Progress on Medicaid Means Real Coverage for Real Families—Roadblocks Remain

In Arizona, 300,000 people will get the health care coverage they need, thanks to Gov. Jan Brewer’s change of heart on a key program of the Affordable Care Act. Brewer signed a bill into law accepting federal funds to cover low-income families under Medicaid—a bill that she had to fight against members of her own party in the state legislature to get passed in a special session she called.

It was a hard fight, but one we’re glad to see turned out the right way. The Medicaid provision was one of the key components of the ACA, but it was put at risk by a Supreme Court decision that left it up to the states to accept or decline the funds. Many states have—but others, like Texas, are refusing, leaving millions without coverage.

In other states, the process is still unfolding:

  • About half a million people are waiting on the Michigan state Senate, who should vote this week on a state House-passed proposal to accept expanded Medicaid funds. Gov. Rick Snyder has promised to sign the bill into law.
  • As the state legislature in Ohio debates accepting expanded funds, a new poll shows 63 percent of Ohioans want the expansion, which would cover an estimated 275,000 people.
  • In Virginia, a commission to study accepting expanded Medicaid funds had its first meeting this week. The next meeting will take place in August.
  • In New Hampshire, the state House—which supports accepting expanded funds—is working to craft a measure that will be able to get through the Republican-controlled Senate. This may mean a commission will be created to review the issue.
  • Unfortunately, in Maine, Gov. Paul LePage vetoed a measure to accept expanded funds. The bill, which would cover 60,000 people, passed by strong but not quite veto-proof margins, so the fate of Medicaid in Maine remains unclear.

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Michigan Senate Republicans Prove That, Actually, They Love Intrusive Government Regulation

Down with big government, cry Michigan Republicans!

Except when it comes to workers’ rights.

Yesterday the Michigan Senate voted 25-13 to pass a sick leave “preemption bill,” SB 173, which bans cities and towns from passing their own laws regarding earned sick leave. 25 Republicans voted in favor, while all 12 Democrats and one Republican (Sen. Tory Rocca of Sterling Heights) voted against.

Now, this might seem like a strange law for Michigan to pass, since no city or town in Michigan has a sick leave ordinance on the books, and no city or town in Michigan is currently considering such an ordinance.

But this isn’t about Michigan. This is about ALEC and its nationwide efforts to quash the momentum behind paid sick days, using politicians like bill sponsor Sen. Mark Jansen (R-Grand Rapids) merely as delivery systems.

This is a law modeled after one Gov. Scott Walker passed in Wisconsin in May 2011, which overrode the will of Milwaukee voters who had overwhelmingly passed a paid sick days ordinance three years earlier.

At the ALEC national conference in 2011, attendees were given copies of Walker’s paid sick days preemption law. As PRWatch blogger Brendan Fischer describes, legislators were also handed a “target list” and “a map of state and local paid sick leave policies prepared by ALEC member the National Restaurant Association.”

This law keeping cities and towns from making their own decisions on this issue makes no sense for Michigan. Michigan just happens to be on a list of boxes for ALEC to check, so they can continue a status quo where workers show up to work sick, or get fired for taking care of a sick child, simply because they have no other financial option.

Having passed the Senate, SB 173 is now on a fast track through the House. Seems like legislators can be super efficient when they want to restrict workers’ rights, and when ALEC has already written out a bill for them.

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3 Ways In Which the Massachusetts Senate Candidates Are Hugely Different

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Democratic Congressman Ed Markey and Republican private equity executive Gabriel Gomez are running to become the next U.S. Senator from Massachusetts.

The special election will be held on Tuesday, June 25, and June 5 is the last day to register to vote.

In local and national news, the coverage of the race has focused on the “horse race” and various things the two candidates have said – not so much on policy. But on issues affecting working families, there’s are huge differences between Markey and Gomez that we wish were making bigger headlines.

1.) Retirement. As a member of Congress, Ed Markey has been a longtime defender of Social Security. When both Republicans and Democrats were considering a plan to change the formula used to determine Social Security benefits to “chained CPI,” Markey opposed it.

“Chained CPI” (CPI stands for “consumer price index”) assumes that when prices go up, consumers will choose a less expensive product. This formula results in a lower “cost of living” estimate because it assumes people need less; using this formula to calculate Social Security is equivalent to a benefit cut.

Markey has said that CPI really stands for “cutting people’s income.”

Republican Gabriel Gomez, on the other hand, supports the “chained CPI” benefit cut, which he announced at an April 10 debate. As the AARP points out, if the government makes this switch for both Social Security and veterans benefits, current and future seniors veterans could lose $146 billion in benefits over 10 years.

2.) Wall Street. Ed Markey voted for the groundbreaking Wall Street reform bill, which ends some of the worst abuses of big banks and corporations (those same banks have since fought tooth and nail to weaken the reform). He also opposes Republican plans that would increase tax incentives for companies that ship jobs overseas.

Gabriel Gomez, who made his fortune as a private equity executive, has relied heavily on the support of Wall Street and the financial services industry in his run for office. Individuals working in finance have given Gomez’s campaign $278,000, 52 percent of his total campaign contributions. Bain Capital employees have given Gomez more than $12,000.

Not surprisingly, Gomez’s policy positions closely mirror that of the financial industry. He said that “onerous taxes” and “excessive regulation” are obstacles to job growth. He opposes raising taxes on the wealthiest Americans, and has attacked the Wall Street reform law.

3.) Health Care. The candidates differ starkly on the issue of Medicare. Ed Markey opposes cuts to Medicare, while Gabriel Gomez has said he favors raising the Medicare eligibility age. On his website and in his public statements, Gomez refers to Medicare as an “entitlement,” not as a guaranteed benefit.

Gomez hasn’t said at what age seniors should be eligible for Medicare, but a popular proposal would raise the eligibility age from 65 to 67. According to Roosevelt Institute fellow Matt Stoller, that would mean that 5 million 65 and 66 year olds would not be able to get Medicare coverage for at least a year, and 7 million would not be eligible for at least a month. Even with Obamacare fully implemented and every state accepting Medicaid expansion, this policy change would leave at least 200,000 seniors without health insurance, primarily those on the lower end of the economic spectrum. Those seniors would be denied the earned benefit that they paid for over the course of their lives.

Remember, the special election is on Tuesday, June 25, and the last day to register to vote in this election is Wednesday, June 5. If you live in Massachusetts or know someone who does, please share these three crucial pieces of information about where Markey and Gomez stand.

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Congressman Who Spend All Day Worrying About Spending Have Flushed $55 Million Down the Drain

“Washington has a spending problem.” “We need to stop the spending.” House Republicans since they assumed power in January 2011 have continuously touted the vague, amorphous issue of “spending” as paramount.

But they never say spending on what. Which is good for them, because they’ve flushed $55 million of your taxpayer money down the drain on 37 votes to repeal the Affordable Care Act.

Last year, CBS News calculated that the number of hours spent on 33 repeal votes — then roughly 80 hours, or two full work weeks — cost taxpayers an estimated $48 million. Since then, Republicans have held three more votes (another $4.5 million) and will add another $1.5 million with their latest.

$55 million, as Bryce Covert and Adam Peck point out, is enough to hire 5,000 new mental health professionals, and enough to provide support for states that want to pass paid sick leave laws. The time spent on votes to repeal Obamacare account for 15 percent of total time Congress has spent in session.

While Congress wastes taxpayer dollars on problems that only exist in their fevered imaginations, the rest of us are struggling with high unemployment, stagnant wages, crumbling infrastructure, and needless cuts to everything from Head Start to cancer research. Those are things that are actually happening, and they actually affect the lives of real Americans.

Either Speaker Boehner, Leader Cantor, and the rest of the gang actually focus on those problems instead of wasting taxpayer money on fake problems, or they stop with this constant faux concern about “spending.” They don’t get to do both.

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“I Would Be Able to Save For Her Future”: A Minimum Wage Story from Denver

The challenges of surviving on minimum wage are unfortunately too common.

Many workers who earn minimum wage are providing for not only themselves but also for families. Some are students trying to increase their odds in the job market while taking on mountains of debt. Some have to work more than one job to make ends meet.

Those who we have met while talking about the difficulties of living on minimum wage are hard workers; some are extremely qualified in terms of today’s labor market, and almost all of them are determined to help change the system.

We met Edgar while organizing on a local college campus around the issue of wage theft. He had been personally affected by wage theft, working as a valet attendant and getting paid just above minimum wage. A month ago, Edgar was getting paid an hourly rate below the state-mandated minimum wage, but he was lucky enough to get a promotion because of his hard work. Edgar gets sixty percent of his income from tips, and works in the busy Lower Downtown district of Denver, but unfortunately has very little say about what days he works, and makes significantly fewer tips when working on a slow week day.

His company makes almost $10,000 in profits every month.

Edgar is a student. He is majoring in Social Work, and is hoping to land a job as a counselor. He is set to graduate in a few short semesters. He has been lucky to get some loans and scholarships, but with the rising cost of tuition and supplies, he often feels buried by the burden. He is carefully balancing both school and work, in order to succeed at both.

Edgar is also a husband, and the father of a newborn baby girl. His wife is staying home to care for their baby and is not receiving any paid maternal leave. They have been fortunate enough to receive help from Medicaid to cover health expenses.

Since Edgar’s benefits at his job are so poor, he has chosen to pay for the health insurance that the college offers. In order to be able to do this, he must fulfill a certain number of class credits, which dictates how much additional time he will have to spend away from his family. Because of his low-wage status, Edgar and his wife are using their savings to pay for basic expenses.

Recently Working America participated in a low-wage roundtable hosted by the U.S. Department of Labor. Representatives from the Department of Labor were on a tour of a few different cities around the country to get input on President Obama’s proposed increase to $9/hour, and find testimonies as to how this would impact the lives of Americans. Edgar went to represent Working America and others who are in similar situations.

“If I were able to get paid just a few dollars more, I would be able to save money for a house and a car. I would not have to spend as much time away from my family,” Edgar told us, “I would be able to save for my daughter’s future, and make sure that she has a fair shot in life.”

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Drug Savings Act Would Strengthen Medicare Without Harming Beneficiaries

Reposted from AFL-CIO NOW

Sen. Jay Rockefeller (D-W-Va.) introduced the Medicare Drug Savings Act of 2013 that would produce savings without passing on costs to seniors.

The act offers a solution that strengthens Medicare’s fiscal footing while shielding beneficiaries from harmful cost-shifting, unlike most other Medicare proposals we hear about. The Congressional Budget Office (CBO) estimates that restoration of Medicaid-level drug rebates for low-income Medicare beneficiaries would save the federal government $141 billion over 10 years. Here are some critical facts about the bill from the AFL-CIO and other allies:

  • America’s workers strongly support allowing Medicare to secure lower prices drugs. According to a recent national poll, 85% favored “requiring drug companies to give the federal government a better deal on medications for low-income people on Medicare.”
  • Implementing Medicare drug rebates is not new law. Upon passage of the Medicare Modernization Act (MMA), millions of older adults and people with disabilities gained access to prescription drug coverage through private plans approved by the federal government, known as Medicare Part D. At the same time, the MMA severely limited the tools available to the federal government to control spending on pharmaceutical drugs in Medicare. In particular, the MMA eliminated rebates offered by pharmaceutical manufacturers for drugs provided to beneficiaries dually eligible for Medicare and Medicaid. Applying Medicaid-level rebates to Medicare drugs simply restores a practice that existed for dually eligible beneficiaries prior to the passage of the MMA.
  • Restoring drug rebates to the Medicare program is a proven cost saver. Already the Medicaid program benefits from lower drug prices due to federally determined rebates on brand name and generic medications. A 2011 comparison of 100 brand-name drugs under Medicaid and Medicare Part D found that Medicaid rebates required by law reduced expenditures by 45% for the drugs under review. Whereas, Medicare rebates secured by private drug plans reduced expenditures by only 19%.
  • Pharmaceutical spending on research and development is not at risk. Studies show that research and development investments in particular types of drugs are not directly linked to specific revenue sources, such as Medicaid. These findings, coupled with an examination of industry spending trends, suggest that reinstating Medicare drug rebates will not limit research and development. We reject the argument that pharmaceutical manufacturers will be unable to fulfill their commitment to innovation if the Medicare program is allowed to secure more reasonable drug prices.
  • Applying Medicare drug rebates will not shift costs to Medicare beneficiaries or employers. Some stakeholders claim that applying Medicaid-level drug rebates for low-income Medicare beneficiaries will increase costs for other Part D beneficiaries, but research supports otherwise. The same research suggests that costs for purchasers outside of Medicare—namely employers— will be largely unaffected if the Medicare rebates are restored.

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Philadelphia Mayor Nutter Chooses Comcast Over 200,00 Workers

He is nothing if not consistent. Just as he did two years ago, Philadelphia Mayor Michael Nutter vetoed a bill allowing workers to earn sick days.

The bill had been amended to be more amenable to Mayor Nutter’s corporate sensibilities. It would allow workers to earn one hour of sick leave for every 40 hours worked. It would also exempt small businesses with up to five employees.

But it was still not enough. In rejecting this pro-worker measure, Nutter repeated the same claptrap that politicians have used to oppose the minimum wage, worker safety measures, and child labor laws throughout history.

Mayor Nutter, in his veto message, said mandatory paid sick leave would result in job cuts that would hurt “the very workers this bill is intended to help.”  And he said it would hurt the city’s ability to attract new businesses.

The business lobby, lead by Comcast and the Greater Philadelphia Chamber of Commerce, spent hundreds of thousands of dollars opposing this bill in 2012 alone. Those dollars, in Nutter’s eyes, overrode the health and economic needs of nearly 200,000 Philadelphians who have no access to sick days.

But there’s something different in 2013. We are only one vote away from overriding this veto in the Philadelphia City Council.

Councilman Dennis O’Brien is a swing vote on the sick days bill. He voted no the first time, but moving him to a “yes” could provide this crucial worker protection that so many Philly workers have lacked.

Take Action: Call Councilman O’Brien and urge him to vote to override the Mayor’s veto of the sick leave bill.

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99 Stories and More to Come: Job-Killing Sequester Cuts Hurt Families Across the United States

Reposted from AFL-CIO NOW

Forget the silly fluff pieces mainstream media are reporting about sequestration’s effect on White House tours—there is real pain happening all over the United States.

Sam Stein and Amanda Terkel of The Huffington Post cover 99 stories of the job losses and pain felt in states across the country in Sequestration Effects: Cuts Sting Communities Nationwide.

Here are the first 10 stories:

1. Air Force base jobs lost in Tullahoma, Tenn.—The Aerospace Testing Alliance announced it is cutting 128 of 1,809 civilian jobs at Arnold Air Force Base in Tullahoma starting April 19. It also has put in place a 20% pay cut and weekly furloughs for workers at a research facility. [Link]

2. Loss of jobs in Rock Island, Ill.—The U.S. Army garrison, Rock Island Arsenal, announced it is firing 175 employees, 44 of whom are temporary workers, 131 of whom will see their jobs unrenewed when their terms expire. [Link]

3. Medical response times lengthened in central Nebraska—Medical responders have had response times lengthened because of the closing of a control tower at the Central Nebraska Regional Airport. [Link]

4. Food pantry closed in Murray, Utah—The Salt Lake Community Action Program closed its food pantry, one of five locations that serve more than 1,000 people every month. Executive Director Cathy Hoskins told The Huffington Post that in addition to the closure, the organization has stopped paying into employees’ retirement plans, won’t fill an open job and told some staffers to take a week’s unpaid leave. “I’ve had one person retire, we’re not replacing them. We’re not doing any hiring at all,” Hoskins said. “We’re trying very hard to boost our volunteers, but this is hard work working in a pantry. And if you get a volunteer, usually it’s a short-term volunteer because it’s just very, very difficult work…. No raises, no increases, none of that stuff. We’re cutting everything we possibly can.” [Link]

5. Research employees lost in Durham, N.C.—The Duke Clinical Research Institute is planning to “downsize” 50 employees. [Link]

6. Contractor jobs lost in southwest Oklahoma—Northrop Grumman Information Systems’ Lawton, Okla., site issued 26 layoff notices. The defense contractor CGI is anticipating that sequestration would affect 270 workers at its Lawton site. [Link]

7. Health care jobs cut in Hampton Roads, Va.—Officials at Hampton Roads Planning District Commission announced that 1,600 jobs in the region’s health care sector would disappear. “It won’t be job cuts,” said James A. Clary, an economist with the group. “It will be not filling the positions.” [Link]

8. Health care workers laid off in Saranac Lake, N.Y.—Adirondack Health, a medical center at Lake Placid, announced it was laying off 18 workers after firing 17 in December. [Link]

9. Rehabilitation center for Native Americans closed in Sitka, Alaska—The SouthEast Alaska Regional Health Consortium announced that on April 30, it is closing the Bill Brady Healing Center, a residential drug and alcohol treatment center for Alaska Natives. Michael Jenkins, communications director, said the approximately 20 people who work there will be transferred to other positions in the organization, furloughed or fired. “For the most part, because of our location here in Southeast, alcohol and drug abuse has a very high incidence. So taking this away is going to make it difficult,” he said. [Link]

10. Education jobs lost in Sioux City, Iowa—The Iowa Early Intervention education program is bracing for the loss of 11 teaching positions, while the Sioux City Community School Board is looking at potentially 30 staff positions being eliminated. [Link]

Read the rest of the 99 stories on The Huffington Post.

Remember, the sequester is a completely made-up, dumb idea and can be easily repealed by Congress. This year alone, 750,000 people will lose their jobs because of the sequester.

Working families are calling on Congress to protect Social Security, Medicare and Medicaid from benefit cuts (i.e., raising the retirement age and the “chained” CPI), repeal the sequester and close tax loopholes for corporations and the wealthiest 2%.

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Juicy Couture’s Health Care Dodge

Reposted from AFL-CIO NOW

Juicy Couture, that hip, L.A.-centric, high-end clothing and apparel chain, is engaging in what can only be described as tragically unhip corporate behavior. It is, workers say, replacing its full-time workforce with part-timers in order to duck its obligations to provide paid leave and health care for the workers.

According to the women’s fashion, lifestyle and news blog Jezebel, the workers who were fired or saw their hours slashed say the peddler of $200 jeans and reviver of the velour track suit is deliberately back-dooring the Affordable Care Act, which requires employers with 50 or more employees who work 30 or more hours a week to provide basic health care coverage.

In addition, the workers’ hours have been capped at 21 per week—not quite enough to meet the 1,400-hours-a-year company benchmark to qualify for paid sick leave.

Two former employees (see photo) of the chain’s New York City flagship store have teamed up with the Retail Action Project to launch an online petition urging Juicy Couture to provide full-time opportunities for workers and lift the cap on hours:

When we began working at Juicy Couture, many of us were full time. Now, only 19 of the store’s 128 employees are full time! Not only are they firing full-time workers and replacing us with a part-time workforce, just this month Juicy capped all part-time workers’ hours at 21 hours per week.

We quickly realized that Juicy Couture is doing everything it can to not take care of its workers.Darrell and I are just two of the full-time employees that have been forced out of Juicy Couture by having our hours cut or being fired. Now we’re speaking out on behalf of co-workers who remain at the store, because we all deserve Just Hours.We know from experience that Juicy has loyal customers and dedicated employees—if enough of us speak out and demand Just Hours, they’ll have no choice but to act.

The company has more than 100 retail outlets.

BTW, Fifth and Pacific, Juicy Couture’s parent company, posted a $54 million profit in just the last quarter of 2012.

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It’s No Joke—We Need to Expand Health Care

It felt like someone was playing an April Fool’s joke with the weather, but Working America members in Pittsburgh braved a cold, windy morning to tell Governor Tom Corbett to stop fooling around and accept the federal funds to expand Medicaid.

Tomorrow, Gov. Corbett will meet with U.S. Secretary of Health and Human Services Kathleen Sebelius to discuss whether or not Pennsylvania will accept federal money provided for in the Affordable Care Act to expand Medicaid. Here in the Keystone State, those funds would expand coverage to more than 500,000 people and a $43 billion boost to our economy. By the numbers alone, it’s clear that only a fool would turn down this immense benefit for our state.

But the numbers don’t tell the most important stories—the stories of ordinary people in Pennsylvania who regularly go without healthcare or are forced to choose which of their family members will be covered due to the enormous costs involved. Several Working America and Pennsylvania Health Access Network members showed up to tell their stories in front of the governor’s office. For them and for all of our members, access to affordable, quality healthcare is a very personal matter.

Member Barb Linville of Ambridge told her story of coming to Pennsylvania in 2004. At the time, she was still looking for work and did not have private health insurance. Fortunately, she was able to obtain coverage through Pennsylvania’s Adult Basic program. This program allowed her to receive potentially life-saving care when a health issue presented itself soon after. Without this program, her family may have ended up in bankruptcy to cover the costs. Unfortunately, Gov. Corbett has since ended Adult Basic, leaving thousands of people like Barb uninsured. Expanding Medicaid would do a great deal to rectify this problem.

Another member, Shelagh Collins, spoke of her difficulty obtaining healthcare because she is currently unemployed. It’s a terrible catch-22: she has health conditions that need to be treated in order for her to be able to find regular work, but without work she is unable to afford that much-needed care. Expanding Medicaid would help people like Shelagh receive the care she needs so that she can once again be a fully productive member of the work force.

Reverend Sally Jo Snyder and the event’s emcee, Working America Field Director Kevin Brokt, hammered home the point that accepting federal funds to expand Medicaid makes sense not only for boosting our economy and improving public health, but also for fulfilling our basic moral obligation to one another.

At the event’s close, members stretched out a portion of an 800+ page petition signed by more than 9,000 Pennsylvanians urging Gov. Corbett to do the right thing and accept the federal funds after his meeting tomorrow. The message to Tom Corbett was loud and clear:

Don’t be a fool, expand Medicaid!

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