California looks to spend Medicaid money on housing

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California looks to spend Medicaid money on housing
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California Gov. Gavin Newsom wants to use Medicaid money to pay for housing for some vulnerable people.

SACRAMENTO -- At the start of 2022, Thomas Marshall weighed 311 pounds. He had been hospitalized 10 times in five years, including six surgeries. He had an open wound on his left leg that refused to heal — made worse by living in a dirty, moldy house with five other people, two ball pythons, four Chihuahuas and a cage full of rats.

Marshall's story is part of a radical rethinking of the relationship between housing and health care in the U.S. For decades, Medicaid, the joint state and federal health insurance program for people with disabilities or low incomes, would only pay for medical expenses. But last year the Biden administration gave Arizona and Oregon permission to use Medicaid money for housing — a nod to reams of research showing people in stable housing are healthier.

It would also be an expensive step. California is expected to have a $22.5 billion budget deficit this year, and it could get bigger in years to come. Meanwhile the state's Medicaid spending is projected to increase by $2.5 billion over the next three years, according to the nonpartisan Legislative Analyst's Office.

Over five years the program has reduced expensive hospital stays and emergency room visits for people on Medicaid, saving taxpayers an average of $383 per patient per year, according to an analysis by researchers at UCLA.

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California looks to spend some Medicaid money on housingCalifornia looks to spend some Medicaid money on housingCalifornia Gov. Gavin Newsom wants to use Medicaid money to pay for housing for some vulnerable people
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California looks to spend some Medicaid money on housingCalifornia looks to spend some Medicaid money on housingCalifornia Gov. Gavin Newsom wants to use Medicaid money to pay for housing for some vulnerable people.
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California looks to spend some Medicaid money on housingCalifornia looks to spend some Medicaid money on housingCalifornia Gov. Gavin Newsom wants to use Medicaid money to pay for housing for some vulnerable people.
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California Looks to Spend Some Medicaid Money on HousingCalifornia Looks to Spend Some Medicaid Money on HousingCalifornia Gov. Gavin Newsom wants to use Medicaid money to pay for housing for some vulnerable people.
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California looks to spend some Medicaid money on housingCalifornia looks to spend some Medicaid money on housingSACRAMENTO, Calif. (AP) — At the start of 2022, Thomas Marshall weighed 311 pounds. He had been hospitalized 10 times in five years, including six surgeries. He had an open wound on his left leg that refused to heal — made worse by living in a dirty, moldy house with five other people, two ball pythons, four Chihuahuas and a cage full of rats.
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