Oct 14 2013

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Open Letter to Our Legislators: You Have Been Given a Second Chance

This post is an open letter to our legislators.


Michigan Legislator,

You have been given a second chance.

To do the right thing,and regain lost support for 2014.  And second chances do not happen that often.

Medicaid Expansion portion of the PPACA (Patient Protection & Affordable Care Act)

Medicaid Expansion portion of the PPACA (Patient Protection & Affordable Care Act) ~ Click the picture for a full size image

The MIRS News service report  [1]  reported that because HB 4714 was NOT given immediate effect, that triggered a time limit on spending and you “once again vote to authorize funding (most probably a supplemental appropriations) for the expanded Medicaid program”

Of course the rush is on to prevent “the risk of resurrecting the Medicaid expansion debate again”

That is NOT a risk but an opportunity for legislators who voted FOR the bill and the Expansion to vote NO on the ANY appropriation related to the Expansion in ANY way.

You have the unique opportunity to:

1. Do the Right Thing this Time

And by right thing I mean stand on principle and responsibility to your oath of office prescribed by the state Constitution of 1963, the citizens of Michigan whom you serve at their discretion as opposed to voting for anything simply because the governor happens to be in the same Party as you.

2. An Opportunity to Regain Support

You also have an opportunity to potentially regain support that you lost by voting for the PPACA (ObamaCare) Medicaid Expansion that WILL be an needed asset for you in 2014 elections.

3. You have had and continue to have a wealth of FACTS available to you. So besides what we already know including the Medicaid ‘Maintenance-Of-Effort’ Requirement,requirement that blocks states from reducing Medicaid eligibility before coverage expands in 2014. that was NOT Touched By High Court’s Medicaid Expansion Decision

The FACTS continues to mount. [2] When the bill was passed the Exchanges had not opened or should I say tried to open, nor had the Federal government been shut down.  All the evidence proves that hitching Michigan’s wagon via the Medicaid Expansion to the incredibly flawed, unsustainable costly, imploding train wreck the PPACA (Patient Protection and Affordable Care Act, Sec. 2001) and tied to a shut down and near bankrupt Federal government is just terrible, terrible policy not only for Michigan but our country.

I am asking your constituents to contact you, [3] to urge you to take advantage of this uncommon chance to do the right thing for Michigan and indeed our Country and vote NO on ANY appropriations for HB 4714 and/or the Medicaid Expansion.

Of course as we always have, we will be watching and remembering.


Joan Fabiano, Michigan Citizen
“Si quaeris peninsulam amoenam circumspice”


[1] As reported in MIRS News Service:

Legislature To Face Down Medicaid Expansion Again

When the Michigan Senate failed to give  HB 4714 immediate effect a month ago, the expansion of Medicaid to those making 133 percent of poverty or less was more than just delayed.

Not giving the immediate effect made a spending authorization included in the bill “out of date,” Senate Appropriations Chair Roger KAHN (R-Saginaw) admitted to MIRS today.

Translation: The Legislature must once again vote to authorize funding for the expanded Medicaid program, the source of a summer long struggle in the Senate.

{A spokeswoman} for the Department of Community Health (DCH), told MIRS the delay in the effective date meant the loss of $70 million in anticipated savings between January 1 and April 1, creating a funding gap.

The Senate has begun working with the DCH on a supplemental that could come sometime later this month. In addition to just funding authorization for an expanded Medicaid program, Kahn said there are program ramp-up costs for the Department that aren’t paid for.

{Spokesperson for DCH said,}is still in talks with the Budget Office over whether Medicaid ramp-up dollars would be in the supplemental appropriations request.

As far as timing, Senate leaders see something happening on the issue in a matter of weeks.

“I would anticipate sometime in October, maybe before the November break,” Senate Majority Leader Randy RICHARDVILLE (R-Monroe) told MIRS….

House Appropriations Chair Joe HAVEMAN (R-Holland) told MIRS today that officials are still discussing supplemental timing.

Haveman said. “I’d like to see it done sooner rather than later.”

Getting it done sooner is important Haveman said, because he worries if lawmakers wait and think they can handle the matter later, they risk resurrecting the Medicaid expansion debate again.

Asked about whether a re-vote on Medicaid funding in the Senate would be “as painful” as passing  HB 4714, Richardville laughed….

Other Medicaid issues to be addressed in a supplemental include a $130 million General Fund shortfall in Health Insurance Claims Assessment (HICA) funding.

Because of the HICA funding gap, Kahn said it creates a $400 million matching fund issue for the state.

“I expect a supplemental with a lot of Medicaid associated implications in it,” Kahn told MIRS.


[2] The Obamacare Rollout Train Wreck  October 11, 2013
“You’d think this was a back-burner project for the Obama administration.”

Obamacare’s Real Glitch  October 9, 2013
While it is satisfying to observe the administration’s incompetence, it’s a mistake to focus too much on Obamacare’s messy rollout. Computer glitches can and likely will be fixed…..The bigger problem for the program might be the lack of people enrolling. The administration has refused to provide any estimate of how many people actually signed up for insurance, but anecdotal reports suggest that there has been less than overwhelming enthusiasm.”

Media Ignoring Facts on Obamacare Rates September 25, 2013

“According to preliminary analysis by Manhattan Institute scholar Avik Roy, the cost of the cheapest policy available to a 27-year-old Michigan man or woman will be 166 percent and 167 percent higher, respectively, compared to the cheapest rate available before the law goes into effect. For 40-year-old men and women, the cheapest rates will be 76 and 131 percent more, respectively.”

CBO: America is Going Bankrupt   Sept..18 2013

“For much of this year, the left has contended that America no longer has a spending problem, citing a shrinking deficit for 2013.

However, in the latest Congressional Budget Office (CBO) report released last week, CBO Director Doug Elmendorf concluded…“unless Congress acts decisively to curb spending, America will incur unprecedented levels of debt.”


Bankrupt ideas lead to bankrupt governments  September 30, 2013

“As we listen to the budget battles among the political class over the next few weeks, it is important to keep in mind that federal spending is at record levels in nominal terms and near the all-time high as a percentage of gross domestic product (GDP), except during World War II.

Outside of government, almost every good or service becomes better and less expensive in real terms each year. Government, though, is most heavily involved in education and health care. In both cases, costs have risen far faster than inflation for decades.

It’s long past time to make real cuts to the federal budget, including to the entitlement programs the American people value the most. If we do not, it is possible that the United States will face an existential debt crisis that will make the financial collapse of Greece appear tame.”

 [3] Tell your legislator to vote NO on ANY appropriations related to HB 4714 or Medicaid Expansion.

Ask them HOW they intend to vote. Call back until YOU have an answer.

To contact your House Representative

To Contact your Senator


Permanent link to this article: https://grassrootsmichigan.com/?p=3754

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    […] « Open Letter to Our Legislators: You Have Been Given a Second Chance […]

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    […] If you recall lawmakers do have to approve $70 million for the program because they delayed implementation until next spring. […]

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