Proposed cuts to Medicaid in Trump budget would have devastating impact on New Mexico

ALBUQUERQUE, NM — The proposed cuts to Medicaid in the Trump administration’s budget for fiscal year 2019 would prevent hundreds of thousands of New Mexicans from accessing healthcare. The budget, if approved by Congress, would cut Medicaid by $1.4 trillion dollars between 2019-2028; eliminate critical funding for Medicaid expansion, which provides over 250,000 New Mexicans with healthcare coverage; and end subsidies that help individuals and families when buying insurance through the marketplace.

“The drastic cuts to Medicaid would make healthcare unaffordable for millions of Americans and hundreds of thousands of New Mexicans,” said Abuko D. Estrada, attorney for the New Mexico Center on Law and Poverty. “After handing out tax cuts to the richest households, the administration now wants to cut Medicaid by over a trillion dollars in the next decade. This would devastate New Mexico’s budget or force our state to ration healthcare to children, the elderly, people with disabilities, pregnant women, and low-income adults.”

The budget proposes the same cuts to Medicaid as last year’s bills in Congress to repeal the Affordable Care Act. It would cut funding for Medicaid and restructure the program into a per capita cap system. This would give New Mexico a set amount of Medicaid funding to spend per person rather than a federal match for the state’s actual costs. If New Mexico’s Medicaid costs grow faster than the cap amount, the state would be forced to make deep cuts to Medicaid benefits, services, and even eligibility.

A study last year conducted by the UNM Robert Wood Johnson Health Policy Center found that the combined Medicaid cuts could cost New Mexico more than $400 million per year or cause more than 250,000 people to lose coverage.

‘NM Together for Healthcare’ launches campaign for affordable healthcare for all New Mexicans

Statewide effort includes an innovative Medicaid buy-in plan

ALBUQUERQUE, NM: On Friday, New Mexico organizations and individuals launched NM Together for Healthcare, a campaign to make good healthcare affordable for everyone in the state. The campaign includes an initiative to advance an innovative Medicaid buy-in plan to expand access to quality, affordable healthcare.

“We are all equal in deserving health care,” said Alfonso Yazzie, healthcare leader from Yah-ta-hey, New Mexico.

In the upcoming Legislative Session, NM Together for Healthcare will be supporting state Sen. Jerry Ortiz y Pino and state Rep. Debbie Armstrong’s memorials to explore a Medicaid buy-in plan for New Mexico. The buy-in—a concept that is gaining momentum nationally with similar bills introduced in Congress and currently in progress in Massachusetts, Illinois, and Iowa—opens up Medicaid to allow more consumers to buy low cost coverage through a Medicaid plan. This provides people with affordable health care and creates more choices in the insurance market.

“Our work will not be done until all New Mexicans have access to affordable, quality health care,” said Armstrong, chair of the House Health and Human Services Committee. “We need innovative policies like Medicaid buy-in to make sure all families are cared for.”

NM Together for Healthcare began its campaign after hearing from New Mexicans that despite recent improvements through the Affordable Care Act, quality health care is still out of reach for many.

“My father worked as a custodian for 30-plus years in the schools,” said Maximina Urritia, a healthcare leader from Anthony. “After retiring, both my parents fell ill. With no insurance, and a budget of $700 per month from my dad’s retirement, they knew they could not afford the medical attention or medications they needed. Without that care, they died too early. Healthcare would have saved my parents lives.”

Currently, more than 180,000 New Mexicans, like Maximina’s parents, don’t have healthcare coverage.

“No one should have to go without healthcare because it is too expensive,” said Sireesha Manne, healthcare supervising attorney at the New Mexico Center on Law and Poverty, “Medicaid already helps more than 850,000 New Mexican children and families get comprehensive care, and could be opened up to everyone as a low-cost option. The buy-in plan is a promising solution.”

The campaign’s website can be found at: http://nmtogether4health.org/

Follow the campaign on Facebook @NMTogether4Healthcare and Twitter @NMT4HC.

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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 and New Mexico Center on Law and Poverty

 

 

UNM Hospital Stops Requiring Low-Income, Uninsured Patients to Pay 50 Percent Down Payment for Surgery

ALBUQUERQUE, NM–After months of intense pressure from advocates, the UNM Hospital Board of Trustees reversed a policy, implemented in May 2017, requiring low-income, uninsured patients to pay a 50 percent down payment before surgeries. As a result of the policy, the hospital cancelled many patients’ surgeries because the patients couldn’t come up with thousands of dollars upfront to repair hernias, torn knee ligaments, broken bones, and in one case, a hysterectomy.

“We are relieved that the Hospital Board of Trustees has finally decided to treat all people with the same compassion and standard of care that insured people receive,” said Michelle Melendez, director of EleValle: South Valley Healthy Communities Collaborative. “Requiring people to pay 50 percent upfront was inhumane and not consistent with the mission of our public safety net hospital, which receives $96 million per year in property tax revenue to help cover indigent patients.”

The EleValle collaborative, which is comprised of Casa de Salud, Centro Savila, and ACCESS, teamed up with the New Mexico Center on Law and Poverty, Juntos Para la Salud, and with patient navigators from Pathways to a Healthy Bernalillo County to educate the UNM Hospital Board of Trustees about the policy’s impact on low-income, uninsured residents of Bernalillo County. The Bernalillo County Commission and the state Legislative Health and Human Services Committee weighed in on the side of advocates.

“The hospital’s policies created an insurmountable barrier for low-income patients to get surgeries, impacting their livelihoods and forcing them to suffer through worsening medical conditions,” said Sireesha Manne, healthcare attorney at the New Mexico Center on Law and Poverty. “We are grateful for the collaborative effort of community groups, patient navigators, and policymakers to hold the hospital accountable to its public mission.”

The board voted unanimously at the hospital’s board meeting on Friday to change the hospital’s Patient Payment and Financial Assistance policies. It also voted unanimously to establish a new Discount Program Policy for low-income patients living in New Mexico who meet poverty guidelines, are ineligible for Medicaid, and unable to purchase private insurance on the Health Insurance Exchange.

The new policies reinstate the hospital’s affordable down payment schedule that had been in place from 2005 until May 2017. Pathways navigators became aware of the hospital’s change in policy when clients who were seeking help with food, housing, transportation, and other basic needs disclosed that they were unable to work because of knee injuries and other debilitating medical conditions but could not afford a 50 percent down payment.

The reinstated schedule allows patients to pay $25, $75, or $300, depending on their level of poverty, upfront for surgeries that have been deemed medically necessary by their healthcare providers. The patients are then required to make monthly payments on the balance owed, which could be tens of thousands of dollars.

At the Friday meeting, Jerry McDowell, UNM Hospital board chairman, said, “There are some basic values that I think guide us: Do no harm to the patient. Consistent with our public service mission, serve all individuals with fairness, respect and dignity. Strive for best in class for quality, safety, and care. There are also legal guidelines overarching.”

Human Services Department to Hold Hearing on Medicaid Cuts on Monday, October 30

ALBUQUERQUE, NM—New Mexico’s Human Services Department (HSD) will hold a hearing on the serious cuts the Medicaid program faces in the Centennial Care 2.0 waiver proposal on Monday, October 30 at the National Hispanic Cultural Center in Albuquerque. This will be the final public hearing on the issue.

The waiver proposal eliminates important coverage and health benefits and imposes new excessive patient fees in the form of co-pays and premiums on the working disabled, low-income adults living just above the poverty line, and children enrolled in the Children’s Health Insurance Program (CHIP). These fees will prevent people from seeking necessary healthcare and cause thousands of others to lose coverage.

WHAT:
HSD Hearing on the Centennial Care 2.0 Waiver Proposal

WHEN:
5:30-7:30 p.m., October 30, 2017

WHERE:          
National Hispanic Cultural Center’s Bank of America Theatre
1701 4th Street SW
Albuquerque, NM, 87102

Call in Number: 1-888-757-2790
Participant code: 991379#

WHO:

  • HSD staff
  • Abuko Estrada, attorney at the New Mexico Center on Law and Poverty and other groups against the waiver
  • Public Comment

Healthcare Repeal Effort Comes to an End, Saving Medicaid Funds for New Mexico

WASHINGTON DC— Republicans in Congress decided today to end their push on the Graham-Cassidy bill to repeal the Affordable Care Act, because they do not have enough votes in their party to pass it through the Senate. Their decision comes after the Congressional Budget Office released a preliminary report yesterday that concluded millions of Americans would lose their healthcare coverage under the legislation, mostly due to significant cuts to Medicaid. The bill would have ended Medicaid Expansion for low-income adults and resulted in New Mexico losing billions of federal dollars over the next ten years.

“Medicaid has greatly improved the physical and economic health of New Mexico,” said Sireesha Manne, an attorney with the New Mexico Center on Law and Poverty. “This bill suffered the same problems as older versions. It would have ripped away healthcare coverage from millions of people and permanently damaged Medicaid – a cornerstone of our healthcare system.”

The bill would have ended the Medicaid Expansion that provides healthcare coverage to more than 255,000 low-income adult New Mexicans, and resulted in New Mexico losing $9 billion federal dollars by the year 2027, according to the nonpartisan research group Avalere. The bill capped funding for the entire Medicaid program and eliminated tax credits that help people buy insurance. States would have been allowed to let insurance plans stop covering essential health benefits and to charge more to consumers with pre-existing conditions.

“New Mexico would have been forced to pay billions more in healthcare costs or slash Medicaid coverage for more than 230,000 people and cut services for the most vulnerable populations – including children, seniors, and people with disabilities,” said Manne.

The bill faced widespread opposition from state officials, consumer groups, and medical and industry groups. It also proved to be unpopular among Americans, with a CBS News Poll showing 52% of respondents disapproving the bill and only 20% in approval. A statewide poll conducted in New Mexico earlier this year by Research & Polling, Inc. found that nearly three-quarters of New Mexicans are opposed to reducing federal funding for Medicaid, and four out of five voters believe Medicaid is “important” or “very important” to residents.

Urgent Action Alert: Stop Damaging Fees for Our Families!

Governor Martinez and the Human Services Department (HSD) are moving forward on a proposal that would create unnecessary obstacles to healthcare by charging higher fees to patients that get Medicaid.

HSD’s proposal requires low-income patients be charged co-pays each time they receive medical care – including for prescriptions, surgeries and other doctor visits. The proposal specifically targets children in the Children’s Health Insurance Program (CHIP), working disabled individuals, and adults living near poverty, with co-pays that range anywhere from $2 to $8 for each prescription drug to $50 for hospital care. Co-pays for “non-preferred” prescriptions and “non-emergency” use of the emergency room are also proposed for all Medicaid patients regardless of income.

This idea was rejected by HSD’s own panel of stakeholders and experts last summer. It has also received strong criticism from various community organizations, healthcare provider associations, and patients through both written and public comment.

The proposal should be withdrawn because:

  • A wide body of research shows that co-pays, even in “nominal” amounts, prevent people from getting needed medical care.
  • Costs add up quickly for families and children with multiple health needs – especially for people with disabilities or chronic health conditions.
  • The costs often shift to healthcare providers that choose to treat patients when they cannot afford the co-pay.
  • Our healthcare system and state budget will see long-term negative effects due to increased administrative costs and increased use of more expensive healthcare services.

Please call and urge your networks to contact Governor Martinez – (505) 476-2200 – and tell her to stop the Medicaid co-pay proposal. We should be making Medicaid better, not creating barriers for our families to get the healthcare they need!

 

HSD to Hold Public Hearing Tomorrow on Proposal to Increase Medicaid Co-Pays

Tomorrow at 9 a.m., New Mexico Human Services Department (HSD) will hold a public hearing to gather comment on its proposal to increase co-pays for Medicaid patients. This proposal faced opposition from HSD’s own stakeholder group when proposed last year and still faces widespread opposition.

Over 20 groups and individuals have signed on with the New Mexico Center on Law and Poverty in comments submitted to HSD opposing the proposal, including the New Mexico Medical Society, New Mexico Academy of Family Physicians, New Mexico Pediatric Society, New Mexico Coalition to End Homelessness, and Parents Reaching Out among others. These groups assert that a wide body of research has shown that such fees decrease access to necessary medical care, shift costs to providers, and will have negative consequences for our healthcare system and state economy.

The aforementioned comments on the proposal can be found here.

What:   Public Comment Hearing

Who:     HSD

When:  Friday, July 14, 2017 at 9 a.m. MST

Where: Rio Grande Conference Room, Toney Anaya Building, 2550 Cerrillos Road, Santa Fe, NM 87505

Public Hearings on Human Services Department’s Medicaid Plan Ongoing  

ALBUQUERQUE, NM — Public hearings start this week on the Human Services Department’s (HSD) recently released plan for the future of Medicaid in New Mexico – Centennial Care 2.0.

More information about Centennial Care 2.0 can be found on the HSD website here.

The Center on Law and Poverty has released a packet of information detailing alarming changes from the plan that will be harmful and costly to our families and the State that can be found here. Stakeholders are expected to be present to provide public comment at the hearings.

HSD Public Hearings

  • June 14th – Albuquerque – 3:30-5pm – CNM Workforce Training Center (5600 Eagle Rock Ave. NE, Albuquerque, NM 87113)
  • June 19th – Silver City – 4:00 – 6:00 pm – WNMU – GRC Auditorium (1000 W. College Ave., Silver City, NM 88061)
  • June 21st – Farmington – 4:30 – 6:30 pm – Bonnie Dallas Senior Center (109 E. La Plata St., Farmington, NM 87401)
  • June 26th – Roswell – 4:30 – 6:30 pm – Roswell Public Library (301 N. Pennsylvania Ave., Roswell, NM 88201)

Tribal Consultation Hearing

  • June 23rd – Albuquerque – 9:00am – noon – Indian Pueblo Cultural Center (2401 12th Street NW, Albuquerque, NM 87104)

New Study Shows Devastating Consequences for New Mexico under Latest Healthcare Bill

New Mexico will be forced to make tough choices under the Republican healthcare bill in Congress that slashes federal funding for Medicaid. A new study shows that the bill’s plans to reduce federal Medicaid funding would require the state to come up with an additional $427 million annually to maintain healthcare coverage for its 900,000 residents enrolled in Medicaid. If it can’t or won’t, more than 250,000 New Mexicans could lose their coverage and become uninsured.

The study, released today, was conducted by Dr. Kelly O’Donnell, an economist with the Robert Wood Johnson Foundation at UNM and is available here.

The bill drastically lowers the federal funding match for Medicaid expansion adults and permanently caps funding on the entire program, resulting in a loss of $11.4 billion in federal revenues and more than 30,000 jobs by 2026. It’s an understatement to say that this would devastate New Mexico’s healthcare system and economy.

The bill reneges on the federal government’s long-standing commitment to funding Medicaid. And President Trump promised on the campaign trail that he would not cut Medicaid, yet his administration has revived negotiations for the bill after it failed to garner enough votes among House Republicans last month. The latest proposal, in addition to decimating Medicaid funding, would also remove important consumer protections like allowing insurance companies to charge higher rates for people with pre-existing conditions and eliminating coverage of essential services like mental health and maternity care.

Congressman Pearce has not taken a position on the legislation. He should take a look at this study because the consequences for New Mexico will be drastic.