Despite an improving economy, strong state revenues and low unemployment,
the majority of the Finance committee of the NH House has proposed $180 million
in cuts from current spending levels to the Department of Health and Human
Services.
Cuts include $28 million in services
to the mentally ill [while we hear “we don’t need gun control, we need more
funding for mental health”], $26 million to nursing homes [despite NH facing a “silver
tsunami”], $2 million and the proposed 25 beds to the state veterans’ home
[thanks for your service],
and $30
million to services to the developmentally disabled.
This is the budget approved by a bipartisan
vote in the Republican controlled Senate and Democratically controlled NH House
in 2013.
What does all this mean
to specific DHHS services and programs?
The committee majority voted to discontinue funding for Medicaid expansion,
which would leave 39,000 newly insured without health care.
Federal funding covers 100 percent of this program
for the first three years and 90 percent thereafter.
The rate of NH uninsured at hospitals and
health care providers has gone down, more people are accessing preventative and
primary care, and health care jobs have increased. This decision also violates
the MET agreement and could lead to additional lawsuits.
They voted to cut funding for Meals on Wheels, emergency shelters,
homeless shelters, the veterans’ home, prescriptions drug benefits, Service Link, developmental
disabilities, drug and alcohol abuse prevention, people with
acquired brain disorder, county government,
Crotched Mountain Rehabilitation Center, nursing homes and mental
health services.
They proposed increases in fees
for licensing child care providers and sought to remove oversight from DHHS. Thy proposed higher taxes and fees to Nursing
homes, already cut by $26 million, and added another million dollars in new
fees for places like Hospice care centers.
According to Finance Division III Chair Neal
Kurk, “The Finance Committee is not proposing these cuts lightly,” but they are needed to balance the budget.
Opponents argue that the cuts are “aggressive,” that the actions will
“devastate the Medicaid program,” and that these cuts suggest that the state is
in an economic crisis, when it’s not.
I am not arguing that no
efficiencies can be made in DHHS. But the Republicans on Finance are not
looking for efficiencies. They are not voting to fund the state, lower property taxes, or care for our citizens.
They are voting so they can say: “We cut spending” no
matter the consequences to the people of NH.
See next posting for some links on this topic.