Pennsylvania Gov. Tom Corbett might expand Medicaid under the new health care law if he can secure reforms to the program first, according to a new report.
Mr. Corbett, a Republican, is among governors who have resisted calls to expand the federal-state health entitlement for the poor as envisioned by the Affordable Care Act.
The Supreme Court has ruled states can decide whether to accept federal dollars to expand enrollment to those who earn up to 138 percent of the federal poverty level.
The federal government will pay for 100 percent of the expanded population in 2014-2016, before scaling back its contribution to 90 percent in 2020 and beyond.
While some GOP critics of Obamacare have been enticed by the funds, others rejected them or demanded reforms to the Medicaid program before they consider the idea.
Mr. Corbett falls into the last camp, and his administration is considering reforms such as co-pays for emergency visits and a “work-search” requirement for enrollees, according to a Philadelphia Inquirer story published with Kaiser Health News.
Mr. Corbett has also taken a look at a plan pioneered by Arkansas, in which the state would expand Medicaid by using the federal dollars to purchase private coverage for newly eligible residents on the state-based health exchange set up under Obamacare.