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October 16, 2017 Newswires
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Full Medicaid expansion a step closer to public vote

Deseret News (UT)

By Ben Lockhart

Deseret News

SALT LAKE CITY - Supporters of full Medicaid expansion in Utah officially filed an application Monday at the state Capitol to take the issue to voters in 2018.

The campaign, Utah Decides Healthcare, is pushing for Medicaid eligibility for tens of thousands of Utahns who do not qualify for all- important tax credits on health insurance plans offered on the federal exchange.

"The initiative will provide vitally needed health care to our most vulnerable citizens, hardworking families and low-income individuals who need it the most," Dina Blaes, initiative campaign spokeswoman, said in a statement.

The application was submitted to the lieutenant governor's office, which has 30 days to review the language of the initiative to make sure it meets minimum thresholds such as not being blatantly unconstitutional or nonsensical. If given the green light, organizers will need to collect 113,000 signatures by April 15, 2018, meeting certain thresholds of signees in 26 of Utah's 29 Senate districts, in order to get the initiative on the ballot.

The initiative would expand Medicaid coverage eligibility to all Utahns whose income is 138 percent or less of the federal poverty level, making insurance available to Utahns who make too much to qualify for Medicaid but not enough to be eligible for vital tax credits toward any coverage plans on the federal health exchange.

Organizers said the initiative calls for a state sales tax increase from 4.7 percent to 4.85 percent to raise $91 million to pay for the expansion. Those funds would then draw down matching funds of a little more than $800 million from the federal government, according to the campaign.

Signatories on the application include Sen. Brian Shiozawa, R-Cottonwood Heights, and the Right Rev. Scott B. Hayashi, bishop of the Episcopal Diocese of Utah. The others are Beth Armstrong, executive director of the nonprofit People's Health Clinic in Park City; Alan Ormsby, directory of AARP in Utah; and Karina Brown, a Logan mother whose own mom was uninsured when she recently died at 64 years old.

Bishop Hayashi said he is optimistic the initiative will both make it to the ballot and pass.

"(Utahns) care deeply about each other," he said. "I'm very, very hopeful. ... I know people are very compassionate."

Bishop Hayashi and other supporters of the initiative say they're encouraged by polling showing most Utahns favor Medicaid expansion.

"We're speaking directly to the people of Utah ... after four years talking about it at the Capitol," he said.

Shiozawa, an emergency room doctor who serves on the Utah Legislature's Health Reform Task Force, was traveling Monday but offered an economic argument in favor of the initiative in a prepared statement.

"We can either be proactive and get some of our federal tax dollars coming back to Utah in the form of federal match grants, or we can sit here doing nothing and watch our homelessness problem and overall health care worsen, while continuing to pay these taxes," Shiozawa said. "That makes no sense at all. I think we ought to let the people of Utah have a say in this."

State lawmakers settled on a significantly limited Medicaid package in 2016, following years of intense debate over whether to implement full expansion under the Affordable Care Act.

Most Utahns with dependant children and who make between 55 percent and 100 percent of the federal poverty level fall into a coverage gap - earning too much to qualify for Medicaid and too little to qualify for tax credits.

Those tax credits cover 72 percent of the cost of premiums for Utahns on the exchange on average, meaning paying for a plan without them dramatically balloons a person's monthly costs, according to the Utah Health Policy Project, one of the advocacy organizations supporting the initiative.

The coverage gap is even larger for most Utahn adults without dependants. Only a few thousand people in that demographic - largely the most needy, such as those who are homeless - are the target of limited Medicaid eligibility expansion that state officials hope will be federally approved this fall.

In total, about 80,000 Utahns do not qualify for either Medicaid or for getting tax credits toward a plan on the Affordable Care Act, said Jason Stevenson, spokesman for the Utah Health Policy Project.

The initiative would also explicitly outlaw the creating of caps on enrollment in both Medicaid and the Children's Health Insurance Program in Utah.

Utah House Speaker Greg Hughes, R-Draper, who has been at the forefront of the debate over Medicaid expansion in recent years, said last week that the initiative seems to him to be fiscally unsound. That was largely due to Medicaid being an open-ended government program, with no fixed spending limit, he said at the time.

Email: [email protected]

Twitter: benlockhartnews

Credit: By Ben Lockhart Deseret News

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Family communication: Financial planning’s growing blind spot

Advisors must help family members communicate about matters such as life insurance coverage. (AI-generated image)
By Darrel Tedrow

For decades, the financial services industry has focused on helping families prepare for the future. Yet one of the biggest risks facing families today may have less to do with financial products or planning strategies and more to do with something far simpler: communication.

Darrel Tedrow

Across key areas of retirement and protection planning, families are making assumptions instead of having conversations. This lack of communication can lead to significant gaps in financial preparedness.

New research from Lincoln Financial’s Consumer Sentiment Tracker found that adult children consistently overestimate the extent to which their parents have planned for key retirement and protection needs. For example, 60% of adult children believe their parents have a life insurance plan in place, while only 44% of parents say they actually do. Similarly, 55% of adult children believe their parents have a plan for age-related healthcare costs, while only 38% of parents say they do, according to the survey. The same disconnect exists around retirement funding and legacy planning.

Despite the disconnect, families are largely avoiding these discussions altogether. Of those surveyed, nearly 78% of families have not had in-depth conversations about life insurance, 78% have not discussed retirement income, 80% have not discussed healthcare costs and 77% have not discussed leaving money or assets behind.

For financial professionals, this disconnect represents both risk and opportunity. When assumptions replace conversations, even well-designed financial strategies can fall short during the moments families need them most.

The consequence of silence on families

The crux of the research shows that parents and adult children are in a communication stalemate.

Parents typically avoid discussions about life insurance, aging, healthcare or inheritance as they can be uncomfortable, and parents don’t want to burden their children, create anxiety or face their own mortality. On the other side, adult children are overly reliant on assuming plans are already in place, may not feel an urgency to ask or may even feel as though they are overstepping into territory that should not involve them.

This silence creates a hidden risk. When families don't discuss life insurance and broader financial plans, adult children may overestimate the protection available to them and misunderstand how assets, benefits or final expenses will be handled. Additionally, they may not fully be aware of the resources or plans available to support a surviving spouse or family member, fund future care needs, or preserve assets for future generations.

Without those conversations, expectations and reality are disconnected. This creates confusion and financial strain.

Here is where financial professionals can create meaningful value. By helping clients move from making assumptions to discussing facts, financial professionals can uncover planning gaps, align family expectations and strengthen the role life insurance plays within a family's broader financial strategy.

Six actions financial professionals can take now

The good news is that financial professionals can play an important role in helping clients and their families move from assumptions to conversations. Here are six ways to get started.

  1. Start with aspirations, not assets. Families are often more comfortable talking about future experiences than financial products. Encourage clients to share what they envision for their retirement years, the people they hope to support and the legacy they want to leave behind. By framing the conversation around goals instead of account balances, financial professionals can help families engage in discussions they might otherwise avoid.
  2. Ask about family alignment. Instead of focusing solely on policy ownership or coverage levels, ask clients whether their adult children are aware of and understand the plans. A client may feel prepared, but family members may be in the dark or have a very different perception of the situation.
  3. Make communication part of the planning process. Encourage clients to view family conversations as an essential component of financial planning. The goal is not to disclose every detail, but to create clarity around priorities, expectations and responsibilities.
  4. Review existing coverage through a family lens. When evaluating life insurance coverage, discuss not only the client’s goals but how the beneficiaries and family members would navigate the outcome. Understanding how protection strategies affect multiple generations can lead to more informed decisions.
  5. Create opportunities for multi-generational discussions. For appropriate clients, consider facilitating family meetings or incorporating adult children into select planning conversations. These discussions can help reduce misunderstandings and ensure important information is shared before a triggering event occurs.
  6. Start earlier than clients think necessary. The best time for a conversation about life insurance, healthcare costs or legacy intentions is before anyone feels urgency. Early discussions tend to be less emotional, more productive and more actionable. Encourage clients to keep the discussion going. At a minimum, unless a major life event occurs, families should reconnect on this conversation annually.

The opportunity for financial professionals

When parents and adult children are working from the same set of expectations, families are better positioned to make informed decisions, avoid misunderstandings and ensure that one’s intentions are met.

Financial professionals are uniquely positioned to bridge that gap.

By encouraging open dialogue, clarifying expectations and bringing multiple generations into the planning process, financial professionals can help families move from assumption to understanding, and from uncertainty to preparedness.

© Entire contents copyright 2026 by InsuranceNewsNet.com Inc. All rights reserved. No part of this article may be reprinted without the expressed written consent from InsuranceNewsNet.com.

 

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