Louisiana Republican Who Backs Obamacare’s Medicaid Provision Wins Seat Over Party Favorite


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Louisiana voters elected Republican Vance McAllister in a runoff to fill the state’s vacant Fifth District U.S. House seat on Saturday. McAllister, a businessman who embraced the expansion of Medicaid available to the state under the Affordable Care Act, defeated a Republican party favorite who called for full Obamacare repeal.

In a district won by Mitt Romney with 61 percent of the vote in 2012, two Republicans were the top vote-getters in a 14-candidate October primary. McAllister, who received nearly 60 percent of the vote in Saturday’s special election, criticized much of the Affordable Care Act, but also criticized Gov. Bobby Jindal’s (R) decision to dismantle charity hospitals in the state, and to reject its Medicaid expansion, which would expand the qualifications for Medicaid recipients and extend healthcare coverage to hundreds of thousands of uninsured Louisianans. “Our governor and Sen. Riser right here have gutted [heath care] to the core and privatized it.”

McAllister’s top opponent, State Senator Neil Riser (R), received support from House Republican Leader Eric Cantor (R-VA), three of the four other Louisiana Republican Congressmen, the National Rifle Association, FreedomWorks and, more tacitly, Gov. Jindal. Riser ran ads saying that he would go to Washington to balance the budget and stop Obamacare — not make friends — and slammed McAllister for ” attempting to redefine himself and stand with President Obama.”

According to President Obama, 265,000 Lousianans would benefit from the Medicaid expansion. According to Jindal’s own Department of Health and Hospitals, the billions of dollars in federal payments available to the state would allow about 272,000 of the roughly 633,000 uninsured adults in the state to get subsidized health insurance on the exchange. But citing potential future costs, Jindal has rejected the expansion, saying “We will not allow President Obama to bully Louisiana into accepting an expansion of Obamacare.”

McAllister received the endorsement of some Democrats who believed him more willing to work across party lines.