May 22, 2012

“Conscience” bill clears senate; women members divided (AUDIO)

Women in the state senate are on both sides of the so-called “conscience” bill as it clears the senate and heads to the House. 

This is the bill that says Missouri employers can ignore any federal mandate that they provide employees with healthcare coverage that violates their religious or moral positions on abortion, contraception, and sterilization. 

The sponsor says the bill is a restatement of Missouri’s freedom of religion law.  Some of the women senators say it’s an anti-woman bill.  Chesterfield Senator Jane Cunningham strongly disagrees. “I as a woman stand here…and say…this is a First Amendment religious liberty issue,” she tells the senate.

But Kansas City Senator Jolie Justus says she speaks for thousands of Missouri women who are tired of being used as political pawns: “I have thousands of citizens who feel this is not an issue of religious freedom, but that this is typical election year politics.”

Another woman senator charges the bill is part of a trend in discriminatory legislation pushed by Republicans this year.   But Cunningham says it protects pro-life  employers and religious institutions who otherwise would be forced by federal rules to provide insurance for procedures that terminate life. She says it does not keep anybody from having an abortion, get contraception, or be sterilized to prevent pregnancy.

Both Republican women senators voted for the bill. All four Democrat women senators voted against it.   Two Democrats joined 24 Republicans in passing the bill 26-5.

The bill is SB748

 AUDIO: Senate debate 25:11

Senate overrides workers’ comp veto (AUDIO)

The state senate has overridden governor Nixon’s veto of the worker’s compensation revision law–for all the good it is likely to do.

St. Charles Senator Tom Dempsey says the systems needs the reforms the legislature had approved.  He says he knows what the governor will not accept, but he thinks the issues of co-employee liability and  occupational disease need to be fixed because they are a financial burden on businesses.  

Senate Democrat leader Victor Callahan says the bill deserves to stay vetoed because the Senate has not addressed the issue of workers who have survived “horrific diseases caused by their occupation and no fault of their own.”       The override issue now goes to the House.  But majority leader Tim Jones doubts it will be considered because the bill had only 87 favorable votes when the House approved it and an override will need 109 votes to overcome the governor’s veto.

 AUDIO: Override debate 14:06

 

Senate advances anti-contraception coverage bill (AUDIO)

One side says the bill clarifies a religious freedom issue for Missouri employers and workers in the face of an Obama administration edict about employer-provided health care insurance.  The other side says it’s a useless piece of anti-woman legislation.

Senator John Lamping of St. Louis  says the Affordable Care Act had the support of Catholic Bishops and other religious leaders until the January 20th announcement by the Obama administration that coverage of birth control services would be required in employers’ healthcare plans. 

He says his bill is needed to clarify Missouri’s existing law that says employers cannot be forced to provide that coverage if it conflicts with their religious or moral standards. 

But St. Louis Senator Maria Chapelle-Nadal says if the protections already are on the books, there’s no need for Lamping’s bill. “If Missourians want a bill that does nothing, here you go, here’s a bill that does absolutely nothing,” she says.

Lamping says the bill does add sterilization to avoid pregnancy to the list of things healthcare plans do not have to cover.   The bill does allow coverage for sterilization and contraception as medical treatments or procedures not connected with avoiding pregnancy.                                       

He says the Affordable Healthcare Act and the January 20th announcement concentrate enormous and arbitrary power in the hands of the Secretary of Health and Human Services. He says his bill is necessary to protect the state and its employers from the excessive use of that power.

Another favorable vote sends the bill to the House.

 

AUDIO: Lamping/Chappelle-Nadal debate 54:00

 

 

Senate starts workers’ comp debate today (AUDIO)

A rewriting of the state’s workers’ compensation law begins today at the state capitol.

The House and the Senate reached a compromise agreement on changes to workers’ comp last year but didn’t have time to pass the bill.   Senator Tom Dempsey of St. Peters is starting this year with that compromise bill.  

It says occupational diseases are exclusively covered by workers’ compensation laws.  It defines toxic exposure and says workers who sue employers and win judgments  after getting workers’ comp payments will not have to give those payments back to the employer.

The bill says employees not legally authorized to  work in this country are not covered by the workers’ comp program

Dempsey expects robust debate but nothing like the debate on changing employment discrimination laws.

 AUDIO: Dempsey/Mayer 16:36

Spend Down discussion continues between DSS, stakeholders

The Department of Social Services will continue meeting with those connected Medicaid in Missouri to discuss how the spend down provision of that program is applied.

Director of the Department of Social Services' Family Services Division Alyson Campbell conducted a recent meeting with Medicaid stakeholders to discuss how the spend down is applied.

Family Support Division Director Alyson Campbell says it was discovered that some of the Division’s staff were allowing costs paid by Medicare or private insurance to count toward patients’ spend down amounts, which by federal guidelines is incorrect. When it began those staff members, individually, to amend that practice, the patients they worked with were impacted.

Division staff have held one meeting with providers and other stakeholders to discuss the situation. Campbell says the goal is to help people understand how the spend down must be applied and to look for other ways patients’ needs can be met within that structure.

She says the greatest impact regards the use of what she calls “wraparound services,” including transportation and homecare. “People are receiving those services today, and with the changes, or with the correction of the policy that we’re trying to implement, it’s possible that those services…they would not qualify for those services because the Medicaid coverage wouldn’t kick in as early in the month as it did previously.”

Campbell says right now the discussion is centered on what other options are available within federal guidelines.

The Division will host another meeting from 10:00 a.m. until noon January 5 in Room 400 of the Harry S. Truman Building in Jefferson City.