Barbour Rejects Medicaid Deal | Jackson Free Press | Jackson, MS

Barbour Rejects Medicaid Deal

photo

Gov. Haley Barbour called the legislature's agreement a "blank check" for Medicaid.

Gov. Haley Barbour took advantage of his more powerful position in state budget negotiations on Monday by rejecting a tentative budget agreement forged less than 24 hours earlier.

News of the short-lived deal came late Sunday, when House Speaker Billy McCoy announced a breakthrough on a roughly $5 billion budget for the 2010 fiscal year, which begins July 1. The agreement included a $60 million assessment on Mississippi hospitals, which would fund a Medicaid shortfall. It also would have prevented the governor from cutting Medicaid funding without legislative approval, however, a provision that Barbour assailed as "a huge, fundamental flaw."

"If Medicaid is given a blank check for spending, that is a ticking time bomb for Mississippi taxpayers," Barbour said during a conference call with reporters on Tuesday. "That's why I cannot accept this."

With the regular legislative session over, legislators need Barbour to call a special session before they can pass a budget bill.

State law requires the governor to balance budget deficits with program cuts, Barbour said. He blamed the Mississippi Hospital Association, which advocates for the state's 105 public and private hospitals, for exerting a wide influence over House Democrats.

"The House has compromised on some things; the Senate's compromised on some things," Barbour said. "But now the House is insisting on something that cannot be compromised. I'm not calling a special session because we're not ready. We haven't reached an agreement."

Sen. Hob Bryan, D-Amory, who hashed out the Medicaid details with Rep. Dirk Dedeaux, D-Perkinston, explained that the state's hospitals wanted some insurance against future rapacious Medicaid-slashing by Barbour.

"The hospitals have been concerned that the governor would … first of all take their assessment and then turn around and lower their (reimbursement) rates as well," Bryan said.

Chief among the House's concessions was the $60 million hospital assessment. House negotiators had originally called for a lower tax of $45 million, while Senate negotiators initially sided with Barbour in demanding a $90 million assessment. The Mississippi Hospital Association and some House Democrats had previously attacked any hospital tax, the burden of which would ultimately fall on patients, they claimed.

"Hospitals, just like any other businesses, have to pass on their costs to the end users of the product, which are the sick people that lie in the hospital beds," said Mike Bailey, MHA's chief financial officer.

The two chambers also reached a rough compromise to allow a pilot program on managed care—a pet project of the governor's—to continue with some restrictions.

"I think that's a major concession," Bryan noted.

Barbour's refusal to yield on his authority over the Medicaid budget could mean trouble for state agencies. Without a state budget in place by July 1, state agencies will have no authority to spend new money. Employees could go unpaid and state services could halt. Even after both chambers pass a budget bill, it will take 5 days for the legislation to take effect. But Barbour dismissed concerns of a budget-less state on Tuesday, noting that he could grant state agencies funds by executive order.

"This has happened in other states, and what they've done is they've run critical services under a state of emergency," Barbour said. "I am very comfortable that this is not going to be required. But if I'm wrong, then the governor can, by his executive authority, make sure that critical services—like law enforcement, like mental health, like Medicaid—would move forward."

Previous Commentsshow

What's this?

Support our reporting -- Follow the MFP.

Comments

Use the comment form below to begin a discussion about this content.