Gregoire urges action on health care

OLYMPIA — The uncertain future of federal health care reform has wrinkled Washington state’s hopes of landing a $1 billion bailout to fix its budget deficit this year, Gov. Chris Gregoire said Monday.

That change could bring stronger momentum for tax hikes and budget cuts at the Legislature, now a quarter of the way through its scheduled eight-week session.

Falling tax collections and rapidly rising costs mean that Washington’s state operating budget is expected to be short by about $2.6 billion through June 2011, the end of its current two-year fiscal period.

A sizable federal bailout would effectively shrink the deficit, making the eventual combination of spending cuts and tax hikes more politically palatable. Gregoire, a Democrat, has been hoping for roughly $1 billion from the federal government through three different pipelines.

Two of those sources, however, were tied to the health care overhauls being debated in Congress — an effort that has stalled following Massachusetts Republican Scott Brown’s convincing election to the Senate.

On Monday, Gregoire and other leading Washington Democrats urged Congress to move ahead with health care reform, despite the upset in Massachusetts.

In addition to the Democrats’ overarching reasons for supporting health care reform — lower costs, broader coverage, better results — Gregoire said national leaders must remember that states are banking on more federal aid to make it through this recession-hobbled budget cycle.

“My concern is not that we won’t get it,” Gregoire said. “But will we get it in time for the budget? That’s where my concern lies.”

“This has direct bearing on our current budget,” said state Sen. Karen Keiser, D-Kent.

Gregoire’s proposed solution for patching the deficit would cut about $1 billion from state spending, while keeping some $780 million in services afloat with unspecified revenue. The balance would be filled with fund transfers and other one-time fixes.

The Democratic-led Legislature now is developing its own plan for bridging the deficit but will wait until February’s update on tax collections and service costs before entering the homestretch of negotiations.

Gregoire has a list of tax hikes at the ready, which she likely will unveil after those February reports. But Gregoire also has said that, in her view, each dollar of federal budget aid is a dollar of tax hikes she won’t have to propose.

The roughly $1 billion in expected federal aid is broken into three components.

Gregoire has said that the state could get about $450 million in additional federal spending on its share of the Medicaid program, which is jointly bankrolled by the state and federal governments.

She also has been working with Sen. Maria Cantwell, D-Wash., to get federal money for two expensive state health care programs: The Basic Health Plan, intended as low-cost insurance for working people, and a welfare program called General Assistance, which covers medical care for disabled people who can’t work.

Gregoire has said the Basic Health subsidy could be worth about $150 million, with the price tag for General Assistance less certain.

Those are the possible sources of federal bailout money that have been tied to national health care reform.

A third conduit could be a second round of “fiscal stabilization” money, similar to dollars included in last year’s stimulus bill. This would be primarily targeted at education spending, Gregoire said, and could be upward of $400 million.

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