BEREA, Ky. - An economic policy think tank in Kentucky finds that a plan by Congressional Republicans to reduce federal Medicaid and Medicare spending would break a long-standing American promise of basic health security for society's most vulnerable.
Jason Bailey, director of the Kentucky Center for Economic Policy in Berea, says House Republicans' plan to turn Medicare into a voucher program and give states a set amount to run Medicaid would shift more of the cost to beneficiaries or cause them to lose health benefits.
"What it would do is really change the federal role in supporting health care for seniors, for people with disabilities, for children living in poverty, in a way that would harm many Kentuckians. "
Bailey says analysis by the Congressional Budget Office shows that in 10 years, a typical 65-year-old would be paying twice as much out-of-pocket for Medicare under the GOP plan as under the traditional system. Moreover, Bailey says, shifting Medicare to the private sector would spike costs because private insurance has higher administrative costs and provider payments.
When it comes to Medicaid, Bailey underscores Kentucky's dependence on the federal-state program that serves those in poverty and with disabilities. More than 800,000 Kentuckians rely on Medicaid. Bailey believes the Republican plan to break from funding a portion of the costs and turning it into a block grant program would allow states to alter benefits and who receives them.
"Kentuckians would lose eligibility. We would throw people off the Medicaid rolls. We would cut benefits. We would cut payments to providers, which are already very low in the Medicaid program. And so fewer doctors, fewer health care providers, would accept Medicaid."
Bailey says ideas to undo Medicare and Medicaid as we know it break the country's decades-old compact to ensure basic health security for the sick, aging and impoverished.
"It would say to people, 'You're on your own.' That's a real strike against a core value we've held in this country over the last 45 years since these programs were created."
Bailey adds that the U.S. House Republicans' budget plan to eliminate the Medicaid expansion scheduled for 2014 under health care reform would deny coverage to an estimated 261,000 Kentuckians.
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Today, groups working with lower-income families in Connecticut are raising awareness about the state's "benefits cliff" with a day of action.
The benefits cliff is when a person might get a raise, have a kid with a part-time job, or some other income increase which then makes them ineligible for certain benefits. The changes can have severe impacts on communities and disproportionately affect families with children.
Stephen Monroe Tomczak, professor of social work at Southern Connecticut State University, said it is part of a larger workforce problem.
"People, particularly people of low income, are in a sense disincentivized to participate in the labor force and denied adequate jobs and income when they try to do that," Tomczak explained.
Several General Assembly budget bills could have dealt with the issue but most failed, which inspired today's action, a mock funeral procession to the governor's office to eulogize the bills, including the refundable Child Tax Credit, a housing voucher funding boost bill, and a bill eliminating the asset limit on the HUSKY C medical insurance program.
Social service advocates know the bills will resurface in next year's budget process.
Rose Ferraro, program lead of health justice policy advocacy for the Universal Health Care Foundation of Connecticut, said people are taking alternate steps like going to food banks or avoiding medical care to cover lost benefits.
"Folks will lose their rental assistance and then, they will sort of have to make some tough decisions," Ferraro noted. "'Do I put food on my table or do I make sure to pay rent?' And, so it becomes a sort of untenable position."
Ferraro added interwoven state and federal funding makes it hard to reach the core of the issues leading to benefits cliffs. One eulogized bill would have established a benefits cliff pilot program. For two years, it would have provided subsistence for people who've reached the benefits cliff.
Disclosure: The Universal Health Care Foundation of Connecticut contributes to our fund for reporting on Health Issues, Housing/Homelessness, Human Rights/Racial Justice, and Poverty Issues. If you would like to help support news in the public interest,
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New York towns are reaping many benefits since the Inflation Reduction Act was passed.
Along with funds for larger clean energy projects, the state was awarded $158 million for the IRA's Home Energy Rebates program.
Smaller towns and villages use these grants to implement their climate action plans.
Brighton Town Councilmember Robin Wilt said an IRA grant they applied for will help upgrade the town's HVAC system.
"We will be implementing geothermal and then use a solar array to make the system close to net zero, not quite," said Wilt. "I think we'll get 55% of our energy back with the solar panels."
The bureaucratic process to access the funding was challenging, but some groups are working with the Department of Energy to improve it.
Wilt said feedback on the clean energy projects has been positive. Future projects using IRA funding include increasing walkability and sustainable redevelopment.
Critics have said the IRA includes multiple provisions to increase fossil fuel production.
Towns nationwide are using IRA grants to bolster clean energy projects.
Joel Hicks is a council member for the Borough of Carlisle, Pennsylvania.
They've just applied for a grant to work on energy efficiency and solar projects with Harrisburg. He said this will have positive impacts beyond establishing clean energy.
"We were really excited at this potential," said Hicks, "because we saw that the cost savings we would have for putting in substantial solar projects on our public property would actually fund many of our other public municipal goals."
These include purchasing an electric vehicle fleet and having more efficient solid waste programs.
One thing Hicks said he wants to see in future is state and local governments helping small towns and municipalities with putting together their IRA grant proposals.
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A new report analyzes Pennsylvania's existing voucher programs, that divert public funds to private schools.
This comes on the heels of Gov. Josh Shapiro's plan to create a new voucher program for K-12 students.
Diana Polson - senior policy analyst with the Keystone Research Center - said last year's Commonwealth Court decision ruled that Pennsylvania's system of funding public education is unconstitutional, therefore the state doesn't have a dollar to waste on expanding existing private-school voucher programs or creating a new one.
"The basic-education funding commission estimated the state must pay $5.1 billion over the next seven years to make sure our public schools are funded equitably and adequately," said Polson. "Meanwhile, our report finds that existing private-school voucher programs are siphoning millions from taxpayers with little to show for it."
Supporters argue that vouchers let children leave under-performing public schools and get a better education at private schools.
Polson said Pennsylvania's voucher programs have no "meaningful educational or financial accountability," so they really have no way of knowing if these programs operate as intended or are beneficial to low-income or moderate-income students.
Polson said the report reveals that the programs have grown, and just this year they will cost the state nearly $500 million.
However, these voucher programs exclude students in rural areas, because there are few if any participating private schools in these regions.
Local public schools remain the primary option for most rural families.
"We also found that private schools receiving these funds are allowed to - and do - routinely discriminate against students for reasons including disabilities, sexual orientation, religious beliefs and more," said Polson. "These programs are also exclusive. They subsidize the state's most elite and expensive private schools as well as affluent families."
Polson said the report reveals that the Independent Fiscal Office estimated that the average EITC program scholarship was $2,314, while the Opportunity Scholarship Tax Credit was slightly less at around $2,000.
The cost of attending one of the top 25 private schools in Pennsylvania is around $41,000 per year. This means these schools are still out of reach for many low- and moderate-income families.
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