May 21, 2013

Social Services welfare recipient shift scaled back (VIDEO)

A contract between the Department of Social Services that came under fire from House Republicans has been restructured.

Representatives Sue Allen (left) and Jay Barnes (right) join House Speaker Tim Jones (center) and other House Republicans in announcing changes in a DSS contract the caucus had concerns with.  (Photo courtesy; Tim Bommel, Missouri House Communications)

Representatives Sue Allen (left) and Jay Barnes (right) join House Speaker Tim Jones (center) and other House Republicans in announcing changes in a DSS contract the caucus had concerns with. (Photo courtesy; Tim Bommel, Missouri House Communications)

The contract with Boston-based Public Consulting Group outlined how it would look for people receiving state assistance that could be shifted to federal disability payments. Republicans said the original arrangement would have reached out to too many people, including children and those who could still work, and said it would have moved people off of welfare that requires recipients to actively look for jobs to a program where having a job could result in lowered benefits.

Representative Jay Barnes (R-Jefferson City) said documentation of the company’s proposed procedures raised concerns it would use aggressive tactics to get people to switch programs. He’s pleased with the new contract.

“For kids, who should not be in this process, they are no longer part of this contract, PCG will not be making cold calls to individuals, PCG will not be making any threats to those people already categorized as ‘disabled’ if they refuse to cooperate with this and PCG has agreed that they will have all phone calls recorded so that we can spot check what they’re doing.”

The new contract will limit the scope of the company’s search to people with disabilities and serious medical conditions.

The original contract would have also sought to move people whose transfer might have had to go to an appeals process because it would have been less clear the shift would be appropriate.

PCG will make $2,300 for every person moved off of Medicaid.

House Speaker Tim Jones (R-Eureka) commended Governor Jay Nixon and the Department for making these changes.

The situation came to light on a national radio program before PCG’s work began. Jones says it raises a question of whether such contracts need to be subject to legislative review earlier.

“There obviously needs to be some more oversight on these large-scale contracts that do affect thousands, if not millions, of Missourians.”

On the subject of oversight, Representative Sue Allen (R-Town and Country) says she told the Department’s representatives in a recent hearing of her Appropriations Committee she was surprised they didn’t bring the issue up.

“I do expect them to bring these issues to the committee and I had some anxt about that. That is an ongoing issue of trust … but they heard a very strong message and I think we got the good solution.”

See the House Republicans’ media conference below:

House committee hears update from State Budget Director

The Nixon Administration has laid out its ideas for filling in the $460 million dollar hole in the fiscal year 2013 budget to the House Budget Committee.
 

State Budget Director Linda Luebbering

The gap in the budget had been $500 million but a recent mortgage settlement secured by the Attorney General’s Office has knocked that number down by $40 million.

State Budget Director Linda Luebbering says the Administration’s recommendations to balance the budget includes a $191.7 million reduction from where budget planners expected Medicaid would be. She tells lawmakers, “It’s an actual reduction of $20 million for general revenue from this year, but a $191 million dollar reduction from where we thought we would need to be because of the change in the Medicaid match rate.” Luebbering says it will not require a change in eligibility or a reduction in services provided.

$74.7 million of the administration’s budget recommendations also rely on measures still before the state legislature. A revenue collections bill would generate an estimated $12.9 million, with another $51.8 million to come from a tax amnesty bill. Both are sponsored by Representative Tom Flanigan (R-Carthage).

What had been a $16.9 million dollar recommended reduction to community and technical colleges has been scaled back to $10.5 million, also due to proceeds from the mortgage settlement.

Other amounts include $41 million from restructuring debt, $29.3 million in administrative savings, a $7 million reduction to biodiesel subsidy payments and a $2 million reduction to public health agencies.

The Administration’s top priority for the budget remains $203 million to the Foundation Formula. Luebbering says, “$198 million of that is needed just to keep the formula where it is this year.”

Luebbering tells the committee there are some positive signs in the economy. “The unemployment rate is down. We are starting to see a little bit of growth on the collections side. Not a lot yet this fiscal year. We were at 1.3 percent growth in our revenue collections at the end of January, so not stellar growth, but certainly it’s good to see that we’re continuing a positive on our collections numbers.”

Republicans question the validity of the lower unemployment numbers, saying that federal statistic does not count individuals who don’t have jobs and are no longer looking for them as being unemployed. Luebbering says the data still holds meaning, “Because it has historically looked at people who are looking for jobs or who have jobs. So, I think it is a historically relevant statistic that has been measured the same for years. Granted it’s not a complete number, but it at least is consistently calculated every month.”

The House Budget Committee will continue to hold agency budget hearings this week.

Governor’s medicaid cuts detailed

Governor Nixon recommends a 120-million dollar funding cut for the Medicaid program. But the administration thinks the cuts will be mostly painless. [Read more...]

Health care overhaul passes without Missouri support

A health care overhaul has passed the House in Washington without much help from Missouri’s Congressional delegation.

Democratic leaders in the House were able to convince enough reluctant Democrats to vote in favor of the measure to squeeze out a 220-215 vote and send the massive bill to the Senate. The vote came Saturday evening after President Obama delivered a pep talk to Democrats, urging them to “answer the call of history” and approve the trillion-dollar package. [Read more...]

Jefferson City awaits Washington health care outcome

Health care will once again be a big topic of discussion when the legislature returns to Jefferson City in January, but that discussion could be shaped in large part by how health care legislation plays out in Washington.

State lawmakers are closely watching the developments in the health care debate in Washington. House Majority Floor Leader Steven Tilley (R-Perryville) says what Washington decides will have a big impact on what Jefferson City considers.

“With regards to health care, we need to get our hands around what they’re wanting to do at the federal level and then, hopefully, we can do something to dovetail it from here,” Tilley says. [Read more...]