For years, Wisconsin’s powerful Assembly speaker refused to allow a bipartisan bill to come to a vote that extends postpartum Medicaid coverage for new moms. Finally, this week, he relented.
“Go out and take your victory lap,” Republican Robin Vos told caucus members late Wednesday, according to one lawmaker.
“You won,” Vos added.
On Thursday, the Assembly agreed 95-1 to opt in to a federal program that provides free health insurance to low-income mothers for a year after giving birth, up from 60 days. Vos was among those voting yes.
The legislation, which had already been adopted by the Senate, now goes to Gov. Tony Evers, a Democrat. He has openly supported such legislation for years and is expected to sign it.
Every other state in the nation, except Arkansas, has already taken the step.
The vote represented a rare capitulation for Wisconsin’s longest-serving Assembly speaker — a man who controls the legislative agenda, provides campaign cash to those he favors and punishes those who antagonize him. ProPublica wrote about Vos’ opposition to the bill last fall.
The turnaround came on a day of surprises involving Vos. Earlier, at the start of the session, he announced that he would retire at year’s end, revealing that he’d had a slight heart attack in the fall and needed to reduce his stress. “To my leadership team and my caucus colleagues, thank you for your trust, thank you for your candor and your willingness to carry responsibility when it is heavy,” he said.
Rep. Patrick Snyder, a Republican and the lead sponsor on the postpartum bill, threatened to not pursue reelection if he did not succeed in getting the measure passed — a legislative goal he had promised constituents he would deliver. That would have left an open GOP seat in a swing district. Typically, incumbents have an advantage in elections.
“I just said if we can’t get this thing passed, I just don’t feel I can come back,” Snyder said he told the speaker. “It was that important of a bill.”
Vos has long opposed extending Medicaid coverage for new moms, explaining that he opposes spending more money on welfare in Wisconsin. The state’s Legislative Fiscal Bureau estimated that, once fully phased in, the 12-month policy would cost the state about $9.4 million, with the federal government paying an additional $14.1 million.
All sides have felt a sense of urgency as the Legislature, controlled by Republicans, intends to wrap up the session soon to hit the campaign trail for the remainder of the year.
On Wednesday, Democrats moved aggressively on the postpartum extension issue, proposing amendments that attached the Medicaid change to bill after bill, creating a bit of legislative havoc as Republicans repeatedly ruled the matter not germane to the legislation under consideration. (Democrats did the same for another stalled bipartisan bill on insurance coverage for breast cancer screenings, a measure that also passed Thursday.)
Snyder said the Democrats’ tactic nearly derailed GOP efforts to convince Vos to let both bills advance. In a press conference, a dismayed Snyder likened it to someone tripping him as he made a dash for the finish line.
“I guess maybe they just didn’t think I could get it done,” he later told ProPublica. “And now we did.”
In recent weeks, seven other GOP members joined Snyder to push Vos to reconsider his stance. In a letter to Vos dated Feb. 3, the group told the speaker the legislation aligns with core Republican priorities, including safeguarding infants by ensuring they have healthy mothers.
The eight lawmakers are all in competitive districts. This week, despite whatever conflict they had with Vos, they still were careful to pay him homage, with one calling the speaker “a tough negotiator” and another publicly thanking Vos for “his understanding.”
The legislation was backed by hospitals and medical groups as well as anti-abortion advocates, who favor robust support for pregnant women and new moms. Research has shown that the year after birth can be a dangerous time for women, who can face postpartum depression, blood clots, hypertension, cardiovascular ailments and other long-term health issues.
Kate Duffy, a Wisconsin mom who amplifies political issues on social media under the moniker Motherhood for Good, has fought for the extended postpartum coverage and challenged Vos on the topic for about a year. She’s grown a sizable audience, especially among Wisconsin women, many of whom responded to the call to urge lawmakers to act.
She credited the bill’s passage to “good old-fashioned organizing and relentless persistence.”
Said Duffy: “We just would not shut up about this.”
