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.

 

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

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.

Legislative Health and Human Services Committee to hear about ‘Medicaid Buy-in’ study

LAS CRUCES—On Friday, September 28, New Mexico’s Legislative Health and Human Services Committee will hear updates from the research group Manatt on the study exploring a Medicaid buy-in plan for New Mexico. During the 2018 Legislative Session, Medicaid Buy-in memorials (House Memorial 9 and Senate Memorial 3) passed with bipartisan support in favor of studying the fiscal considerations and design of such a plan for New Mexico.

Resolutions supporting the study of a Medicaid buy-in plan have passed with unanimous support in cities and counties across the state.

A Medicaid buy-in plan would allow New Mexicans who are not otherwise eligible for the program to use their own dollars to buy into a quality, affordable coverage option built out of the trusted, popular model of Medicaid. Manatt will be presenting preliminary design options for the Legislative Health and Human Services Committee to consider as the study progresses.

WHAT:     
Legislative Health and Human Services Committee to hear updates on Medicaid Buy-in study from Manatt Health

WHEN:     
Friday, September 28, 2018, 9:00-11:00 a.m.
Public comment to follow

WHERE:   
NM State University’s Fulton Athletic Center, 1815 Wells Street, Las Cruces, NM 88003

WHO:  
Legislative Health and Human Services Committee
NM Together for Healthcare leaders
Manatt Health

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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 Anthony stands behind ‘Medicaid Buy-in’ 

Board of Trustees moved by local support and statewide momentum 

ANTHONY– The City of Anthony’s Board of Trustees, after hearing testimony from NM Together for Healthcare family leaders who live in Anthony, passed a resolution on Monday in favor of continuing the state’s efforts to shape a healthcare solution that would open up Medicaid for any New Mexican to buy into — regardless of their current Medicaid eligibility.

“All New Mexican families should have health insurance that allows them economic security and good health,” said Vanessa Urbina, Anthony resident and Strong Families New Mexico healthcare advocate. “Unfortunately, many New Mexican families, including over 25,000 Doña Ana County residents, do not have health insurance. Medicaid has worked for my family and many others. We should build on Medicaid by opening it up for everyone.”

Medicaid is a trusted program that provides quality, affordable healthcare to over 100,000 people in Doña Ana County. A well-designed Medicaid Buy-in plan would allow Anthony residents — like those that don’t qualify for Medicaid because of income or citizenship status—to buy into healthcare coverage offered through Medicaid.

Having more New Mexicans covered would reduce uncompensated care costs that are shifted to doctors and hospitals and reduce medical debt among families trying to build financial security.

“For some years, my husband and I could not walk without pain in our hips and waist, but thanks to Medicaid, we received the treatment we needed,” said Ramona Urbina, another a long-time Anthony resident and Strong Families healthcare leader. “Today my husband can work and so can I. We can still pay our bills. Everyone should have the right of good healthcare that they can afford.”

New Mexican leaders like the Urbina family are part of the NM Together for Healthcare campaign, a movement of diverse families and organizations from across the state working to build support for a Medicaid Buy-in plan.

The campaign has been successful in building support among policy makers across the state, and similar resolutions have passed with unanimous support in the City of Sunland Park and Bernalillo and McKinley Counties. The New Mexico House and Senate also passed a Medicaid Buy-in memorial to study a buy-in option with bipartisan support during the 2018 legislative session.

“Medicaid has helped my family improve their quality of life. My father had been running his own business for 20 plus years, and I was able to finish my University Bachelor degree in Public Health because we’ve been able to manage our health, focus on our goals, and go to the hospital without going into debt,” said Vanessa Urbina. “But many families are not eligible for Medicaid due to immigration status, or they just don’t know they are eligible. We are fighting to make sure that every New Mexican family has the chance to be healthy and create opportunities for themselves.”

The City of Anthony’s Board of Trustees will include this resolution in their legislative requests for the upcoming 2019 session and share the resolution with state legislators.

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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.

Bernalillo County champions ‘Medicaid Buy-in’

County Commissioners moved by local and statewide support for innovative solution

BERNALILLO COUNTY–The Bernalillo County Board of Commissioners, after hearing from NM Together for Healthcare leaders from Bernalillo County, passed a resolution today that supports the state’s commitment to exploring an innovative proposal to allow New Mexicans to purchase health insurance coverage through Medicaid — including to those who do not currently qualify for Medicaid or cannot afford to use their current insurance.

“The Medicaid Buy-in plan is important because insurance is very expensive, and all New Mexicans need healthcare coverage,” said Reyna Tovar, a Partnership for Community Action healthcare advocate and Bernalillo County resident. “When my husband was unemployed, we did not have health insurance. When he found a new job, he had to wait six months until he qualified for health insurance through his employer. We did not have coverage during this time because we made too much for Medicaid and Obamacare was too expensive to use.”

Since July, policymakers and community members have been working together to develop this affordable healthcare solution through statewide roundtables and the passing of similar resolutions through local governments like the City of Sunland Park, Doña Ana, and McKinley County. During the 2018 legislative session, Medicaid Buy-in memorials passed with bipartisan support in the New Mexico House and Senate.

Medicaid already covers over 850,000 New Mexicans, including over 228,065 Bernalillo County residents. The plan would expand Medicaid for all New Mexican’s to buy into, providing low-cost coverage for the over 54,000 Bernalillo County residents who are still uninsured. It would also provide affordable health insurance to individuals who are not eligible for Medicaid due to income, immigration status, and for those who have healthcare coverage but cannot afford to use it.

“A Buy-in program would build upon Medicaid’s strong foundation to ensure that families do not have to choose between death and financial ruin,” said Lan Sena, a resident of Bernalillo County and a Strong Families New Mexico healthcare advocate. “My grandfather, an immigrant, could not get Medicaid when he had cancer and died because he could not afford treatment. I have cancer too, and even though I have insurance, I still cannot afford my treatments.”

“I have to choose whether to pay for healthcare insurance or gas for my car,” said Tovar. “Many people don’t qualify for Medicaid or earn slightly too much for Medicaid and cannot afford to pay for healthcare on their own.”

Bernalillo County 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 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.

Medicaid buy-in could be a reality in New Mexico

by Mandisa Routheni

An innovative plan to open up Medicaid so that anyone could buy into it — even if they don’t qualify for Medicaid currently — is gaining momentum in our state and country. Medicaid buy-in bills have been introduced in Congress as the idea is being explored in New Mexico, Colorado, Delaware, Massachusetts, New Jersey, Colorado, and Oklahoma. But New Mexico has made more progress than anywhere in the country. 

Family leaders share their own stories about why the Medicaid Buy-in is important to them. Click here for video.

People from all walks of life have come together in the NM Together for Healthcare campaign to create our own healthcare solution.

Just last night, after hearing from local family health leaders in the campaign, the City of Sunland Park City Council  unanimously passed a resolution in favor of exploring a Medicaid buy-in plan in New Mexico.  In June, community members  from the campaign testified before the McKinley County Commission, which unanimously passing a similar resolution.  

Olga Hernandez, a promotora and long-time Sunland Park resident said, “The passing of this resolution sends a clear message to legislators that Sunland Park is in support of a Medicaid buy-in plan. It is a priority and the time is now for healthcare access for all New Mexicans.”

Family leaders are continuing to work in Bernalillo and Doña Ana counties to garner more support through resolutions and holding convenings throughout New Mexico.

Late July, on the 53rd anniversary of Medicaid, families affected by lack of affordable healthcare and organizations from across the state and country met in Albuquerque to discuss a Medicaid buy-in plan that would provide access to quality, affordable healthcare for the uninsured and a feasible alternative for those who have insurance, but cannot afford the out-of-pocket costs.

Medicaid already covers 40 percent of New Mexicans and has provided low cost coverage to New Mexicans for over 50 years. Yet over 180,000 people are still uninsured in our state, including immigrant and undocumented populations. For those that have insurance, healthcare costs are often unsustainable and continue to rise.

Berenice Campas, a New Mexico Together for Healthcare family leader from Bernalillo County sees the Medicaid Buy-in as an important “way for lots of families from around the state to have access to health care. They wouldn’t have to wait to have an emergency before being able to go in.”

Family leaders in the campaign, along with local advocates such as Congressman Ben Ray Lujan and national healthcare experts like Andy Slavitt, agreed at the July meeting that a well-designed Medicaid buy-in plan would be a key step towards solving our state’s healthcare crisis.

During the 2018 legislative session, memorials to explore the Medicaid Buy-in passed with bipartisan support in both the New Mexico House and Senate.

Christopher Hudson, a New Mexico Together for Healthcare leader from McKinley County hopes for a  Medicaid Buy-in option because “families, around my communities, my friends, my K’e’- in Navajo – that is our family, our surroundings, everyone will be be able to afford insurance without having to decide whether they want to pay for a doctor’s bill or gas bill.”

Join the movement. Follow NM Together for Healthcare on Twitter, Facebook, and sign up for updates on our website.

 

City of Sunland Park backs ‘Medicaid Buy-in’

City Council moved by local support and statewide momentum

SUNLAND PARK, NEW MEXICO– The City Council of Sunland Park, after hearing testimony from New Mexico Together for Healthcare family leaders who live in Sunland Park, passed a resolution on Tuesday in favor of continuing the state’s efforts to shape a healthcare solution that would open up Medicaid for any New Mexican to buy into — regardless of their current Medicaid eligibility.

“I am very excited about a Medicaid Buy-in option” said Olga Hernandez, a long-time Sunland Park resident and Strong Families New Mexico healthcare advocate. “We need to be looking for ways to provide access to quality healthcare for everyone, like the over 25,000 Doña Ana County residents that don’t have health insurance. Medicaid already serves over 100,000 people in Doña Ana. We should be building on this very good program.”

Since the bipartisan passing of the Medicaid Buy-in memorials in the New Mexico House and Senate during the 2018 legislative session, community members and policymakers have become more interested in this innovative plan.

The McKinley County Commission, with widespread community support, unanimously passed a similar resolution in support of the Medicaid Buy-in this past June.

Allowing Sunland Park residents to buy into Medicaid would provide families without health insurance and undocumented individuals who do not qualify for Medicaid access to an affordable health insurance option. Having more New Mexicans covered would reduce uncompensated care costs that are shifted to taxpayers, doctors, and hospitals, and reduce medical debt among families trying to build financial security.

“My husband was always working and my kids did not have access to medical insurance,” said Olga. “My husband and my three sons came to the city of Sunland Park looking for family wellness. When my husband got very sick with heart problems, he had to stop working and we had no money. We were able to find a solution through Medicaid, but a lot of families like me can’t get it for whatever reason. This has to change.”

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

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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.

The City of Sunland Park to consider supporting innovative ‘Medicaid buy-in’ option

Resolution to be voted on at Tuesday’s meeting

SUNLAND PARK, NEW MEXICO–On Tuesday, Doña Ana healthcare leaders in the New Mexico Together for Healthcare campaign will present a resolution to the Sunland Park City Council that supports the state’s exploration of an innovative plan allowing New Mexicans the opportunity to buy-in to the proven, trusted Medicaid healthcare system. The City Council is expected to pass the resolution.

The affordable healthcare option 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 25,000 Doña Ana County residents currently without health insurance, a Medicaid buy-in plan would make quality healthcare coverage more accessible for many local residents. Sunland Park residents have reached out to the city councilors and urged them to support the resolution.

WHAT:
The City of Sunland Park will vote on an important resolution supporting the state’s work to explore a Medicaid buy-In plan.

WHEN:
6 p.m., Tuesday, August 21, 2018

WHERE:
Sunland Park City Hall, City Council Chambers, 1000 McNutt Rd, Sunland Park, NM 88063

WHO:
Sunland Park City Council

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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.