Congressman Matt Salmon: Medicaid Needs Reform, Not Expansion

Matt Salmon

First bill repeals Obamacare’s Medicaid expansion, gives states more flexibility 

WASHINGTON—Today, Congressman Matt Salmon (AZ-05) introduced his first piece of legislation in the 113th Congress. Salmon released the following statement regarding H.R. 1404, The Medicaid Expansion Repeal and State Flexibility Act:

“Today, I’m honoring my pledge to fight with everything I have to eliminate Obamacare before it causes more damage to our economy. 

“My first step in this fight addresses Medicaid expansion at the federal level. 

“One of the big-ticket items included in Obamacare was a provision that essentially bribed states to expand their Medicaid eligibility requirements to 138% of the poverty level, and to have the Federal government pay for 100% of the expansion.  As with most other aspects of Obamacare, unwanted strings are attached. 

Obamacare only covers the full cost of this expansion for the initial years, but leaves the onerous federal mandates to stay.”  

“Medicaid needs reform, not expansion.” 

“Instead of more federal mandates, I support giving States the maximum flexibility to provide services to their most vulnerable populations.  My bill strikes the Medicaid expansion from Obamacare, and provides this flexibility without the strings attached. 

“I look forward to working with my colleagues in the House to repeal this and more of Obamacare’s harmful federal policies.”

Additional Information:

  • Since the creation of Medicaid in 1965, the focus of this program has been on providing health care to vulnerable low-income individuals.
  • Under current law, the Medicaid expansion is expected to cost Federal and State governments over $500 billion dollars from 2014-2019.
  • Currently, Medicaid provides health care to over 60 million Americans and consumes a growing portion of State and Federal budgets.
  • By adopting the Medicaid expansion to cover up to 138% of the federal poverty level provided in the Patient Protection and Affordable Care Act (PPACA), states will be expanding Medicaid to a different population of able-bodied adults, the vast majority of whom are single and without dependents.
  • Adding more people to the already distressed system only further exacerbates Medicaid’s underlying problems.

Click here to read the text of H.R. 1404

Click here to view a video message from Rep. Salmon on H.R. 1404.


Richard Carmona’s Status Quo Approach to Medicare Guarantees its Bankruptcy

Jeff Flake

Richard Carmona’s new ad ignores that he supports a massive $716 billion cut to Medicare 

PHOENIX – Democratic Senate candidate Richard Carmona’s new ad says that he’ll protect Medicare. However, he supports President Obama’s expensive health care law, which harms Medicare by cutting $716 billion to pay for it.

Moreover, Richard Carmona doesn’t have a plan to deal with the long-term solvency of the Medicare program. Neither do his fellow Democrats in Washington. If nothing is done, Medicare will go bankrupt.

Offering Arizona voters nothing but bromides and support for the President’s expensive health care law, Richard Carmona is the last person seniors can trust to protect Medicare,” said Andrew Wilder, communications director for Flake for Senate.  “Arizonans expect leadership on the tough issues facing our country. Richard Carmona is unwilling, while Jeff Flake has a proven record of it.”

Jeff Flake supports a plan that will protect current Medicare benefits for people 55 and older, and makes commonsense reforms to strengthen and preserve the program for future generations. Richard Carmona opposes such aplan, preferring to do nothing.


According To The Nonpartisan Congressional Budget Office, Obamacare Cuts $716 Billion From Medicare. (Congressional Budget Office,Letter To Speaker John Boehner, 7/24/12) 

President Obama’s Senior Campaign Aide Has Bragged That President Obama “Achieved” $700 Billion In “Cuts In Medicare.”CUTTER: “Well, you know ask the wealthy to pay a little bit more. Cut waste from the government. Reform Medicare. More than $300 billion in savings from Medicare. On top of the savings we’ve already achieved. You know I heard Mitt Romney deride the $700 billion cuts in Medicare that the president achieved through health care reform.” (CBS’s “Face The Nation,” 8/12/12)


Over The Next 10 Years, ObamaCare Will Cut $11.8 Billion From Medicare Plans That Arizona Seniors Rely On For Their Health Care Needs. (Robert A. Book and Michael Ramlet, “What Is The Regional Impact Of The Medicare Fee-For-Service And Medicare Advantage Payment Reductions,”University Of Minnesota’s Carlson School Of Management, 9/12)

Stay up to date on Richard Carmona’s campaign to be a rubberstamp for Democrats’ liberal agenda in Washington by

For more information on Jeff Flake and why he’s running for the U.S. Senate, please visit his website at


Carmona Steps Up Praise for ObamaCare, Gutting of Medicare

Carmona Wants to End Debate, Ignore Cost to Taxpayers, and Just Do it Obama’s Way

PHOENIX – Richard Carmona, a Tucson Democrat recruited last year to run for the U.S. Senate by President Barack Obama, yesterday reiterated his strong support for ObamaCare and said he was “disgusted” by those still debating the fairness of this new program and the harm it would cause to seniors. ObamaCare, also called the Affordable Care Act, is expected to drain more than $700 billion from Medicare to pay for much of Obama’s program. Republicans in the U.S. House have repeatedly voted to repeal ObamaCare, but the Democrats who narrowly control the Senate will not allow a vote to take place.

“President Obama recruited Richard Carmona to run for the Senate because ObamaCare is just one of the items on their liberal agenda they need to keep Republicans from having input on,” said Arizona Republican Party spokesman Tim Sifert. “Obama doesn’t want his Democrats to lose control of the Senate, so he’s stepped heavily into Arizona politics trying to shore up liberal candidates like Richard Carmona who are pledged to support him.”


Carmona “disgusted” by Debate

“…said the public should be as “disgusted” as he is at how politicized the debate has become.” (Bruce Christian, “Senate Candidate” Echo Magazine, August 2012)

But Without Debate and Action Medicare is Going Bankrupt

Changes Made To Medicare Under ObamaCare Are “Not Viable In The Long Range”

“Further, while the Patient Protection and Affordable Care Act, as amended, makes important changes to the Medicare program and substantially improves its financial outlook, there is a strong likelihood that certain of these changes will not be viable in the long range.” (2010 Annual Report Of The Boards Of Trustees Of The Federal Hospital Insurance And Federal Supplementary Medical Insurance Trust Funds)

Medicare Trustees: Trust Fund To Be Exhausted In 2024

The Annual Report From The Medicare Trustees Reports That The Medicare Trust Fund Will Go Bankrupt Five Years Earlier Than Previously Predicted: “However, the HI trust fund is now estimated to be exhausted in 2024, 5 years earlier than was shown in last year’s report, and the fund is not adequately financed over the next 10 years. HI taxable earnings in 2010 were lower than previously estimated, and the rate of growth in these earnings is projected to accelerate and to exceed last year’s growth assumptions in 2011-2019. HI expenditures in 2010 were close to the previous estimate, but the projected level grows more rapidly than shown in last year’s report because of the projected faster growth in earnings. HI expenditures have exceeded income annually since 2008 and are projected to continue doing so through the short-range period until the fund becomes exhausted in 2024. In 2010, $32.3 billion in trust fund assets were redeemed to cover the shortfall of income relative to expenditures.” (2011 Annual Report Of The Boards Of Trustees Of The Federal Hospital Insurance And Federal Supplementary Medical Insurance Trust Funds)

Carmona Wants His Way Regardless of Cost

“I don’t care what we call it or how we get there, as long as we can come up with a something that ensures that everyone has access to healthcare; that’s the humane thing to do.” (Bruce Christian, “Senate Candidate” Echo MagazineAugust 2012)


Gabrielle Giffords Misleads Her Constituents

Once again, Gabrielle Giffords misled her constituents, this time in her Health Care Reform statement praising the Affordable Health Care for America Act. Her politically biased, one-sided description speaks volumes about her lack of integrity and how she views seniors in her congressional district . . . with cold-hearted loathing.

 Giffords stated the Act “will provide security for seniors, guarantee access to health insurance coverage for the uninsured and make health care affordable for the middle class . . .” and  that the Act will “[i]mprove Medicare for 135,000 beneficiaries . . .”  What Giffords did not tell her constituents is 279,833 Arizona seniors will lose their Medicare Advantage coverage because Giffords voted to gut Medicare funding by $500 billion. Giffords cannot gut Medicare and simultaneously improve it.


Giffords announced a number of “benefits” to health reform:

*  New health care plans and select grandfathered plans will allow 57,000 young people in District 8 to remain on their parents’ insurance policy until their 26th birthday.

Children with pre-existing conditions can no longer be denied health insurance coverage. The law prohibits that practice for new health plans as well as grandfathered group plans.

 *  Children covered by Medicaid or State Children’s Health Insurance Programs cannot be dropped from the plan.

*  Adults covered by State Medicaid programs cannot be dropped from the plan.

 What she failed to tell her constituents is the federal government will reduce Medicare reimbursements for hospitals who provide seniors with long-term and inpatient and rehabilitation care. Giffords certainly made her seniors feel more secure. First she eliminates their Medicare Advantage coverage then reduces Medicare reimbursements to hospitals.


Here are Gifford touted benefits of health care reform in 2011. First, Medicare Part D recipients who fall into the “donut hole” will receive a 50 percent discount on their prescriptions. A new, voluntary insurance plan providing modest cash assistance for long-term in-home or nursing home care becomes available.

 Insurance companies will be held accountable for unreasonable rate hikes. The law supports states in requiring that insurance companies submit justification for requested premium increases. Any company with excessive or unjustified premium increases may not be able to participate in new health insurance exchanges.

 Employers will start reporting the value of employees’ health care benefits on their W-2s. Community health centers will get increased funding to treat low-income and underserved individuals.

 What did Giffords fail to tell her constituents?

 *  Medicare Advantage cuts begin.

 *  Seniors will be means tested and forced to pay higher Medicare Part D premiums.

 *  Medicare reimbursements will be reduced for seniors who use MRI and CT scans begin.

 *  Medicare reimbursements for seniors’ use of ambulances and durable medical equipment will be reduced.


Giffords noted that nonprofit insurance co-ops will be created to compete with for-profit insurance companies. Physicians, hospitals and payers will be encouraged to band together in “accountable care organizations.”

 What did Giffords fail to tell her constituents?

 *  The federal government will cut Medicare reimbursement rates to any hospital with high readmission rates.

 *  The federal government will cut Medicare reimbursement rates for seniors on hospice care.

 *  The federal government will cut Medicare reimbursement rates for seniors on dialysis.


 Giffords stopped describing the “benefits” of the Democrat health care reform act at 2012. Do you wonder why? Here’s the reason.

 The federal government will establish an Independent Payment Advisory Board with powers to make further, draconian cuts in Medicare reimbursements.


The federal government will cut Medicare reimbursements for seniors who depend on home health care.

 Giffords failed to tell her constituency the truth, the whole unvarnished truth. Giffords has betrayed her senior constituency. She repeatedly failed to inform them of the draconian cuts in reimbursements . . . only in Medicare.

The federal government is not making any cuts in reimbursements for the federal employees’ health plan. Tri-care (for military dependents) reimbursements are not being reduced. Only Medicare reimbursements are being reduced. Only Medicare Advantage health coverage is going to be slashed.

 Giffords and her fellow progressive-socialist Democrats  have targeted seniors for health care coverage reduction, health care reimbursement reduction and health care premium increases.

 Giffords claims to be a fiscally conservative blue dog but she is just a Pelosi lapdog who willingly and knowingly put a knife in the back of every senior in her congressional district.

Thank you to Congressman Mark Kirk, R-ILL, for his permission to use information from his web site. And good luck to the Congressman as he runs for Barack Obama’s old Senate seat.