David Toscano’s article, “A Virginia Way to Reform Health Care”, appeared in the Roanoke Times on Feb. 16, 2014.
Medicaid Expansion Speech (Feb 14, 2014)
Crossover
We are now at the midpoint of the General Assembly session, a time that we call “crossover,” aptly named for the process by which bills passed in one house “crossover” to the other body. The hours are long and the debates frequently heated as many controversial bills get considered during this period of the General Assembly session.
Medicaid Expansion
The biggest issue of the session continues to be whether or not to close the health care coverage gap by accepting federal dollars that would be used to add between 275,000 to 400,000 Virginians to the Medicaid program. The Senate has proposed a bipartisan option that would allow Virginia to take the federal dollars and work with the private sector to provide insurance for our citizens. Republicans in the House continue to oppose the expansion of Medicaid, insisting on reforms and an audit of the system to occur before we can accept these federal dollars. Democrats in the House argue that expansion and reform can occur at the same time, and point to the reforms that have been enacted over the last several years that have created millions of dollars in savings. We are losing $5 million a day by refusing federal monies that will initially pay 100% of the costs of expansion. Taking the federal dollars makes good business sense and it is one reason why the Virginia Health & Hospital Association and the Virginia Chamber of Commerce support it. If you want to see some of the debate on this, you can watch the video on this page.
Ethics Reform
In other news, the House Ethics bill, on which I am a chief co-patron, has passed and will move to the Senate. This bill places a cap on the soliciting or accepting of tangible gifts over $250, increases the disclosure requirements for assets and debts held by legislators, creates an Ethics Commission to address specific ethical issues, and closes many of the loopholes in the present law. The bill is not perfect, and we will continue to work on it as it moves to the Senate. It is impossible to legislate ethical behavior, but this bill is a major step forward in cutting down on some of the behavior that has affected the public’s trust in their leaders.
Mental Health Policy Reform
Several bills have passed both the Senate and House addressing mental health. There are differences between Senate and House versions, but both will increase the time that citizens in crisis can be held while we look for a bed for them, create a bed registry to assist in locating beds, and insure that our state hospitals can accept patients if a bed cannot otherwise be found.
Other Notable House Bills
Some actions taken by the House which have not drawn substantial publicity but are nonetheless interesting and significant include the following:
- HB973 – The House Transportation Committee defeated HB973, a measure that would have eliminated the use of photo red cameras at intersections in the Commonwealth.
- HB331 – This measure will establish a first time “home buyer’s savings plan” by which individuals who want to save for a house can deposit money into a specialized account and the interest earned on the account would not be taxable. While this would not likely generate a huge benefit to savers at the present time, it creates a vehicle for providing some tax incentives over time.
- HB1229 – This measure postpones the A-F grading system for rating schools for an additional year. I supported a three year extension, but that amendment was defeated. While A – F may sound good, it is fraught with unintended consequences.
- HB930 – This reforms Standards of Learning high stakes testing, by reducing the number of assessments students take through 8th grade from 22 to 17 and establishing a study that will review all of the accountability standards. This measure is not only good policy, but will save localities and the Commonwealth money.
Finally, a number of my bills will be heard in the Senate in the next week. Included in those is HB312, a measure that will provide greater assistance to elderly persons who have been financially exploited, and HB121, a measure that will increase the accountability of tax preferences provided to corporate entities by requiring full disclosure of the value of those credits.
As always, I enjoy hearing from you during the assembly session with your concerns and views about specific bills. Please do not hesitate to contact my office. It is a pleasure serving you in the General Assembly.
House Loss is Senate Gain
The big news last week was the transfer of power in the Senate. The election of Lynwood Lewis as the 20th Democratic member of the Senate, and with Democrat Ralph Northam in the tie-breaking role of Lt. Governor, Democrats assumed control and promptly moved to reconstitute committees. This is precisely what the Republicans in the Senate did two years ago. It is not clear how this will affect the key issues of the session, particularly the budget and Medicaid expansion, but we will soon find out.
Medicaid expansion continues to be a major subject of debate. House Republicans have not moved off their opposition, but there is new information every day that makes Medicaid expansion more attractive. An updated set of numbers developed by the administration suggests that Virginia could gain over $1 billion by fiscal year 2022 by accepting Federal dollars and insuring more Virginians who are at or near the poverty line. I have given several floor speeches on this matter and you can access them immediately below or on YouTube. This issue is not likely to be resolved until the end of session.
Several less publicized of interest to our region have passed. HB1141 will make it easier for arts venues in places like Charlottesville to offer alcoholic beverages at their open houses. HB848 will permit Dominion to engage in placing utility lines underground in older cities like Charlottesville.
I supported HB1113, a bill that would have permitted adoption by a “second-parent.” This bill would have allowed same-sex couples to jointly adopt a youngster. It was opposed by the Family Foundation and ultimately tabled in the Courts of Justice committee. I was pleased to vote for and actively support this bill as I think it would have provided greater opportunity for youngsters to be adopted into loving family situations.
A bill that will require Virginia textbooks to recognize that the Sea of Japan is also known as the East Sea was passed by the Senate and will likely pass the House this week. This measure was brought by many Virginians of Korean descent, who feel justifiably wronged by their oppression at the hands of the Japanese through the end of World War II. While I am not sure that the Virginia General Assembly should be engaged in decisions that have foreign policy implications, and worry about the precedent of legislative intrusion into textbook requirements, this bill will likely pass and be signed by the Governor.
Finally, the House passed HB706, a bill targeted directly at Attorney General Mark Herring and his recent decision not to defend the same-sex marriage prohibitions in Virginia law and Constitution. This bill would give standing to House members to represent the Commonwealth when the Attorney General and Governor have chosen not to. I agree with Attorney General Herring, and spoke against this bill on the House floor. If you are interested in my comments you can see them here. I believe this bill violates our traditional separation-of-powers doctrine, a principle that our Founders felt was essential to the maintenance of democracy. The bill creates the possibility of 140 separate Attorneys General that could intervene in court proceedings and supposedly represent the interest of the Commonwealth, a prospect that would prove chaotic. The Senate will likely defeat this bill, but it is yet another example of how partisanship can trump sound governmental policy.
As always, I enjoy hearing from you during the assembly session with your concerns and views about specific bills. Please do not hesitate to contact our office. It is a pleasure serving you in the General Assembly.
Toscano on “Inside Scoop Virginia”
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