Maine voters send clear message- support Medicaid expansion!

Maine Ballot Initiative Question 2- Medicaid Expansion is approved Thank you Maine voters. This initiated bill requires the State to provide federally approved Medicaid services through MaineCare to qualifying persons under 65 years of age with income equal to or below 133% plus 5% of the nonfarm income official poverty line. The initiated bill requires the Department of Health and Human Services to prepare and submit to the Federal Government any state plan amendments, no later than 90 days after the effective date of the initiated bill, necessary to implement the provisions of the initiated bill. The initiated bill requires monthly reporting by the department to the appropriate joint standing committees of the Legislature on the status of a state plan amendment submission until such an amendment is approved and reporting on the status of implementation of the expanded coverage under MaineCare and on the status of implementation and savings generated to state-funded programs as a result of the expanded coverage. It requires the Department of Administrative and Financial Services, Maine Revenue Services to report on revenues generated as a result of expanded coverage. It requires any savings to be transferred to the MaineCare Stabilization Fund prior to the end of fiscal year 2018-19. It requires the Office of Fiscal and Program Review to independently review these reports and report its findings to the appropriate joint standing committees of the Legislature.” *Governor Paul Lepage, Gubernatorial candidate Mary Mayhew and Representative Kenneth Fredette and Hon. Joe Bruno - alert! Thank you to the voters of Maine and to all who worked tirelessly to support this important health care initiative.  Although the Medicaid Expansion passed several times in the Maine legislature, the governor always nixed it with his veto pen. Now, the people's veto has nixed the governor's cruel opposition to this bill that expands access to quality and affordable health care for Maine people.

Maine Insights Publishes Letter from Pennsylvania Eugene DePasquale Auditor General

Pennsylvania auditor wants Maine taxpayers to avoid the troubles G. Alexander caused his state

BY ADMIN

January 10th, 2014 · Filed under: Capitol news, Health Care, Healthy Lifestyles · No Comments

- See more at: http://maineinsights.com/perma/pennsylvania-auditor-wants-maine-taxpayers-to-avoid-the-troubles-gary-alexander-caused-while-working-in-his-state/comment-page-1#comment-43916

This well written letter raises two questionsL (a) is it legal for Maine to issue a "no bid" contract when the cost is about $1 million to taxpayers and (2) were revenues factored into the foregone conclusion?

I wish someone asked me to be a fortune teller when Governor LePage and Department of Health and Human Services Commissioner Mary Mayhew contracted with Gary Alexander of Pennsylvania, to review a proposed Maine Medicaid expansion. 

Perhaps I could have razzle-dazzled the prognosticating profession with my prediction of a foregone conclusion. Or not.

In other words, it doesn't take a fortune teller with self proclaimed soothsaying ability to figure out that Governor LePage didn't hire a person to evaluate Maine's proposed Medicaid expansion (currenly a bill in the legislature) just to have the information returned contradict his initial intention. The Governor, a Tea Party conservative, wants to dunk the LD1578, by rallying public support against the initiative. Alexander obviously produced an outcome worthy of his big paycheck.

LD 1578 - the bill that would allow Maine to accept federal funding to provide health care via MaineCare to more low-income Maine residents, has also been scheduled for a hearing next week, Wednesday, January 15th. MMA will be testifying in favor of the bill. The Medical Association has also planned a press event in favor of the MaineCare proposal for Thursday, January 23rd from 10 am - 12 pm at the Welcome Center of the State House.

Meanwhile, the Governor awarded the $1 million review contract to Gary Alexander of Pennsylvania in  "no bid" award.....and here is a warning letter from Eugene DePasquale, the Auditor of Pennsylvania where Alexander has a paper trail..... 

From Eugene DePasquale reprinted from Maine Insights:

I recently came under fire from Maine Gov. Paul LePage’s staff for voicing my concerns about the hiring of Gary Alexander under a no-bid contract to review Maine’s welfare system. To set the record straight, I simply hope that Maine taxpayers can avoid the troublesome fate suffered by the people of Pennsylvania under Alexander’s “stewardship.”

When I traveled across Pennsylvania campaigning to be elected the state’s top fiscal watchdog in 2012, Alexander was in charge of our state’s Department of Public Welfare, but he was the furthest thing from my mind. However, within a month of my taking office as auditor general, Republican and Democratic legislators alike were sounding alarms as the work of then-Secretary Alexander’s agency to consolidate a contract for home care workers was imploding, with terrible consequences for the home care workers and their patients.

I initiated an audit to determine how, under Alexander’s leadership, the consolidation effort could have gone so wrong that thousands of Pennsylvania home care workers went months without pay and some of our most vulnerable residents were forced to seek more expensive care.

Specifically, our audit report examined a 2012 decision by Alexander’s agency to cancel 36 state-based contracts to provide payroll services to those workers who provide long-term care for people with disabilities. Instead, Alexander’s agency awarded a single contract to Boston-based Public Partnerships Ltd. The mismanagement of the transition under Alexander’s leadership led to financial and emotional hardship for as many as 20,000 Pennsylvanians with disabilities and roughly an equal number of the health care workers who earn from $8 to $15 an hour to care for them.

It is from that experience, I can tell you firsthand how policies put in place under Alexander’s leadership cost our state millions of dollars and failed Pennsylvania’s children, seniors and people with disabilities.

I was shocked to hear the news that Gov. LePage had hired Alexander’s firm.

That’s why I’m urging the people of Maine to look at the Department of Public Welfare’s record while Alexander was in charge. I invite you to examine for yourself our independent audit of the consolidation contract his office mismanaged. The audit is available on my department’s website: www.auditorgen.state.pa.us.

Alexander served as secretary of Pennsylvania’s Department of Public Welfare for just two years. He came to us from Rhode Island and was touted as an efficiency expert who would save our state millions in Medicaid dollars. Instead, we experienced just the opposite.

For example, under Alexander’s leadership, 89,000 children were removed from our health care programs, and his agency’s mismanagement of the contract to pay home care workers could cost taxpayers as much as $7 million per year.

In November 2013, my department released the full results of our independent audit of the mismanagement of the home care worker contract during Alexander’s tenure. What we found should serve as a warning to Maine taxpayers and policymakers. The so-called “efficiency solution” implemented during Alexander’s time in Pennsylvania led to mismanagement of the contract transition. His agency’s failed oversight of the contract and lack of accountability resulted in thousands of our most vulnerable recipients selecting more expensive care.

Alexander’s agency awarded the contract to Public Partnerships Ltd. after essentially excluding all of the former vendors from applying, leading some potential bidders to complain of the unfair procurement process.

The private out-of-state contractor selected by Alexander’s agency was mired in controversy from the start. Even when the state provided $18 million in upfront payments to this contractor, the firm was still unable to ensure workers caring for our most vulnerable residents would be paid on time. The contractor got paid, the health care workers it was supposed to be taking care of did not.

When Alexander left Pennsylvania just halfway through Republican Gov. Tom Corbett’s administration, Bev Mackereth, a well-respected Republican former state lawmaker, was appointed to take Alexander’s place in February 2013.

Following our audit of the botched contract consolidation during Alexander’s tenure, Mackereth said, “We recognize and apologize for the hardships that occurred as a result of this transition to some caregivers, participants and their families.”

The audit results are clear, but we looked into only one aspect of the Department of Public Welfare’s operation under Alexander’s management. Today, our new public welfare secretary and Gov. Corbett seem to be backtracking on some of the policies initiated when Alexander was in charge.

The initiatives implemented during Alexander’s tenure were wrong for Pennsylvania. I sincerely hope the people of Maine don’t get hurt by the same problems.
— Eugene DePasquale- See more at: http://maineinsights.com/perma/pennsylvania-auditor-wants-maine-taxpayers-to-avoid-the-troubles-gary-alexander-caused-while-working-in-his-state#sthash.EhMwXEKc.dpuf

Mr. DePasquale's expert advice notwithstanding, my questions stand:  (1) is it legal for Governor LePage to issue a no bid contract with a $1 million price tag and (2) were revenues, gained from federal grants, Maine Care match and healthy workforce, evaluated in the foregone conclusion of the report?  

Thank you Maine Insights for publishing Mr. DePasquale's letter.

As for Mr. DePasquale's advice - he certainly has nothing to gain by giving Maine people the benefit of his experience with Gary Alexander.  I'd like to hear more about what happened in Pennsylvania - public hearing time?  Just my opinion.