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Reducing federal dollars for Medicaid expansion could cut millions from the rolls

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westvirginiawatch.com – Shalina Chatlani – 2025-02-17 05:00:00

by Shalina Chatlani, West Virginia Watch
February 17, 2025

Depending on how states respond, a Republican proposal circulating on Capitol Hill that would slash the 90% federal contribution to states’ expanded Medicaid programs would end coverage for as many as 20 million people — or cost states $626 billion over the next decade to keep them on the rolls, according to a new analysis.

The Trump administration and Republicans in Congress are eyeing reductions in federal spending, largely to pay for extending tax cuts enacted during Trump’s first term in office. Medicaid, the joint federal-state health care program for low-income people and people with disabilities, covers 1 in 5 people living in the U.S. and accounts for nearly $1 out of every $5 spent on health care.

According to a document shared with Politico, one idea under consideration by the U.S. House Ways and Means Committee is to shrink the current 90% federal funding match for states that have expanded Medicaid under the Affordable Care Act. Under the proposal, Congress would reduce the federal match for the expansion population to the percentages states get for the traditional Medicaid population — 50% for the wealthiest states and 77% for the poorest ones.

Under the ACA, states have the option to expand their Medicaid programs to cover adults with low incomes up to 138% of the federal poverty level ($21,597 for an individual in 2025), instead of just limiting coverage to children, parents of young children and people with disabilities. The built-in incentive to expand was that the federal government’s promise to pay 90% of the cost of expansion from 2020 and beyond, meaning states just had to pay the remaining 10%.

Forty states plus the District of Columbia have opted to expand. The holdouts are Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin and Wyoming.

Research released this week by the health policy research group KFF finds that two major scenarios could happen — both of which might diminish patients’ access to health care coverage.

The first possibility is that expansion states would use their own money to make up for lost federal dollars. That would cost them about $626 billion over 10 years, an overall spending increase of 17%. To shoulder the heavier burden, states likely would have to scale back Medicaid coverage for some groups, eliminate optional benefits or reduce provider payment rates. Alternatively, they could raise taxes or make cuts in other large budget items, such as education.

A second potential outcome is that states that have adopted Medicaid expansion would reverse it. Nine states (Arizona, Arkansas, Illinois, Indiana, Montana, New Hampshire, North Carolina, Utah and Virginia) already have “trigger” laws in place that would automatically rescind expansion if the federal match rate dips below 90%. Other states are considering similar legislation.

If all the states (plus D.C.) that have expanded Medicaid under the ACA reverse it, 20 million people, or nearly a quarter of all Medicaid enrollees, would lose coverage, according to KFF. Among expansion states, overall Medicaid spending would decline by 6%.

States that have not expanded Medicaid would not be affected under either scenario.

Stateline is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Stateline maintains editorial independence. Contact Editor Scott S. Greenberger for questions: info@stateline.org.

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West Virginia Watch is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. West Virginia Watch maintains editorial independence. Contact Editor Leann Ray for questions: info@westvirginiawatch.com.

The post Reducing federal dollars for Medicaid expansion could cut millions from the rolls appeared first on westvirginiawatch.com

News from the South - West Virginia News Feed

Company preserving WV's past with reclaimed wood

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www.youtube.com – WCHS Eyewitness News – 2025-04-30 15:00:35

SUMMARY: Barewood Company in Hurricane, West Virginia, started 11 years ago by owner Matt Snider, a woodworker with 30 years of experience. He left a stable job to create a business using reclaimed wood from local historic sites. One notable piece came from a barn in Hamlin, which remained unchanged despite shifts in county and state lines. Barewood crafts products from wood sourced from old businesses, barns, and even bowling alleys, incorporating live edge, epoxy, and bourbon barrel heads. With locations in Hurricane, Charleston, and Morgantown, the company preserves West Virginia’s history through its unique, story-rich wooden creations.

YouTube video

PUTNAM COUNTY, W.Va. (WCHS) — In a sawdust-filled building in Hurricane, West Virginia, you find Bear Wood Company — an idea that started 11 years ago in a garage.

Owner Matt Snyder said he has been a woodworker for about 30 years, but took a leap in making it his full-time career.

FULL STORY: https://wchstv.com/news/local/bear-wood-company-looks-to-build-bonds-while-preserving-the-past-of-the-mountain-state

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News from the South - West Virginia News Feed

FEMA’s refusal to help some West Virginia counties just a taste of what’s to come

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westvirginiawatch.com – Leann Ray – 2025-04-29 04:55:00

by Leann Ray, West Virginia Watch
April 29, 2025

Last week, West Virginia Watch reporter Amelia Ferrell Knisely traveled to McDowell County to talk to residents about recovery efforts after the mid-February floods.

She found that many people still have soggy carpets and wet basements after more than two months. Houses are filled with mold. Trash is piled up outside. Some residents say they haven’t seen anyone from the state or federal government in their small towns offering help.

And McDowell is one of the few counties that actually received federal funding for flood response. 

In late February, the federal government approved Gov. Patrick Morrisey’s request for federal  aid. The Federal Emergency Management Agency has so far approved nearly 3,500 applications for individual assistance, and more than $25 million has been awarded to residents in Logan, McDowell, Mercer, Mingo, Raleigh, Wayne and Wyoming counties.

Residents who receive that money can use it to cover the costs of temporary housing and home repairs. 

About 94% of West Virginia communities are considered “Special Flood Hazard Areas,” which means the more than 84,000 structures in those areas are at a high risk of flooding, according to a 2023 report by researchers at West Virginia University.

However, President Donald Trump has suggested that FEMA, which is the only agency currently that administers disaster relief funds, might “go away.”

Last week it was announced that Elon Musk’s Department of Government Efficiency would cut 1,000 employees — or 20% of the workforce — from FEMA, just ahead of hurricane season.

On Wednesday, Morrisey announced that FEMA denied individual assistance grants to Boone, Cabell, Greenbrier, Kanawha, Lincoln, Monroe and Summers counties, and public assistance grants in Cabell and Kanawha counties for the February floods. 

“Despite today’s notification, I am grateful to the Trump Administration for their strong support for Southern West Virginia’s recovery following the February floods,” Morrisey said in a statement. 

We know you’re not a native West Virginian, governor, but please stand up for your adopted state.

Alex Brown from Stateline, one of West Virginia Watch’s sister newsrooms, reached out to the White House about states being denied FEMA funding, and received a statement that said the agency is focused on “truly catastrophic disasters,” and that states need to have a better “appetite to own the problem.”

West Virginia has no appetite, as shown during the legislative session.

On April 4, about three weeks after the devastating February floods, Del. Sean Hornbuckle, D-Cabell, proposed adding $50 million to the state budget for flood prevention. 

“We have the ability to do something earthly,” Hornbuckle said. “The power that we have — not just the divine power — but with a button and a pen that we all have to help out neighbors in the great state of West Virginia.”  

The amendment was rejected 75-19.

Remember the 2016 floods — the deadliest in the state’s history? Former Gov. Earl Ray Tomblin, a Democrat born in Logan County, declared a state of emergency for 44 of the state’s 55 counties.

Since November 2019, FEMA has given West Virginia more than $424 million in funding in response to the 2016 floods. More than $42 million was given to 4,949 individuals and families, and more than $172.8 million was given to local and state governments and some nonprofits. FEMA also provided more than $209.8 million to replace Herbert Hoover High, Richwood Middle, Richwood High, Summersville Middle and to relocate Clendenin Elementary.

Herbert Hoover High School was destroyed, and students were taught in portable classrooms until their new school was completed in fall 2023. Clendenin Elementary School didn’t reopen until fall 2024. Construction hasn’t started on the schools destroyed in Nicholas County. 

In response to that flood, the West Virginia Legislature created the State Resiliency Office. Its purpose is to “Minimize the loss of life and property, m​​aintain eco​nomic stability, and improve recovery time by coordinating with stakeholders to implement disaster resilient strategies.​​

The state Legislature created the West Virginia Disaster Recovery Trust Fund in 2023 with Senate Bill 677. The fund sits empty. No money was allocated to that fund during the 2024 legislative session. The FY 2026 budget, which Morrisey has signed, doesn’t include any money for the fund either. 

There were only three bills related to flooding during the session — House Bill 2858 and Senate Bill 502 were the same bill, meant to allow counties to regulate floodplains under National Flood Insurance Program guidelines. They both died. House Bill 3502, sponsored by Hornbuckle, would have allowed a one-time allocation of $100 million from the state revenue shortfall fund and $150 million from the state’s income tax revenue fund for the West Virginia Flood Resiliency Trust Fund. It died in the House Government Organization.

West Virginia needs FEMA, but with FEMA potentially out of the picture, it’s time the state whet its appetite and take a bite out of the problem. 

Morrisey has already said he plans to call a special session this summer to deal with the Public Employees Insurance Agency and education funding. Sounds like the perfect time and a good use of tax payer money to move some funding over to the West Virginia Disaster Recovery Trust Fund.

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West Virginia Watch is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. West Virginia Watch maintains editorial independence. Contact Editor Leann Ray for questions: info@westvirginiawatch.com.

The post FEMA’s refusal to help some West Virginia counties just a taste of what’s to come appeared first on westvirginiawatch.com



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Center-Left

This content reflects a center-left political bias as it highlights government and federal aid shortcomings in disaster response and recovery, particularly criticizing Republican leadership and policies, such as those associated with former President Trump and West Virginia Governor Morrisey. It underscores the need for more proactive state intervention and funding to support vulnerable communities, especially in the context of disaster resilience. The critique of budget decisions and FEMA staff cuts aligns with a perspective that supports stronger public sector involvement and social responsibility, typical of center-left viewpoints, without veering into extreme or partisan language.

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News from the South - West Virginia News Feed

Couple sentenced in historic human trafficking case intend to appeal convictions

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www.youtube.com – WCHS Eyewitness News – 2025-04-26 15:00:38

SUMMARY: Jeannie White Feather and Donald Lance, sentenced to over 100 years for human trafficking and related charges, are set to appeal their convictions. During a recent court hearing, their defense attorneys indicated intentions to seek a higher court review due to possible legal errors. While the appeal process is underway, two minor misdemeanor charges for false swearing were dismissed since their sentences are already severe. The case, notable for being the first successful human trafficking prosecution in the state, originated from the discovery of their adopted children living in deplorable conditions.

YouTube video

Jeanne Whitefeather and Donald Lantz appeared virtually from prison in their first hearing since they were each sentenced to more than 100 years in prison, but as it was pointed out in court, the clock is ticking for them to appeal their case.

FULL STORY: https://wchstv.com/news/local/couple-sentenced-in-historic-human-trafficking-case-intend-to-appeal-convictions
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