Auditor General DePasquale, Treasurer Torsella Warn of Health Care, Fiscal Impacts if Medicaid Expansion Eliminated

More than 675,000, mostly rural, Pennsylvanians could be at risk and the state’s billion dollar plus structural budget could be increased even more

Harrisburg, PA – Auditor General Eugene DePasquale and Treasurer Joe Torsella today warned Congress that eliminating the Medicaid expansion provision in the Affordable Care Act could jeopardize health care for more than 675,000 Pennsylvanians and push the state’s structural budget deficit even higher.

“There will be devastating consequences for hundreds of thousands of mostly rural, working poor, Pennsylvanians if Congress eliminates the Medicaid expansion provision of the Affordable Care Act."

“We want to remind our congressional delegation that Medicaid expansion — called ‘HealthChoices’ in the keystone state — helped real people and families receive health care. Kicking them out of the health care system now will have dire consequences on their health and ripple effects on rural hospitals that stand to lose federal funds that are helping to keep their doors open."

Pennsylvania Auditor General, Eugene A. DePasquale


CNN reported last week on the impact on eliminating Medicaid expansion in rural areas like southwestern Pennsylvania and focused on Fayette County where close to one-third of the county’s population relies on Medicaid coverage.

“As the steward of Pennsylvania’s finances, I am concerned about the impact to our residents, our economy and our budget if the Medicaid expansion is eliminated. Not only would the state lose $3 billion in direct federal health reimbursements for Pennsylvanians, but the state’s total economic activity could be reduced by $4.5 billion. It would also add at least $300 million to our state’s structural budget deficit. This would make a tough situation even worse."

Pennsylvania Treasurer, Joe Torsella

“Eliminating Medicaid expansion could also hamper Pennsylvania’s fight against the ongoing opioid crisis that claimed 3,500 residents last year. Prior to 2015, people now covered by Medicaid often sought treatment from county programs that were quickly running out of money. Now we are counting on Medicaid funding to cover treatments that will be provided by the state’s 'Centers For Excellence'."

Pennsylvania Auditor General, Eugene A. DePasquale

The pair of Pennsylvania fiscal watchdogs noted that the benefits of Medicaid expansion are recognized by officials in both parties across the country.

In a recent op-ed in Time magazine, Ohio Governor John Kasich touted the benefits of Medicaid expansion for 700,000 people in his state, writing,

“According to a recent assessment of Ohioans who gained coverage through Medicaid expansion, a majority now find it easier to find or keep a job, manage their health to avoid costly trips to the hospital down the road, and even find it easier to put food on the table.”

Similar, serious concerns are being echoed by democrat and republican governors.

DePasquale and Torsella conveyed those sentiments in a letter to Pennsylvania’s two U.S. senators and 18 congressional representatives urging them to keep the Medicaid expansion provision of the Affordable Care Act.

“We urge you to review the facts carefully before you cast a single vote that could lead to the end of Medicaid for the nearly three-quarters-of-a-million Pennsylvanians added under the ACA."

Pennsylvania Treasurer, Joe Torsella and Pennsylvania Auditor General, Eugene A. DePasquale
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