The Pa. House Republicans stripped a Medicaid expansion provision from legislation Monday that had garnered a 40-10 vote in the Senate.
Following the excision by the Rules Committee, the House then passed House Bill 1075 by a vote of 108-94.
The provision would have required submission of a plan by Oct. 1 to expand Medicaid by July 1, 2014. It included language revoking expansion if the federal government changed its funding formula, and it stipulated that the expansion was to maximize use of commercial insurance and improve personal responsibility through cost sharing.
As written, the Patient Protection and Affordable Care Act mandated expansion of Medicaid to everyone below 138 percent of the federal poverty line, with the federal government to cover the cost of expansion above 100 percent of the federal poverty line in full for three years, then drop its share to 90 percent by 2020.
The Supreme Court ruling last summer made the expansion optional, and so far roughly half the states are taking the expansion offer. Pennsylvania is not among them.