Proposed Medicaid cuts would force New Mexicans to go without healthcare

ALBUQUERQUE—New Mexico’s Human Services Department proposed cuts to Medicaid would hurt families and violate federal law, said the New Mexico Center on Law and Poverty in comments submitted yesterday on the department’s Centennial Care 2.0 waiver proposal.

“Everyone needs access to healthcare coverage,” said William Townley, an attorney with the New Mexico Center on Law and Poverty. “But HSD’s proposed cuts to Medicaid would force many New Mexican families to go into debt or simply drop coverage. That’s bad news for all of us. We know that when people go without healthcare, it’s much harder for them to maintain their financial stability, be productive in the workforce, or continue their education.”

HSD’s proposal imposes new patient premiums on low-income adults living just above the poverty line. Research has shown that these fees will cause thousands of New Mexicans to lose healthcare coverage. For many low-income families, the proposed increase to $10 a month is prohibitive and would force them to choose between healthcare and other necessities like food, housing, and transportation.

Hospital bills are especially devastating for families on limited income, often ranging from $10,000 to over $100,000. Yet, HSD’s proposed cuts would also phase-out retroactive coverage, which pays for a Medicaid eligible person’s hospital and medical bills incurred up to three months before signing up for Medicaid. Phasing out retroactive coverage would put New Mexico’s families in jeopardy of severe medical debt and force healthcare providers to shoulder increased uncompensated care costs.

New Mexicans have voiced overwhelming opposition to HSD’s proposed cuts to Medicaid. Throughout the entire Centennial Care 2.0 waiver application process, patients, providers, stakeholders, researchers, advocates and community members were nearly unanimously opposed to these changes.

HSD’s proposed Medicaid cuts also violate federal law. The Centers for Medicare and Medicaid Services (CMS) can only approve waivers of federal Medicaid requirements that are listed under Section 1115 of the Medicaid Act. Provisions that govern cost-sharing, such as premiums, and retroactive coverage are outside of Section 1115, meaning CMS lacks legal authority to waive such requirements. CMS has not yet approved the regulatory changes proposed in HSD’s new regulations.

The Center’s comments can be found here: http://nmpovertylaw.org/wp-content/uploads/2018/10/NMCLP-Comment-on-HSDs-Medicaid-Cuts2018-10-25.pdf

 

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The New Mexico Center on Law and Poverty is dedicated to advancing economic and social justice through education, advocacy, and litigation. We work with low-income New Mexicans to improve living conditions, increase opportunities, and protect the rights of people living in poverty.

 

Proposed Public Charge rule would increase hunger and poverty in New Mexico

ALBUQUERQUE—New Mexico organizations are fighting the Trump administration’s reckless new attack on our families: a greatly expanded “Public Charge” rule that essentially turns the U.S. immigration system into a pay-to-play game that unfairly favors the wealthy. If the proposed rule were to go into effect, it would allow the government to deny green cards and visa renewals to lawfully present immigrants who participate in programs that help with basic needs like medical care, food, and housing.

In New Mexico, immigrants make up a large part of our communities. Nearly one in 10 New Mexicans is an immigrant, and one in nine have immigrant parents. New Mexico stands to lose as many as 2,700 jobs and nearly $400 million in economic activity because eligible New Mexicans will forego federal benefits that flow directly into our local economy.

“Trump Charge is yet one more example of this administration’s agenda to target and persecute our communities,” said Fabiola Bawden, community organizer from El CENTRO de Igualdad y Derechos. “We are proud of the economic, cultural, and social contributions that immigrant communities make in New Mexico and across the nation. We are ONE New Mexico and must continue to resist Trump’s attempts to push our families into further poverty, strip away legal protections that keep our families together, and rob us of the opportunity to fully integrate into the civic and economic life of the state and country we call home.”

Trump’s new rule dramatically expands the list of programs that jeopardize immigration status to include nearly all available basic need programs like Medicaid, housing assistance, and SNAP food assistance. Currently, the Public Charge rule only considers receipt of cash benefits and institutional care as a reason to deny lawfully present immigrants visa renewals or to deny their application for legal residency.

“No one should ever have to choose between putting food on the table and keeping their family together,” said Sovereign Hager, legal director of the New Mexico Center on Law and Poverty. “At least 77,000 U.S. children in New Mexico live with at least one immigrant parent and are in a family that receives basic assistance. Kids who get assistance with basic needs are healthier, do better in school, and earn more in the future. If this rule goes into effect, we will all face the consequences for generations to come.”

The rule is in a public comment period until December 10, 2018. The Department of Homeland Security must consider all comments before it publishes a final rule in order for there to be a change to immigration law or policy.

“The Trump administration continues to target immigrant communities,” said Eduardo García of the New Mexico Immigrant Law Center. “This is an effort to create confusion and fear among immigrants and discourage immigration and the use of benefits for immigrant families who qualify. We encourage all New Mexicans to submit comments against the proposed rule and stand up against this drastic change in policy.”

The new rule will not be retroactive, so the current use of food and medical benefits do not fall under the proposed rule. The groups recommend that people concerned about their immigration status continue participating in benefits programs and speak to an immigration attorney. If the rule is approved, it will not go into effect immediately after it is published. Families will have time to make decisions about benefits then.

“Through our daily work, we witness the devastating impact that poverty and the associated toxic stress have on individuals’ and families’ psychological and emotional well-being. The Trump administration is attacking a significant portion of the hardworking families in our communities,” said William Wagner, PhD, LCSW, Director of Centro Savila. “We cannot sit by while the Trump administration increases hunger, poverty, and sickness in our nation while handing out deep tax cuts to the rich. This endangers our families, communities, our state, and our country.”

“Thousands of New Mexico children – most of whom are U.S. citizens – will likely lose access to services because their parents will terminate their health insurance, food assistance, and more as a result of these proposed changes to the public charge definition,” said James Jimenez, executive director of New Mexico Voices for Children, a child advocacy organization. “It’s unconscionable that the Trump administration would take actions that will harm children across the nation.”

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Centro Savila improves the mental health of our community by ensuring access to linguistically and culturally relevant, quality mental health and prevention services, education and healthcare professional development.

EL CENTRO de Igualdad y Derechos is a grassroots, immigrants’ rights and workers’ justice organization based in Central New Mexico that works with Latino immigrant communities and allies to defend, strengthen, and advance the rights of Albuquerque’s communities.

The New Mexico Center on Law and Poverty is dedicated to advancing economic and social justice through education, advocacy, and litigation. We work with low-income New Mexicans to improve living conditions, increase opportunities, and protect the rights of people living in poverty.

New Mexico Immigration Law Center advances justice and equity by empowering low-income immigrant communities through collaborative legal services, advocacy, and education.

New Mexico Voices for Children champions  public policies that improve the well-being of New Mexico’s children, families, and communities in the areas of health, education, and economics through credible research and effective advocacy.

HSD to Hold Hearing on Medicaid Cuts Wednesday

SANTA FE—New Mexico’s Human Services Department will hold a hearing on the serious cuts the Medicaid program faces in the Centennial Care 2.0 waiver proposal on Wednesday, October 24 in Santa Fe.

The waiver proposal imposes new excessive patient premiums on low-income adults living just above the poverty line. These fees will cause thousands of New Mexicans to lose healthcare coverage. The proposal would also phase out retroactive coverage, which is a protection that pays for a Medicaid eligible person’s hospital and medical bills incurred up to three months before signing up for Medicaid. Phasing out retroactive coverage would put New Mexico’s families in jeopardy of severe medical debt and leave healthcare providers with additional uncompensated care costs.

WHAT:
HSD Hearing on the Centennial Care 2.0 Waiver Proposal

WHEN:
9:00 a.m -12:00 p.m., October 24, 2018

WHERE:     
Rio Grande Conference Room, Toney Anaya Building, 2550 Cerrillos Rd, Santa Fe, NM 87505

WHO:
William Townley, attorney at the New Mexico Center on Law and Poverty and other groups against the waiver
HSD staff
Public Comment

Groups to hold press conference on Trump’s proposal to penalize immigrants who access basic assistance

Proposed “Public Charge” rule will increase hunger and poverty in New Mexico

ALBUQUERQUE—Economic justice and immigrant rights organizations will hold a press conference Wednesday at 11 a.m. to discuss how the Trump administration’s reckless new attack on immigrant families—a greatly expanded “Public Charge” rule—will impact New Mexico and how people can oppose it. If the proposed rule were to go into effect, it would allow the government to deny green cards and visa renewals to lawfully present immigrants who participate in programs that help with basic needs like medical care, food, and housing.

Trump’s new rule dramatically expands the list of programs that jeopardize immigration status to include nearly all available basic need programs like Medicaid, housing assistance, and SNAP, formerly known as food stamps. The Public Charge rule currently only considers receipt of cash benefits and institutional care as a reason to deny lawfully-present immigrants visa renewals or to deny their applications for legal residency.

WHAT:
Press conference on proposed Public Charge rule that would allow the government to deny green cards and visa renewals to lawfully-present immigrants who participate in programs that help with basic needs like medical care, food, and housing.

WHEN:
11 a.m., Wednesday, October 24, 2018

WHERE:
EL CENTRO de Igualdad y Derechos, 714 4th St SW, Albuquerque, NM 87102

WHO:
Centro Savila
EL CENTRO de Igualdad y Derechos
New Mexico Center on Law and Poverty
New Mexico Immigration Law Center

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Centro Savila improves the mental health of our community by ensuring access to linguistically and culturally relevant, quality mental health and prevention services, education and healthcare professional development.

EL CENTRO de Igualdad y Derechos is a grassroots, immigrants’ rights and workers’ justice organization based in Central New Mexico that works with Latino immigrant communities and allies to defend, strengthen, and advance the rights of our community.

The New Mexico Center on Law and Poverty is dedicated to advancing economic and social justice through education, advocacy, and litigation. We work with low-income New Mexicans to improve living conditions, increase opportunities, and protect the rights of people living in poverty.

New Mexico Immigration Law Center advances justice and equity by empowering low-income immigrant communities through collaborative legal services, advocacy, and education.

City of Albuquerque supports ‘Medicaid Buy-in’  

City Council moved by local and statewide support for innovative solution 

ALBUQUERQUE—The Albuquerque City Council, after hearing from NM Together for Healthcare leaders from Albuquerque, passed a resolution today that supports the state’s commitment to exploring a proposal that would allow anyone to buy into a low-cost healthcare plan through Medicaid—including the uninsured who don’t qualify for Medicaid now.

“I support the Medicaid Buy-in because we all have the right to good health, and access to low-cost options will help many people,” said Evelyn Ramos, a Partnership for Community Action healthcare advocate and Albuquerque resident. “Since I am uninsured, I know how difficult it is to find healthcare coverage. When I do find services, I am given appointments months away.
I have daughters who get sick often, so it has helped my family to have them covered by Medicaid. But not everyone is eligible for Medicaid. We should open it up for everyone to access good healthcare.”

The Medicaid Buy-in plan has been gaining support around the state with
the unanimous passage of similar resolutions by the All Pueblo Council of Governors and local governments, including the city of Sunland Park, the city of Anthony, Bernalillo County, and McKinley County. Medicaid Buy-in memorials passed with bipartisan support in the New Mexico House and Senate during the 2018 legislative session.

Medicaid is already a trusted, popular model that covers over 830,000
New Mexicans, including over 225,000 Bernalillo County residents. The plan would open up Medicaid for all New Mexican’s to buy into, providing low-cost coverage for the over 48,000 uninsured Bernalillo county residents. It would also provide affordable health insurance to individuals who are not eligible for Medicaid due to income or immigration status.

The plan could also help the economy by ensuring families have coverage to receive needed medical care before health conditions worsen, resulting in medical debt for families and uncompensated care costs for hospitals and providers.

“Without Medicaid, it would be extremely difficult for us to afford medical services for my daughters. We would probably go to the doctor in an emergency or when an illness has worsened,” said Ramos. “But undocumented people do not have access to Medicaid. It is important for us to find what we have in common—we all need good health.”

The Albuquerque City Council will share the resolution with state legislators and include this resolution in their legislative requests for the upcoming 2019 session.

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NM Together for Healthcare is a statewide, multiracial campaign of families and community organizations working together to strengthen healthcare access in New Mexico supported by Strong Families New MexicoPartnership for Community ActionNew Mexico Center on Law and Poverty, and Health Action New Mexico. For information, visit http://nmtogether4health.org/ or email: nmtogether4healthcare@gmail.com.

City of Albuquerque to consider supporting innovative ‘Medicaid buy-in’ option today

ALBUQUERQUE—Albuquerque healthcare leaders in the New Mexico Together for Healthcare campaign will present a resolution to the Albuquerque City Council today that supports the state’s exploration of an innovative plan that would allow New Mexicans to buy-in to the proven, trusted Medicaid healthcare system. The city council is expected to pass the resolution at its 5 p.m. meeting this evening.

The buy-in plan would allow New Mexicans to buy into the Medicaid program for healthcare coverage—even if they are not currently eligible for Medicaid— providing a more affordable, high-quality healthcare coverage option.

With more than 48,000 people in Bernalillo County currently without health insurance, a Medicaid buy-in plan would make quality healthcare coverage more accessible for many local residents. Albuquerqueans have reached out to the city councilors and urged them to support the resolution.

WHAT:  
The Albuquerque City Council will vote on an important resolution supporting the state’s work to explore a Medicaid Buy-in plan.

WHEN:   
5 p.m., Monday, October 1, 2018

WHERE:     
Albuquerque/Bernalillo County Government Center, One Civic Plaza, Albuquerque, NM 87102

WHO: 
Albuquerque City Council
New Mexico Together for Healthcare leaders

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NM Together for Healthcare is a statewide, multiracial campaign of families and community organizations working together to strengthen healthcare access in New Mexico, supported by Strong Families New Mexico, Partnership for Community Action, New Mexico Center on Law and Poverty and Health Action New Mexico. For information, visit http://nmtogether4health.org/ or email: nmtogether4healthcare@gmail.com.