As the dust clears, Wyoming voters are scratching their
heads. How is it the legislature trusted the feds to pay their share 20 million
dollars in Medicaid costs for increasing services to 606 people on the
Developmentally Disabled (DD) services wait-list but weren’t willing to trust
them to pay their share of expanding Medicaid to 17,600 uninsured citizens?
Interestingly, Senator Charles Scott and Governor Matt Mead
played significant roles in both.
Charlie Scott has been a legislator since 1979. He had
served more than a dozen years when voters passed a referendum setting term
limits. Scott survived the will of the voters when and he and fellow
legislators passed a countervailing statute “limiting” themselves to 12 years
in each the senate and the house. A twenty-four year limit seemed generous. It
wasn’t enough. Legislators convinced the court to overturn the law. Now there
are no limits.
Charlie Scott is the poster-child for what happens without
them.
During those 35 years, he’s influenced decisions harmful to
children and families. In a legislative body where too many are too willing to
let someone else do the heavy lifting on complex issues, they permit Scott to
be the “expert” on issues ranging from health care and workers’ compensation to
juvenile justice, mental health, Medicaid, welfare reform, and juvenile justice.
To counterfeit-coin a phrase, “Want to keep the beer cold?
Keep it next to Charlie Scott’s heart.”
In addition, his colleagues have abdicated to Scott the gerrymandering
of legislative districts every decade.
That’s a lot of power for one legislator. Scott uses it
arbitrarily to further his agenda. Last year, he engineered passage of a law
reducing services to DD recipients. Hundreds of citizens were on wait-lists for
services. Scott engineered legislation requiring the Health Department to serve
them without new funding. Scott demanded that those receiving services receive
fewer services in order to provide fewer services than necessary to those who
were waiting.
Governor Mead signed the bill into law.
During the same 2013 legislative session, the governor
refused to take responsibility for the Medicaid expansion decision, turning it
over to legislators. That meant handing it off to Senator Scott. Scott had
already made a career of opposing anything-Obamacare. Allowing Scott to take
the lead meant the issue became centerpiece for his anti-Obama campaign
regardless of the human cost.
Whether the governor recognized the mistake, it was
thankfully not one he repeated with the DD funding controversy.
Mead led, taking the issue out of Scott’s hands. The
governor demonstrated political courage in the face of Scott’s efforts to
reduce services to the DD community. He
went directly to the legislature with a budget request of $10.1 million state
dollars, which when matched with federal Medicaid will cut the waiting list by
more than 50% without reducing services to existing recipients.
Why the different
outcome for the 606 people on the DD wait list as opposed to the 17,600 on the
health insurance wait list? The answer lies in the role played by the governor.
Mead
watched last spring as several hundred DD clients, families, and providers went
to the streets in communities throughout the state to protest Charlie Scott’s mishandling
of their lives. They marched in Cheyenne, Casper, Riverton, Rock Springs, and
other communities. They made it clear Scott’s solution was too harmful to their
lives for them to sit idly.
Mead met
with those impacted by Senator Scott’s ill-conceived legislation and, to his
credit, he listened to their stories. Mead then seized the initiative from
Scott.
Despite
partisan claims that the feds can’t be trusted to pay their share of Medicaid
expansion, the governor trusted them to match millions of state dollars he used
to fund DD services. Those DD services will cost state taxpayers 10.1 million
dollars. Medicaid expansion would have saved them tens-of-millions.
Once he
moved Scott out of the way, Mead got it right for those 606 DD families. Hopefully
he’ll sideline Scott and do what’s right for the 17,600 people waiting for
Medicaid expansion.
When will we ever be free of Republicans in Wyoming ?
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