This article originally appeared on heartland.org.
Enrollment in Ohioâ??s expandedÂ Medicaid program wasÂ 485,462 in December, 33 percent higher than expected.
Gov. John Kasichâ??s Obamacare expansion took effect inÂ January 2014, and it has been over budget ever since. Enrollment was at 492,121 last month, 34 percent higher than the Republican governorâ??s initial projection for this coming July.
The Ohio Department of Medicaid neverÂ released aÂ December caseload study, but a December eligibility and expenditures report pegged enrollment at 471,452. Caseload reports, which include revisions for previous months,Â have consistently shown largeÂ increases in previous monthsâ?? enrollment due to backdated eligibility.
For example, June enrollment in Kasichâ??s Obamacare expansion was initially reported as 285,553 before increasing in every subsequent caseload report. June enrollmentÂ was revised to 367,446 in ODMâ??s January caseload release.
â??Though it wonâ??t save Ohio taxpayers from paying the growing check he has written, it would be nice if John Kasich admitted he was wrong on enrollment numbers and show an ounce of remorse for being so wrong,â?ť Matt Mayer, president of free-market think tank Opportunity Ohio, said in an email to Ohio Watchdog.
â??The same goes for the editorial boards who continue to shill for Medicaid expansion in spite of the cold, hard facts of what it is going to cost us,â?ť Mayer added.
$300 million per month
July enrollment, first reported as 338,707, has been revised upward every month and was reported as 394,162 in the January caseload release. November enrollment jumped from 450,941 in the November report to 469,737 in January.
OhioÂ spentÂ more than $2.1 billion in Obamacare moneyÂ to pay for Medicaid expansion benefits through December. AÂ $2.56 billion Ohio Controlling Board appropriation for the expansion was meant to last until July.
With monthly expenditures topping $300 million by the end of 2014, ODM will almost certainly exhaust its Controlling Board appropriation this month. The Kasich administration has not responded to Ohio Watchdog inquiries about its plans to pay for expansion through June.
Republican leaders in the Ohio House and Ohio Senate have signaled they would make no effort to overturn Kasichâ??s unilateral expansion of Medicaid to able-bodied, working-age adults with no dependent children.
Medicaid Premiums Coming?
After puttingÂ half a million Ohioans on Medicaid under Obamacare, Kasich is emphasizing â??welfare to workâ?ť proposalsÂ in his budget for fiscal 2016 and fiscal 2017.
In a House Finance and Appropriations Committee hearing Wednesday, Democrats expressed skepticism over Kasichâ??sÂ recommendation that adults on Medicaid pay smallÂ premiums if their income exceeds 100 percent of the federal poverty line.
â??My concern is it will turn less into a personal responsibility issue as more of an unnecessary burden, an unnecessary obligation,â?ť Rep. Dan Ramos said.
Complaining that some Ohioans would forgoÂ Medicaid coverage if requiredÂ to pay a premium, Ramos asked, â??Whereâ??s the idea that this is a responsibility issue for these folks who have responsibilities, who have bills, who have a job?â?ť
The KasichÂ administration has estimated â??about halfâ?ť of the Ohioans added to Medicaid under Obamacare have jobs.
Greg Moody, director of Kasichâ??s Office of Health Transformation, reminded Ramos eligibility for Obamacare exchange subsidies begins at 100 percent of the federal poverty line.
â??Without expansion, federal law requires individuals to have insurance for which they pay a premium on a monthly basis that, at low-income ranges around 100 percent, are about $20 a month,â?ť Moody said.
â??It seems fair to reflect that policy so as to not create a distinction between people at exactly the same income level when they make a choice to get coverage through the exchange versus coverage through Medicaid,â?ť he added.
KasichÂ â?? who claims his Obamacare expansion has nothing to do with ObamacareÂ â?? could address this issue by capping eligibility for Medicaid at 100 percent of poverty, but that would mean missing out on billions in new federal spending.
Kasich Defends Expansion
While traveling the country promoting a federal balanced budget amendment, Kasich has vociferously defended his decision to addÂ almost 500,000 people to a federally funded entitlement program. Kasich has evenÂ accused Republicans in states not embracing Obamacare of ignoring Godâ??s will.
The Columbus Dispatch, Cleveland Plain Dealer, Cincinnati Enquirer, Toledo Blade and Akron Beacon-Journal endorsedÂ Obamacareâ??s Medicaid expansion almost immediately after KasichÂ introduced it in hisÂ 2013 budget plan.
The stateâ??s largest newspapers have all reported the Kasich administrationâ??s Obamacare projections without skepticismÂ while ignoringÂ criticsâ??Â concerns aboutÂ MedicaidÂ expansionâ??s likely cost and outcomes.