A group representing N.C. hospital systems released a proposal Friday to renew stalled negotiations among state lawmakers on Medicaid expansion. (Getty Images)

Zipatala za North Carolina Zimapereka Malingaliro Atsopano Okulitsa Medicaid

Raleigh, North Carolina (AFP) – Zipatala zaku North Carolina ndi zipatala zaku North Carolina Lachisanu zidavumbulutsa zomwe zingasinthe zokambirana zomwe zayimitsidwa kuti zikhazikitse malamulo omwe angakulitsire Medicaid kwa mazana masauzande akuluakulu omwe amalandila ndalama zochepa m’boma.


Zomwe muyenera kudziwa

  • North Carolina ndi amodzi mwa mayiko ambiri omwe sanavomereze zomwe boma la federal lipereka popereka chithandizo kwa anthu omwe amapeza inshuwaransi yochulukirapo kudzera mu Medicaid yachikhalidwe koma yochepa kwambiri kuti apeze inshuwaransi yachinsinsi.
  • Boma lapereka ndalama zokwana 90% za ndalama zachipatala pakukulitsa
  • Bungwe la North Carolina Health Care Association lati lingaliro lawo lifuna kuti zipatala zizipereka gawo lalikulu la boma kuti lipereke anthu ena 600,000.

North Carolina Health Care Association idati lingaliro lomwe latumizidwa kwa atsogoleri azamalamulo aku Republican komanso Bwanamkubwa wa Democratic Roy Cooper lilinso ndi zosintha pamalamulo ena aboma omwe amafunikira kuvomereza nyumba zina zachipatala zisanamangidwe kapena ntchito zitaperekedwa kudera lina.

Mtsogoleri wa Senate Phil Berger chilimwechi adadzudzula ligiyi chifukwa chokana kusiya malamulo a “satifiketi yofunikira”. Zosintha pamalamulowa zidaphatikizidwa mu mtundu wa Senate wa mulingo wokulira wovomerezedwa mu June. Berger adati pakufunika kuwonjezera chithandizo chamankhwala chofunikira kuti chithandizire anthu omwe akukula a Medicaid.

Cooper, yemwe amathandizira kukulitsaku, adauza atolankhani sabata ino kuti zingakhale zomveka kuti zipatala zikambirane ndi Berger za malamulowa, omwe zipatala zimati zimathandizira malo ammudzi omwe amatumikira mosagwirizana ndi omwe alibe inshuwaransi kapena osatetezedwa kuti akhale otseguka.

“Bungwe Lathu la Ma Trustees lapanga chisankho chovuta kuti apereke umboni wa kufunikira kwa kusintha kwa malamulo,” adatero Pulezidenti Dr. Roxy Wells m’mawu atolankhani. Kusintha kwa CON kungathe kuopseza moyo wa zipatala za anthu ngati sizikutsatiridwa mosamala. Timakhulupirira kwambiri atsogoleri azamalamulo kuti azichita bwino.

Nyumbayi idapereka chiwongolero chake sabata yomaliza ya msonkhano woyamba wa General Assembly wa chaka chino womwe sunaphatikizepo chilichonse mwazachipatala chomwe Senate ikufuna. Sipikala wa Nyumba Tim Moore adati aku Republican m’nyumba yake angakonde kuchitira zinthu izi mosiyana ndi kukulitsa.

Chief of Staff Neil Inman adati ofesi ya Moore ikuwunikabe zomwe zaperekedwa Lachisanu. Mneneri wa Berger Lauren Horch adanenanso zomwezo, ndikuwonjezera kuti, “Tikuthokoza kufunitsitsa kwa NCHA kubwera patebulo ndi lingaliro.” Palibe yankho lachangu Lachisanu kumapeto kwa Lachisanu kuchokera ku ofesi ya Cooper.

Msonkhano Waukulu uyenera kukumananso Lachiwiri pazomwe zikuyembekezeka kukhala gawo lamasiku atatu loyang’anira popanda mavoti olembedwa. Opanga malamulo akuyenera kubwerera ku Raleigh mu Okutobala.

North Carolina ndi amodzi mwa mayiko ambiri omwe sanavomerebe zomwe boma la federal limapereka popereka chithandizo kwa anthu omwe amapeza inshuwaransi yochulukirapo kudzera mu Medicaid yachikhalidwe koma yochepa kwambiri kuti apeze inshuwaransi yachinsinsi. Boma lipereka 90% ya ndalama zachipatala pakukulitsa.

Bungweli lati ganizo lake likufuna kuti zipatala zizipereka ndalama zambiri za boma kuti zithandizire anthu ena 600,000 pamtengo wopitilira $550 miliyoni pachaka. Zipatala za boma zidzatenganso nawo gawo pa pulogalamu yothandizidwa ndi boma yomwe idzalimbikitse kubweza kwa Medicaid popereka chisamaliro, kupanga ndalama zatsopano.

Lingaliroli lichotsa Malamulo a Zofunikira ndi Odwala Odwala Psychiatric Beds kuti athandizire anthu omwe amadalira mankhwala. Idzachepetsanso, mkati mwa zaka zisanu, kuchepetsa malamulo azipinda zopangira opaleshoni mkati mwa malo opangira ma ambulatory, zomwe bungweli likuti zidzawawonongera ndalama.

“Tsiku lililonse mumadikirira Msonkhano Wonse ndi tsiku lomwe limapweteka anthu 600,000 ku North Carolina,” atero Purezidenti wa Assembly ndi CEO Steve Lawler. “Tikukhulupirira kuti malamulo aliwonse adzakhazikitsidwa moganizira zomwe zimateteza zipatala zomwe zimasamalira anthu komanso kukonza thanzi la anthu.”

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