their own health care systems starting in 2014 with waivers from provisions of his 2010 Affordable Care Act, so long as those state systems meet his law's goals. The existing law wouldn't allow state waivers until 2017.

"It will give you flexibility more quickly while still guaranteeing the American people reform," Obama told the governors. "If your state can create a plan that covers as many people as affordably and comprehensively as the Affordable Care Act does — without increasing the deficit — you can implement that plan. And we'll work with you to do it."

The president vowed as well to work with a bipartisan panel of governors to find alternate ways to reduce Medicaid costs without hurting services to those who need it, if the governors can come up with recommendations that meet his qualifications. "If you can come up with more ways to reduce Medicaid costs while still providing quality care to those who need it, I will support those proposals as well."

Obama's concessions followed weekend appeals from governors of both parties for federal help in reducing the budget-crushing costs of Medicaid, whose expenses are split between federal and state governments. The governors were attending their semi-annual conference here.

Obama said that his 2010 health care law already recognizes that states need flexibility to do things their way. "Alabama is not going to have exactly the same health needs as Massachusetts or California or North Dakota. We believe in that flexibility," he said.

Legislation to speed state waivers under the health care law is sponsored by Democratic Sens. Ron Wyden of Oregon and Mary Landrieu of Louisiana and Republican Scott Brown of Massachusetts.

"I think that's a reasonable proposal. I support it," Obama said.

Meanwhile, Obama's health care law faces legal challenges from at least 27 states. Offering states more flexibility in meeting its terms could at least cool the public debate, though it's unlikely to end court challenges to the law.

Obama also had some fun at the expense of one potential 2012 GOP presidential rival, saying, "I agree with Mitt Romney, who recently said he's proud of what he accomplished on health care in Massachusetts and supports giving states the power to determine their own health care solutions."

As Massachusetts governor, Romney signed into law a universal health care act that was a model for Obama's national expansion, which Republicans loathe. It's expected to be a major obstacle for Romney's expected run for the 2012 GOP presidential nomination.

Since Democrats' losses in November's elections and the Republicans' takeover of the House of Representatives, Obama has been trying to show a greater willingness for bipartisan compromise.

The NGA conference in Washington comes as lawmakers in Congress are working to avoid a federal government shutdown because of a partisan dispute over spending, and as a fight in Wisconsin over collective bargaining for public employees threatens to weaken public-employee unions nationally.

The president said that "I believe that everybody should be prepared to give up something in order to solve our budget challenges" but that "I don't think it does anybody any good when public employees are denigrated or vilified or their rights are infringed upon."


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McClatchy's Planet Washington blog

McClatchy Newspapers 2011

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