Slade O’Brien Educates Boca Crowd On Realities Of Florida Politics!
With a crystal-clear night on the back end of a Florida “cold-snap” (getting into the 40’s the day before), there was another exciting night of patriotism from the Palm Beach County Tea Party. Though the turnout was lighter than this past month, it was an unquestionably exciting evening of brisk dialogue amongst Patriots in Boca Raton. Slade O’Brien was the guest speaker, and his perspective as a leader of grassroots movements, and dealing with politics on the LOCAL level, was quite illuminating. As the Florida Director of Americans For Prosperity, Slade has an extraordinary inside perspective on Florida politics, with access to all the “movers and shakers” within the political sphere in our state.
What he revealed about statewide graft and corruption in state contracts from legislators “thanking” their lobbyists and supporters who got them elected was both sickening and motivating at the same time. Slade also updated us on the “Five For Florida” initiative that AFP began last year, and updated us on their progress. While much has been accomplished, we have a “long road ahead”, as Slade said.
This also marked the return to Boca Greens Country Club, and exceptional venue for our group in terms of space, facilities, location, and food. Salad, Rolls, Chicken, and Salmon was served with a Vodka Penne dish, and a yummy-looking Apple-Cobbler type of dessert (I did not partake). It was a great crowd, populated by both familiar faces, as well as many new people. PBCTP Co-Founders Mel and Barbara Grossman made the trip from Jupiter to be with us, as did Terry Brady.
Boca Chapter Coordinator Alex Berry began the proceedings at 7:00pm with the Pledge of Allegiance. Carlos Manuel Santana then regaled us with his impassioned version of the National Anthem. After the usual protocol of explaining what the PBCTP is, and what it stands for, Alex made general announcements, and then asked former Board member Francisco Rodriguez to come to the podium. Francisco explained how he has recently published a book that addresses the critical issue of WINNING ELECTIONS, and how that starts on the local level, something we can all participate in. And this dovetailed well with Slade O’Brien’s discussion of the “pragmatics” of politics….
Alex then introduced Slade, who held the crowd captive with a personal account of his observations on how Florida has foolishly discouraged entrepreneurial activity with miles of red tape. He was actually very encouraging, however, because he drew parallels between what Scott Walker has done in Wisconsin, and what is possible here in Florida.
Slade followed his presentation with a boisterous “Q&A” session with the audience, moderated by Alex Berry. Tea Party members donated the raffle prizes, and the winners were announced at the drawing, concluding the evening.
We look forward to more great meetings in 2013 for our Boca Chapter—please INVITE YOUR FRIENDS to our next event, which will be on April 2nd, 2013!!! Remember—we always have our Boca Chapter Dinner/Speaker event on the FIRST TUESDAY of every month, so mark your calendars! Please get involved if you aren’t yet, and STAY involved if you already are! Remember, we are LOOKING FOR ADDITIONAL BOCA TEAM LEADERS, including a Boca Chapter Coordinator (leader in Boca). Please help out if you can!
Mark Meckler’s Take on Medicaid Expansion
Hello all,
The following was a letter from Mark Meckler. Please review and comment .. . and most importantly, pick out the key points that mean the most to you and immediately send emails and make phone calls to your state legislators!
To Tea Partiers across Florida:
From my perspective it’s very simple.
1. Tea Partiers put principle before politics. One of the core principles of tea partiers is fiscal responsibility. As tea partiers, our job is to stand on principles, not be convinced by the politics of the moment. Expanding huge, inefficient, bloated, government programs for which our federal government must borrow 43 cents of every dollar spent is hardly fiscally conservative. In fact, supporting such a program expansion would be the antithesis of what the movement stands for.
2. The best conservative Governor’s in the nation are opposing the expansion of Medicaid. Gov. Scott Walker, Gov. Rick Perry, Gov. Bobby Jindal, Gov. Nikki Haley, etc. When the leading conservative Governors in the nation are rejecting the program, it’s hard to see how tea partiers could think accepting it is a good thing.
3. Four Important Points about the proposed Medicaid expansion that everyone should know:
Four Important Points About Medicaid Expansion
A. Support for Medicaid Expansion is Support for Obamacare. If your tea party group supports the expansion of Medicaid, it is a major statement in support of Obamacare. One of the major provisions of Obamacare was the expansion of Medicaid, which is intended to dramatically increase the number of people dependent on the federal government. The rejection of the Medicaid expansion, which states were given the right to do by the Supreme Court in the only conservative victory on Obamacare, is one of the few tools remaining to help prevent Obamacare from swallowing the nation.
B. The Medicaid Expansion is a Fiscal Nuclear Time Bomb. Medicaid is a fiscal time bomb; today, states and the federal government jointly fund the program, but over time, Congress is almost certain to curtail its support due to Washington’s fiscal pressures.
C. The Medicaid Expansion Drives the Cost of Insurance Up for Everyone Else. Medicaid drives up the cost of insurance for everyone else, because hospitals overcharge people with private insurance to make up for the fact that they’re underpaid by Medicaid.
D. Medicaid is a Broken Program Providing Terrible Health Outcomes. Medicaid provides the worst health outcomes of any insurance plan in America; in many cases, it’s worse than having no coverage at all.
To me, it’s not even a close call for tea partiers. If we won’t do our best to hold the line here…we should just fold up our tea party tents and go home. It is impossible for fiscal conservatives to support the expansion of a bloated, broken federal program that borrows 43% of every dollar spent, and still consider ourselves principled fiscal conservatives. If we support (or don’t vociferously oppose) the expansion of Medicaid, then the criticism sometimes leveled at us that we are willing to cut, but not when those cuts affect us, is true. Are we Democrat-lite, or are we true fiscal conservatives who will stand on principle? In Florida, the time to make that decision is now.
Below you will find a summary of where each state currently stands (as of Feb. 20) on the proposed expansion.
Where each state stands on ACA’s Medicaid expansion
A roundup of what each state’s leadership has said about their Medicaid plans
Topics: Health Care Reform, Market Trends, Strategy, Medicaid, Reimbursement, Finance
February 20, 2013
- See the Advisory Board’s library of resources on Medicaid, ranging from projections of patient volumes to strategies for better care management.
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Text last updated on Feb. 20, 2013, at 5:30 p.m. ET
The Supreme Court’s ruling on the Affordable Care Act (ACA) allowed states to opt out of the law’s Medicaid expansion, leaving each state’s decision to participate in the hands of the nation’s governors and state leaders.
Based on lawmakers’ statements, press releases, and media coverage, the Daily Briefing and American Health Line editorial teams have rounded up where each state currently stands on the expansion.
We will continue to update this map and list as more information becomes available. Send us news, tips, and feedback by commenting below or emailing dailybriefing@advisory.com.
* indicates a state’s participation in the multistate lawsuit against ACA
NOT PARTICIPATING (13 states)
- Alabama*: Gov. Robert Bentley (R) on Nov. 13 announced that Alabama will not participate in the Medicaid expansion “because we simply cannot afford it” (Gadsden Times, 11/13; Lyman,Montgomery Advertiser, 11/13).
- Georgia*: Gov. Nathan Deal (R) in an Atlanta Journal-Constitution/Politico/11 Alive interview on Aug. 28 said, “No, I do not have any intentions of expanding Medicaid,” adding, “I think that is something our state cannot afford.” When asked about the insurance exchanges, Deal said “we do have a time frame for making the decision on that I think, especially on the exchanges,” adding that “we have just a few days after the election in order to make a final determination on that” (Wingfield, “Kyle Wingfield,” Atlanta Journal-Constitution, 8/28).
- Idaho*: Gov. C.L. Otter (R) in his 2013 State of the State address delivered on Jan. 7 said that while “there is broad agreement that the existing Medicaid program is broken,” the state “face[s] no immediate federal deadline” to address the situation. He added, “We have time to do this right … [s]o I’m seeking no expansion of” the program. Otter said he’s instructed the state Health and Welfare director to “flesh out a plan” that focuses on potential costs, savings and economic impact, which he plans to introduce in 2014 (Ritter Saunders, Boise State Public Radio, 1/7; Young, Huffington Post, 1/7; Petcash, KTVB, 1/7).
- Louisiana*: Gov. Bobby Jindal (R) in an NBC “Meet the Press” interview on July 1 said, “Every governor’s got two critical decisions to make. One is do we set up these exchanges? And, secondly, do we expand Medicaid? And, no, in Louisiana, we’re not doing either one of those things.” However, state Sen. Karen Carter Peterson (D) and other Democratic leaders after the Nov. 6 election urged Jindal to reconsider his opposition or the state will not be forced to accept a “one-size-fits-all” plan, CBC News “Money Watch” reports (Barrow, New Orleans Times-Picayune, 7/2; “Money Watch,” CBS News, 11/9).
- Maine*: Gov. Paul LePage (R) on Nov. 16 said that Maine will not participate in the Medicaid expansion. He called the expansion and the state-based insurance exchanges a “degradation of our nation’s premier health care system” (Mistler, Kennebec Journal, 11/16).
- Mississippi*: Gov. Phil Bryant (R) on Nov. 7 said Mississippi will not participate in the Medicaid expansion, reiterating previous statements that he had made about the ACA provision (Pender/Hall, Jackson Clarion-Ledger, 11/7).
- North Carolina: Gov. Pat McCrory (R) on Feb. 12 announced that his state will not expand Medicaid or establish its own health insurance marketplace under the Affordable Care Act. McCrory said state officials conducted a comprehensive analysis to determine the advantages and disadvantages of expanding Medicaid and the right type of exchange option in the state, and concluded that it is “abundantly clear that North Carolina is not ready to expand the Medicaid system and that we should utilize a federal exchange.” He said the review included discussions with other governors, White House officials, health care providers, and leaders in the state Legislature (AP/Myrtle Beach Sun News, 2/12; Binker/Burns, “@NCCapitol,” WRAL, 2/12; Cornatzer, Raleigh News & Observer, 2/12).
- Oklahoma: Gov. Mary Fallin (R) on Nov. 19 said Oklahoma will not participate in the Medicaid expansion. “Oklahoma will not be participating in the Obama Administration’s proposed expansion of Medicaid,” she said in a statement. She noted that the program would cost the state as much as $475 million over the next eight years (Greene, Tulsa World, 11/19).
- Pennsylvania*: Gov. Tom Corbett (R) on Feb. 5 sent a letter to HHS saying he “cannot recommend a dramatic Medicaid expansion” in Pennsylvania because “it would be financially unsustainable for Pennsylvania taxpayers.” He noted that the expansion would necessitate “a large tax increase on Pennsylvania families” (Tolland, Pittsburgh Post-Gazette, 2/5).
- South Carolina*: Gov. Nikki Haley (R) on July 1 announced via Facebook that South Carolina “will NOT expand Medicaid, or participate in any health exchanges.” The state Legislature is expected to make a decision on the Medicaid expansion during the 2013 session (Gov. Haley Facebook page, 7/1; Holleman, Columbia State, 11/9).
- South Dakota: Gov. Dennis Daugaard (R) in his annual budget address on Dec. 4 said he does not plan to participate in the Medicaid expansion. “I really think it would be premature to expand this year,” he said, adding that he hoped for more flexibility for the state program (Montgomery, Sioux Falls Argus Leader, 12/4).
- Texas*: Gov. Rick Perry (R) in a statement on July 9 said, “If anyone was in doubt, we in Texas have no intention to implement so-called state exchanges or to expand Medicaid under ObamaCare.” Perry also sent a letter to HHS Secretary Kathleen Sebelius on July 9 asserting this position. The Dallas Morning News reported that on Nov. 8, Perry reiterated his opposition to the expansion, saying, “Nothing changes from our perspective” (Office of Gov. Perry release, 7/9; Gov. Perry letter, 7/9; Garrett, Dallas Morning News, 11/11).
- Wisconsin*: Gov. Scott Walker (R) on Feb. 13 announced his rejection of the Medicaid expansion. He proposed an alternative plan that would expand coverage to low-income state residents through private health care exchanges (Spicuzza, Wisconsin State Journal, 2/13).
LEANING TOWARD NOT PARTICIPATING (5 states)
- Iowa*: Gov. Terry Branstad (R) on July 2 said that he expects to opt out of the expansion. Reiterating the position in an Aug. 22 interview, Branstad spokesperson Tim Albrecht said the governor remains opposed to the expansion. Branstad likely will instead pursue state-based efforts to make health insurance coverage more affordable, Albrecht said (Totland, Washington Times, 7/2; Wiser, Waterloo Cedar Falls Courier, 7/3; AP/Omaha World-Herald, 8/22).
- Nebraska*: Gov. Dave Heineman (R) in a statement on his website on June 28 said, “As I have said repeatedly, if this unfunded Medicaid expansion is implemented, state aid to education and funding for the University of Nebraska will be cut or taxes will be increased. If some state senators want to increase taxes or cut education funding, I will oppose them.” Heineman on July 11 sent a letter to state lawmakers saying the state could not afford the expansion, but he stopped short of saying that the state will not participate in the expansion, according to Reuters(Office of Gov. Heineman release, 6/28; Wisniewski, Reuters, 7/11).
- New Jersey: Gov. Chris Christie (R)—in an interview on Fox News’ “Fox and Friends” in July—said, “Medicaid is pretty well expanded in our state already because of the legacy of previous Democratic governors” and noted that he is leaning toward not raising the program’s eligibility limit any further. In April 2011, New Jersey opted to expand Medicaid eligibility ahead of 2014 to nearly 70,000 childless adults through a Section 1115 waiver allowed under the ACA. The Examiner on Nov. 12 reported that New Jersey likely would opt out of the expansion (Defalco,AP/Philadelphia Inquirer, 4/15/2011; “Fox News Insider,” Fox News, 7/3; Livio/Friedman, Newark Star-Ledger, 7/3; Reilly, The Examiner, 11/12).
- Virginia: Gov. Bob McDonnell (R) on Nov. 8 said he opposes expanding Medicaid, noting that he does not “believe the federal government can possibly deliver its commitment to fully fund the program, and I don’t want to be part of contributing trillions of dollars to the national debt.” However, McDonnell said Virginia could change course at a later date (AP/Modern Healthcare, 11/8).
- Wyoming*: Gov. Matt Mead (R) on Nov. 30 recommended that Wyoming not participate in the Medicaid expansion, but added that his position could change in the future and urged “everyone to keep an open mind on this.” The state legislature will make the final decision on whether to expand the program, the AP/Jackson Hole Daily reports (Brown, Wyoming Tribune Eagle, 12/1; Graham, AP/Jackson Hole Daily, 12/1).
LEANING TOWARD PARTICIPATING (3 states)
- Kentucky: Gov. Steve Beshear (D) when asked about the expansion in July said, “If there is a way that we can afford that will get more coverage for more Kentuckians, I’m for it.” However, state lawmakers are putting pressure on Beshear to reject the expansion (Office of Gov. Beshear release, 6/28; AP/Evansville Courier & Press, 6/28; AP/Evansville Courier & Press, 7/17; Autry, WYU, 7/5; Cross, Louisville Courier-Journal, 6/29).
- New York: Gov. Andrew Cuomo (D) in a statement on his website on June 28 said he was “pleased the Supreme Court upheld the [ACA]” and looks forward “to continuing to work together with the Obama administration to ensure accessible, quality care for all New Yorkers.” On July 26, Danielle Holahan—project director for New York’s health insurance exchange planning—said the state “largely meet[s] the federal required Medicaid levels already.” Although Cuomo’s office has not officially announced a decision, the Associated Press reported on Nov. 13 that New York will expand Medicaid (Office Gov. Cuomo release, 6/28; Grant, North Country Public Radio, 7/27; Delli Santi/Mulvihill, AP/San Francisco Chronicle, 11/13).
- Oregon: Gov. John Kitzhaber (D) said on June 28 that he is confident that the Oregon Legislature will approve a state Medicaid decision. In an interview with the Oregonian just hours after the Supreme Court issued its ruling on the ACA, Kitzhaber said, “We’ll make a decision on whether or not to expand the Medicaid program really based on, I think, the resources we have available in the general fund for that purpose going forward” (Budnick, Oregonian, 6/28).
PARTICIPATING (23 states and the District of Columbia)
- Arizona*: Gov. Jan Brewer (R) in her 2013 State of the State speech, delivered on Jan. 14, announced that Arizona will participate in the Medicaid expansion, which would extend health care services to an estimated 300,000 more state residents. Brewer noted that the expansion plan will “include a circuit-breaker that automatically” would reduce enrollment if federal reimbursement rates decrease. Brewer was expected to offer further details of the plan in her budget proposal, which is subject to approval by the Republican-controlled Legislature (Christie,AP/Sacramento Bee, 1/14; Sanders/Wingett Sanchez, Arizona Republic, 1/14; Fischer, Sierra Vista Herald, 1/14; Safier, Tucson Citizen, 1/14).
- Arkansas: Gov. Mike Beebe (D) on Sept. 11 said he planned to participate in the Medicaid expansion, the Associated Press reports. According to the AP, Beebe agreed to participate in the expansion after officials assured him the state could opt out later if it faces a financial crunch. Beebe said, “I’m for it. I think it’s good for our people because it’s helping folks that don’t have insurance now that are working their tails off. They’re not sitting on a couch somewhere asking for something” (Brantley, Arkansas Times, 9/11).
- California: Gov. Jerry Brown (D) in a statement on June 28 said the Supreme Court’s ruling “removes the last roadblock to fulfilling President Obama’s historic plan to bring health care to millions of uninsured citizens.” California got a head start on expanding its Medicaid program in November 2010 with its “Bridge to Reform” program, which aimed to bring at least two million uninsured Californians into Medicaid (Office of Gov. Brown release, 6/28; DeBord, “KPCC News,” KPCC, 6/28).
- Colorado*: Gov. John Hickenlooper (D) on Jan. 3 announced that his state will participate in the expansion. In a news release, his office said the move would extend Medicaid coverage to about 160,000 low-income residents and save Colorado an estimated $280 million over 10 years without affecting the state’s general fund (Stokols, KDVR, 1/3; Wyatt, AP/Denver Post, 1/3).
- Connecticut: Gov. Dannel Malloy (D) was among the first governors to sign up for the Medicaid expansion after the ACA was enacted in March 2010. Soon after the Supreme Court ruling on June 28, Malloy said “it’s great … [and a] very important decision for the people of Connecticut. 500,000 people would have lost coverage if Republicans had their way” (Davis, WTNH, 6/28).
- Delaware: Gov. Jack Markell (D) in a statement on June 28 said, “The Supreme Court’s ruling enables Delaware to continue to implement provisions of the Patient Protection and Affordable Care Act to provide access to health care benefits for Delawareans.” He added, “On the Medicaid front, Delaware already voluntarily expanded the state’s Medicaid coverage program in 1996 to cover many Delawareans not previously covered” (Office of Gov. Markell release, 6/28).
- District of Columbia: D.C. Mayor Vincent Gray (D) in a statement on June 28 said, “The District is not at risk of losing any Medicaid funding as a result of this ruling, because District officials have already begun implementation of the ACA’s Medicaid-expansion provisions and will continue to implement the expansion” (Executive Office of the Mayor release, 6/28).
- Florida*: Gov. Rick Scott (R) on Feb. 20 announced that the state will participate in the ACA’s Medicaid expansion, citing HHS’s conditional support for a waiver to shift most of the state’s Medicaid beneficiaries into a managed-care program. However, Scott said that Florida would only participate in the expansion for three years before reevaluating the decision. Supporters of the ACA heralded Florida’s shift as a major reversal; Scott mounted his successful campaign for governor in 2010, in part, by being one of the nation’s foremost critics of President Obama’s planned health reforms (Kennedy/Fineout, Associated Press, 2/20; Office of Gov. Scott release, 2/20).
- Hawaii: Gov. Neil Abercrombie (D) in a statement on June 28 welcomed the Supreme Court’s ruling and said the ACA “is our ally” in the effort to “support a health care system that ensures high quality, safety and sustainable costs.” Pat McManaman, director of the state Department of Human Services, said Hawaii’s Medicaid eligibility requirements in July would fall in line with the law’ guidelines, meaning an additional 24,000 people will be eligible for the program by 2014 (Office of Gov. Abercrombie release, 6/28; Garcia, AP/CBS News, 6/29).
- Illinois: Gov. Pat Quinn (D) on June 28 praised the court’s decision and said he “will continue to work with President Obama to help working families get the healthcare coverage they need,” including expanding Medicaid (Office of the Governor release, 6/28; Thomason, Rock River Times, 7/3; Ehley, Fiscal Times, 8/20).
- Maryland: Gov. Martin O’Malley (D) in a statement on June 28 said the Supreme Court’s decision “gives considerable momentum to our health care reform efforts here in Maryland,” adding that the state will move forward to implement the overhaul (Office of the Governor release, 6/28).
- Massachusetts: Gov. Deval Patrick (D) in late June said Massachusetts is “an early expansion state as you know and we’re expecting further resources from the federal government to sustain the experiment here in Massachusetts.” Patrick called the ruling “good news for us” (Walker, YNN, 6/28).
- Michigan*: Gov. Rick Snyder (R), in a statement released on Feb. 6, announced that his fiscal year 2014 budget proposal includes a plan to expand the state’s Medicaid program under the Affordable Care Act. The plan would extend Medicaid benefits to about 320,000 eligible residents. Snyder said the plan contains safeguards that will ensure the financial stability of the program and protect against changes in the government’s financial commitment to the expansion (Office of Gov. Snyder release, 2/6).
- Minnesota: Gov. Mark Dayton (D) said in a statement on June 28 said, “Today’s ruling will be met with relief by the Minnesotans whose lives have already been improved by this law.” Dayton in 2011 used federal money to expand Medicaid early to 84,000 adults with annual incomes below $8,400 (Lohn, AP/San Francisco Chronicle, 6/28).
- Missouri: Gov. Jay Nixon (D) on Nov. 29 announced that Missouri will participate in the Medicaid expansion. Nixon said he will include the expansion in the state budget proposal he submits to lawmakers. “We’re not going to let politics get in the way of doing the best thing for our state,” he said (Crisp, “Political Fix,” St. Louis Post-Dispatch, 11/29).
- Montana: Gov.-elect Steve Bullock (D) — who takes office on Jan. 7 — on Jan. 4 announced several changes to outgoing Gov. Brian Schweitzer’s (D) two-year budget recommendations, but retained the proposal to expand Medicaid. During a news conference, Bullock said the Medicaid expansion is part of his “Access Health Montana” plan to increase health care coverage for more Montana families. (Johnson, Billings Gazette, 1/5; Johnson, Montana Standard, 1/5).
- Nevada*: Gov. Brian Sandoval (R) on Dec. 11 announced that the state will participate in the Medicaid expansion. “Though I have never liked the Affordable Care Act because of the individual mandate it places on citizens, the increased burden on businesses and concerns about access to health care, the law has been upheld by the Supreme Court,” Sandoval said in a statement, adding, “As such, I am forced to accept it as today’s reality and I have decided to expand Nevada’s Medicaid coverage” (Damon, Las Vegas Sun, 12/11).
- New Hampshire: Gov. Maggie Hassan (D) in her Feb. 14 budget address said that New Hampshire will opt into the ACA’s Medicaid expansion because “it’s a good deal…[that will] allow us to save money in existing state programs, while increasing state revenues.” A state report estimates that the expansion will cost New Hampshire about $85 million through 2020, but will bring in $2.5 billion in federal funds and help reduce the number of uninsured residents from roughly 170,000 to 71,000 (Ramer, AP/Seacoastonline.com, 2/14)
- New Mexico: Gov. Susana Martinez (R) on Jan. 9 announced that her state will participate in the Medicaid expansion, which potentially could extend health coverage to nearly 170,000 additional low-income uninsured residents. Martinez noted that contingency measures will be established if federal funding for the expansion diminishes, which would mean scaling back the expansion by dropping newly covered beneficiaries from the Medicaid rolls (Massey/Montoya Bryan, AP/Santa Fe New Mexican, 1/9; Schirtzinger, Santa Fe Reporter, 1/9; Reichbach, New Mexico Telegram, 1/9).
- North Dakota*: Gov. Jack Dalrymple (R) in January said the politics associated with the ACA should not prevent North Dakota from participating in the Medicaid expansion. He is supporting a bill that would allow the state health department to access federal funds allocated through the ACA. Dalrymple also said he will include the expansion in his budget proposal and that members of his staff will testify in favor of the expansion before state lawmakers (Jerke, Grand Forks Herald, 1/12).
- Ohio*: Gov. John Kasich (R) on Feb. 4 announced that the state will be participating in the Medicaid expansion, the Cleveland Plain Dealer reports. He made the announcement in his two-year budget announcement, but warned that Ohio would “reverse this decision” if the federal government does not provide the funds it has pledged to the expansion (Tribble, Cleveland Plain Dealer, 2/4).
- Rhode Island: Gov. Lincoln Chaffee (I) in a statement on his website on June 28 said, “I have fully committed to ensuring Rhode Island is a national leader in implementing health reform whatever the Supreme Court decision, and this just reinforces that commitment.” According to Steven Costantino, the state’s secretary of health and human services, “The expansion is easy to do and makes sense.” Moreover, on July 12, USA Today reported that Chaffee planned to participate in the expansion (Chaffee statement, 6/28; Wolf, USA Today, 7/12; Radnofsky et al.,Wall Street Journal, 7/2).
- Vermont: Gov. Peter Shumlin (D) on June 28 said Vermont’s Medicaid program already meets the requirements under the health reform law’s Medicaid expansion (Steimle, WCAX, 7/1).
- Washington*: In an email responding to a query by American Health Line, Karina Shagren—a deputy communications director in Gov. Chris Gregoire’s (D) administration—in early July said “the governor supports the Medicaid expansion—and Washington will move forward.” U.S. Rep. Jay Inslee (D)—who supports the expansion—was elected governor on Nov. 6 (Shagren email, 7/5; Washington Secretary of State website, 11/12).
UNDECIDED/NO COMMENT (8 states)
- Alaska*: Gov. Sean Parnell (R) on Aug. 8 said he is guarded on the expansion “because our history with the federal government right now is they cut what they promise to fund.” Parnell said he wants to thoroughly understand the costs to the state before making a decision (Bohrer, AP/San Francisco Chronicle, 8/8).
- Indiana*: Gov. Mitch Daniels (R) in a statement on June 29 said, “Any decision to expand Medicaid in 2014 is entirely the province of the next General Assembly and governor.” U.S. Rep. Mike Pence (R) was elected governor on Nov. 6. In a position statement earlier this year, Pence noted that the Medicaid expansion would double “down on an already broken and unaffordable Medicaid system.” Addressing the Affordable Care Act as a whole, he wrote, “I believe the State of Indiana should take no part in this deeply flawed healthcare bureaucracy” (Office of Gov. Daniels release, 6/29; Pence letter).
- Kansas*: Gov. Sam Brownback (R), who has been a vocal opponent of the Affordable Care Act, has not stated whether to opt in or out of the Medicaid expansion, the Associated Pressreported on Nov. 9 (AP/NECN, 11/9).
- Tennessee: Gov. Bill Haslam (R) has not decided whether Tennessee will participate in the Medicaid expansion. However, two lawmakers—Sen. Brian Kelsey (R) and Rep. Jeremy Durham (R)—already have committed to introducing legislation that would block expansion, and the state’s new Republican supermajority in the General Assembly means such a bill could pass (Bohs, “Bohs Column,” The Jackson Sun, 11/9).
- Utah*: In an email responding to a query by American Health Line, Nate McDonald—public information officer for Gov. Gary Herbert (R), who won re-election in the state’s gubernatorial race in November 2012—said “[n]o official decision” has been made on the Medicaid expansion (McDonald email, 11/9).
- West Virginia: Gov. Earl Ray Tomblin (D) in a statement on his website on June 28 said, “We know what the law is but as I’ve said before, I will continue to do what is best for West Virginia … We’re going to review the Supreme Court’s ruling, and work with our federal delegation on how we move forward.” In the state’s gubernatorial race in November 2012, Tomblin was re-elected (Office of Gov. Tomblin release, 6/28; AP/Marietta Times, 11/7).
Hope this helps you in your work in Florida.
Mark
Mark Meckler, President
Citizens for Self-Governance
Jupiter Chapter March Meeting Featuring Slade O’Brien
Join us on Monday, March 4th for another banner Chapter Meeting, featuring Slade O’Brien, the Florida State Director for Americans For Prosperity. Slade has spoken to our group before, and is always a great hit with our crowd, and his message is destined to become MORE popular, as he is a rising star both as an activist, and as an expert in how to WIN elections. If more people listened to Slade last year, many of the election results could have come out quite differently.
Monday, March 4, 2013
5:30pm buffet ($20), 6:30 Program
Abacoa Golf Club
105 Barbados Drive, Jupiter, Florida 33458
Please join us! Doors open at 5:30pm, with a cash bar. Dinner begins promptly at 6:00pm, and our meeting begins at 7:00pm. Slade is always great with our crowd, and will be happy to answer questions after his presentation. You can attend our meeting at 7:00pm at no cost, but we encourage you to come for the dinner. For $20, you will enjoy salad, main course, dessert, coffee, and tea, with tax and tip included! This will be a great evening of like-minded fellowship, and a true sense of deep patriotism permeates the experience– please RSVP on the button below!
Boca Raton Chapter Dinner/Speaker Meeting, Tuesday, March 5th!!!
Join us on Tuesday, March 5th for another banner Chapter Meeting, featuring Slade O’Brien, the Florida State Director for Americans For Prosperity. Slade has spoken to our group before, and is always a great hit with our crowd, and his message is destined to become MORE popular, as he is a rising star both as an activist, and as an expert in how to WIN elections. If more people listened to Slade last year, many of the election results could have come out quite differently. One other note: WE ARE BACK at Boca Greens Country Club!
Please join us! Doors open at 5:30pm, with a cash bar. Dinner begins promptly at 6:00pm, and our meeting begins at 7:00pm. We will say the Pledge of Allegiance, and Carlos Manuel Santana will sing our National Anthem. Announcements will follow, and then Slade O’Brien will be introduced. He is always great with our crowd, and will be happy to answer questions after his presentation. You can attend our meeting at 7:00pm at no cost, but we encourage you to come for the dinner. For $20, you will enjoy salad, main course, dessert, coffee, and tea, with tax and tip included! This will be a great evening of like-minded fellowship, and a true sense of deep patriotism permeates the experience– please RSVP on the button below!
Join Us For Our Boca Raton Election Night Party!!
ATTENTION!!! UPDATE AS OF NOVEMBER 4TH, 2012: CHANGE OF VENUE!!! THIS EVENT WILL NOW BE HELD AT MILLER’S ALE HOUSE ON 1200 YAMATO ROAD IN BOCA RATON (JUST WEST OF I-95, AND ADMISSION IS FREE!!! EAT AND DRINK AS YOU WISH ON YOUR OWN TAB FROM 7PM- ???
November 6th, 2012 will surely go down as one of the most important dates of the 21st Century in history books of the future. It has been said many times, “This is the most important election of our lifetime”, and that has never rung more true when one considers the principles at stake at this election. Our deep involvement in attempting to steer our voting populace towards all the principles and founding history of this country will ultimately have their collective effect on this great night. All the hard work, the personal and professional sacrifices that we make, the time and energy commitment in an increasingly liberal public, and the risk of voicing your opinion publicly will definitely prevail in the long run. On this night, we will get to witness “real time” results on all the monitors that will be on display, NOW AT MILLER’S ALE HOUSE IN BOCA RATON!! Map is HERE.
This evening promises to be one that you will remember for years to come, and is definitely NOT to be missed! The Palm Beach Tea Party will be joining up with several other individuals and organizations of like mind to make this night one “for the books”!
Admission is FREE, and we will be gathering starting at 7:00pm. Eat and drink as you choose on your own tab! Full coverage of election results will be seen on the many monitors placed throughout Miller’s Ale House.
PLEASE RSVP HERE so we can get an idea of a head count– knowing that the button for “buffet” is irrelevant, based on our venue change to Miller’s Ale House):
Candidate Forum In Boca Raton Encourages Voters
Moving closer to the critical national election next month, our Boca Chapter of the Palm Beach County Tea Party held another great night of discourse on the local level that certainly took into account what is happening to our country nationally by hosting another local candidate forum. A palpable sense of excitement filled the air, as over 100 people filed in to hear how candidates from both sides would address key Tea Party issues. While we had a full quiver of candidates from both the Republican AND Democratic sides slated to address those who would be on the ballot for November in Boca, the end result of those candidates who showed, versus those who elected not to appear was quite revealing…
Slated to appear were State Senate Candidates Melanie Peterson (District 25), her opponent Joe Abruzzo, James Ryan O’Hara (State House District 81), Cesar Henao (Congress District 21), Tom Gustafson (State House District 89), and Sean Kasper (State House District 90). David Lutrin and Pat Rooney, opponents for State House District 83 were also invited, but that district was ultimately deemed not applicable for the geographic area that Boca Raton audiences would be voting for (it should be noted that David Lutrin accepted our initial invitation, but that Pat Rooney did not). In the end, Tom Gustafson and Joe Abruzzo cancelled, leaving us with a still compelling field of O’Hara, Peterson, Kasper, and Henao.
Boca Chapter Coordinator Alex Berry began the proceedings at 7:00pm with the Pledge of Allegiance. Carlos Manuel Santana then regaled us with his impassioned version of the National Anthem, which was terrific! After the usual protocol of explaining what the PBCTP is, and what it stands for, Alex made the usual announcements of upcoming events. He introduced Pam Wohlschlegel, who announced the Precinct Walk Initiative to sway independents in our county.
Alex then introduced David DiCresenzo, who moderated the discussion for the evening with carefully prepared questions regarding how each candidate would address issues ranging from insurance to energy- and many other topics—and how those positions would relate to the core Tea Party issues of Limited Government, Free Markets, and Fiscal Responsibility. The questions were excellent, and the answers truly helped our voters decide on who would best represent those principles we hold so dear to our hearts. There was even time for an interactive audience “Question and Answer” time, which was edifying and worthwhile for all those in attendance.
Overall, it was a spectacular night that was full of fun and well received. I encourage everyone to get involved in the political process, by joining us for our events in Boca, which meet the first Tuesday of every month. Get ready NOW for a HUGE “Election Day” victory celebration on November 6th, which happens to be the first Tuesday of the month for next month! It will be a gala affair with monitors to watch election results, food and bar, entertainment, and speeches! You will DEFINITELY want to mark your calendars for this one!!! Time is drawing to a close to make a difference for the next election, so please get involved if you aren’t yet, and STAY involved if you already are!
For more information and video of the event, please CLICK HERE.
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Boca Chapter and SF912 Present: October Candidate Forum!
Please join us for our OCTOBER CANDIDATE FORUM, on Tuesday, October 2nd, 2012. It will be held at the Boca Greens Country Club (Map HERE), and the doors will be open at 5:30pm for a cash bar, and dinner will follow from 6pm to 7pm (as usual, the cost is $15, which includes tax and gratuity). This as an ideal opportunity to learn about our local and state candidates in a safe and fair environment which our leadership ensures will be the model of civility. Since the Tea Party represents a powerful and influential voting base, combined with the fact that we can present candidates in a NON PARTISAN manner, this event is sure to be an influential and substantive endeavor to learn about how the candidates stack up.
The format will be simple: After the National Anthem, sung by Carlos Manuel Santana, Alex Berry will make announcements, and then introduce our moderator, David DiCrescenzo. He will ask the field candidates (to date: Tom Gustafson, James Ryan O’Hara, David Lutrin, Cesar Henao, Melanie Peterson, and Joe Abruzzo— check back here for regular updates) a question, and each candidate will receive 3 minutes to answer. In the event that an opponent is mentioned in a response, that opponent will receive :30 to rebut or address the answer which mentioned his/her name. The questions will not be a surprise to anyone, as they will center around many of the top issues facing your district. Further, the question will address one or more of the Tea Party’s 3 tenets: Fiscal Responsibility, Free Markets, or Limited Government, and how they will be manifested in your approach towards the office. We will have a volunteer timer, who will hold up cards letting each candidate know when they have 1:00 and :30 seconds remaining. A bell will ring to stop anyone who goes over time allotted.
This should be a VERY positive, enlightening and exciting evening for all of us!!! All we ask is that you RSVP immediately by clicking the RSVP button below!
Dina Keever Brings a Refreshing Voice to the Boca Raton Chapter!
As many of you may have noticed, the PBCTP has elected to utilize it’s significant power to best inform and educate our county from the perspective of not only the national election coming in November, but local elections, too. As a result, we have attempted to shift from having a “Dinner/Speaker” type of event for our monthly chapter meetings, to creating actual “Candidate Forums” or “Debates”, so that our attendees can better know the candidates. As the Boca Chapter Coordinator, I can tell you it is no small effort to pull these events off successfully! Of course, the closer we get to the elections in November, the more busy and active the candidates are as it comes close to “crunch time”. This has made the challenge of setting these events up that much more interesting.
This month, we went through any number of combinations of candidates for a host of different offices, but there was conflict in every case of having the candidate AND their opponents appear on the same stage. Ultimately, time became the biggest factor. We have always wanted to have Dina Keever, who is running for State Attorney appear in Boca, but asked for her patience as we explored the “debate” route. Since that wasn’t happening in time, Dina graciously accepted our offer to have her speak to our group.
The fact that we didn’t begin promoting it until just a few days before the event, coupled with the fact that we had just hosted a HUGE Labor Day picnic in Carlin Park with Allen West the day before our event, and the fact that everyone was just coming off a major holiday, and the fact that the weather turned ugly just before our event, the attendance was lower than our usual banner crowd in Boca. The meeting, however, was excellent, and Dina Keever was really a terrific speaker. Meanwhile, the food at Boca Greens Country Club just seems to get better and better—we thank Roger Anderson and his staff for rolling out the red carpet for us yet again.
Boca Chapter Coordinator Alex Berry began the proceedings at 7:00pm with the Pledge of Allegiance. Carlos Manuel Santana then regaled us with his impassioned version of the National Anthem- truly exhilarating! After the usual protocol of explaining what the PBCTP is, and what it stands for, Alex introduced Pam Wohlschlegel, PBCTP Founder and County Coordinator. Pam announced several items of interest to our group, including her experience at the recent Republican National Convention in Tampa. It was really quite interesting, because she interacted with our crowd in terms of questions, and discussed topics like how the delegates were chosen—and how that changed—at the convention.
Current and former local candidates Joe Talley (County Sheriff) and Cesar Haneo made appearances, and introduced themselves before the main speaker was introduced.
Alex then introduced Dina Keever, who discussed her personal journey to run for State Attorney. I think what struck everyone in attendance was the sheer sincerity, honesty, and genuine-ness of her presentation. If there were ever a candidate for office whose attitude was one of being “driven” to serve the public in a sacrificial way, Dina Keever is just that one. There appeared to be no self-serving element to her at all—quite a refreshing change from the “career politician” types who we have all seen and heard. Her motivation comes from the exact right place, and she shared in such a personal way that it almost defied the notion that she was at a podium, giving a speech. It almost felt like a normal living room conversation (and, given our crowd size that evening, was not far from it, ha-ha!). I believe many others running for office can take a page from her book by personalizing their story in a sincere and straightforward way. The big “platform” issue if she were to take office? CORRUPTION. She left little doubt in anyone’s mind that she would clean up those corridors in our county that feed off corruption. All in all, it was a short speech, but it was no-nonsense and packed a good punch. Dina then took questions from the crowd, and most were simply follow-up questions from her speech.
It was a great night that was full of fun and well received. I encourage everyone to get involved in the political process, by joining us for our events in Boca, which meet the first Tuesday of every month. Stay tuned for announcements on our October 2nd meeting, and get ready NOW for a HUGE “Election Day” victory celebration on November 6th, which happens to be the first Tuesday of the month! It will be a gala affair with monitors to watch election results, food and bar, entertainment, and speeches! You will DEFINITELY want to mark your calendars for this one!!! Time is drawing to a close to make a difference for the next election, so please get involved if you aren’t yet, and STAY involved if you already are!
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Why Accept Your Unemployment Benefits Running Out This Year or Next?
SSDI to the Rescue!
In the August 2012 issue of Newsmax magazine an article appeared entitled “America: A Disabled Nation?”. Fleshing out the statistics in the article regarding the current state of the Social Security Administration’s (SSA) disability program this is what the American taxpayer is up against. Allow me to apologize in advance for all the SSA acronyms in this posting. Bureaucrats are rendered inoperable without acronyms! To call the disability program perverse is a gross understatement, in my view. About 5 million more workers have joined the ranks of disability beneficiaries since President Obama took office in January 2009, adding to the approximately 4 million workers already on disability which is a striking addition in such a short time.
The definition of who is too disabled to “do any substantial gainful activity in the national economy” (the loose and imprecise SSA standard to which benefits are awarded has been broadened over the years to cover depression, chronic back pain, bipolar disorder, attention-deficit disorder, chronic fatigue syndrome, etc., etc., etc.). With this subjective standard (a Laundry list of disabilities that can’t show up on an MRI) the Administrative Law Judges (ALJs) who preside over SSDI appeals apply this standard to the SSA Rules and deny approximately 50% of disability appeals nationwide, yet there are still about 9 million disability beneficiaries in 2012.
Running the numbers a 44 year old worker making $70,000.00 annually (based upon the required 40 quarters or 10 years of reported earnings) he/she would receive a benefit of about $1,900.00 per month according to the SSA benefits calculator on the SSA’s website. This benefit could continue for 20 years until the recipient is 64 years old and then, at age 65, be rolled into the standard SS benefit, much more per month and decades longer than unemployment. There is a recent trend when state unemployment compensation runs out many more individuals are then taking a crack at SSDI benefits. Why not go for the much bigger prize of SSDI? Attorneys are waiting in the wings to assist you in your disability claim. In 2011 the cost of SSDI and SSI (Supplemental Security Income, i.e. welfare based on disability and financial need, not work quarters) payments was 132 billion dollars. Added to this is the 80 billion dollar cost of Medicare. The Newsmax article states that Medicare is awarded after 2 years, regardless of the age of the claimant. The rule is actually 2 years from when the SSA determines the “onset date” of total disability.
Therefore, Medicare could be awarded with the back benefits, and the 2 years is calculated from onset date, not the filing date. A lump sum payment for back benefits is awarded when the claimant receives a “fully favorable” decision from the ALJ after an initial denial of claim appealed to the Office of Disability Adjudication Review (ODAR). Using the $1,900.00 monthly benefit mentioned at the beginning of the foregoing paragraph times 24 months of back benefits (onset date going back 2 years which not unusual) the lump sum payment would be $45,600.00 plus Medicare! In fact SSI beneficiaries receive Medicare and, of course, Medicaid. SSI benefits automatically go together with Medicaid benefits. They’re both welfare based, not work based.
Another aspect of SSDI and SSI is the “ticket to work” program. According to Bloomberg Business Week less than 1% of the disabled ever return to work. And if an individual does choose to return to work the SSA has a program for these individuals known as “ticket to work”. Here we go again (just like my last post on this site)……….. cue up music from The Twilight Zone TV series while I explain “ticket to work” SSA’s program to purportedly facilitate disability beneficiaries returning to work part time. Normally SSA conducts a “continuing disability review” (CDR) every 3 years or so to determine if the beneficiary is still totally disabled or can attempt to return to the work force. However, if a beneficiary, who is presumed to be 100% disabled, applies to the “ticket to work” program regardless of whether he/she ever gains employment no more CDRs are conducted while in the program.
In other words now the beneficiary is magically no longer considered 100% disabled by the SSA and is available to work part time and keep up to a certain amount of earned income as well as the SSDI or SSI benefit payment! According to the SSA’s upside down logic the formerly 100% disabled beneficiary is now not 100% disabled and available to work (whether he/she is actually working is irrelevant) and will never again be subjected to a CDR while in the program even though he/she is, according to the SSA, no longer 100% disabled. Would it surprise anyone to know “ticket to work” is a miserable failure.
This is another very troubling example of a social program created by a federal law originally passed in July 1956 with the best of intentions that has morphed into the massive, tangled bureaucratic web and costly boondoggle we have today. What a surprising turn of events!
Boca Chapter and SF 912 Present: The Pre-Primary Candidate Forum Roundup!
The Boca Raton Chapter of the Palm Beach County Tea Party, in conjunction with the SF912, present the “Pre-Primary Candidate Forum“, for Tuesday, August 7th at 7:00pm. NOTE: Due to the high number of candidates who wish to speak to our audience, we will likely begin EARLIER than 7:00!!! It will be held at the Boca Greens Country Club (Map HERE), and the doors will be open at 5:30pm for a cash bar, and dinner will follow from 6pm to 7pm (as usual, the cost is $15, which includes tax and gratuity). We will have this event in lieu of our normal “Dinner/Speaker” meeting, which we normally have on first Tuesday of the month. Our leadership has concluded that we would like to provide this type of event as a service to both the candidates, as well as the citizens in our county who wish to be better prepared when it comes time to vote- whatever their party of political “stripe”. This is a great opportunity for everyone involved to get to understand more of what the candidates stand for before their big Primary Election vote on August 14th.
The format will be simple: Each candidate will be allowed 5 minutes at the podium and microphone after he/she is introduced. We want each candidate to address the top two or three issues that they want to meet head-on if elected, an how they would be accountable to one or more of the Tea Party’s 3 tenets: Fiscal Responsibility, Free Markets, or Limited Government, and how they will be manifested in your approach towards the office. We ask that each candidate be very specific towards that, so that it’s not just some generic “stump speech”. We will have a volunteer timer, who will hold up cards letting each candidate know when they have 1:00 and :30 seconds remaining. A bell will ring to stop anyone who goes over time allotted.
As of August 6th, the officially confirmed candidate speakers will be: Joe Talley, Cleamond Walker, Susan Bucher, Fran Hancock, Jody Lane, Mike Lameyer, Cindy Tindell, Margherita Downey, Melanie Peterson, Gary Nikolits, Lisa Epstein, Timothy McCarthy, Sharon Bock, James Martz, Tom Thayer, Peter Evans, Peter Feaman, and Robert Weinroth.
This event will be provided in a safe and fair environment which our leadership ensure will be the model of civility. It is not a “Debate”– it is a “Forum”. There will be no mud-slinging, and the candidates are asked to confine their time at the podium to address what their platform is, NOT to attack their opponents.
Due to the number of candidates who wish to address our group, it is EXTREMELY UNLIKELY that there will be time left for a Q&A with the candidates. Assuming there is, the microphone will be tightly controlled by our leadership to avoid any questions designed with nothing more than malicious intent towards any of the candidates, determined at the sole discretion of SF 912/PBCTP personnel.
