Sunday, February 28, 2010

Medicare pay cuts loom large and there is no easy fix.

Medicare payments to doctors were supposed to fall by 21% at the start of this year, but Congress passed a last-minute, two-month patch to block the cuts. Without action, those cuts again become a reality on March first.

The budget bill Congress passed in 1997 introduced the “sustainable growth rate” for Medicare, otherwise known as SGR. The SGR says basically that the amount Medicare pays doctors for an average Medicare patient can’t grow faster than the economy as a whole. If growth in payments per beneficiary grows more than the economy as a whole, the SGR says you have to lower payments to doctors across the board to keep costs under control.

The economy slowed and health-care spending skyrocketed earlier this decade, and reimbursements were cut in 2002. Every year since then, the SGR has called for more cuts. However, every time Congress has stepped in to block the cuts. Short-term patches of scheduled Medicare pay cuts to doctors have become standard operating procedure.

Now, according to the SGR, reimbursements should actually be cut by more than 40%--something that is not likely to occur.

The American Medical Association (AMA)and other physician groups are continuing to lobby lawmakers to enact a costly permanent reform to the complex formula that calculates the payment levels. The AARP is supporting their efforts, as is the Military Offices Association of America (MOAA) because the Pentagon’s health program pays medical providers at Medicare rates.

In addition to their joint lobbying campaign and efforts to activate their grassroots networks, the AMA, AARP and MOAA launched a television advertising campaign in eight states in January.

The Senate recently passed a pay-as-you-go law that would require balancing all new spending with tax increases or spending cuts. But, that legislation included a loophole: Congress can allocate an additional $82 billion for physician payments without having to find new sources of revenue or savings. That’s not enough to scrap the current payment system altogether, but it could be enough to block scheduled pay cuts for up to five years, further putting off the pain to future generations.

A bill to permanently block the cuts failed in the Senate last year, in large part because senators couldn’t figure out how to pay for it.

Supporters of the cuts argue that unless programs like Medicare and Medicaid are limited, they will devour greater portions of the federal budget, threatening its overall solvency.

Meanwhile, Senate Democrats plan to introduce another bill that would delay the effective date for more than 30 days. A previous Senate bill is allowed for the possibility of a 7-month delay.

It is anticipated that whatever solution comes outs, it would be retroactive to March 1. That way, CMS carriers would pay March claims that were put on hold at the current rate, although physicians would receive their money later than usual.

The CMS officials are struggling to do everything in their authority to minimize payment disruption to providers and prevent access problems for patients.

It remains to be seen if Congress postpones the pay a second and third time over the next few months. But one thing is certain: hard choices lie ahead, this can't go on forever. Some reports indicate the Democrat majority may soon bring to a vote stand-alone legislation (S. 1776) to repeal the SGR formula altogether. It's not like they were using it.

Leaving out an SGR "fix" from the health "reform" legislation" allows Democrats to free up billions of dollars that they can then apply to make other changes in a health care plan-making it easier for the majority to pass its government takeover of health care. So, a vote for S. 1776 could be seen as setting the stage for passage of a government takeover of health care. According to a Concord Coalition analysis in November of 2009, omitting an SGR fix in the Health Care bill understates the cost of health reform by nearly $250 billion.

Saturday, February 27, 2010

President Obama to appoint JSU President Ronald Mason Jr. to HBCU board of advisors

(JACKSON, Miss.) – President Barack Obama announced his intent on February 26 to appoint Jackson State University President Ronald Mason Jr. to the President’s Board of Advisors on Historically Black Colleges and Universities (HBCU). Mason will be one of 11 members to serve on the board.

The Board of Advisors, created in 1981 by Executive Order, is tasked with advising the President and the Secretary of Education on methods, programs, and strategies to strengthen HBCUs. President Obama signed a new Executive Order on February 26 to re-establish the White House Initiative on Historically Black Colleges and Universities and the President’s Board of Advisors. According to the White House, the action signals the Administration’s commitment to assure increased access to federally-sponsored programs and opportunities for the nation’s Historically Black Colleges and Universities. It will also contribute to the Administration’s efforts to increase the number and percentage of college-trained Americans by the year 2020.

President Obama said, “I am pleased to announce the appointments of these talented, diverse and accomplished individuals to the Board of Advisors on Historically Black Colleges and Universities, all of whom have shown a deep commitment to the mission of these institutions, which are as relevant and necessary to our society today as they were when first established.”

Mason has served as President of Jackson State University since 2000. He was previously the Founder and Executive Director for Tulane and Xavier Universities’ National Center for the Urban Community. During his 18-year tenure at Tulane, Mason also held appointments as Senior Vice President and General Counsel and as Vice President for Finance and Operations. He began his career as a lawyer with the Southern Cooperative Development Fund, Inc. Mason has served on the President’s Board of Advisors on Historically Black Colleges and Universities, the National Advisory Committee on Institutional Quality and Integrity, and the American Council on Education Board of Directors. He received his B.A. and J.D. from Columbia University.

Mason will serve on President’s Board of Advisors on Historically Black Colleges and Universities along with William R. Harvey of Hampton University, Lawrence S. Bacow of Tufts University, Evelynn M. Hammonds of Harvard University, Beverly Wade Hogan of Tougaloo College, Edward Lewis of Essence magazine, Valerie Mosley of Wellington Management Company, LLP, Willie Pearson Jr. of the Georgia Institute of Technology, Beverly Daniel Tatum of Spelman College, Kenneth Tolson of the Emerging Technology Consortium and David Wilson, who was recently named as the next President of Morgan State University.

Madison County Supervisor's lobbying adds to county's woes

Like those of us wondering when this long winter will end and the spring begin, Madison County Supervisor Tim Johnson must be wondering if the storm clouds will ever pass. In a span of less than two weeks the District 2 Supervisor and Board President has been hit with an increasingly widening fracture in the county's populace. The unrest has the residents of the southeastern and more populated region pitted against the rest of the county.

Since mid February, Johnson has faced allegations of wasteful spending and mismanagement of county money. Persistent questions remain over fees paid to engineer Rudy Warnock and $4.7 million the county spent on Reunion Parkway interchange, which is no longer going to be built. This week, a resolution from one of the largest muncipalities in the county was passed calling for Johnson to resign.

Back in January, allegations of private deals and "quid pro quo's" arose from a meeting that resulted in Northern District Transportation Commissioner Bill Minor and Southern District Transportation Commissioner Wayne Brown being found guilty of violating the Open Meetings Act. That meeting between the two Commisioners with Johnson at a Jackson restaurant to discuss funding for the Reunion interchange also included Warnock.

Now comes a ruling that Johnson accepted illegal payment from a charity for lobbying efforts.

It's been a tough few months for the part-time Elvis impersonator. And, he may be looking for an entourage to help him get out of the building. At the very least, he should resign his leadership position and let another Supervisor step in to try to bring peace to the county's proceedings.

New leadership could start fresh with everyone involved and maybe, just maybe, facilitate a "coming together" to get Madison County refocused.

The sooner Johnson's "long cold winter" of leadership is over, the better. Only then can Madison County residents look forward to some much needed "sunshine."

Entergy VP of Regulatory Affairs issues response to AG Hood

In the most recent in a continuing series of public statements, Mississippi’s attorney general questioned on Friday Entergy Corporation's recent transfer of $1.3 billion from its parent company to its nuclear division. The attorney general claims that Entergy Corp. has wrongfully transferred money from its regulated utilities to its nuclear businesses.

“This is just another in a long line of press releases issued by the attorney general making an attempt to tie unrelated items together in order to confuse Mississippi customers,“ said Bob Grenfell, vice president of regulatory affairs at Entergy Mississippi, Inc. “Our actions have been proper and in compliance with applicable federal income tax law. We are confident that had the attorney general contacted Entergy directly, we would have been able to answer his questions.”

Entergy officials encourage Attorney General Hood to closely review the company’s financial disclosures that are filed with the U.S. Securities and Exchange Commission as legally required of publicly traded companies.

“As always, Entergy Mississippi works hard to deliver the most reliable, affordable power possible to its customers,” added Grenfell.

Friday, February 26, 2010

The Daily Caller: Defeated congresswoman’s car still in House parking lot — more than 3 years later.

By Alex Pappas



Former Rep. Melissa Hart may have hit the road and gone back home to Pittsburgh in 2006 when she lost her bid for re-election, but it appears that a car she owns still remains in the Longworth House Office building parking garage — more than three years after she left Congress.

The Daily Caller

Governor Barbour Releases Statement on February Revenue Reports

Governor Barbour released the following statement:

"The State Tax Commission reported today that Mississippi’s revenue collections continued a pattern of decline for the month of February. Preliminary reports show the month’s collections coming in at 12.39 percent, or $33 million, below estimates. This month will be one of the worst – if not the worst – month for tax collections in this fiscal year. Clearly, our state’s economy is still feeling the effects of this deep global recession. It is also the 18th consecutive month revenue has fallen short of expectations, and the 15th consecutive month where less money was collected than the previous year.

“With four months remaining in the fiscal year, it is likely state spending will have to be reduced beyond the $458 million in cuts already made. State law requires a balanced budget, and I will uphold the law.”

Watchdogs keep an eye on Canton government

Many people had never heard of the group Canton Quality of Life before a few weeks ago. But the once-quiet grassroots organization has recently captured the attention of local lawmakers and the public with their hard-hitting probes on city government.

Remember the recent controversy over a citizen being denied the use of his video camera in an open city meeting? James Cockrell, vice chairman of Canton Quality of Life, was behind the lens. And when the news broke that ex-Canton animal control officer Alonzo Esco had allegedly improperly shot and dumped numerous animals, Canton Quality chairman Susan Coulange made it her mission to hold the city accountable for hiring a qualified officer in Esco's place.
 
Said Coulange: "We want Canton to belong to the people like it should. We want our leaders representing us."
 
Canton Mayor William Truly, who clashed with the Cockrell when he ordered him not to videotape the Feb. 10 mayor and aldermen work session but in later meetings ceased resistance, went on the defensive when asked about Canton Quality of Life, saying city government has nothing to hide and that the group has done nothing to better Canton.
 
With the help of media attention and a revamped Web site, www.cantonquality.org, Canton Quality's membership has doubled to 35 in just two weeks, Cockrell said. Greg Green was recently brought on as secretary, while Gregg Guion serves as treasurer.
 
Coulange said "anyone who loves Canton" can join the organization that hopes to draw membership from all parts of the city. In time, the bylaws will be finalized, and the group will have general meetings.
 
Madison County Page

Would Reconciliation for Health Care Affect Mid Term Elections?

By Stuart Rothenberg

While using the reconciliation process could help Democrats deliver on their promise, it could also give Republicans yet another arrow in the party’s already well-stocked quiver.

While Republican legislators and their talking-head allies would be sure to bash the substance of the proposal — just as Senate Minority Leader Mitch McConnell (Ky.) did on Monday in his press release, criticizing “another partisan, back-room bill that slashes Medicare for our seniors, raises a half-trillion in new taxes, fines them if they don’t buy the right insurance and further expands the role of government” — they also would be able to attack Democrats for how they passed the measure.

I recently spoke with Republican pollster Bill McInturff of Public Opinion Strategies, a veteran of the health care wars, about the danger Democrats face using reconciliation to pass health care reform, and he thinks the tactic would be a gamble for Democrats.

Rothenberg Political Report

Ethics Committee Releases Report on Caribbean Trips, Exonerates Congressman Bennie Thompson among others

By Jennifer Yachnin

The House ethics committee released its 2,498-page report Friday ruling that two Caribbean trips involving six Members violated House rules — although it exonerated all but Rep. Charlie Rangel (D-N.Y.) of intentional wrongdoing — and disclosing hundreds of pages of receipts and other documents showing corporate sponsorship of the events.

The report follows the Committee on Standards of Official Conduct’s announcement Thursday night that after its investigation into travel sponsored by the Carib News Foundation in 2007 and 2008, it found that the trips violated House gift rules because of prohibitions on corporate contributions and that it had approved the trips based on “false and misleading information.”

The committee exonerated five of the six Members of wrongdoing — Reps. Carolyn Cheeks Kilpatrick (D-Mich.), Bennie Thompson (D-Miss.), Donald Payne (D-N.J.), Yvette Clarke (D-N.Y.) and Del. Donna Christensen (D-Virgin Islands) — but admonished Rangel after ruling that his staff were aware that some of the funding came from prohibited sources, even if he himself did not know.

Roll Call

Mississippi Tort Reform Faces "Judicial Nullification" Effort

By Alyson Bustamante Jones

Thanks to the leadership of Governor Haley Barbour and a legislature which has understood the corrosive effect unmeritorious vexatious litigation has on a state's judicial system and its ability to attract new business and grow the economy, Mississippi has transformed its civil justice system and its prior litigious image through targeted tort reforms. When posed with similar legislative reforms in other states, trial lawyers have engaged in a full frontal assault against these efforts at tort reform by attempting to nullify the laws under the state constitutions with mixed and more recently unsuccessful results. This "judicial nullification" effort has migrated to Mississippi, where plaintiffs' lawyers have taken aim at provision of the state's tort reform.

Insider Online

MADISON COUNTY JOURNAL-'Trail Rangers' to patrol Ridgeland multi-use trails

RIDGELAND - City officials are calling for volunteers to patrol its multi-use trails in an effort to cut down on crime.

The "Trail Rangers" program is looking for cyclists, runners, walkers, bird watchers, photographers or anyone else who uses the trail, to volunteer.

Rangers will wear identifying apparel such as a certain colored vest or bib with the Trail Rangers logo and they will carry a cell phone. If any suspicious persons or activity are seen on or near the trail, the Ranger will call the Ridgeland Police immediately.

Madison County Page

Madison City Officials call for Supervisor Tim Johnson to resign

The City of Madison's leaders are calling on District 2 Supervisor Tim Johnson to resign.

The Madison Board of Aldermen unanimously approved a resolution calling for Johnson's resignation Wednesday, which was then signed by Mayor Mary Hawkins-Butler. The resolution lists specific actions by Johnson as cause for the action.

See the complete resolution on the Madison County Page

Ya'll Politics--MS-01 candidate Angela McGlowan digs hole impossibly deep

It didn't go any better this time around.
by Alan Lange

Clarion Ledger--Vying facilities make pitches: Hospitals go head to head

Madison County's health needs will be determined by the state

If anyone was keeping score, it was 67 supporters appearing on behalf of St. Dominic Hospital building a 71-bed hospital outside Madison and 57 on behalf of HMA-owned Madison River Oaks up the road in Canton.

Advocates of the two hospitals were allowed their say Thursday, the final day of an almost three-week state Department of Health hearing, when administrative hearing officer Cassandra Walter opened the record to public comment.

Most, including a number of employees for both hospitals, stated their name and which facility they supported without making statements.

Clarion Ledger

Youtube Video--Harper gives floor speech in support of the PATRIOT Act Extension

High court to define reach of gun-control laws

The dispute that will be argued before the Supreme Court on Tuesday could reshape firearms regulations nationwide.


The case marks the second round of high-stakes litigation over the breadth of the Second Amendment — and will likely have wider impact nationwide than the first. In June 2008, the justices struck down a Washington, D.C., handgun ban and declared for the first time that the Second Amendment covers an individual right to keep and bear arms.

The new question is whether the 2008 decision also applies to cities and states, or only to laws in the federal government and its enclaves, such as Washington. It sets up another major constitutional question with ramifications for scores of mostly urban gun regulations.

USA Today

White House prepping to "astroturf" conservative radio

Back in August of 2009, Democrat Speaker of the House Nancy Pelosi attempted to discredit the outrage shown by citizens during Town Hall meetings protesting Health Care Reform legislation by referring to them as "astroturf". While there was no evidence that the effort was organized by Republicans, the Democrat National Committee obviously thought it a good enough strategy to try it themselves.

The DNC, the White House, and the President's community organizing office, Organizing for America of has introduced an online tool encouraging supporters to call into talk radio. The online tool presents users with a radio show discussing political topics, to which supporters can listen live, and the phone number for that station, for when health care comes up. It also offers tips for callers and talking points on the issue.

Much like earlier efforts of the White House that encouraged the forwarding of "chain emails" to the adminstration, supporters are encouraged to call back and report to OFA.

He's back: W in Washington for Bush-Cheney reunion

Former President George W. Bush received a U.S. Army Freedom Team Salute Commendation honoring his continuous support of the Army Mission and the Army Family at the Safari Club International (SCI) 38th Annual Convention in Reno, Nevada.

The ex-president is attending a reunion of former Bush administration staffers, telling them he is enjoying life back in Texas and busy writing his book.

See more at USA Today

Taylor's Bid To Scrap NAFTA Might Presage More Discontent

Populist sentiment in the House against free trade is about to reach a boiling point, as Rep. Gene Taylor, D-Miss., readies a bill to withdraw the United States from the North American Free Trade Agreement.

National Journal-Subscription Required

Thursday, February 25, 2010

First Lady Michelle Obama to be in Capitol City

The Clarion-Ledger

First lady Michelle Obama is planning a visit to Jackson next week, according to a news release from the White House.

The release states she will be joined by Gov. Haley Barbour and his wife, Marsha Barbour, as they visit a local elementary school on Wednesday to discuss ways to promote healthy schools as part of Michelle Obama’s Let’s Move! Campaign against childhood obesity.

Neither Jackson Public Schools nor the governor's office has confirmed the visit.

Governors Awards for Excellence in the Arts draws large crowd.


The Governor’s Awards for Excellence in the Arts was held on February 25, 2010 at Galloway Methodist Church in Jackson. The awards are presented annually to outstanding writers, artists, performers, craftsmen and educators who have made significant and lasting contributions through their work as well as to corporations or organizations on the basis of their dedication to arts advancement. Previous winners include B.B. King, James “Super Chikan” Johnson, Malcolm White, Mary Katharine Loyacono McCravey, the late Little Milton (Campbell), Dr. David Blackburn, the Mississippi Alliance for Arts Education, USA International Ballet Competition, William Eggleston, Bo Diddley and Charles Burnett.

The award presented to each recipient in 2010 was created by Mississippi artist, Bill Dunlap, who also acted as Master of Ceremonies.

The Arts in the Community Award was presented to Lenagenge Waldrup from Cleveland, Mississippi for her work providing arts opportunities for low-income children in the rural counties of the Mississippi Delta. The Excellence in Broadcasting Award went to the Grassroots Radio Show on Mississippi Public Broadcasting and was accepted by long time host, Bill Ellison. The Mississippi Heritage Award was given to Bessie Johnson from West Point, Mississippi for 40 years of basketweaving. The Award for Artisitic Excellence was presented to water color artist Wyatt Waters. And, the Lifetime Achievement Award went to David "Honeyboy" Edwards of Shaw, Mississippi for a lifetime of dedication as a blues musician.

MAJORITY IN MISSISSIPPI--MS-02: Bill Marcy (Who Lives in MS-03) To Seek GOP Nomination

MS-02: Bill Marcy (Who Lives in MS-03) To Seek GOP Nomination


2010 February 25

BY Brett
In the D+12 Second District, a Republican whose name you may recall is hoping to unseat incumbent Bennie Thompson. That candidate is Bill Marcy- of Meridian. He is a former candidate of the District Three congressional seat (where he lives) and was a candidate for the HD 82 special election last summer where he lost in a runoff to Wilbert Jones.

Marcy said this: “I did recently qualify for the candidacy in the Republican Party in the 2nd Congressional District, and I live in the city of Meridian, which is the 3rd Congressional District and a lot of people are confused.”

See more at Majority In Mississippi

Medicare cuts are part of the plan

by James C. Capretta
The Heritage Foundation

Both the President and congressional leaders have signaled that they will not allow a scheduled 21 percent reduction in Medicare physician fees to go into effect in 2010 or later years. But the President did not include a permanent fix in his health care plan.

This is ironic, because the plan includes scores of other Medicare provisions, touching on just about every possible feature of the program. The only provision seemingly left out of the package is a long-term fix for physician fees, perhaps Medicare's most pressing problem and one that all sides acknowledge must be addressed soon.

Governor's Veto Stands

WJTV is reporting that the Mississippi Senate has upheld Gov. Haley Barbour’s veto of a bill that attempted to restore more than one-fifth of the money he has cut from the state budget. Twenty-one senators sided with the governor and 30 voted to override the veto. An override would’ve taken a two-thirds majority, or 34 votes.

Barbour has cut $458.5 million from what started last July as a nearly $6 billion budget. The bill he vetoed would’ve put $79 million back into state programs.

The Republican governor says too much of the restoration would’ve gone to education and not enough to other programs, including prisons.

House and Senate negotiators are working on a different plan to restore some money before the fiscal year ends June 30.

President Barack Obama gets snippy at Health Care Summit

Was President Barack Obama tired of answering tough questions from Republicans at his own Summit on Health Care Reform? It sure sounded like it as he snapped at Senator John McCain, his opponent in the 2008 election.

Obama also did little to dispell the notion that he is an elitist with a sense of entitlement.

Judge Lutz affirms MDEQ position on additional Madison County landfill

The Madison County Journal is reporting that Judge William Lutz has affirmed the Mississippi Department of Enviromental Quality's position that allows for a third landfill in Madison County. Hinds County had appealed the five-year-old state commission ruling that approved Madison County’s solid waste management plan.

The addition to the plan of a proposed landfill on North County Line, next to the existing Little Dixie landfill was approved by the Commission on Environmental Quality in 2005, but Hinds County appealed that decision to Hinds County Chancery Court. Judge Lutz, a former Madison County Chancery judge, heard arguments from both sides Monday.

White House's Health Care Summit is going on now--Watch It Live.

White House's Health Care Summit is going on now--Watch It Live.