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		<title>* ACTION ITEM * Push for NITC/DRIC Bridge &amp; ObamaCare Navigators is On!</title>
		<link>http://grassrootsmichigan.com/?p=3103</link>
		<comments>http://grassrootsmichigan.com/?p=3103#comments</comments>
		<pubDate>Wed, 22 May 2013 16:55:15 +0000</pubDate>
		<dc:creator>Joan</dc:creator>
				<category><![CDATA[Activism]]></category>
		<category><![CDATA[Appropriations]]></category>
		<category><![CDATA[MI Legislative Issues]]></category>
		<category><![CDATA[and stimulating capital investment within the State.]]></category>
		<category><![CDATA[Commerce Committee]]></category>
		<category><![CDATA[creating new jobs]]></category>
		<category><![CDATA[Gov. Snyder]]></category>
		<category><![CDATA[HB 4482]]></category>
		<category><![CDATA[Medciaid expasnion in mi]]></category>
		<category><![CDATA[Michigan Auditor General report:]]></category>
		<category><![CDATA[Michigan Economic Development Corp.(MEDC)]]></category>
		<category><![CDATA[michigan sovereignty]]></category>
		<category><![CDATA[Michigan's Auditor General]]></category>
		<category><![CDATA[NITC/DRIC Bridge]]></category>
		<category><![CDATA[obamacare in michigan]]></category>
		<category><![CDATA[ObamaCare Navigators]]></category>
		<category><![CDATA[Omnibus Appropriations bill]]></category>
		<category><![CDATA[Open Meetings Act]]></category>
		<category><![CDATA[President Calvin Coolidge]]></category>
		<category><![CDATA[Renaissance Zone]]></category>
		<category><![CDATA[retaining jobs]]></category>
		<category><![CDATA[Sec. 1311 PPACA (Consolidated)(i) NAVIGATORS.]]></category>
		<category><![CDATA[Sen. Randy Richardville]]></category>
		<category><![CDATA[smokey back room]]></category>
		<category><![CDATA[tax incentives]]></category>
		<category><![CDATA[The Mackinac Policy Center]]></category>

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		<description><![CDATA[&#160; And to preserve their (people&#8217;s) independence, we must not let our rulers load us with perpetual debt. We must make our election between economy and liberty, or profusion and servitude.&#8220; Thomas Jefferson ~ July 12, 1816 &#8220;I favor the policy of economy, not because I wish to save money, but because I wish to &#8230; </p><p><a class="more-link block-button" href="http://grassrootsmichigan.com/?p=3103">Continue reading &#187;</a>]]></description>
			<content:encoded><![CDATA[<p>&nbsp;</p>
<p><a href="http://grassrootsmichigan.com/?attachment_id=2538" rel="attachment wp-att-2538"><img class="size-full wp-image-2538 alignleft" title="Our Mission Statement" src="http://grassrootsmichigan.com/wp-content/uploads/2013/01/MI-Taxed-Too-Much-Already-SMALL.jpg" alt="" width="263" height="277" /></a></p>
<p><span style="color: #000000;"><em>And to preserve their (people&#8217;s) independence, we must not let our rulers load us with perpetual debt. We must make our election between economy and liberty, or profusion and servitude.</em>&#8220;</span><br />
<span style="color: #000000;"><strong>Thomas Jefferson</strong> ~ July 12, 1816</span></p>
<div></div>
<div><span style="color: #000000;"><em>&#8220;I favor the policy of economy, not because I wish to save money, but because I wish to save people. The men and women of this country who toil are the ones who bear the cost of the Government. Every dollar that we carelessly waste means that their life will be so much the more meager. Every dollar that we save means that their life will be so much the more abundant. Economy is idealism in its most practical form.</em>&#8220;</span></div>
<div><span style="color: #000000;"><strong>President Calvin Coolidge</strong> ~ March 4, 1925</span></div>
<h3 style="text-align: center;"></h3>
<h3 style="text-align: center;"><span style="color: #800000;"><strong>In this Issue</strong></span></h3>
<p><strong><span style="color: #800000;"><em>5 minutes or less Action Items</em></span></strong></p>
<p><span style="color: #000000;">Information about <strong><span style="color: #800000;">final push</span> to &#8220;git er done&#8221; before legislature adjourns for break </strong></span></p>
<p><span style="color: #000000;"><strong><span style="color: #800000;">1.</span> Trying to fund building the NITC/DRIC Bridge </strong></span></p>
<p><span style="color: #000000;"><strong><span style="color: #800000;">2.</span> ObamaCare Navigators</strong></span></p>
<p>&nbsp;</p>
<p><span style="color: #000000;"><strong>The final push to &#8220;git er done&#8221; is on this (Thursday) before our legislature adjourns for summer. Then we can ALL take a much needed break! However, we still need to have our voices heard!</strong></span></p>
<p><span style="color: #000000;">And YOUR voices have been heard! We have successfully staved off ObamaCare in Michigan and as recently reported the</span> <a href="http://www.crainsdetroit.com/article/20130521/NEWS01/130529968/top-michigan-senator-no-medicaid-expansion-in-budget">Medicaid Expansion will not be in the Omnibus Appropriations budget bill!</a></p>
<p><span style="color: #000000;"><em>&#8220;Senate Majority Leader Randy Richardville told reporters on Tuesday that the spending targets for the budget that takes effect Oct. 1 could be <strong>finalized soon.</strong><br />
</em></span></p>
<p><span style="color: #000000;"><em>The Monroe Republican said they are <strong>rejecting federal dollars for the Medicaid expansion under the Affordable Health Care Act </strong>&#8220;at this time.&#8221;</em></span></p>
<p style="text-align: center;"><span style="color: #800000;"><strong>NOW IS NOT THE TIME TO STOP BUT CONTINUE TO PRESS FOR </strong><strong>LIBERTY!</strong></span></p>
<p><span style="color: #000000;"><strong>One of those items we need to address is the NITC/DRIC Bridge.</strong></span></p>
<p><span style="color: #000000;">If you recall Gov. Snyder’s</span> <a href="http://grassrootsmichigan.com/?p=852" data-cke-saved-href="http://grassrootsmichigan.com/?p=852">&#8220;back doored&#8221; </a>t<span style="color: #000000;">he progress and used an</span> “<a href="http://www.mackinac.org/14884" data-cke-saved-href="http://www.mackinac.org/14884">inter-local agreement</a>” <span style="color: #000000;">to advance the new bridge <strong>after</strong> the Michigan Legislature (our voice)  refused to authorize a new bridge and entered into a</span> <a href="http://www.scribd.com/doc/98095848/NITC-DRIC-Bridge-Agreement" data-cke-saved-href="http://www.scribd.com/doc/98095848/NITC-DRIC-Bridge-Agreement">&#8220;letter of intent&#8221; with Canada.</a> <span style="color: #000000;"><strong>THIS</strong> process is inherently undemocratic and lacking in both government transparency and accountability and the agreement with Canada infringes on Michigan sovereignty.<strong> YOU said NO to the new bridge.</strong></span></p>
<p><span style="color: #800000;"><strong>Apparently we need to say NO again!</strong></span></p>
<p><span style="color: #000000;">There are <strong>two processes</strong> at work to try and get the bridge built:</span></p>
<p><span style="color: #000000;"><strong><span style="color: #800000;">1.</span></strong> Pressuring the House and Senate to revoke the Appropriations bill language</span></p>
<p><span style="color: #000000;">Sec. 384. New International Trade Crossing (NITC)–</span></p>
<p><span style="color: #000000;">REVISED  House provides for reporting requirement and FUND the Bridge</span></p>
<p><span style="color: #800000;"><strong>2</strong>.</span> <a href="http://legislature.mi.gov/doc.aspx?2013-HB-4482" data-cke-saved-href="http://legislature.mi.gov/doc.aspx?2013-HB-4482">HB 4482</a> <span style="color: #000000;"><strong>greatly expands</strong> the powers of the Michigan Economic Development Corporation (MEDC) (itself a creation of a Inter-local agreement) as a potential vehicle to finance the Bridge.</span></p>
<p>The <a href="http://www.mackinac.org/10923" data-cke-saved-href="http://www.mackinac.org/10923">Michigan Economic Development Corp.(MEDC)  </a><span style="color: #000000;">is a quasi-public department of state government. It spends 100 million of taxpayer money but it NOT subject to the Open meetings Act. Basically, the MEDC is a slush fund the governor uses to funnel tax dollars to pick business winners and losers. <strong>MORE about the MEDC below</strong></span></p>
<p>&nbsp;</p>
<p><span style="color: #000000;"><span style="color: #800000;"><strong>Second Item</strong></span> is, trying to speed up the implementation of ObamaCare by<em> </em>enacting the regulation of</span> <a href="http://www.scribd.com/doc/130562859/Patient-Protection-Afforadable-Care-Act-consolidated-PPACA-other-wise-known-as-Obama-Care" data-cke-saved-href="http://www.scribd.com/doc/130562859/Patient-Protection-Afforadable-Care-Act-consolidated-PPACA-other-wise-known-as-Obama-Care">ObamaCare Navigators</a>  <span style="color: #000000;"><em>Sec. 1311    PPACA (Consolidated)</em>(i) NAVIGATORS.</span></p>
<p><span style="color: #000000;">From our Friends at</span> <a href="http://retakeourgov.com/" data-cke-saved-href="http://retakeourgov.com/">RetakeOurGov</a></p>
<h4><a href="http://retakeourgov.com/index.php/news/353-sb-324-the-answer-is-still-no" data-cke-saved-href="http://retakeourgov.com/index.php/news/353-sb-324-the-answer-is-still-no">SB 324 &#8211; The answer is still NO!</a></h4>
<p><span style="color: #000000;">This bill</span> <a href="http://legislature.mi.gov/doc.aspx?2013-SB-0324" data-cke-saved-href="http://legislature.mi.gov/doc.aspx?2013-SB-0324">SB 324 </a><span style="color: #000000;">sets up policy for hiring and the regulation of ObamaCare Navigators for the state of Michigan.</span></p>
<p><span style="color: #000000;"><em>&#8220;Our position is that SB 324 is not needed as ObamaCare regulations are still being rolled out by the feds.  It makes little sense to enact regulations given that we having a “moving target.”  Further, enacting such regulations now hastens the ability of the feds to take away our health care rights by speeding up the implementation of ObamaCare.&#8221;</em></span></p>
<p><span style="color: #000000;"><strong>We Agree.</strong></span></p>
<p>&nbsp;</p>
<h4 style="text-align: center;"><span style="color: #7d0404;"><strong>Total Action Items </strong></span></h4>
<p><span style="color: #000000;">Email/Call/Fax your</span> <a href="http://www.house.mi.gov/mhrpublic/" data-cke-saved-href="http://www.house.mi.gov/mhrpublic/">House Rep</a> and <a href="http://www.senate.michigan.gov/fysenator/fysenator.htm" data-cke-saved-href="http://www.senate.michigan.gov/fysenator/fysenator.htm">Senator </a></p>
<p><strong><span style="color: #7d0404;">On the Omnibus </span><span style="color: #7d0404;">Appropriations bill:</span> </strong></p>
<p><strong><span style="color: #7d0404;"><em><span style="color: #000000;">&#8220;I do not want ANY appropriations to build the NITC/DRIC Bridge&#8221;</span></em></span></strong></p>
<p>&nbsp;</p>
<p><span style="color: #000000;">Email/Call/Fax your</span> <a href="http://www.house.mi.gov/mhrpublic/" data-cke-saved-href="http://www.house.mi.gov/mhrpublic/">House Rep</a> and <a href="http://www.senate.michigan.gov/fysenator/fysenator.htm" data-cke-saved-href="http://www.senate.michigan.gov/fysenator/fysenator.htm">Senator</a>  <strong><span style="color: #7d0404;">On HB 4482</span></strong></p>
<p><em><strong><span style="color: #000000;">&#8220;I do not want the power of the</span><span style="color: #7d0404;"> *MEDC</span> <span style="color: #000000;">expanded and I do not want any monies directed to the MEDC to be used for the NITC/DRIC bridge&#8221;</span></strong></em></p>
<p><span style="color: #7d0404;"><strong>HB 4482</strong></span> <span style="color: #000000;">is in the</span> <a href="http://house.michigan.gov/MHRPublic/CommitteeInfo.aspx?comkey=222" data-cke-saved-href="http://house.michigan.gov/MHRPublic/CommitteeInfo.aspx?comkey=222">House Commerce Committee</a></p>
<p><strong><span style="color: #000000;">Please include them if emailing your Rep and Senator on</span> <span style="color: #7d0404;">HB 4482:</span></strong></p>
<p><span style="color: #000000;">House Commerce Committee (Copy &amp; Paste)</span></p>
<p><span style="color: #000000;"><strong>Chair </strong>FrankFoster@house.mi.gov</span></p>
<p><span style="color: #000000;">DaleWZorn@house.mi.gov,GailHaines@house.mi.gov,WayneSchmidt@house.mi.gov,</span><br />
<span style="color: #000000;">JeffFarrington@house.mi.gov,BenGlardon@house.mi.gov,JoelJohnson@house.mi.gov,</span><br />
<span style="color: #000000;"> AricNesbitt@house.mi.gov,PatSomerville@house.mi.gov,RickOutman@house.mi.gov,</span><br />
<span style="color: #000000;"> TimKelly@house.mi.gov,TomLeonard@house.mi.gov,JonSwitalski@house.mi.gov,</span><br />
<span style="color: #000000;"> VickiBarnett@house.mi.gov,JimTownsend@house.mi.gov,HarveySantana@house.mi.gov,</span><br />
<span style="color: #000000;"> StacyErwinOakes@house.mi.gov,GretchenDriskell@house.mi.gov,HenryYanez@house.mi.gov</span></p>
<p>&nbsp;</p>
<p><span style="color: #7d0404;"><strong>*About the MEDC </strong></span></p>
<p><span style="color: #000000;"><a href="http://grassrootsmichigan.com/?attachment_id=3105" rel="attachment wp-att-3105"><img class="alignleft size-medium wp-image-3105" title="MEDC" src="http://grassrootsmichigan.com/wp-content/uploads/2013/05/MEDC-300x222.jpg" alt="" width="300" height="222" /></a>The Mackinac Policy Center has done a series of excellent articles about the problems of the MEDC <a href="http://www.michigancapitolconfidential.com/features/search/?site=MCC&amp;text=MEDC&amp;x=5&amp;y=9" data-cke-saved-href="http://www.michigancapitolconfidential.com/features/search/?site=MCC&amp;text=MEDC&amp;x=5&amp;y=9">HERE</a></span></p>
<p><span style="color: #000000;">Particularly since the MEDC is a tax payer funded corporation,but it NOT subject to the Open Meetings Act, has</span> <a href="http://www.michigancapitolconfidential.com/14644" data-cke-saved-href="http://www.michigancapitolconfidential.com/14644">an appointed board</a>,and <a href="http://www.michigancapitolconfidential.com/17952" data-cke-saved-href="http://www.michigancapitolconfidential.com/17952">lacks transparency</a>. <span style="color: #000000;">Furthermore, according to a 2013 audit by Michigan&#8217;s Auditor General <strong>the MEDC WITHHELD</strong> information required by statue from legislators (The Commerce Committee members especially should receive this information in your e-mails or calls) that proves it&#8217;s program are <strong>UNSUCCESSFUL</strong> in the very area the MEDC was created to accomplish, <strong>give tax incentives to provide employment and economic impact to the State.</strong> Additionally, the MEDC does <strong>NOT</strong> effectively monitor program compliance of those who are in the program.</span></p>
<p>&nbsp;</p>
<p><strong><span style="color: #000000;">According to</span> <a href="http://audgen.michigan.gov/finalpdfs/12_13/r271042511.pdf" data-cke-saved-href="http://audgen.michigan.gov/finalpdfs/12_13/r271042511.pdf">Michigan Auditor General report:</a></strong></p>
<p><span style="color: #000000;"><strong>Audit Objectives</strong></span></p>
<p><span style="color: #000000;">Our performance audit* of the</span> <a href="http://www.michiganadvantage.org/Renaissance-Zones/" data-cke-saved-href="http://www.michiganadvantage.org/Renaissance-Zones/"><strong>Renaissance Zone Program</strong></a>, <span style="color: #000000;">Michigan Economic Development Corporation (MEDC), had the following objectives:</span></p>
<p><span style="color: #000000;">1.To assess the effectiveness of MEDC&#8217;s efforts to evaluate the Renaissance Zone Program&#8217;s impact on <strong>creating new jobs, retaining jobs, and stimulating capital investment within the State.</strong></span></p>
<p><span style="color: #000000;">2.To assess the effectiveness of MEDC&#8217;s efforts to monitor Renaissance Zones for compliance with development agreement requirements.</span></p>
<p><span style="color: #000000;"><strong>MEDC did not ensure that all information required by statute in relation to the Renaissance Zone Program was completely and accurately reported to the Legislature. As a result, users of the annual report did not have complete and accurate information regarding the Program.</strong></span></p>
<p><span style="color: #000000;"><strong>MEDC did not properly report all information required </strong>by Section 125.2695 of the Michigan Compiled Laws in the calendar year <strong>2008</strong>, calendar year <strong>2009</strong>,and calendar year <strong>2010 </strong>annual reports <strong>to the Legislature.</strong></span></p>
<p><span style="color: #000000;"><strong>MEDC did not adequately monitor Renaissance Zones&#8217; compliance with the requirements of their development agreements. As a result, MEDC lacks assurance </strong>that the zones are actually meeting the terms of their development<strong> agreements. </strong></span></p>
<p><span style="color: #000000;"><strong>Also, Renaissance Zones that were out of compliance with the requirements of their development agreements continued to take advantage of the tax incentives provided by the Program while providing little or no employment and economic impact to the State.</strong></span></p>
<p><span style="color: #000000;">Based primarily on information provided by the Department of Treasury,<strong> </strong>we estimate that approximately<strong> $820 million in State and local tax revenue (aka OUR MONEY) </strong>was abated in relation to the Program from its inception in fiscal year 1996-97 through fiscal year 2009</span></p>
<p><span style="color: #000000;">10. Therefore,<strong> it is imperative that MEDC be able to determine the true value of the Program.</strong></span></p>
<h4 style="text-align: center;"><span style="color: #800000;">It&#8217;s <strong>past time</strong> that we demand an <strong>actual accounting </strong>of the MEDC to determine if this is an organization that should continue to even operate!</span></h4>
<p>&nbsp;</p>
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		<title>*Action Alert* Medicaid Expansion Battle Pt. 2 &#8220;Lipstick on a Pig&#8221;</title>
		<link>http://grassrootsmichigan.com/?p=3090</link>
		<comments>http://grassrootsmichigan.com/?p=3090#comments</comments>
		<pubDate>Wed, 15 May 2013 15:14:53 +0000</pubDate>
		<dc:creator>Joan</dc:creator>
				<category><![CDATA[Activism]]></category>
		<category><![CDATA[Medicaid]]></category>
		<category><![CDATA[MI Legislative Issues]]></category>
		<category><![CDATA[and Social Security]]></category>
		<category><![CDATA[below 133% of the federal poverty guidelines]]></category>
		<category><![CDATA[Dept of Community Health (DCH)]]></category>
		<category><![CDATA[DETECTING FRAUD AND ABUSE IN THE MEDICAL ASSISTANCE PROGRAM.]]></category>
		<category><![CDATA[electronic health records (EHRs)]]></category>
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		<category><![CDATA[Gov. Walker's plan]]></category>
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		<category><![CDATA[Jas Bolger]]></category>
		<category><![CDATA[Jase bolger]]></category>
		<category><![CDATA[Justice Robert's noted in oral arguments on the Medicaid Expansion]]></category>
		<category><![CDATA[Matt Lori]]></category>
		<category><![CDATA[Medicaid Pharmacy Services - Performance Audit - 391-0116-12]]></category>
		<category><![CDATA[Medicaid reform]]></category>
		<category><![CDATA[MEDICAL ASSISTANCE ELIGIBILITY]]></category>
		<category><![CDATA[medicare]]></category>
		<category><![CDATA[michigan mediciad expansion]]></category>
		<category><![CDATA[michigan mediciad fraud]]></category>
		<category><![CDATA[Michigan's Auditor General]]></category>
		<category><![CDATA[Modified Adjusted Gross Income (MAGI)]]></category>
		<category><![CDATA[new michigan medicaid bill]]></category>
		<category><![CDATA[NONDISABLED ADULT'S]]></category>
		<category><![CDATA[obamacare in michigan]]></category>
		<category><![CDATA[Rep. Mike Shirkey]]></category>
		<category><![CDATA[Telemedicine]]></category>
		<category><![CDATA[the first 5 percent of income is not counted.]]></category>
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		<description><![CDATA[&#8220;Necessity is the plea for every infringement of human freedom. It is argument of tyrants.It is the creed of slaves.&#8221;&#8211;William Pitt in the House of Commons November 18, 1783 &#8220;The appropriation of public money is always is perfectly lovely until some one is asked to pay the bill..&#8221; President Calvin Coolidge&#8211;New York Herald Tribune, August &#8230; </p><p><a class="more-link block-button" href="http://grassrootsmichigan.com/?p=3090">Continue reading &#187;</a>]]></description>
			<content:encoded><![CDATA[<p><span style="color: #000000;">&#8220;<em>Necessity is the plea for every infringement of human freedom. It is argument of tyrants.It is the creed of slaves.&#8221;</em>&#8211;William Pitt in the House of Commons November 18, 1783</span></p>
<p><span style="color: #000000;"><em>&#8220;The appropriation of public money is always is perfectly lovely until some one is asked to pay the bill..</em>&#8221; President Calvin Coolidge&#8211;<em>New York Herald Tribune</em>, August 5, 1930.</span></p>
<p>&nbsp;</p>
<p align="center"><span style="color: #800000;"><strong>In this Issue</strong></span></p>
<p align="center"><span style="color: #800000;"><strong> </strong>5 minutes or less <strong>Action Item</strong></span></p>
<p align="center"><span style="color: #800000;">Information about the <strong>new</strong> Medicaid Expansion bill</span></p>
<p><span style="color: #000000;">I don&#8217;t know about you but I am getting tired of my Representatives trying to sneak in an expansion. To cut down on that and reduce state&#8217;s costs we should seriously consider</span> <a href="http://www.ourmidland.com/news/article_4fe4cf72-c62e-50ba-bb44-bfd3f65543a7.html">renewing the conversation</a> of a <span style="color: #000000;">part time legislature.</span></p>
<p><span style="color: #000000;">Apparently ours legislators are trying to Expand Medicaid&#8230;Again</span></p>
<p><span style="color: #000000;">This time its not in the budget but a bill</span><a href="http://legislature.mi.gov/doc.aspx?2013-HB-4714"> HB 4714</a>  <span style="color: #000000;"><strong>and IT has the same expansion language as the budget : </strong>Enroll nondisabled adults with an annual income level <strong>below 133% of the federal poverty </strong>guidelines who meet the citizenship provisions of</span> <a href="http://www.gpo.gov/fdsys/pkg/CFR-2010-title42-vol4/pdf/CFR-2010-title42-vol4-sec435-406.pdf">42 CFR 435.406(a)</a><a href="http://www.gpo.gov/fdsys/pkg/CFR-2010-title42-vol4/pdf/CFR-2010-title42-vol4-sec435-406.pdf">  </a>§ 435.406 Citizenship <strong>and alienage.</strong></p>
<p><span style="color: #000000;"><strong>Major Budget Changes From FY 2012-13 YTD Appropriations</strong></span><br />
<span style="color: #000000;"> 1. Medicaid Expansion</span><br />
<span style="color: #000000;"> &#8230;.. The expansion of the income criteria for Medicaid eligibility up to <strong>133% of the federal poverty level (FPL) is estimated to qualify an additional 320,000 </strong><em><strong>(THAT is a very  low estimate)</strong></em><strong> Michigan residents </strong>in FY 2013-14. The assumed expansion start date is January 1, 2014.</span></p>
<p><span style="color: #000000;">Since the Dept of Community Health (DCH) will be using the</span> <strong>Modified Adjusted Gross Income (</strong>MAGI) <span style="color: #000000;">system to determine eligibility <strong>the numbers will be higher (and the Federal matching dollars.)</strong></span></p>
<p><span style="color: #000000;"><em>As the federal government has expanded Medicaid over the decades, </em></span><strong><em><span style="color: #000000;">state governments have had</span> <a href="http://www.downsizinggovernment.org/sites/downsizinggovernment.org/files/pdf/hhs-medicaid-reforms.pdf">incentives to continuously expand the program </a>as well.</em></strong><span style="color: #000000;"><em> Since Medicaid is an open-ended federal matching grant, </em><strong><em>the states receive additional federal cash whenever they expand eligibility or covered services.</em></strong></span></p>
<p><span style="color: #000000;"><em>(&#8220;Under the law, </em><strong><em>the first 5 percent of income is not counted</em></strong><em>. The practical effect of this income </em><strong><em>“disregard” </em></strong><em>is to make the </em><strong><em>eligibility threshold 138 percent of poverty.</em></strong><em>) In fact, Assuming the ACA is implemented (Medicaid Expansion) as planned, Michigan could have </em><strong><em>approximately 600,000 new Medicaid enrollees</em></strong></span><em><span style="color: #000000;"> by 2019—</span>.</em> <a href="http://www.chrt.org/public-policy/policy-papers/medicaid-eligibility-in-michigan-40-ways/">&#8220;Medicaid Eligibility in Michigan: 40 Ways&#8221;</a></p>
<p><span style="color: #800000;"><strong>Action Item</strong></span></p>
<p><span style="color: #000000;"><a href="http://grassrootsmichigan.com/?attachment_id=3092" rel="attachment wp-att-3092"><img class="alignleft size-medium wp-image-3092" title="Lipstick on a pig" src="http://grassrootsmichigan.com/wp-content/uploads/2013/05/Lipstick-on-a-pig-300x228.jpg" alt="" width="300" height="228" /></a>Now there are some reforms thrown in this time to try and make it palatable, but as the saying goes, you can put lipstick on a pig and its still a pig.</span></p>
<p><span style="color: #000000;"><strong>I thought we made it clear, however apparently we need to make it CRYSTAL CLEAR&#8230;We do NOT want a Medicaid Expansion in any way, shape or form.</strong></span></p>
<p><span style="color: #000000;">There is a</span> <a href="http://www.house.mi.gov/publiccommitteeschedule/MeetingDisplay.aspx?BroadcastKey=3635">Committee (Michigan Competitiveness) Meeting</a> <span style="color: #000000;">on this bill this Thursday at 2:30pm</span></p>
<p>&nbsp;</p>
<p><span style="color: #000000;">IF you can show up to testify great! You do not have to speak but fill out a testimony card. IF you can not make it</span></p>
<p><span style="color: #000000;">You need to send ONE e-mail to these people. I will provide the contact information and then further information on the new bill if you wish to provide more detail</span></p>
<p><span style="color: #800000;">Copy and Paste e-mail addresses</span></p>
<p><span style="color: #000000;">Committee Clerk David Mead at dmead@house.mi.gov </span><em><span style="color: #000000;">and ask that your email to be entered into the record as testimony.</span> </em></p>
<p><span style="color: #000000;">Chairman of the Committee Rep. Mike Shirkey     -MikeShirkey@house.mi.gov</span></p>
<p><a href="http://www.house.mi.gov/mhrpublic/committeeinfo.aspx?comkey=234">Committee Members:</a></p>
<p><span style="color: #000000;">KenYonker@house.mi.gov,GailHaines@house.mi.gov,KevinCotter@house.mi.gov,<br />
FrankFoster@house.mi.gov,RayFranz@house.mi.gov,KenGoike@house.mi.gov,<br />
DanLauwers@house.mi.gov,TomLeonard@house.mi.gov,DavePagel@house.mi.gov,<br />
PaulClemente@house.mi.gov,JimTownsend@house.mi.gov,AndySchor@house.mi.gov,<br />
HarveySantana@house.mi.gov,KateSegal@house.mi.gov</span></p>
<p><span style="color: #000000;">And</span><a href="http://gophouse.org/representatives/southwest/bolger/news/"> House Speaker Jase Bolger</a> <span style="color: #000000;">since this is his endorsed plan </span> -JaseBolger@house.mi.gov</p>
<p><span style="color: #000000;">YOUR House Rep</span> <a href="http://house.michigan.gov/mhrpublic/">HERE</a></p>
<p style="color: #000000;"><span style="color: #000000;">YOUR Senator </span> <a href="http://www.senate.michigan.gov/fysenator/fysenator.htm">HERE</a></p>
<p><span style="color: #000000;">More about the new bill and Michigan Medicaid fraud</span></p>
<p><span style="color: #000000;">1. <strong>Everything depends on getting a waiver from the Feds</strong> because Medicaid although a voluntary program for the states is still a Federal program. A waiver is essentially a &#8220;mother may I&#8221; from the states to the Feds.</span></p>
<p><span style="color: #000000;">(a) <strong>If</strong> the department of community health <strong>is unable to obtain a waiver from the United States </strong>department of health and human services to implement the provisions</span></p>
<p><strong><span style="color: #000000;">And this is why the</span> <a href="http://www.downsizinggovernment.org/sites/downsizinggovernment.org/files/pdf/hhs-medicaid-reforms.pdf">only meaningful reforms can be done at a Federal level.<br />
</a></strong></p>
<p><em></em><span style="color: #000000;"><strong><em>Federal laws and policies restrict how much cost-sharing states can impose on recipients</em></strong></span><em><span style="color: #000000;">.</span> <span style="color: #000000;">And while</span> <a href="http://mediatrackers.org/2013/02/20/walkers-medicaid-reform-exposes-obamacare-weaknesses/">some states have conducted promising experiments </a><span style="color: #000000;">with financial incentives — such as cash accounts managed by recipients — </span></em><strong><em>any state&#8217;s room to maneuver is limited by federal law.  (that&#8217;s why we need a waiver)</em></strong> &#8230;.<em><span style="color: #000000;">the passage of Obamacare has only made it more difficult. Many of the most</span> <a href="http://expandmedicaid.com/supporters/">powerful lobbies</a> &#8230;<span style="color: #000000;"> in</span> <a href="http://goldwaterinstitute.org/blog/medicaid-expansion-will-line-hospitals-pockets">state capitals </a><span style="color: #000000;">will work against any effort to fix what ails this deeply flawed entitlement.</span></em></p>
<p><span style="color: #000000;"><em>But the simple truth is that <strong>American taxpayers cannot afford the status quo</strong>. Even before Obamacare, the <strong>combined cost of Medicaid, Medicare, and Social Security was projected to consume nearly 15% of gross domestic product by 2030</strong> — up from less than 10% today. These entitlements are already falling into the red, and <strong>have an unfunded liability of nearly $100 trillion through the end of the century.</strong></em> &#8220;</span><a href="http://www.nationalaffairs.com/publications/detail/how-to-fix-medicaid">How to Fix Medicaid&#8221;</a></p>
<p><strong><span style="color: #000000;">Even though this bill offers some reforms (see below) they are bandages to the problem. The button line the real answer to Medicaid reform, is to get out of the Federal program, NOT expand it. Keep the money in our state and let Michigan design its own program (free markets, insurance and tort reforms, etc. ) free from the commands and the co-dependency of Federal dollars of  Washington D.C.</span></strong></p>
<p><span style="color: #000000;">Instead of expanding and continuing to enable flawed, bloated, fraud ridden, tax payer money sucking big government program that does not provide the intended product, decent health care for the poor for temporary gain.</span></p>
<p><span style="color: #800000;"><strong>As chief Justice Robert&#8217;s noted in oral arguments on the Medicaid Expansion</strong></span></p>
<p><span style="color: #000000;"> <em>&#8221; <strong>How willing</strong> they (the states) have been since the New Deal <strong>to take the Federal government&#8217;s money</strong>.. And it seems to me that they (the states) <strong>have compromised </strong>their status as independent sovereigns <strong>because they are so dependent on what the Federal Government</strong> <strong>has done,</strong> they should not be surprised that the Federal Government, having attached the &#8212;<strong> they (the states) tied the strings, </strong>they shouldn&#8217;t be surprised if the <strong>Federal Government isn’t going to start pulling them.&#8221;</strong>  &#8211; </em>Supreme Court Health Care Law Oral Argument, Day 3, Medicaid Expansion</span></p>
<p>&nbsp;</p>
<p><span style="color: #000000;"><strong>More information about the bill</strong></span></p>
<p><span style="color: #000000;">— ask low-income non disabled adults to pay up to 5 percent of their income on health care — with a sliding scale — and require them to start paying monthly premiums.</span></p>
<p><span style="color: #000000;"><strong>However, </strong>that is based on <strong>&#8220;</strong><strong>THE DEPARTMENT OF COMMUNITY HEALTH&#8217;S DETERMINATION</strong><strong> OF THE NONDISABLED ADULT&#8217;S ABILITY TO PAY</strong>&#8221; So its likely that a number of &#8220;<strong>NONDISABLED ADULTS ENROLLED </strong>would not pay at all.</span></p>
<p><span style="color: #000000;">&#8211;48-month cap on benefits is for able-bodied adults</span></p>
<p><span style="color: #000000;">&#8211;create health savings accounts for recipients and let them choose whether to be under the traditional Medicaid system <strong>or buy their own coverage on a marketplace known as an exchange.</strong> <span style="color: #800000;">This is similar to Gov. Walker&#8217;s plan <strong>except</strong> that Gov. Walker is <strong>NOT</strong> expanding Medicaid.</span></span></p>
<p><span style="color: #000000;">&#8211;lower premiums and co-pays if nondisabled adults quit smoking or lose weight, for instance, and follow their doctor&#8217;s orders.</span></p>
<p><span style="color: #000000;">D) <strong>DEVELOP</strong> INCENTIVES FOR HEALTHY BEHAVIOR AND FOR PROGRESS MADE TOWARD HEALTHY BEHAVIOR</span><br />
<span style="color: #000000;"> (E) <strong>DEVELOP</strong> INCENTIVES FOR ELIGIBLE ENROLLEES WHO ASSIST THE DEPARTMENT OF COMMUNITY HEALTH IN DETECTING FRAUD AND ABUSE IN THE MEDICAL ASSISTANCE PROGRAM.</span></p>
<p><span style="color: #800000;">Speaking of fraud</span> t<span style="color: #000000;">he Department of Community Health (DCH) could use some help in that area! In several audit reports on Michigan&#8217;s Medicaid program issued January of this year Michigan&#8217;s Auditor General found:</span></p>
<p><span style="color: #000000;">In the area of</span><a style="color: #000000;" href="http://audgen.michigan.gov/finalpdfs/12_13/r391071712.pdf">.</a><span style="color: #000000;"><a href="http://audgen.michigan.gov/finalpdfs/12_13/r391071712.pdf" target="_blank">Durable Medical Equipment, Prosthetics, Orthotics, and Supplies &#8211; Performance Audit &#8211; 391-0717-12</a> (<strong>DMEPOS)</strong>the auditor found that DCH was &#8220;moderately effective&#8221; and found <strong>improper payments</strong> of $997,000 (approximately <strong>$293,000 General Fund/general purpose</strong>)and <strong>potential improper payments </strong>of up to $1,600,000 (approximately <strong>$470,000 General Fund/general purpose).</strong> DCH <strong>issued $341,000 (approximately $100,000 General Fund/general purpose)</strong> in duplicate payments to the same provider that submitted a claim multiple times with a different modifier</span></p>
<p><span style="color: #000000;"><strong>DCH did not ensure that it prevented, detected,and recovered duplicate payments for DMEPOS</strong></span></p>
<p><span style="color: #000000;">In another audit,</span> <a href="http://audgen.michigan.gov/finalpdfs/12_13/r391011612.pdf">Medicaid Pharmacy Services &#8211; Performance Audit &#8211; 391-0116-12</a></p>
<p><span style="color: #000000;">The auditor found:</span></p>
<p><span style="color: #000000;">DCH <strong>did not</strong> identify and recover Medicaid pharmaceutical drug payments made on behalf of beneficiaries who were Medicare eligible</span></p>
<p><span style="color: #000000;">We estimate that DCH <strong>could recover up to $15.3 million ($5.4 million General Fund/general purpose)</strong> in pharmaceutical claims that were originally paid by Medicaid but are the financial responsibility of Medicare (Federal)</span></p>
<p><span style="color: #000000;">For example:</span></p>
<p><span style="color: #000000;">DCH did not always ensure that it notified the PBM of <strong>deceased service providers. As a result,</strong> <strong>324 pharmacies</strong> were reimbursed $89,000 (<strong>$31,000 General Fund/general purpose</strong>) for prescriptions written <strong>after the date of death of 82 deceased service providers</strong></span></p>
<p><span style="color: #000000;">DCHs efforts to identify and recover payments for pharmaceutical drugs covered by Medicare were <strong>moderately effective</strong></span></p>
<p><span style="color: #000000;"><strong>And the bill includes that the DCH  makes the reports about the new expansion program?!</strong></span></p>
<p><span style="color: #000000;">BY NOT LATER THAN MARCH 1, 2015 AND ANNUALLY BY EVERY  MARCH 1 AFTER THAT, THE <strong>DEPARTMENT OF COMMUNITY HEALTH SHALL PROVIDE A REPORT</strong> TO THE LEGISLATURE</span></p>
<p><span style="color: #000000;">Another interesting addition in the bill is&#8230; ALLOW FOR SERVICES PROVIDED THROUGH</span> <a href="http://en.wikipedia.org/wiki/Telemedicine">TELEMEDICINE</a>. <span style="color: #000000;"><strong>Telemedicine</strong> is the use of telecommunication and information technologies in order to provide clinical health care <strong>at a distance.</strong></span></p>
<p><strong><span style="color: #000000;">Telehealth is a major user of electronic health records (EHRs) and generator of digital data&#8230;and</span> <span style="color: #000000;">additionally would benefit from a</span> <a href="http://www.americantelemed.org/docs/default-source/policy/ata-federal-policy-priorities-for-2012.pdf?sfvrsn=32">Medicaid Expansion and this bill</a></strong>  <span style="color: #000000;">And Telemedicine is not without it&#8217;s major problems,</span><em><span style="color: #000000;"> physicians and hospitals can be exposed to new potential liabilities, including</span><a href="http://health.wolterskluwerlb.com/2013/03/growth-of-telemedicine-services-brings-the-need-to-address-associated-risks/"> <strong>providing less than optimal care for patients</strong></a>, <span style="color: #000000;">if telemedicine is not well managed.</span></em></p>
<p><span style="color: #000000;">&#8211;Require the Feds to provide 100% of funds</span></p>
<p><span style="color: #000000;">THIS SUBSECTION FOR THE PURPOSES OF MEDICAL ASSISTANCE ELIGIBILITY. THIS SUBDIVISION DOES NOT APPLY &#8230;(ii) IF AT ANY TIME THE FEDERAL GOVERNMENT DOES NOT PROVIDE FUNDING AT A LEVEL OF 100% FOR IMPLEMENTATION AND ADMINISTRATION OF THIS SUBDIVISION.</span></p>
<p><span style="color: #000000;">Even though it nice to read a state bill that dictates to the Feds, this is highly unlikely because: </span></p>
<p><span style="color: #000000;">1. It&#8217;s the Feds program, they do the dictating</span></p>
<p><span style="color: #000000;">2. IF they Feds were to agree than how many other states would ask for the same 100% Federal funded deal?</span></p>
<p><span style="color: #000000;">3. And does a broke, in debt, fiscal cliff Federal government have the funds?</span></p>
<p>Further, <a href="http://goldwaterinstitute.org/blog/states-can-impose-fiscal-discipline-washington">Each state that declines to expand Medicaid relieves strain on the overall federal budget.</a></p>
<p><strong><span style="color: #800000;">And State or Federal, its ALL our money!</span> </strong></p>
<p><span style="color: #000000;">And most likely in order to pass the bill would be <strong>a WATERED DOWN VERSION</strong> with reforms stripped out or severely compromised in order to get the Democrats to sign on.</span></p>
<p><span style="color: #000000;"><em>&#8220;They can&#8217;t afford to pay 5 percent of their income for a mediocre health plan, or 48 month cap&#8221;</em></span> <a href="http://029.housedems.com/news/article/greimel-calls-republican-medicaid-alternative-heartless-irresponsible"><strong>Rep. Greimel </strong></a><span style="color: #000000;">House minority leader</span></p>
<p>&nbsp;</p>
<p><a href="http://grassrootsmichigan.com/?p=3049"><strong>MORE INFORMATION ABOUT THE MEDICAID PROGRAM AND EXPANSION</strong></a></p>
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		<title>* UPDATE * Rally Against Common Core!</title>
		<link>http://grassrootsmichigan.com/?p=3077</link>
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		<pubDate>Fri, 10 May 2013 15:14:06 +0000</pubDate>
		<dc:creator>Joan</dc:creator>
				<category><![CDATA[Activism]]></category>
		<category><![CDATA[Common Core]]></category>
		<category><![CDATA[common core protest]]></category>
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		<category><![CDATA[Mi common core in MI. Melanie Kurdys]]></category>

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		<description><![CDATA[Stop Common Core in Michigan Rally Flyer (Click on View Full Post Button)]]></description>
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		<title>Rally Against Common Core!</title>
		<link>http://grassrootsmichigan.com/?p=3071</link>
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		<pubDate>Wed, 08 May 2013 15:32:20 +0000</pubDate>
		<dc:creator>Joan</dc:creator>
				<category><![CDATA[Activism]]></category>
		<category><![CDATA[Common Core]]></category>
		<category><![CDATA[MI Legislative Issues]]></category>
		<category><![CDATA[common core]]></category>
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		<description><![CDATA[RALLY AGAINST COMMON CORE! When Tuesday, May 14, 2013 11:30am until 2:00pm Rally near the Capitol against Common Core and for keeping the prohibition in the budget – not one dime to be spent in MI on national standards with Common Core and the Smarter Balance testing. (The budget is about to be approved – &#8230; </p><p><a class="more-link block-button" href="http://grassrootsmichigan.com/?p=3071">Continue reading &#187;</a>]]></description>
			<content:encoded><![CDATA[<p><span style="color: #000000;"><a href="http://www.facebook.com/events/331526286973411/"><strong>RALLY AGAINST COMMON CORE!</strong></a></span></p>
<p><span style="color: #000000;"><a href="http://grassrootsmichigan.com/?attachment_id=3006" rel="attachment wp-att-3006"><img class="alignleft size-medium wp-image-3006" title="Common Core" src="http://grassrootsmichigan.com/wp-content/uploads/2013/03/Common-Core-205x300.jpg" alt="" width="205" height="300" /></a>When Tuesday, May 14, 2013 11:30am until 2:00pm</span></p>
<p><span style="color: #000000;">Rally near the Capitol against Common Core and for keeping the prohibition in the budget – not one dime to be spent in MI on national standards with Common Core and the Smarter Balance testing. (The budget is about to be approved – sometime in mid to late May)</span></p>
<p><span style="color: #000000;">Speeches at noon. Lobbying legislators before and after, if you want.</span></p>
<p><span style="color: #000000;">(come early and attend the State Board of Ed mtg – two blocks away – where they are voting on Next Generation Science Standards with global warming, that will be folded into Common Core Science standards)</span></p>
<p><span style="color: #000000;">** stay tuned for more details about where at the Capitol the rally will occur</span></p>
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		<title>Medicaid Push in On &#8211; Time to Contact YOUR Rep!</title>
		<link>http://grassrootsmichigan.com/?p=3049</link>
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		<pubDate>Wed, 24 Apr 2013 04:47:07 +0000</pubDate>
		<dc:creator>Joan</dc:creator>
				<category><![CDATA[Health Care]]></category>
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		<category><![CDATA[Medicaid expansion in michigan]]></category>
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		<category><![CDATA[Michigan taxpayers]]></category>
		<category><![CDATA[Michigan’s Medicaid spending]]></category>
		<category><![CDATA[Moody's currently rates the US government Aaa with a negative outlook]]></category>
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		<category><![CDATA[Republicans tend to drop their opposition to big government when big business pushes them hard enough]]></category>
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		<description><![CDATA[Government is not reason; it is not eloquence. It is force. And force, like fire, is a dangerous servant and a fearful master.&#8220; &#8211;George Washington &#8220;Necessity is the plea for every infringement of human freedom. It is argument of tyrants.It is the creed of slaves.&#8221; &#8211;William Pitt in the House of Commons November 18, 1783 &#8230; </p><p><a class="more-link block-button" href="http://grassrootsmichigan.com/?p=3049">Continue reading &#187;</a>]]></description>
			<content:encoded><![CDATA[<p><span style="color: #000000;"><em>Government is not reason; it is not eloquence. It is force. And force, like fire, is a dangerous servant and a fearful master.</em>&#8220;</span><br />
<span style="color: #000000;"> &#8211;George Washington</span></p>
<p><span style="color: #000000;">&#8220;<em>Necessity is the plea for every infringement of human freedom. It is argument of tyrants.It is the creed of slaves.&#8221;</em></span><br />
<span style="color: #000000;"> &#8211;William Pitt in the House of Commons November 18, 1783</span></p>
<p><span style="color: #000000;"><em>&#8220;The appropriation of public money always is perfectly lovely until some one is asked to pay the bill..</em>&#8221; &#8211;<em>New York Herald Tribune</em>, August 5, 1930.</span></p>
<p>&nbsp;</p>
<p><span style="color: #000000;">In early April Gov Snyder at a press conference,&#8221;</span></p>
<p><span style="color: #000000;">As his <strong>self-imposed budget deadline approaches</strong>, <strong>he listed the expansion and transportation funding as two of his top priorities.</strong></span></p>
<p><span style="color: #000000;"><em>&#8220;I think you&#8217;ll see an increase in activity from what we&#8217;ve had. We are going to continue to step up activity in terms of having the discussion, <strong>because Medicaid expansion is a good thing for Michiganders&#8230;.</strong>that his administration has been meeting with </em><strong><em>both legislators and staff on the Medicaid expansion issue and would be ramping that up in the near future.&#8221;</em></strong></span></p>
<p><strong><span style="color: #800000;">The future is NOW.</span> </strong></p>
<p align="center"><span style="color: #000000;">It&#8217;s been reported that the Governor is putting other issues on the back burner to push the Medicaid expansion to legislators, thumb screws or promises.</span></p>
<p align="center"><span style="color: #000000;">So we NEED to do some &#8220;Informing&#8221; of our own and contact</span> <a href="http://www.house.mi.gov/mhrpublic/">our Reps</a> <span style="color: #000000;">and</span> <a href="http://www.senate.michigan.gov/fysenator/fysenator.htm">Senators</a> <span style="color: #000000;">and let them know:</span></p>
<p align="center"><span style="color: #000000;">&#8220;WE DO NOT WANT A MEDICAID EXPANSION.&#8221;  Simple</span></p>
<p><span style="color: #000000;">However, Below are some facts that you may use if you so desire that refute Gov. Snyder&#8217;s position to expand Medicaid</span></p>
<p><span style="color: #000000;"><strong>1. The Medicaid Expansion is <span style="color: #800000;">vital</span> to the success of Obama Care</strong></span></p>
<p><span style="color: #000000;"><strong>2. Always FOLLOW THE MONEY</strong></span></p>
<p><span style="color: #000000;"><strong>3. Any state savings are TEMPORARY</strong></span></p>
<p><span style="color: #000000;"><strong>4. Medicaid is a broken,costly taxpayer dollar sucking program that is terrible health care.</strong></span></p>
<p>&nbsp;</p>
<p><span style="color: #000000;"><strong><a href="http://grassrootsmichigan.com/?attachment_id=3052" rel="attachment wp-att-3052"><img class="size-full wp-image-3052 alignleft" title="ObamaCare signature of Obama on bill" src="http://grassrootsmichigan.com/wp-content/uploads/2013/04/ObamaCare-signature-of-Obama-on-bill.jpg" alt="" width="276" height="225" /></a>1. </strong><strong>The Medicaid Expansion is <span style="color: #800000;">vital</span> to the success of Obama Care</strong></span></p>
<p><span style="color: #000000;">In his article, &#8220;Did the Supreme Court Ruling Render the Health Law&#8217;s Finances Untenable?&#8221;</span><a href="http://www.economics21.org/commentary/did-supreme-court-ruling-render-health-laws-finances-untenable"> Chuck Blahous</a> <span style="color: #000000;">warns that the court’s change of the Medicaid-expansion provision <strong>makes ObamaCare much less sustainable and practically guarantees its failure: </strong><em>&#8220;Much attention has been given to the argument that without the individual purchase mandate, other parts of the health care law would become unworkable. Much less attention has been given to the fact that </em><strong><em>without the states forced to be on board with the Medicaid expansion, the law’s health exchange subsidies might be fiscally unworkable. </em></strong><em>The Supreme Court may have just set in motion of chain of events that could lead to the law’s being found as busting the budget, even under the highly favorable scoring methods used last time around.</em>&#8220;</span></p>
<p><span style="color: #000000;"><strong><a href="http://grassrootsmichigan.com/?attachment_id=1106" rel="attachment wp-att-1106"><img class=" wp-image-1106 alignleft" title="follow the money" src="http://grassrootsmichigan.com/wp-content/uploads/2011/10/follow-the-money-300x225.png" alt="" width="240" height="180" /></a>2.</strong><strong> FOLLOW THE MONEY</strong></span></p>
<p><span style="color: #000000;">So like ANYTHING in politics, someone is going to benefit from policy.  I met a very smart gentleman a few weeks ago that said to me<em>,&#8221; Medicaid isn&#8217;t socialism for the poor, its socialism for the powerful&#8221;</em> BINGO! Who benefits from the Medicaid Expansion? BIG HEALTH</span></p>
<p><span style="color: #000000;"><strong><em>Hospitals, insurers and drug companies</em></strong><em> have lobbied in state capital after state capital, leaning on Republicans until they agreed to create insurance exchanges or expand Medicaid as Obamacare prescribed&#8230;..One driving cause has been the business lobby &#8212; specifically the </em><strong><em>health-care lobby</em></strong><em>&#8230;..They&#8217;ve hired every lobbyist they can get&#8230;.pro-exchange health-industry companies also</em><strong><em> poured money into legislative campaigns</em></strong></span><em><span style="color: #000000;">. Comb through the</span> <a href="http://grassrootsmichigan.com/?p=2754">campaign finance disclosures </a></em><span style="color: #000000;">&#8230;<em><strong>Republicans tend to drop their opposition to big government when big business pushes them hard enough.</strong></em><strong>&#8220;</strong></span> <a href="http://m.washingtonexaminer.com/tim-carney-health-industry-pushes-gop-states-toward-obamacare/article/2523136/?page=1&amp;referrer=/politics">The Examiner Washington</a></p>
<p><span style="color: #000000;">All one has to do is look through the</span><a href="http://expandmedicaid.com/supporters/"> Medicaid supporters</a> <span style="color: #000000;">to identify &#8220;Big Health&#8221; in Michigan</span></p>
<p><span style="color: #000000;"><strong>3. Any state savings are TEMPORARY</strong></span></p>
<p><span style="color: #000000;"><strong>From that same press conference Gov Snyder said, </strong><em><strong>&#8220;</strong></em><strong><em>It&#8217;s a human case, too; it&#8217;s not just a fiscal case. &#8230;.</em></strong><em>said Snyder. </em><strong><em>&#8220;And that translates into dollars and cents, &#8230;</em></strong></span></p>
<p><a href="http://www.forbes.com/sites/aroy/2013/04/20/michigans-legislature-resists-its-governors-call-to-approve-obamacares-medicaid-expansion/"><strong>A fiscal windfall in the near-term, perpetual losses thereafter</strong></a></p>
<p><span style="color: #000000;">&#8220;</span><em><span style="color: #000000;">There’s plenty of reason to disagree. It’s true that the state is likely to enjoy a short-term fiscal windfall if it expands Medicaid. But by 2020, the expansion will sink into the red, and lose money for the state thereafter&#8230;.Gov. Snyder likes to call himself “one tough nerd”—it’s even his</span> <a href="https://twitter.com/onetoughnerd">handle on Twitter</a>—<strong><span style="color: #000000;">but it’s hardly tough to saddle Michigan taxpayers with perpetual deficit spending in order to collect a windfall while you’re in office.</span> </strong></em></p>
<p><span style="color: #000000;"><em>Snyder insists that he will sock away a portion of the near-term windfall to pay for future spending, but the history of entitlement programs should make us skeptical of that promise. Both Social Security and Medicare accumulated substantial surpluses in their early years, only to incur losses later on. The savings were not put away for a rainy day, but rather were frittered away on other priorities.&#8221;</em></span></p>
<p><strong><a href="http://grassrootsmichigan.com/?attachment_id=3053" rel="attachment wp-att-3053"><img class="alignleft size-full wp-image-3053" title="Roach Motel" src="http://grassrootsmichigan.com/wp-content/uploads/2013/04/Roach-Motel.jpg" alt="" width="173" height="173" /></a><a href="http://www.mackinac.org/18434">Obamacare Medicaid Expansion a &#8216;Roach Motel?&#8217;</a></strong><strong></strong></p>
<p><span style="color: #000000;"><em>In the <strong>short term</strong>, accepting the expansion will save states money, thereby allowing politicians to spend more on other programs. In Michigan, it will free up around $200 million in next year’s budget (half of which Gov. Snyder wants to put in a “lock box” to cover higher state costs the expansion begins to impose starting in 2017).  This <strong>temporary loot</strong> is the “attractive nuisance” that has caused previously anti-Obamacare Republican governors like John Kasich and Rick Scott in Florida to become implementation collaborators.</em></span></p>
<p><span style="color: #000000;"><em>Given Michigan’s legislative term limits, the temptations are even stronger for our legislators to accept these pieces of Obamacare <a href="http://www.mackinac.org/18268"><span style="color: #000000;">silver</span></a>, <strong>since many will no longer be in office when the higher costs hit.</strong> Alas, there are no term limits on the burdens Michigan taxpayers will have to carry for decisions made today that are very likely irrevocable in the future.</em></span></p>
<p><a href="http://www.redstate.com/jasonahart/2013/04/02/medicaid-expansion-would-save-ohio-money-by-increasing-state-federal-spending/">Take Ohio for example: </a><span style="color: #000000;"><em>According to the governor, the health care lobby, and socialized medicine advocates, these costs would be worth it because they would secure billions per year in new federal funds from a government already $16.7 trillion in debt.</em></span></p>
<p><span style="color: #000000;"><em>Where would the new federal funding come from? “Don’t worry about it” might be the answer of Medicaid expansion proponents, if Ohio’s press even bothered to ask.</em></span></p>
<p><span style="color: #000000;"><em>According to HPIO, the PPACA Medicaid expansion would “Strengthen Ohio’s economy by bringing in federal resources that have already been set aside for Medicaid expansion, creating tens of thousands of jobs within the state’s borders.”</em></span></p>
<p><span style="color: #000000;"><em>HPIO did not explain how a federal government that has run $1 trillion deficits each year since President Obama took office can “set aside” billions per year <strong>into perpetuity</strong> without even passing a budget since before PPACA was written.&#8221;</em></span></p>
<p><span style="color: #000000;">Speaking of the Federal government&#8230;Moody&#8217;s currently rates the US government Aaa</span> <a href="http://www.moodys.com/research/Moodys-changes-rating-outlooks-on-22-Aaa-municipal-credits-indirectly--PR_265583"><strong>with a negative outlook   </strong></a></p>
<p><span style="color: #000000;">Maybe Gov. Snyder has been watching Kaish&#8217;s, &#8220;How To Push Medicaid for Dummies&#8221;</span></p>
<p><span style="color: #000000;">From</span> <a href="http://ohio.mediatrackers.org/2013/02/20/gov-kasich-repeats-medicaid-expansion-lies-in-state-of-the-state-address/">Media Trackers</a> ..<em>.<span style="color: #000000;">&#8220;Kasich falsely insisted that Ohio’s promised federal Patient Protection and Affordable Care Act (PPACA) funding for expanding Medicaid will be sent to other states if Ohio rejects the expansion&#8230;.. The Ohio Channel has the governor’s entire speech;</span> <a href="http://www.ohiochannel.org/MediaLibrary/Media.aspx?fileId=138016&amp;starttime=2850&amp;endtime=2940">watch the segment in question</a> <span style="color: #000000;">to see Kasich pressure legislators by inaccurately asserting their rejection of Medicaid expansion would not prevent any of PPACA’s new spending.&#8221;</span></em></p>
<p><span style="color: #000000;"><strong><a href="http://grassrootsmichigan.com/?attachment_id=3054" rel="attachment wp-att-3054"><img class="alignleft size-medium wp-image-3054" title="Out or Order-Broken" src="http://grassrootsmichigan.com/wp-content/uploads/2013/04/Out-or-Order-Broken-300x224.jpg" alt="" width="300" height="224" /></a>4. Medicaid is a broken,costly taxpayer dollar sucking program that is terrible health care.</strong></span></p>
<p><em><span style="color: #000000;">&#8220;In 1987, Congress projected that Medicaid &#8211; the joint federal-state health care program for the poor &#8211; would make special relief payments to hospitals of less than $1 billion in 1992. Actual cost: $17 billion&#8221; </span> </em><a href="http://www.washingtontimes.com/news/2009/nov/18/health-programs-have-history-of-cost-overruns/?page=all"><strong>U.S. Health Plans have History of Cost Overruns</strong></a></p>
<p><span style="color: #000000;">From our article</span> <a href="http://grassrootsmichigan.com/?p=2601">&#8220;2013 ObamaCare in MI and More!&#8221;</a></p>
<p><span style="color: #000000;">In Michigan,according to the</span> <a href="http://grassrootsmichigan.com/?page_id=2535">governor’s budget</a>, <span style="color: #000000;">Medicaid is 85% of the HHS budget!</span></p>
<p><span style="color: #000000;">According to the</span> <a href="http://www.statehealthfacts.org/comparemaptable.jsp?ind=636&amp;cat=4">Kaiser Health Foundation Medicaid and CHIP stats</a></p>
<ul>
<li><span style="color: #000000;">Michigan has 20% of her total population enrolled in Medicaid (2009)</span></li>
<li><span style="color: #000000;">Michigan’s Medicaid spending from 1990 -2010 has increased 8% ranking her as 23rd in the nation for Medicaid spending. In contrast our Midwestern neighbors Indiana has increased 5% and Illinois 6.6%</span></li>
<li><span style="color: #000000;">The state of Michigan spend $3,153,326,988 (2010) compared to $1,454,600,107 in Indiana and was the 9th highest in the country</span></li>
</ul>
<p><span style="color: #000000;"><br />
</span></p>
<p><span style="color: #000000;"><strong><em>&#8220;It&#8217;s a human case, too; it&#8217;s not just a fiscal case. It&#8217;s about people&#8217;s real health,&#8221;</em></strong> said Snyder.</span></p>
<p><a href="http://www.forbes.com/sites/merrillmatthews/2012/12/07/seven-reasons-state-should-just-say-no-to-medicaid-expansion/"><strong>Medicaid Is Bad Coverage</strong></a> —<span style="color: #000000;"> Access to health insurance is not the same as access to health care.</span></p>
<p align="center"><span style="color: #000000;"><strong>Coverage for the poor should not be synonymous with poor coverage</strong></span></p>
<p><span style="color: #000000;">Medicaid is the worst health insurance coverage in the country, and yet Obama Care did nothing to fix its many problems.</span></p>
<ul>
<li><span style="color: #000000;">Take <strong>access to physicians</strong>.  The Texas Medical Association</span> <a href="http://www.texmed.org/template.aspx?id=24764">published a survey</a> <span style="color: #000000;">showing that <strong>the number of Texas doctors willing to accept new Medicaid patients has declined </strong>from 42 percent in 2010 to 31 percent in 2012, in large part <strong>because Medicaid pays doctors so little.</strong></span></li>
<li><span style="color: #000000;">  For various reasons Medicaid beneficiaries <strong>often go to the </strong></span><a href="http://www.ama-assn.org/amednews/2012/07/23/gvl10723.htm"><strong>emergency room </strong></a><strong>i<span style="color: #000000;">nstead of a family doctor.  </span></strong></li>
<li><span style="color: #000000;">In addition, <strong>Medicaid drug formularies limit the poor’s access to many beneficial drugs.</strong></span></li>
<li><a href="http://www.forbes.com/sites/chrisconover/2013/02/07/states-face-a-sophies-choice-on-medicaid-expansion/">And,</a><span style="color: #000000;">Currently, nearly</span> <a href="http://content.healthaffairs.org/content/31/8/1673.abstract">one-third of doctors</a> <span style="color: #000000;">are unwilling to take new Medicaid patients; For children, it’s even worse—the GAO</span> <a href="http://www.gao.gov/products/GAO-11-624?source=ra">reports</a> <span style="color: #000000;">about 79 percent of doctors accept all privately insured children as new patients, compared to about 47 percent for children in Medicaid and CHIP[2]; and</span></li>
<li><span style="color: #000000;">Consequently, <strong>emergency room use is at least</strong> </span><a href="http://www.healthaffairs.org/RWJ/Cunningham_718.pdf">50 percent higher</a> f<span style="color: #000000;">or Medicaid patients compared to those with private coverage (or, for that matter, those without coverage).[3]</span></li>
</ul>
<p><span style="color: #000000;">[3] Based on randomly assigning 10,000 people to Medicaid coverage in Oregon, found there was no statistically significant difference in ER use between those newly enrolled in Medicaid relative to the (largely uninsured) comparison group. <strong>That is, giving such individuals Medicaid did not affect their ER use one iota!</strong></span></p>
<p><span style="color: #000000;">Disincentives to work under Medicaid.</span> <a href="http://stream.marketwatch.com/story/markets/SS-4-4/SS-4-22992/"><strong>Work Disincentives, Still Crazy After All These Years</strong></a></p>
<p><span style="color: #000000;">And for your final consideration:<em> Bottom line?  It doesn’t matter what race, sex, or socioeconomic group you belong to, entitlement programs are incentives for you to behave badly, make bad decisions, and place the burden to pay for those bad decisions on the shoulders of others.  In short, they undermine self-reliance and personal responsibility.</em> </span><a href="http://grassrootsne.com/ne-medicaid-expansion-5-congratulations-shes-having-his-baby-and-youre-paying-for-it/"><strong>Congratulations! She’s Having His Baby . . . and You’re Paying for It!</strong></a></p>
<p>&nbsp;</p>
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		<title>Common Core Update &amp; ACTION ITEM</title>
		<link>http://grassrootsmichigan.com/?p=3046</link>
		<comments>http://grassrootsmichigan.com/?p=3046#comments</comments>
		<pubDate>Tue, 23 Apr 2013 14:05:22 +0000</pubDate>
		<dc:creator>Joan</dc:creator>
				<category><![CDATA[Activism]]></category>
		<category><![CDATA[Common Core]]></category>
		<category><![CDATA[MI Legislative Issues]]></category>
		<category><![CDATA[“Big Brother” mentality]]></category>
		<category><![CDATA[2009 federal stimulus bill]]></category>
		<category><![CDATA[comon core]]></category>
		<category><![CDATA[Education Committee]]></category>
		<category><![CDATA[HB 4276]]></category>
		<category><![CDATA[Homeschoolers and Data Tracking]]></category>
		<category><![CDATA[homeschooling]]></category>
		<category><![CDATA[HSLDA]]></category>
		<category><![CDATA[Karen Braun]]></category>
		<category><![CDATA[Melanie Kurdys]]></category>
		<category><![CDATA[national database of student-specific data]]></category>
		<category><![CDATA[Orwellian]]></category>
		<category><![CDATA[rotten to the core]]></category>
		<category><![CDATA[SpunkyHomeschool]]></category>
		<category><![CDATA[State Fiscal Stabilization Fund (SFSF)]]></category>
		<category><![CDATA[Tom McMilian]]></category>

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		<description><![CDATA[1. Action Item from activist Melanie Kurdys The House will likely vote this week on the state Department of Education&#8217;s budget. Please call/email/fax ASAP and inform your Rep to: STOP ALL funding for Common Core&#8217;s implementation in Michigan&#8217;s Department of Education budget. Last week, Melanie was invited to a debate about common core in Grand &#8230; </p><p><a class="more-link block-button" href="http://grassrootsmichigan.com/?p=3046">Continue reading &#187;</a>]]></description>
			<content:encoded><![CDATA[<div id="attachment_3006" class="wp-caption alignleft" style="width: 215px"><a href="http://grassrootsmichigan.com/?attachment_id=3006" rel="attachment wp-att-3006"><img class="size-medium wp-image-3006 " title="Common Core" src="http://grassrootsmichigan.com/wp-content/uploads/2013/03/Common-Core-205x300.jpg" alt="" width="205" height="300" /></a><p class="wp-caption-text">Rotten to the Common Core</p></div>
<p><span style="color: #000000;"><strong><span style="color: #800000;">1.</span></strong> <strong>Action Item from activist Melanie Kurdys</strong></span><br />
<span style="color: #000000;">The House will likely vote this week on the state Department of Education&#8217;s budget. Please call/email/fax ASAP and</span><a href="http://www.house.mi.gov/mhrpublic/"> inform your Rep</a> <span style="color: #000000;">to: STOP ALL funding for Common Core&#8217;s implementation in Michigan&#8217;s Department of Education budget.</span></p>
<p><span style="color: #000000;"> Last week, Melanie was invited to a debate about common core in Grand Rapids on a public TV channel WGVU. To watch the debate, click</span> <a href="http://video.wgvu.org/video/2364999855">HERE</a></p>
<p><strong><span style="color: #800000;">2.</span> <span style="color: #000000;">Bill Update</span></strong><br />
HB 4276 &#8211; <span style="color: #000000;">The stopping Common Core bill has had one Education Committee meeting. And will have another. Your testimony is vital! You may testify several ways:</span><br />
<span style="color: #000000;"><strong> 1.</strong> Testify (speak) in person</span><br />
<span style="color: #000000;"><strong> 2.</strong> Attend committee meeting and fill out a brief testimony but NOT speak</span><br />
<span style="color: #000000;"><strong> 3.</strong> E-mail your testimony in support of HB 4276 to the <span style="color: #333399;"><a href="http://house.michigan.gov/MHRPublic/CommitteeInfo.aspx?comkey=224">Education Committee</a> <span style="color: #000000;">Clerk</span></span> at mabdul@house.mi.gov and ask that your e-mail be entered into public testimony.</span><br />
<span style="color: #000000;"> To be notified via e-mail of upcoming Education Committee Meetings : YOU MAY SIGN UP FOR EDUCATION COMMITTEE MEETINGS NOTICE</span> <a href="http://video.wgvu.org/video/2364999855">HERE</a></p>
<p><strong><span style="color: #800000;">3.</span> <span style="color: #000000;">Guest Author</span></strong><br />
<span style="color: #000000;">Grassroots in Michigan is pleased to have Karen Braun as a guest author writing on the topic of Common Core.</span></p>
<p><span style="color: #000000;">A little about Karen:</span><br />
<span style="color: #000000;"> Karen Braun is married to Steve and a home school mom of six children, All six children were (will be) home educated through high school.  Karen is a popular blogger at</span> <a href="http://spunkyhomeschool.blogspot.com/">SpunkyHomeschool,</a> <span style="color: #000000;">a free-lance writer and conference speaker on issues related to education, parenting, and family life. She has appeared on television, radio, and in print defending home education and the family. Most recently, Karen testified in the Michigan House Education Committee in Support of HB 4276 to prohibit Common Core State Standards to be used in Michigan. Her article &#8220;Homeschooling &#8216;Internationally Benchmarked&#8217;&#8221; was published in the April 2013, issue of The Old Schoolhouse Magazine and focused on how national and international standards will impact home education.   Karen resides in Canton, MI with her husband and four of her six children.</span></p>
<p style="text-align: center;"><strong><span style="color: #000000;">Homeschoolers and Data Tracking</span></strong></p>
<p><span style="color: #000000;">Will Estrada, Director of Federal Relations at HSLDA has an article discussing the data tracking aspect of Common Core.</span> <a href="http://www.hslda.org/docs/news/2013/201304090.asp">National Databases: Collecting Student-Specific Data</a> <span style="color: #000000;">is unnecessary and Orwellian.</span></p>
<p><span style="color: #000000;">The 2009 federal stimulus bill created the State Fiscal Stabilization Fund (SFSF) program as “a new one-time appropriation of $53.6 billion.” [</span><a href="http://www.hslda.org/docs/news/2013/201304090.asp#en1">1</a><span style="color: #000000;">] With this money, the Department of Education would award states money in exchange for a commitment to develop and use pre-kindergarten through post-secondary and career data systems, among other criteria.</span><br />
<span style="color: #000000;">&#8230;&#8230;.</span><br />
<span style="color: #000000;"> A national database of student-specific data is very concerning for many reasons. The national databases being created now include detailed records of students, including race, gender, birth information, learning disabilities, detailed academic records, and much more. This information is being collected soon after birth, all the way through graduation from college.The more personal information that is included, the greater the danger to the student’s privacy and safety if the data is breached. Will certain data make it harder for students to get into higher education? Will it be disclosed to government employers, or even private employers?HSLDA believes that each student is unique, with far more to offer society than just the sum of their academic years. Government tracking students from soon after birth until they graduate from college is Orwellian and seems like a “Big Brother” mentality, and has no place in a free society.It is important to note that there are many reasons for aggregated student data to be available. Such data is helpful for researchers, and it is reported widely so that parents and policy makers can determine how students are doing academically. But HSLDA believes that there are very little reasons for the government to track student-specific data.</span></p>
<p><span style="color: #000000;">National Databases and student tracking are not new to President Obama. It&#8217;s been in the work since President Bush and in the blueprint for years before that&#8230;.to continue reading click</span> <a href="http://spunkyhomeschool.blogspot.com/2013/04/homeschoolers-and-data-tracking.html">HERE</a></p>
<p>&nbsp;</p>
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