SC health care advocates push Medicaid expansion

If the House and Senate do not agree on their respective bills, the question then goes to a conference committee, which will try to reach a compromise.

Should a compromise that includes Medicaid expansion be reached and passed by both bodies, the next step is the Governor’s Office. Gov. Haley has pledged to veto any bill that includes Medicaid expansion. As a political face-saving move, she could let it become law without her signature.

If the governor vetoes the bill, the legislature can override her veto with a two-third’s vote of both bodies.

The state legislature decides whether to accept the expansion funds — and can do so only if it can muster the two-thirds majority to override the governor’s promised veto. Because all the Democratic legislators support the expansion, we must target Republicans.

Of the 124 House members, 83 must vote yes to override. With 48 Democrats and 76 Republicans in the 124 House seats, we must convince 35 Republicans to vote yes.

In the 46-seat Senate, 31 votes are needed for an override. With 27 Republicans and 19 Democrats, the override vote requires the support of 12 Republicans.

What can I do?

Arm yourself with the facts about Medicaid expansion. Health Care Fairness for SC, a coalition of hospitals and health care advocates that includes the SC Progressive Network, has a great web site with all the facts you need to understand the matter and lobby for it. There is also a link to send messages to your representatives here.

We are asking organizers to adopt a Republican legislator. Get outside your comfort zone.  If you don’t have a Republican in your district, find the closest one. Look in your county delegation. Recruit five of your friends who agree with you to do the same.

Find your legislator, or look them up by your district here.

Find your senator here, and

  1. Get that legislator to take a position on Medicaid expansion. Many Republicans are saying they are “looking at the options.” This is a way of saying they are waiting to see if a super-majority for the veto is possible before they decide how to vote.
  2. Go to your adopted legislator’s church and discuss the issue with congregants. Do the same with their fellow alumni and neighbors. A listing of Republican legislators, their churches and colleges is here.
  3. After a reasonable effort to solicit the legislator’s commitment to a yes vote, you may attempt to call him out on the question in public. Tactics ranging from letters to the editor, community forums, to pickets or leafleting may be considered. The Network can provide tactical and legal advice on such actions.
  4. Let us know who you’ve adopted, and their response, by calling 803-808-3384 or emailing network@scpronet.com.

If you have questions or need help, contact the SC Progressive Network at 803-808-3384.

To join an e-list for organizers working on Medicaid expansion, email network@scpronet.com.

See Health Care Fairness for SC for more information.

Goals

We want to get the Medicaid expansion passed.

Short of that, we want to:

•  Take the governor up on her position that community health care centers are a better alternative than “Obamacare,” and push for a recurring budget and increased funding for the centers and rural hospitals.

•  Use the opportunity to identify allies and broaden our base of support for movement for rational change in South Carolina.

See our web site for more about the SC Progressive Network. Join us on Facebook and Twitter.

Senate Finance Committee

List of Republicans on the finance committee. Click here for bio and local contact information.

Leatherman, Hugh K., Sr., Chairman (Florence, Darlington)

Peeler, Harvey S., Jr. (Spartanburg, Union, York)

Courson, John E. (Lexington, Richland)

O’Dell, William H. (Abbeville, Anderson, Greenwood)

Hayes, Robert W., Jr. (York)

Alexander, Thomas C. (Oconee, Pickens)

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