Rep. Verla Insko discusses the $139 million shortfall in NC’s Medicaid budget

December 15th, 2011 by Clarissa Goodlett

From NC Policy Watch 12/12/11:

Click the link below to listen to radio interview with Rep. Verla Insko (former co-chair of the Joint Legislative Oversight Committee on Health and Human Services) as she discusses the $139 million shortfall in NC’s Medicaid budget.

Rep. Verla Insko Radio Interview

 

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Fingerpointing, but no solutions for Medicaid shortfall

December 14th, 2011 by Clarissa Goodlett

From WRAL.com 12.13.11

State lawmakers overseeing Health and Human Services met all day Tuesday in Raleigh. But the $139 million Medicaid cash shortfall didn’t even make their agenda.

State Health and Human Services Secretary Lanier Cansler says the program, which serves more than a million people in North Carolina, will not be able to achieve more than $350 million in cuts mandated by the state budget under its current operations.

Cansler says the budget offers him only one option to accomplish the required savings: deep cuts to optional services and to the reimbursement rates the state pays Medicaid providers.

Republican leaders say those cuts won’t happen.

Even if the state were to try to make those cuts, budget co-chairman Rep. Nelson Dollar (R-Wake) said Tuesday, the federal government would not approve them. “It’s a practical impossibility,” he said. “I think that maybe some people who’ve been worried about that should not be.”

When committee Democrats asked why the shortfall wasn’t on the agenda, Dollar said it’s up to Governor Bev Perdue and Secretary Cansler to find the money to cover the problem.

“We’ve extended a hand to the governor’s office to work with her, and have gotten a lot of politics in return,” Dollar said.

Advocates say they’re less interested in the politics of the battle than its potential casualties: Medicaid enrollees worried about losing vital services.

For more on this story (including video footage), click HERE.

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December NC Legislative Budget Implementation Meeting– Rescheduled

December 6th, 2011 by Clarissa Goodlett

UPDATE (most recent):  The Senate will not meet in Jan. 3,  only the House will meet. 

UPDATE:  This meeting has been Rescheduled.  Below are the updated date and time.

 

House and Senate Appropriations Subcommittee on Health and Human Services will meet as follows:

DAY & DATE:  Tuesday, January 3, 2012

TIME:              1:00 pm

LOCATION:     643 LOB

TOPIC:  2011-12 Budget Implementation Update

 

 

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Call Rep. Dollar about Medicaid Cuts

December 6th, 2011 by Clarissa Goodlett

From the NC Health Report (the Newsletter of the NC Health Access Coalition) 12.6.11

Give Rep. Dollar a call today at his office (919-715-0795)
Last month, NC Speaker Thom Tillis was assuring low-income Medicaid patients and providers that huge cuts to the program – resulting from the budget crafted and passed under his direction last summer – wouldn’t be necessary:
“That (money) could be appropriated for those areas where we’re coming up short without necessarily having to go back and cut any reimbursement rates or programs.”
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But now, thanks to a scathing WRAL investigative report last night, patients and doctors are hearing the shocking news that Tillis is going back on his assurances:“A spokesman for House Speaker Thom Tillis said comments made in October about the state using budget surplus or rainy day funds to bridge the Medicaid gap were “best case scenario” options. The General Assembly never committed to find funds for Medicaid, he said.”
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I encourage everyone to look at reporter Bruce Mildwurf’s WRAL report about patient Stevie Goodwin who depends on these Medicaid services for his very life. Mr. Goodwin is just one person who the enormous cuts will affect immediately.
Tillis’s point man to make these cuts (and the guy who made the most direct assurances last month that they wouldn’t happen) is Representative Nelson Dollar. See the excellent video from last month where Nelson Dollar fulsomely assured NC’s Secretary of Health and Human Services that such cuts wouldn’t be necessary.
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Give Rep. Dollar a call today at his office (919-715-0795) and let him know that cutting services to people like Stevie Goodwin isn’t in keeping with our North Carolina values. Perhaps Representative Dollar could cut the generous health insurance benefits General Assembly members enjoy before he cuts critical services to the most vulnerable people in our state.

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Budget shortfall could mean catastrophic Medicaid cuts after all

December 6th, 2011 by Clarissa Goodlett

From WRAL.com 12.5.11

Raleigh, N.C. — North Carolina Department of Health and Human Services officials said Monday that state lawmakers have changed their tune about finding funds to fill a projected $139 million Medicaid budget shortfall, forcing them to consider making catastrophic cuts to the program.

Unless lawmakers find more money for Medicaid, many adult services, like hospice care and mental health care, could be on the chopping block. The state could also reduce reimbursements to physicians who treat Medicaid patients by up to 20 percent, DHHS officials have said.

They say lawmakers publicly pledged to help fill the shortfall in October after it became clear that the agency couldn’t make the $356 million in cuts required in the state budget.

“We are not going to cut services, and we are not going to cut rates to make up for one-time liabilities,” said state Rep. Nelson Dollar, R-Wake, in October.

Speaker Thom Tillis also said at the time that lawmakers were looking at a $150 million surplus to plug the funding hole.

“That (money) could be appropriated for those areas where we’re coming up short without necessarily having to go back and cut any reimbursement rates or programs,” he said.

Legislative leaders have since privately indicated to DHHS officials that the money isn’t coming, according to correspondence between legislative leaders and Health and Human Services Secretary Lanier Cansler obtained by WRAL News.

That leaves officials with two options – ”large-scale rate cuts or the elimination of some optional services,” DHHS Deputy Secretary Michael Watson said.

For more on this story, click HERE.

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