Illinois Gov. Blagojevich To Expand FamilyCare Despite Rejection From Oversight Panel
Main Category: Medicare / Medicaid / SCHIPArticle Date: 21 Nov 2007 - 6:00 PDT
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Illinois Gov. Rod Blagojevich (D) is moving forward with a proposed expansion of FamilyCare, a state program that subsidizes health care for families, despite a vote last week by a legislative oversight panel to block the plan, the Chicago Tribune reports. The Blagojevich administration has told state agencies that FamilyCare is being expanded, and they already have begun signing up new beneficiaries. The expansion could reach 147,000 people.
Under the expansion, eligibility would be extended to families of four with annual incomes up to $82,600. Currently, families with annual incomes up to $38,202 are eligible for the program. The panel, in voting against the plan, questioned how the state would pay for an expansion.
Blagojevich spokesperson Abby Ottenhoff said that the panel does not have the legal authority to block the plan. "(The panel's) role is merely advisory," Ottenhoff on Friday wrote in an e-mail response to the Tribune, adding, "It does not have the constitutional authority to suspend the regulation." However, the Tribune reports that state lawmakers "who thought they had blocked the governor last week were caught off guard by Blagojevich's decision to press ahead despite the rejection."
State Rep. Lou Lang (D) said, "If indeed the governor believes that (the panel) does not exist without constitutional underpinnings, why did he bother to go to (there) at all? And why do any of his agencies go (there) for rule changes?" (Long/Mendell, Chicago Tribune, 11/18).
Opinion Piece
"State-by-state efforts," including Blagojevich's, "to subsidize insurance coverage for working families are only deepening America's health care dilemma instead of providing a solution," John McCarron, a writer, teacher and consultant on urban affairs, writes in a Tribune opinion piece, adding that although "every family ought to have access to affordable care, trying to solve the problem by taxing and spending for more insurance is like pouring gas on a fire."
McCarron writes that the "central and inescapable problem with medical care in the United States is, simply, that it costs too much," and the "cost is growing a lot faster than the economy as a whole." He concludes that Blagojevich is right "to seek health care for all" but that it is "going to require something more than insurance: political courage" (McCarron, Chicago Tribune, 11/19).
Reprinted with kind permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation. © 2005 Advisory Board Company and Kaiser Family Foundation. All rights reserved.
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Unconstitutional Expansion
posted by Richard P. Caro on 2 Dec 2007 at 4:18 amWhat the Governor has done is to expand the State's Family Care plans to persons who do not qualify under existing requirements at a cost to the State of approximately $367 million this year. He did this with the authorization and approval of the Legislature. I have challended his right to do this as a violation of the Legislature's exclusive right to create and alter such programs, set the eligibility requirements and to determine the budget for a program and appropriate the money to pay for it.
A governor simply doesn't have the power to do that and that is evidenced by the very fact that he submitted a bill to make this change, which the Legislature has not approved. So who will pay for any unconstitutional, illegal expenditure?
Those who provide the medical services may have to repay the State and then look to be paid by those who received the services. However noble or ignoble the Governor's motives are in doing this, he has acted contrary to the public interests and those directly affected.
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