About three months ago, Moral Monday protests began in North Carolina in response to the Republican controlled legislature that was quickly enacting right wing laws rolling the state’s progress backwards.
Most recently, the General Assembly amended the state’s voting laws in a manner that will make it harder, particularly for minorities, to participate in elections. Voters must now show ID at the polls (the type of ID deemed valid in limited and many voters do not possess what is considered proper identification under the new law), eliminates same day voter registration, abolishes pre-registration for 16-17 year olds and much more (source). Every policy they did away with was the type of policy that improves voter registration and engagement. It is exactly the type of action a governing body takes when attempting to suppress voting.
On Monday North Carolina’s Governor Pat McCrory signed legislation that will severely limit a woman’s access to abortion services. Doctors working in abortion clinics must have admitting privileges at local hospitals and publicly funded health insurances will not be able to pay for abortions. This despite abortion being a legal medical procedure in the United States. Reproductive justice advocates fear that many clinics will not be able to meet the new standards.
The state legislature has made extreme cuts to unemployment benefits and to medicaid, and the state’s budget has been cut or plans to eliminate funding much needed programs. For example, the Republican led legislature plans to cut $2,000,000 from the N.C. Institute of Minority Economic Development. According to Nonprofit Quarterly, this cut constitutes 70% of the nonprofits’ budget which means they must reorganize or close its doors.
The same article reports that Biofuels North Carolina, which lost the entirety of their state funding, will close. A more recent article states that Biofuel is attempting to stay afloat by cutting jobs. The center employs 78 workers. They are asking older workers to voluntarily resign (source).
North Carolina’s schools have not been spared from the wrath of the General Assembly. The state’s budget moved to faze out tenure, eliminated bonuses for teaches that earn a Masters degree, and continue a freeze on teachers salaries which have already been in place for the past five years. They will also be cut funding for classroom aides as well as increasing the size of classrooms.
Recently, North Carolina became the first state to disqualify itself from federal unemployment benefits funding. Additionally, the legislature reduced the number of weeks out of work residents are eligible for unemployment benefits as well as reduced weekly payouts.
This week was the final Moral Monday as the General Assembly closed its session for the year. Since the protest started this spring, over 900 people have been voluntarily arrested for civil disobedience. Winn Bassett and Nick Pironio from The Atlantic wrote an excellent account about volunteering for arrest at a Moral Monday demonstration that you can read here.
Moral Monday was organized by Reverend William Barber, President of North Carolina’s NAACP, and you can listen to or read the transcript of an interview he did this week with NPR here.
On Thursday August 1st Social Work Chats by Social Work Helper will be be discussing moral Monday and where the movement goes next.
To participate you need a Twitter account. Please include the hashtag #swunited in all your tweets. The chat will begin at 8:00 PM EST. Deona Hooper will be moderating from the Social Work Helper Twitter account, @swhelpercom. You can find out more about Social Work Chats by visiting Social Work Helper.
photo credit: gnuru via photopin cc
The True End to the 2014 NCGA Short Session
Legislators finally adjourned for the 2014 short session on Wednesday, August 20th which is almost seven weeks after originally anticipated. You may recall my Week 12 update where I claimed that week was a wrap but it did come with a catch. Legislators wanted time to decide if they needed to come back in November for a special Medicaid and/or Coal Ash Session as well as take up any number of other provisions. By law, legislators had to continue meeting every four days while leadership decided what to do. Legislators held skeleton (or no vote) sessions until they came back on Thursday, August 14th to really wrap up the short session.
Relevant bills with action
After a few committee meetings, Senators created 3 adjournment bills hoping the House would pass at least one of them:
House Joint Resolution 182 Adjournment Resolution: a bill that would end session but come back in November for a special Medicaid Reform short session.
House Joint Resolution 901 Adjournment Resolution: a bill that would end session but come back in November to discuss Medicaid Reform, conference committee reports, and a few other measures.
House Joint Resolution 1276 Adjournment: the winning bill that ended session with no plans to return in November. Unless the Governor calls legislators back for a special session, we won’t see legislators passing bills again until the 2015 long session which will start in January.
Legislators also wrapped up a few bills that were awaiting concurrence. Of interest to social workers:
House Bill 369 Criminal Law Changes was passed by both the House and the Senate and presented to the Governor for signature. The bill makes several changes to various criminal laws. Most pressing, section four of the bill directs the North Carolina Human Trafficking Commission to work with various organizations, including NASW-NC, to study and develop age appropriate sexual abuse education to be taught in schools to students and educators.
Now that session is truly done for the short session, NASW-NC will now focus on work with our Political Action for Candidate Endorsement Committee (NC PACE) on endorsing candidates that support the social work profession. Through these endorsements, we hope to elect social work friendly candidates that can help advance our profession and support the clients we serve.
2014 NC Short Session: That’s Hardly a Wrap!
Senators wrapped up the 2014 short session shortly after a midnight on Friday when they finally approved a state budget. House members followed by issuing their final votes on Saturday. But there’s a catch, legislators will return this week to agree on an actual adjournment date as the House made more changes to the Senate’s original plan.
On August 14th, legislators will return for a brief additional session to take up any bills that might get vetoed by the Governor, wrap up any bills that got assigned to a conference committee, and attempt to complete nine different other provisions held over in adjournment resolutions. There’s still one more catch, legislators will return again on November 17th for a special session to discuss Medicaid Reform and possibly Coal Ash, and there is no word on how long this session will last.
So, while legislators have adjourned, they have not technically finished working. We should have a better idea of their plan to meet again in August by the later part of this week.
Relevant Bills with Action:
SB 744 Appropriations Act of 2014: This bill has been in the works since session started. When legislators couldn’t agree, they turned to appointing a 42 member conference committee. Last weekend, they reported that they had come to an agreement. The conference committee budget highlights are below. With the Governor’s signature, this will be the state budget for the 2014 fiscal year. View the Money Report for further explanation on the spending plan with accompanying page numbers listed after each highlight. Please note, it is difficult to capture all the provisions in the budget due to the amazing variety of the social work profession so information below is only a snapshot of changes.
- Provides funds to support the costs related to the education of children in private psychiatric residential treatment facilities (F-6).
- Provides funding for one year for group home residents who were determined to be ineligible for Medicaid personal care services on or after January 1, 2013. The maximum monthly payment is set at $464.30 and is based on providing 33 hours of service per eligible recipient (G-3).
- Reduces General Fund appropriation for the Home and Community Care Block Grant (HCCBG) by 3%, leaving a balance of $31,808,889. Cuts are $969,549 (G-4).
- Changes the income eligibility for the State-County Special Assistance (SA) Program from a method that bases income eligibility on the payment rate for the facility type where the recipient resides, to a method based on the federal poverty level for all recipients regardless of where they reside. The SA eligibility level is set at 100% of the Federal Poverty Level. Current recipients of SA are grandfathered in and will continue to receive SA. (G-8).
- Provides funding to replace $4.5 million in federal block grant funds that counties lost in 2013-14 that was utilized to pay for Child Protective Services (CPS) workers. An additional $2.8 million in funding is provided effective October 1, 2014 to reduce county departments of social services caseloads to an average of 10 families per worker performing Child Protective Services assessments (G-9).
- Provides $4.5 million for Child Welfare In-Home Services to serve at-risk families (G-9).
- Provides $218,538 recurring and $125,750 nonrecurring funds for the implementation of drug screening for Work First Benefits applicants (G-10).
- Provides funding through incentives and rebates to end the waiting list of the Aids Drug Assistance Program (G-11).
- Provides $2.2 million for community-based crisis services (G-15).
- Provider rates are cut, once again, by 1% (G-18).
- Mental Health Drug Management: Authorizes DHHS to impose controls including prior authorization, utilization review criteria, and any other restrictions on mental health drugs (G-18 and pg 87 of the budget).
- Provision to hold special session in November to discuss Medicaid Reform (pg 87, budget).
Other Bills of Interest with Action:
HB 884 Dropout Prevention/Recovery Pilot Charter School: This bill establishes a two year pilot program for one charter school who has had students drop out. The purpose is to increase graduation rates and reengage students. The bill passed the House and Senate and was presented to the Governor for signature.
SJR 881 Adjournment: This bill directs legislators to adjourn but to return on August 14th and November 17th. As mentioned above, the November special legislative session will be focused on Medicaid Reform.
HJR 1276 Adjournment: The House version of the adjournment resolution. While the dates to return are the same as the Senate, the House has a few more issues to keep alive including any bills related to autism insurance reform. The House gives the Senate until Wednesday, August 6th to take up the new adjournment resolution.
2014 NC Legislative Short Session Nears End But No Deal on Budget
Last week, the General Assembly saw more action from the Senate than the House, and Senators have been meeting in Rules Committee the past couple of weeks to pass a few pressing bills. On Thursday, while discussing Medicaid Reform on the Senate floor, Senator Bryant sought an amendment to expand Medicaid. Unfortunately, but not surprisingly, the amendment failed.
Senators commented that this was the fourth time they voted down to expand Medicaid in the state. The House did meet on Thursday and Friday of last week, but they had little committee activity during the week. Despite filing an adjournment resolution for Friday, July 25th, the House does plan to meet this week. Rumors started over the weekend that legislators have reached another deal on the budget, so we hope to see the proposal this week.
Relevant bills with action:
HB 1181 Medicaid Modernization: This is the bill that would create a new department to oversee the operation of Medicaid and NC Health Choice run by a seven member appointed board, create full capitation by 2018 (instead of fee for service), integrate physical and behavioral health by 2016, and much more to reform Medicaid in our state. The bill went to committee to push back a few dates in the bill including the creation of the new department from August 1, 2014 to September 1, 2014. Senators will take a third, and final, vote on Monday night. The bill then has to get approval from the House before it is made law. No word yet on the House’s position on the bill.
HB 369 Criminal Law Changes: This bill passed out of the Senate last week and is scheduled to be heard on the House floor on Tuesday. The bill will allow NASW-NC and other partners to work with the Human Trafficking Commission on age appropriate sexual abuse education for students and teachers. The bill also makes several changes to various criminal laws such as expungement for certain offenses and higher penalties for providing inmates with cell phones.
HB 1133 Technical and Other Corrections: A bill that normally marks the end of the legislative session, the House and Senate have been working on a technical corrections bill to tie up loose ends of the session. Usually very technical in nature (spelling errors, corrections to previous bills, etc), the bill had a surprise section that would eliminate the Child Fatality Task Force that makes statewide recommendations to prevent unnecessary deaths of children.
During the existence of the Task Force, childhood death has decreased by as much as 32% in the past three decades. During floor debate, Representative Grier Martin (D-Wake), ran an amendment to eliminate this section of the bill and it passed overwhelmingly. The bill passed out of committee and passed the floor Friday. The bill will now go to the Senate.
2014 NC Short Session, Week 10: The Newest Medicaid Reform Plan
What a week at the General Assembly! The Senate decided to work on bills that were sitting in the Senate Rules Committee all last week and move them to the floor for votes.The most controversial was Medicaid Reform which the Senate proposes to create a completely new Department. The House did not meet last week and have nothing on their calendar for tonight, but it is possible that they meet later in the week to work on the bills the Senate is working through their Rules Committee.
Relevant Bills with Action:
HB 369 Criminal Law Changes: This is the omnibus bill that will expunge certain drug offenses and includes language on Erin’s Law. Under Section 4(a), the bill directs the Human Trafficking Commission to study the inclusion of age appropriate sexual abuse education in the classroom as well as gather information on sexual abuse in NC. Under the bill, the Commission is directed to work with several organizations to do this, including NASW-NC. The bill will be heard a third time tonight and, if it passes the Senate, will be sent to the House for concurrence.
HB 1181 North Carolina Medicaid Modernization: Last week, the Senate came up with an entirely new Medicaid plan. Under the new plan, the Division of Medical Assistance (DMA) would become an independent agency called the Department of Medical Benefits which would manage behavioral, physical and other specialized care for Medicaid and NC Health Choice recipients under a Managed Care Organization (MCO) or Accountable Care Organization (ACO) model.
The Senate scheduled this new Department to be created by August 1, 2014 and governed by a 7 member Board of Directors. The Senate plan also directs the Department of Health and Human Services to immediately cease any activities related to Medicaid reform. This plan is certainly fast-moving in the Senate and controversial among many. The bill is scheduled for a floor vote in the Senate tonight. If it passes, it will need to go to the House for concurrence. The Governor has already stated opposition to the new plan but the House has not spoken much for or against the bill.
Relevant Bills Filed:
HB 1276 Adjournment Sine Die: Yes, you read that correctly. The House bill filed last week sets adjournment for this Friday, July 25th. Keep in mind, the Senate filed an adjournment bill on June 27th, and legislators are still in session.
North Carolina 2014 Short Session, Week 8: Medicaid Budget Miracle
Social workers found victory during the eighth week of the legislative short session with the acceptance of the proposed medicaid budget. On Monday night, the last day of the fiscal year, the Senate rejected the House mini budget, Senate Bill 3 without even voting, and they returned the bill to the House for further consideration. In kind, the House then returned the bill back to the Senate on Tuesday stating they did not follow the rules by rejecting Senate Bill 3 without a vote. This unusual game of ping pong with the budget sent the bill to a committee meeting with the appointed budget conferees and no further discussion happened on the floor of the House or Senate.
On Wednesday, the appointed 41-member budget conferees held an unusual open-to-the-public meeting. During the meeting, differences in the House and Senate budgets were discussed and the group broke into a private negotiating meeting. Upon return to the public meeting, the Senate announced that they would accept the House Medicaid budget with a few compromises that had been made before the meeting starting.
The acceptance of the Medicaid budget means the aged, blind, and disabled citizens on Medicaid will not lose services. We are excited the Senate acted on behalf of our advocacy efforts to save services for these populations. While the Senate agreed to the Medicaid spending, the conferees are still working out differences in teacher pay raises, the education lottery, and film incentives.
Bills with Relevance:
- House Bill 1181 North Carolina Medicaid Modernization: This bill was introduced a few weeks ago with controversy in Section 10 regarding a pilot for I/DD patients living in certain group settings to have integrated physical and behavioral health care under Cardinal Behavioral Health. Under the new edition, this section becomes a study with multiple stakeholders involved. The bill was discussed in committee and passed the House with a vote of 113 to 0. The bill now goes to the Senate where support is underwhelming as Senators do not believe this plan, supported by the House and the Governor, will do much to make Medicaid a cost predicting system.
- House Joint Resolution 1262 Suicide Prevention Resolution: On Wednesday, House members read the suicide prevention resolution on the floor. The resolution directs the Legislative Research Commission to study ways to prevent suicide among minors and veterans including training for key health care providers that work to assess, treat and manage patients with suicidal ideation. After overwhelming, bipartisan support from legislators who shared personal stories on the floor, the bill passed with no opposition and was sent to the Senate. Following the reading of the resolution, NASW-NC, NAMI-NC, The Mental Health Association, and others were recognized in the gallery by legislators for our support and continued work on suicide prevention in our state. Representative Cunningham (D-Mecklenburg), a primary sponsor of the legislation, gave a heartfelt, personal speech on the bill and credited social workers and educators for help during her family’s situation. We are grateful to the many legislators who stood up to speak on what can be such a tough topic for many.
What to look forward to this week:
Legislators have announced they are finished with committee work. They will use this week to focus on the budget and work out their differences. There are a few more bills expected to be heard on the floor this week but it should mostly be a quiet week with budget work being done behind closed doors.
Short Session, Week 7 and Still No Budget
The end of session should be approaching soon. The evidence? The large volume of bills that were gutted, amended, and flew through the legislature last week. The House and Senate are still divided on how large the Medicaid shortfall really might be – up to a $248 million difference between the two proposed budgets.
This was evidenced when the Senate nearly subpoenaed the State Budget Director, Art Pope to show up at their second budget meeting on Medicaid as he and his staff did not show up to one the previous week. Legislators grilled Mr. Pope on not being able to give definite numbers on the shortfall or how many adults and children are enrolled in Medicaid in the state. This tension continues to hold up the proposed budget for the House and the Senate.
Today, the House read the Suicide Prevention Resolution. The resolution called on NC to develop measures to help prevent suicide particularly for youth and veterans. Those in attendance were recognized by legislators in the House gallery during session. Many spent the day talking to legislators about how important the resolution is for young people and veterans in our state.
Last week, the Governor sent a directive to state departments to operate with the biggest cuts in the proposed budgets, but this does not include teacher assistants and massive cuts to the Aged, Blind, and Disabled on Medicaid. This would also mean no pay raises for state employees and teachers- a major goal outlined by legislators prior to the start of the short session.
Relevant bills with action:
- SB 3 2014 Budget Mods./Pay Raises/Other Changes: Deemed the “mini budget,” this bill is a smaller version of the budget bill Senate Bill 744 and adjustments to the current budget. Raises for state employees and teachers will be paid for with agreed upon cuts. The bill does not do much to Medicaid. The bill passed the House unanimously, 117 to 0, and was sent to the Senate for concurrence. It is unsure if the Senate will agree to this mini budget with all the controversy regarding the Medicaid shortfall calculations.
- SB 493 Health and Safety Regulatory Reform: Last Tuesday, legislators split the large Regulatory Reform Bill (Senate Bill 493) into two separate bills. SB 493 became Health and Safety Regulatory Reform that includes measures for autism insurance for anyone up to age 23 that was diagnosed before age 8, establishes a behavioral analyst licensing board, requires all health benefit plans cover prescribed, orally administered cancer drugs, and prohibits tanning bed use by anyone under age 18. The bill quickly passed committee and went to the floor. On Wednesday night, after much debate, legislators approved the bill with a vote of 78 to 32. Because of changes made to the bill, the bill has to return to the Senate for concurrence. It does not have to go through Senate committees. and if the Senate confers, the bill will go to the Governor to be signed into law.
- SJR 882 Honor Senator Martin Nesbitt: Both the House and Senate honored late Senator Martin Nesbitt who died suddenly on March 6th, a week after being diagnosed with stomach cancer. Senator Nesbitt, from Buncombe County, was a champion for the social work profession. He was a long standing legislator, serving in both the House and Senate during his time. He is greatly missed!
- HB 369 Criminal Law Changes/WC Illegal Aliens: The original bill was gutted and new language was inserted in the bill to address several criminal law changes. This bill does multiple things: it will expunge certain drug offenses with no age limitation and it directs the Human Trafficking Commission to study Erin’s Law (a bill NASW-NC has been working on to get a licensed clinical social worker involved). It will be heard on the Senate floor tonight. If approved, it will only need concurrence from the House before it goes to the Governor to be signed into law.
- HB 1220 Hope 4 Haley and Friends: After passing the House last week, a Senate committee debated the bill and it was sent to the Senate floor. The bill allows for hemp oil extract from the cannabis plant to be used for youth with certain seizure disorders when no other treatment has worked. The bill does allow for UNC Chapel Hill, East Carolina, Wake Forest and Duke Universities to develop, conduct research, and participate in clinical trials with the oil. Neurologists, patients and caregivers who prescribe or are prescribed the oil would have to register under the legislation with a registry established by the Department of Health and Human Services (DHHS). Once DHHS approves measures and establishes the registry, families can start using the oil. The bill passed the Senate, the House concurred with a few changes that were made, and the bill was sent to the Governor for signature. The Governor has stated he will sign the bill into law.
While not a priority piece of legislation for NASW-NC, we wanted to address the comments made by Representative and Speaker Pro Tem Skip Stam regarding sexual orientation in the Diagnostic and Statistical Manual IV- TR (DSM-IV-TR) when discussed during debate on Senate Bill 793 Charter School Modifications. During debate, Representative Fisher put forth an amendment to prohibit charter schools from discriminating based on sexual orientation and gender identity.
The debate spurred questions on the definition of sexual orientation and Representative Stam shared with House members a memo from the outdated 2000 DSM-IV-TR on sexual paraphilias that listed a number of sexual perversions and disorders as well as homosexuality. The DSM removed homosexuality as a disorder in 1974. The amendment did not pass. On the second day of debate, Representative Ramsey pushed an amendment that would prohibit charter schools from discriminating based on any category under federal law or the Constitution. This amendment was approved and the bill passed.
NASW-NC does not support any form of discrimination based on sexual orientation or gender identity. We are pleased that House members found common ground not to discriminate in charter schools to further protect North Carolinians.
Photo Courtesy of Southern Studies
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