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IN state budget and ACA costs

Uncertainty surrounding implementation of the Affordable Care Act looms over the upcoming session of the General Assembly, and fiscal leaders say that uncertainty will necessitate caution when writing the state’s next budget.

Milliman, the actuary hired by the state, predicts Indiana will see its Medicaid costs expand by more than $600 million over seven years once the Affordable Care Act goes into effect. That's the low-end estimate if the state chooses not to expand its Medicaid eligibility rules.

Senate Appropriations chair Luke Kenley (R-Noblesville) calls the Affordable Care Act a dark cloud looming on the horizon.

“The amounts of money the state of Indiana may have to expend just to pay our share of the Medicaid program could eliminate our opportunity to do anything else.”

State Representative Tim Brown (R-Crawfordsville), a doctor and the recently-named chair of the House Ways and Means Committee, says the state needs to take a cautious budgetary approach.

“We want other states to look at the hurdles and the pitfalls and potholes and so maybe we can avoid those so we can avoid some of the expensive missteps.”

However, Senate Minority Leader Tim Lanane (D-Anderson) says Republican gloom-and-doom predictions may be unfounded.  He says Milliman’s Medicaid cost forecasts don’t take into account health care savings created by the federal law.

Brandon Smith is excited to be working for public radio in Indiana. He has previously worked in public radio as a reporter and anchor in mid-Missouri for KBIA Radio out of Columbia. Prior to that, he worked for WSPY Radio in Plano, Illinois as a show host, reporter, producer and anchor. His first job in radio was in another state capitol, in Jefferson City, Missouri, as a reporter for three radio stations around Missouri. Brandon graduated from the University of Missouri-Columbia with a Bachelor of Journalism in 2010, with minors in political science and history. He was born and raised in Chicago.
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