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The proposal should be withdrawn because: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

Action Alert: Act Now Against TrumpCare — Don’t Take Healthcare Away from Millions of Americans!

The U.S. Senate will vote very soon – likely next week – on its version of a bill to repeal the Affordable Care Act. It’s called the Better Care Reconciliation Act but it won’t provide better care at all. The Congressional Budget Office estimates that 22 million Americans will lose coverage if the bill becomes law.

  • Pay More For Less – The bill will make low- and middle- income New Mexicans spend more for less healthcare coverage. It will increase out of pocket costs, while reducing tax credits that help people buy private insurance.
  • New Mexicans Will Lose Healthcare Coverage – Medicaid expansion will be phased out starting in 2021. This will jeopardize healthcare coverage for 260,000 low-income adults in New Mexico.
  • Medicaid Funding Will Be Slashed – The rest of the Medicaid budget will be cut by shifting the program to a per capita cap system – giving New Mexico a set amount to spend per person rather than a federal match for actual state costs for Medicaid. If costs grow faster than the state’s set amount, New Mexico will have to make even deeper cuts to Medicaid services and eligibility for children, people with disabilities, and seniors.
  • Consumer Protections Will Be Gutted – States will be allowed to opt-out of covering “essential health benefits” (doctors, prescriptions, maternity and newborn care, and mental healthcare).
  • Huge Tax Breaks For The Wealthy – The bill will make all of these devastating cuts to healthcare to give tax breaks to the wealthy and big corporations.

What Can You Do? Senators Heinrich and Udall are fighting hard to protect our healthcare. However, you can call 6 key Senators in neighboring states who are considering voting for the bill. Please call them THIS WEEK and tell them to vote NO on the Better Care Reconciliation Act!

Senator Jeff Flake (AZ):  (202) 224-4521

Senator John McCain (AZ): (202) 224-2235

Senator Cory Gardner (CO): (202) 224-5941

Senator Dean Heller (NV): (202) 224-6244

Senator Mike Lee (UT): (202) 224-5444

Senator Ted Cruz (TX): (202) 224-5922

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.

Call Congressman Pearce to Vote NO on Healthcare Bill

STOP the Attack on New Mexico’s Healthcare System! Ask Congressman Pearce to Vote NO Against the Healthcare Repeal Bill

Friends, Congress is about to make a critical vote on healthcare — This Thursday, the U.S. House of Representatives plans to vote on the Republican bill to repeal the Affordable Care Act. This bill recklessly endangers New Mexico’s healthcare system by making it even more expensive for middle class and working families to afford private healthcare coverage and by dismantling Medicaid, which covers more than 900,000 New Mexicans.

  • More than 145,000 New Mexicans will lose their healthcare coverage – including 75,000 in Congressman Pearce’s district alone mostly due to massive cuts to Medicaid, including rolling back the Medicaid Expansion and cutting federal funding support for Medicaid.
  • Thousands of jobs could be lost statewide! Medicaid directly supports over 50,000 jobs in New Mexico while also providing a major payment source for our hospitals, clinics and nursing homes.
  • The bill caps Medicaid funding, which will force our state to ration care or make deep cuts to healthcare coverage for New Mexicans who need it the most – children, the elderly, people with disabilities and low-income adults.
  • The bill takes healthcare away from the poor while giving tax breaks to the rich, providing $275 billion in tax cuts to the wealthiest households over the next ten years.

Congressman Pearce MUST hear from you TODAY! Please call his D.C. office at (202) 225-2365 and ask him to take a stand to protect our healthcare by voting NO for the healthcare repeal bill. The call will only take a minute.

ACTION ALERT: Ask New Mexico’s Leaders to Stand Up for our Healthcare

We’ve all been working hard to build a great healthcare system for New Mexicans. Along the way, we have seen significant gains for our state for which we are thankful.

  • 95% of our children in New Mexico have healthcare coverage now, mostly because of Medicaid.
  • Over 250,000 adults gained coverage from the Medicaid Expansion in 2014.
  • Medicaid supports over 50,000 jobs in our healthcare sector and keeps clinics, hospitals and caregiving agencies open in our state.
  • • Medicaid saves costs for everyone by covering uninsured people and offering preventive and life-saving care.

As we move forward, we cannot afford to lose our gains. We lost over $330 million for healthcare and over 3,000 jobs this year for failing to adequately fund Medicaid. Now with uncertainty about healthcare at the national level, we must work harder than ever to protect and strengthen our healthcare.

Please call our leaders and ask them to fully fund Medicaid. It will only take a few minutes. Let them know why you are thankful for Medicaid.

Governor Susana Martinez – (505) 476-2200
Senator John Arthur Smith, Chair of Legislative Finance Committee – (575) 546-4979
Representative Patty Lundstrom, Member of Legislative Finance Committee – (505) 722-2980

Please call this week – before December 9th. The Legislative Finance Committee and the Executive branch are putting together state budget proposals for next year. It’s important these individuals hear from you this week.

Op-Ed: Underfunding Medicaid is a Foolish Decision

shutterstock baby with doctor for website -2015-12-17by Abuko Estrada & Sireesha Manne

Originally published in the Albuquerque Journal, September 26, 2016. https://www.abqjournal.com/852766/underfunding-medicaid-is-a-foolish-decision.html

As taxpayers, we expect that when government spends our money it will be leveraged toward the best investments that provide the most benefits to our state.

Currently, New Mexico receives four dollars in federal funds for every state dollar invested in Medicaid. This money goes directly into patient care and supports over 50,000 mostly private-sector jobs in the state.

Rather than maximizing this $4 to $1 return on investment, New Mexico underfunded the Medicaid budget in the 2016 legislative session.

For fiscal year 2017, New Mexico is losing over $265 million in federal matching funds for Medicaid by failing to come up with $67 million to meet Medicaid’s minimum budget needs. Our health care system is taking a massive financial loss of over $330 million this year — or nearly $1 million a day!

This is a budgeting disaster for New Mexico that is expected to result in thousands of jobs being lost and, worse yet, a reduction in care to patients. Health care had been one of the only growing job sectors in the state because of the expansion of Medicaid that has added over 4,800 jobs in 2014 alone. However, due to budget shortfalls, the state has decided to reduce Medicaid payment levels for hospitals, doctors and other medical practitioners.

In response, health care providers have issued serious warnings that the low Medicaid rates will force them to downsize staff and potentially even close entire facilities.

The decision to cut Medicaid is self-defeating because New Mexico desperately needs jobs and a stronger health care system.

Nearly every county in the state – 32 out of 33 counties – has shortages for primary care, dental care and mental health care. The problems are most severe for patients in rural areas, where over 30 percent of residents live.

A prime example of health care workforce shortages is the closing of the obstetrics department at Alta Vista Regional Hospital in Las Vegas, N.M. Since 2010, three other hospitals have ceased their obstetric services, forcing expectant mothers to travel unreasonable distances for prenatal care.

Medicaid patients face the most serious consequences of these shortages. The Legislative Finance Committee recently found that up to half of providers in some areas in New Mexico are refusing to take new Medicaid patients.

Another report has found that a quarter of Dona Aña County residents needing hospitalization are going to Texas to get services. However, as illustrated in a recent news article, many doctors in Texas now refuse to see these patients because our state’s Medicaid reimbursement rates are too low.

This is just the beginning.

Medicaid provides health care coverage to two out of three children in New Mexico, as well as seniors, people with disabilities and low-income families. However, due to Medicaid budget shortfalls, the state next plans to cut health care benefits and charge higher patient fees.

Studies have shown that these changes are likely to result in massive losses of coverage for low-income families and will prevent patients from accessing needed services, only deepening New Mexico’s health care crisis.

New Mexico needs to responsibly maximize Medicaid matching funds. The first step is to fix the state’s revenue system. New Mexico is losing needed dollars to tax cuts and loopholes created in the last 15 years for large corporations and the highest-income earners, which have not proven to produce jobs or benefit the state.

There are several ways to raise revenues without hurting working families, such as freezing corporate tax rates at their current levels, which are now on par with other states and further reductions are not needed, taxing capital gains and investment income at the same rate as earned income and targeting products that are undertaxed and that are not necessities, such as new vehicles, alcohol and tobacco.

By not acting, New Mexico is losing precious resources that our state needs to spur job growth and support our health care infrastructure. Let’s put our money into our wisest investments – Medicaid is certainly one of the best.

Op-Ed: State’s decision to cut Medicaid is self-defeating

by Abuko Estrada and Sireesha Manne

Originally published September 19, 2016, NMPolitics.net http://nmpolitics.net/index/2016/09/states-decision-to-cut-medicaid-is-self-defeating/

COMMENTARY: As taxpayers, we expect that when government spends our money it will be leveraged toward the best investments that provide the most benefits to our state. Currently, New Mexico receives four dollars in federal funds for every state dollar invested in Medicaid. This money goes directly into patient care and supports over 50,000 jobs in the state, mostly in the private sector.

Rather than maximizing this $4-to-$1 return on investment, New Mexico underfunded the Medicaid budget in the 2016 legislative session.

For fiscal year 2017, New Mexico is losing over $265 million in federal matching funds for Medicaid by failing to come up with $67 million to meet Medicaid’s minimum budget needs. Our health-care system is taking a massive financial loss of over $330 million this year – or nearly $1 million a day!

This is a budgeting disaster for New Mexico that is expected to result in thousands of jobs being lost and, worse yet, a reduction in care to patients. Health care had been one of the only growing job sectors in the state because of the expansion of Medicaid, which added over 4,800 jobs in 2014 alone.

However, due to budget shortfalls, the state has decided to reduce Medicaid payment levels for hospitals, doctors and other medical practitioners. In response, health-care providers have issued serious warnings that the low Medicaid rates will force them to downsize staff and potentially even close entire facilities.

The decision to cut Medicaid is self-defeating because New Mexico desperately needs jobs and a stronger health-care system. Nearly every county in the state – 32 out of 33 counties – have shortages for primary care, dental care, and mental health care. The problems are most severe for patients in rural areas, where over 30 percent of residents live.

A prime example of health-care workforce shortages is the closing of the obstetrics department at Alta Vista Regional Hospital in Las Vegas. Since 2010, three other hospitals have ceased their obstetric services, forcing expectant mothers to travel unreasonable distances for prenatal care.

Medicaid patients face the most serious consequences of these shortages. The Legislative Finance Committee recently found that up to half of providers in some areas in New Mexico are refusing to take new Medicaid patients.

Another report has found that a quarter of Dona Aña County residents needing hospitalization are going to Texas to get services. However, as illustrated in a recent news article, many doctors in Texas are now refusing to see these patients because our state’s Medicaid reimbursement rates are too low.

This is just the beginning. Medicaid provides health-care coverage to two out of three children in New Mexico, as well as seniors, people with disabilities and low-income families. However, due to Medicaid budget shortfalls, the state next plans to cut health-care benefits and charge higher patient fees.

Studies have shown that these changes are likely to result in massive losses of coverage for low-income families and will prevent patients from accessing needed services, only deepening New Mexico’s health-care crisis.

New Mexico needs to responsibly maximize Medicaid matching funds. The first step is to fix the state’s revenue system. New Mexico is losing needed dollars to tax cuts and loopholes created in the last 15 years for large corporations and the highest income earners, which have not proven to produce jobs or benefit the state.

There are several ways to raise revenues without hurting working families, such as freezing corporate tax rates at their current levels, which are now on par with other states and further reductions are not needed; taxing capital gains and investment income at the same rate as earned income; and targeting products that are being under-taxed and that are not necessities, such as new vehicles, alcohol and tobacco.

By not acting, New Mexico is losing precious resources that our state needs to spur job growth and support our health-care infrastructure. Let’s put our money into our wisest investments – Medicaid is certainly one of the best.

Abuko Estrada and Sireesha Manne are attorneys with the New Mexico Center on Law and Poverty.

Action Alert: Stop Damaging Cuts to Medicaid!

New Mexico’s healthcare system is facing a crisis due to budget cuts for Medicaid. Over 875,000 people in our state get healthcare coverage through Medicaid and the program supports over 50,000 jobs in New Mexico.

Medicaid lost significant federal match funds this year – $4 for every $1 in state funding cuts – losing over $265 million in federal funds that would have gone into our economy to support patient care and thousands of jobs. Soon, the Governor and Legislature will be going into a special session to cut even more of the state budget due to revenue shortfalls.

The budget shortfalls have already cut Medicaid to the bone – resulting in lower payments to healthcare providers that are expected to cause job loss, intensify workforce shortages and make it even harder for Medicaid patients to find doctors and services. The next step will be to begin cutting Medicaid healthcare benefits and charge higher fees for low-income patients – changes that will cause people to lose coverage and reduce access to care.

The Governor and these legislators below are making critical decisions about the budget and MUST hear from you by next Thursday, September 22. Please call them todayThis will only take 5 minutes. For each call, leave a short message with the Governor’s staff, the legislators or a voicemail that includes your name, phone number, and an ask to not cut Medicaid.

Thank you!


Name Phone Number
Governor Martinez (505) 476-2200
Rep. Larry Larrañaga ‪(505) 821-4948
Rep. Jason Harper ‪(505) 554-7970
Rep. Patricia Lundstrom ‪(505) 722-2980
Sen. John Arthur Smith (575) 546-8546
Sen. Stuart Ingle (575) 356-3088