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It Can’t Be Fixed: Policy and Politics in the Republican Health Care Bill
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Month: July 2017
I Was HOJO Girl Number 14
At the start of the summer of 1973, the year after my parents sold our hotel where I worked every summer from the time I was 11 to 16, I needed a job. When the new owners of the hotel called our house to ask where the switches were to turn on the lamp posts on the sidewalks, I said would work for them as a handyman which is what I had done at the hotel, among other things, for two summers. I did have the capacity to fix many things, especially plumbing, and I knew the physical plant of the hotel. But they wouldn’t pay me the $125 a week I asked for so I need another alternative. Since I had some experience in the dining room and my cousin and some of her and my friends worked… Continue reading
Are the Republicans Ready to Gut Higher Education to Avoid a Severance Tax on Natural Gas Drilling?
As we enter the third week of an impasse over funding the 2017-2018 Pennsylvania state budget, an astonishing possibility has come into view: the House Republicans, led by Speaker Mike and Turzai and Majority Leader Dave Reed, appear to be prepared to block funding for the four state-related universities – Penn State, University of Pittsburgh, Temple University and Lincoln University – rather than agree to the Governor’s demand that they raise $600 to $800 million in new recurring revenues. Governor Wolf and the Republican-led legislature have apparently agreed to a number of one-time revenue measures to close the budget deficit – proposals like borrowing from other funds or selling licenses for new gaming sites – that only bring in revenues in one year. But the Republicans, particularly in the House, appear unwilling to agree to Governor Wolf’s insistence that the fiscal health of the commonwealth requires new recurring tax revenues… Continue reading
PA House GOP Stealth Attack on Medicaid
**UPDATE 7/11/17 – 4:45 PM** The House passed the bill through to the Senate 102-91. The Senate must again vote on the bill as amended PA House Republican leaders are trying to force Pennsylvania to seek federal waivers for our Medicaid program that would establish requirements that Medicaid recipients either be working or searching for a job and that that ask them to pay premiums or higher co-pays for their insurance. These ideas were part of Governor Corbett’s plan to expand Medicaid, which Governor Wolf rightly rejected. Now, the House will vote on these terrible provisions as part of the budget code (instructions for implementing the budget) for 2017-18 after it was added as an amendment in the House Rules Committee. What’s the objection to work requirements or premiums for Medicaid? First, support for a work or job search requirement is based on a misconception that there are a large… Continue reading
Revenue Options to Finish the 2017-18 Budget
Since 2010, Pennsylvania has consistently enacted budgets that, instead of being paid for by current revenues, borrow from the future. The general fund budget has been balanced by borrowing from other funds, shifting spending from one fiscal year to the next, and more. In this press memo, we outline a few revenue options with bipartisan support that could provide at least some of the long-term revenues needed to balance Pennsylvania’s budget. MEMO To: Editorial Page Editors, Editorial Board Members, Columnists, and Other Interested Parties From: Marc Stier, Director, Pennsylvania Budget and Policy Center Date: July 10, 2017 Re: Revenue Options to Finish the 2017-18 Budget As legislative leadership and Governor Wolf look to wrap up the revenue portion of the 2017-18 state budget, the remaining negotiations is at least focused on the right subject: finding adequate and sustainable long-term revenues. Unfortunately, rather than work for new recurring revenues, Republican Leadership continues on the irresponsible… Continue reading
New Estimates of the Loss of Federal Funding to Pennsylvania from the Senate Health Care Bill
The Manatt Health Group and the Robert Wood Johnson Foundation have released a new study of the impact of the Senate health care bill, the Better Care Reconciliation Act of 2017, on the states. Their estimates of the impact of the bill confirms our recent studyshowing that Pennsylvania will suffer devastating reductions in federal funding for Medicaid. The new study provides two sets of estimates of how much federal funding each state loses – one if the state keeps the Medicaid Expansion and a second if it does not. According to the study, if Pennsylvania eliminates the Medicaid Expansion in 2021, the state stands to lose $30.1 billion in federal funding between 2020 and 2026 – $25 billion as a result of the elimination of federal funding for the Medicaid Expansion, and $5.1 billion as a result of the impact of per capita caps on traditional Medicaid. The Manatt /… Continue reading
S&P to PA: Snap Out of It
Remember when, in the movie Moonstruck, the character played by Nicholas Cage tells the character played by Cher that he loves her. And she slaps him in the face and says, “Snap out of it?” Well that’s what the financial firm Standard and Poor’s just told the state of Pennsylvaniayesterday. They, once again, threatened to downgrade our bonds – forcing up the interest rates we pay – if we don’t get our fiscal house in order. They are telling our General Assembly to: Snap out of our reliance on one-year revenues, like licenses for gaming or liquor sales to “balance” our budget. Snap out of our willingness to move money from one fund to another to “balance” our budget. Snap out of our penchant for over-estimating revenues to “balance” our budget. Snap out of our tendency to shift spending from one year to another to “balance” our budget. And most… Continue reading
PRESS MEMO: New Estimates of the Loss of Federal Funding to Pennsylvania from the Senate Health Care Bill
The Manatt Health Group and Robert Wood Johnson Foundation have released a study on the impact of the Senate health care bill, the Better Reconciliation Act of 2017, on the states. Their estimates of the impact of the bill confirms our recent study showing that Pennsylvania will suffer devastating reductions in federal funding for Medicaid. It also offers some more fine-grained detail on the nature of these reductions. MEMO To: Editorial Page Editors, Editorial Board Members, Columnists, and Other Interested Parties From: Marc Stier, Director, Pennsylvania Budget and Policy Center Date: July 7, 2017 Re: New Estimates of the Loss of Federal Funding to Pennsylvania from the Senate Health Care Bill The Manatt Health Group and the Robert Wood Johnson Foundation have released a new study of the impact of the Senate health care bill, the Better Care Reconciliation Act of 2017, on the states. Their estimates of the impact of the bill confirms… Continue reading
Senate Bill Raises Marketplace and Employer-based Premiums for Most Pennsylvanians
We have been focused recently on the impact of the Senate health care bill on Medicaid, mainly because the dangers of both the House and Senate bills to Medicaid have not been well known, and because the Senate bill is far worse than the House bill. So, in this and next post I want to remind you that if you purchase health insurance on the exchanges / marketplaces or receive it from your employer, the Senate bill is bad for you as well. The following table looks at the impact of the Senate bill on the average premiums Pennsylvanians at different ages and income levels will pay for silver plans on the marketplace. For all but 35 year olds at 300% of the poverty, premiums will be higher than under the ACA. For Pennsylvanians who have lower incomes or are older, the premium increases are substantial. For forty-five year olds… Continue reading
How Dumb Does Senator Toomey Think We Are?
Marc Stier | 07/02/2017 Blog I’m not just a practitioner of political rhetoric, but also a connoisseur of it. I can appreciate a good argument and a well-turned phrase put forward by our ideological opponents. And, rather than get disturbed by what the other side says, I take their best work as a challenge. But what truly does get me angry is when our opponents not only lie, but do so with arguments that are insulting to the intelligence of the people we are trying to influence – the citizens of Pennsylvania and America. So it’s no wonder that I find what Senator Toomey says about the impact of the Senate health care bill on Medicaid so utterly offensive. When I hear him speak on the plan he played a major role in devising, I can’t help but wonder, ‘how dumb does Toomey think we are?’ I can quickly answer: Not… Continue reading