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Archive for the ‘Privatization’ Category

Notable quotables (in their own words)

Posted in Budget, Contract, Contracts, DHH, Finances, Governor's Office, Health Care, Higher Education, LSU, Notable Quotables, Privatization on May 2, 2014| 2 Comments »

 

“CMS has no legal basis for this decision.”

—Gov. Bobby Jindal, commenting on the decision by the U.S. Centers for Medicare and Medicaid Services Friday to refuse to sign off on the administration’s privatization plan for six LSU System hospitals.

 

“How fitting that Jindal’s plan to be gone before his many bombs, some supposedly planted with delayed fuses, may well blow early.”

—A political observer, commenting on the sudden collapse of Jindal’s hospital privatization plan which may have blown a $300 million hole in the state budget scheduled for debate on the House floor next Thursday.

 

“People could die. The sick will get sicker. Our precious hospitals are in turmoil. The state budget is in tatters. Governor Bobby Jindal sits in the midst of this fiscal and healthcare debacle clutching his dreams of the presidency at the taxpayers’ expense.”

—State Rep. Robert Johnson (D-Marksville), commenting in a prepared statement on the CMS decision to scuttle Jindal’s hospital privatization plan.

 

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CMS rejects hospital privatization plan leaving $300M hole in 2015 budget and immediate $70M shortfall for higher ed

Posted in Budget, Contract, Contracts, DHH, Finances, Governor's Office, Health Care, Higher Education, House, Senate, Legislature, Legislators, Privatization on May 2, 2014| 26 Comments »

Not that we told you so, but…..we told you so. Several times.

LouisianaVoice has questioned the wisdom—and legality—of the shaky LSU hospital privatization deals since day one and on Friday, the U.S. Centers for Medicare and Medicaid Services (CMS) notified the state that it had refused to sign off on the administration’s plans to privatize LSU hospitals in New Orleans, Shreveport, Monroe, Houma, Lake Charles and Lafayette.

The decision deals a devastating blow to the administration and the state budget for next fiscal year which begins on July 1.

Even more important, the decision throws into serious doubt the operating budget for higher education for the remaining two months of the current fiscal year.

Only last week, Jindal asked State Treasurer John Kennedy to transfer $40 million from other areas to continue funding higher education because an anticipated $70 million in hospital lease payments had not been made.

Kennedy said Friday he was assured that the money would be repaid as soon as the lease payments were received. “Now, I just don’t know,” Kennedy said. “If that $70 million isn’t forthcoming, we have a problem right now, not next year. I don’t believe the legislators realize this yet. I don’t think they realize they will have to cut another $70 million from somewhere to keep higher education afloat. We have to support higher ed.

“Wow. This catches me flat-footed,” he said. “I didn’t expect a decision this soon.”

Commissioner of Administration Kristy Nichols said last week that she was confident that the lease payments would be made but the CMA decision casts a huge shadow over those prospects.

Kennedy added that he believes the legislature will now have to consider his proposal calling for an across the board 10 percent cut in consulting contracts. “That would generate $500 million,” he said.

State Rep. Rogers Pope (R-Denham Springs) said the decision raises the question of “where the state will make up $300 million-plus. You have to wonder how many cans we can keep kicking down the road.

“This is a discouraging development. The budget is scheduled to come to the House floor next Thursday, so there’s no time to find additional money. I just don’t know how to react or how many services we can cut.

“Just last week (Department of Health and Hospitals Secretary Kathy) Kliebert assured the Senate there was nothing to worry about and now this…”

Another legislator was even more outspoken in his criticism of the governor.

“Governor Bobby Jindal’s reckless pursuit of using federal Medicaid funds in an ill-conceived scheme to privatize state-run hospitals has backfired and now the people of Louisiana will pay a dear price,” said State Rep. Robert Johnson (D-Marksville) in a prepared statement. “Governor Jindal has written a blank check to sell our charity hospital system, which is ultimately used by Louisiana’s working poor, and today it has bounced.

“People could die. The sick will get sicker. Our precious hospitals are in turmoil. The state budget is in tatters. Governor Bobby Jindal sits in the midst of this fiscal and healthcare debacle clutching his dreams of the presidency at the taxpayers’ expense.

“I, along with many others, predicted this outcome and now the people of Louisiana have been left with the tab.

“The Jindal administration’s announcement of an appeal is a typical, timid, tepid response that will bear no more fruit than the barren tree Jindal planted last year.

“It will take all of us. Now is not the time to fall back on partisan bickering or to cling to ideology in the face of a fiscal and healthcare disaster,” he said.

Part of the problem was most likely the manner in which the administration was attempting to use federal dollars to attract more federal matching dollars to finance Jindal’s privatization plan; the feds just weren’t buying it.

Here is the scheme:  The private hospital pays LSU money to lease the LSU hospital.  That money does not stay with LSU; it ends up (directly or indirectly) being used as match in the Medicaid program.  After matching those lease payments with federal funds, the total, larger amount is paid back to the private partner in the form of a Medicaid payment.   The lease payments supplant the state funds.  However, the legislative fiscal office has already raised concerns about the leases being $39 million short which is  why the Division of Administration has already begun planning on “double” lease payments this year.

For years states have devised schemes to receive additional federal funds while reducing the state contribution for Medicaid.  There is a problem with these schemes, however.  Consider this from a 2009 report by the Congressional Research Office:

“In 1991, Congress passed the Medicaid Voluntary Contribution and Provider-Specific Tax Amendments (P.L. 102-234). This bill grappled with several Medicaid funding mechanisms that were sometimes used to circumvent the state/federal shared responsibility for funding the cost of the Medicaid program. Under these funding methods, states collect funds (through taxes or other means) from providers and pay the money back to those providers as Medicaid payments, while claiming the federal matching share of those payments. States were essentially “borrowing” their required state matching amounts from the providers. Once the state share was netted out, the federal matching funds claimed could be used to raise provider payment rates, to fund other portions of the Medicaid program, or for other non-Medicaid purposes.”

DHH’s scheme included a “borrowing” component that looked similar to the practices this legislation was aimed at preventing.  Medicaid rules do not allow a Medicaid provider (read “hospital” here) to voluntarily donate money to the state when they know they will get this money back plus more (the federal share) as part of an increase in their Medicaid payments.  The federal oversight agency, CMS, had previously expressed concerns to state officials that these lease payments could qualify as non bona fide provider donations.

If CMS determined these are conventional fair market value leases, they would have allowed the payments.  Beyond the basic annual lease payments, the deals included “double lease payments” and other large up front lease payments designed to fix the state’s budget problem raising the specter of non bona fide provider donations.  If these payments were deemed to be non-allowable, the federal government will recoup any federal funds that were paid as match for these state funds.

The privatization deals were done at a cost of $1.1 billion to the state this budget year, much of that ($882 million) expected to come from federal funds under the scenario alluded to above.

But a terse message from CMS brought all those plans crashing down: “To maintain the fiscal integrity of the Medicaid program, CMS is unable to approve the state plan amendment request made by Louisiana.”

Predictably, Jindal, who refused to wait for federal approval before plunging ahead full bore with his sweeping privatization of the LSU hospital system, said, “CMS has no legal basis for this decision.” (At least he didn’t call the decision “wrong-headed,” as he did in 2012 when a state district court ruled his school voucher program unconstitutional.)

Jindal said he will appeal the decision but for the time being, the six hospitals will be operating under financing plans that have been shot down, which should come as no surprise to observers of this administration. Friday’s decision prompted one of the governor’s critics to comment, “Jindal deserves every misfortune that this may bring him. The people of this state, however, don’t deserve this. He used them for his selfish political purposes.” Another said, “It would be karma if this fiasco totally destroyed Jindal’s national dreams.”

The one question still left unanswered is whether attorney Jimmy Faircloth will once again be called on to defend yet another dog of a legal case on behalf of this blundering administration, thus adding to his legal fees which already exceed $1 million.

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Jindal’s privatization push beginning to crater as one setback follows another; National Guard order reveals his hypocrisy

Posted in Audit Reports, Auditor, Budget, Commissions, Contract, Contracts, Governor's Office, Health Care, LSU, OGB, Office of Group Benefits, Privatization, State Agencies on January 29, 2014| 24 Comments »

The latter part of January 2014 should probably be remembered when the policies of Gov. Bobby Jindal began to unravel in rapid succession and as a time when he was finally exposed as far more goobernatoral than gubernatorial.

If that seems harsh and disrespectful of the man and the office, then so be it; it’s only because he has earned it—in spades.

He has submitted executive budget after executive budget crafted around one-time funding for recurring expenditures—something he vowed never to do when he was running for office. He has sold off state property and entire agencies to finance those budgets. He has gone on a privatization rampage that is now coming home to bite him in the posterior, to the surprise of few observers. He has stacked board after commission with campaign lackeys who possess few, if any, qualifications for their positions of responsibility for running such things as the state’s flagship university. He has embarked on an ambitious quest for the Republic presidential nomination that is doomed to failure and disappointment.

That said, let’s examine the developments of the past few days that have converged to upset the house of cards upon which his administration has been built over the past six years:

  • The Office of Group Benefits (OGB) was privatized only a year ago. In that time, some 100 state employees lost their jobs, a $500 million reserve fund has dwindled to half that because of an ill-advised decision by Jindal to reduce premiums to some 250,000 state employees, dependents and retirees by 7 percent to make the privatization more palatable—and to reduce the state’s share of premium payments thereby helping Jindal balance his budget. Meanwhile, Blue Cross Blue Shield of Louisiana, the third party administrator who assumed management of OGB as a “cost savings plan” was forced to draw down that cash reserve to pay claims.

The folly of that ploy, of course, manifested itself this week when it was learned that double digit (some say as much as 25 percent) premium increases are imminent in order to keep what was once arguably the best-run agency in state government afloat. Meanwhile, yet another CEO has departed and the fourth in less than three years has been ushered in.

  • The crash and burn disaster of the administration’s privatization of the LSU hospital system is even more dramatic. The Biomedical Research Foundation of Northwest Louisiana (BRF) took over the LSU Medical Center in Shreveport and E.A. Conway Medical Center in Shreveport last October because Jindal assured us that it would save taxpayer dollars. Yet, less than four months after BRF assumed operation of the two facilities, it is asking the state to bankroll more than $120 million in hospital improvements and expansions.

And don’t forget this privatization deal was approved by the LSU Board of Stuporvisors. One of the board members who voted for the deal which at the time, included a contract with more than 50 blank pages, just also happens to be the CEO of BRF but Jindal pooh-poohed the very idea that there could be a conflict of interests.

  • Another hospital privatization, that of the Interim Louisiana Hospital which replaced the old Big Charity that was heavily damaged by Hurricane Katrina, is also proving to be a tad more costly than we had been told by Jindal, thanks to the scrapping of a $46.5 million medical records system that is less than two years old.

On Friday, Jan. 24, ILH CEO Cindy Nuesslein notified employees of the one-time LSU Medical Center now jointly run by Children’s Hospital of New Orleans and Touro Infirmary that the electronic health record system installed by Epic Systems Corp. was being scrapped in favor of something called the Soarian Clinicals Siemens platform. No cost estimate was provided for the changeover, but it’s a good bet that the cost will be borne by the state.

The Epic system only went live in July of 2012 and the Epic contract, which began on May 18, 2010, expired on May 17, 2013.

  • When Jindal privatized the University Medical Center in Lafayette, he also closed the medical center’s First Step Detox, a “first step” treatment center for those suffering from chemical dependency—typically chronic alcoholics, IV heroin and/or other opiate abusers, including polysubstance abusers. When First Step Detox reopened, it sublet the center to Compass, a private entity that accepts only private pay and insured patients.

The news release announcing the reopening of First Step made no mention of the new admission policy, nor did it mention the ever-shrinking number of options for treatment for indigent patients. Now former patients are referred to the overburdened Baton Rouge Detox where they are instructed to fax their paperwork in order that they may be placed on a long waiting list.

  • Another private contractor with four contracts worth more than $385.5 million has been the subject of two critical audits by the Legislative Auditor’s Office. Moreover, a north Louisiana doctor claims that physicians are refusing to accept patients with Magellan insurance.

The first state audit, released in mid-December, says that the Department of Health and Hospitals provided no external evaluation of the performance of Magellan under its $361.4 million contract to handle paperwork and connect Medicaid 151,000 patients with mental health care providers.

Last August, the legislative auditor’s office said claims payments have been problematic for four state agencies and blamed Magellan for failing to meet significant technical requirements.

DHH Secretary Kathy Kliebert disputed that claim, saying that the privatization is working. She said the number of health care providers has expanded from 800 to 1,700—a claim hotly disputed by Scott Zentner, a Monroe neuropsychiatric doctor.

“I wish I could get to the bottom of Kliebert’s phony numbers regarding the supposed increase in providers since the Magellan takeover because the evidence is clearly to the contrary,” Zentner said. “I would bet my medical license that people are being counted now (that) weren’t before.”

Zentner said Magellan’s contract extends to private and public providers in a number of treatment settings. “Previously, they (providers) were reimbursed by fee for contracted services through DHH and some were not billing Medicaid at all, such as employees with the Office of Family Support.” Now, though, providers who were already delivering services before Magellan are now being included in the count who were not before, he said.

“I find it despicable that the head of DHH is twisting the numbers to cover up for a dramatic decline in services,” he said.

Zentner retired in 2012 after 20 years that included work as a medical director and staff psychiatrist for DHH and as a clinical associate professor of psychiatry at LSU. He said he returned to private practice after being “unable to further tolerate Jindal’s dismantling of our mental health system.”

He said he accepts all private insurances now except Magellan after “having been burned by them in the past for unpaid claims. They are the ultimate master in the use of passive-aggressive stall tactics in denying payments to providers, typically for silly technicalities; eg, misspellings resulting from typos.”

“In the northeast region of the state, with Monroe as the center of a 12-parish district, 75 percent of the physician/psychiatrist coverage has abandoned the community mental health system since Jindal took office,” he said. “Several Medicaid rehab agencies have shuttered their doors, one mental health clinic has closed in Rayville and others, including those in Winnsboro and Jonesboro, have been reduced to part-time outreach clinics operated by skeleton crews. Other outreach clinics, providing the most basic of mental health services, have closed in Tensas and East Carroll parishes,” he said.

“Other regions in the state have experienced even greater cuts than ours, but I doubt any of the regional administrators who are still employed would admit this publicly lest they be fired by Jindal.

“I’m highly skeptical of their (DHH) claims that provider rolls have increased, as (their figures) grossly contrast with reality,” he said.

The second audit was of the Office of Juvenile Justice (OJJ) and cited the office for its failure to develop a plan to monitor OJJ contracts managed by Magellan.

Magellan has a $22.4 million two-year contract with the Department of Children and Family Services also scheduled to expire on Feb. 28.

That contract calls on Magellan to provide an array of coordinated community-based services “for children and youth with behavioral health disorders and their families that risk out of home placement.”

Magellan’s contract calls for it to take over management beginning Jan. 1, 2013, at Harmony Center-Camellia Group Home in Baton Rouge, Boys and Girls Villages in Lake Charles, Boys Town of Louisiana (two facilities, in New Orleans and Baton Rouge), Harmony Center-Harmony III Group Home in Baton Rouge, and Allen’s Consultation, Inc., in Baton Rouge.

The contract requires that Magellan submit a written report detailing its progress to OJJ every six months but as of December 2013, OJJ had not received any such report documenting use of contract funds or of meeting specific goals of the contract.

  • Finally, in what is probably the most heartless, most ungrateful act yet by this administration, Jindal last week ordered the Louisiana National Guard (LNG) not to process any benefits for gay veterans on state property—in open defiance of the U.S. Supreme Court’s ruling that the 1996 Defense of Marriage Act (DOMA) is unconstitutional. Apparently Jindal based his position on some state’s rights legal opinion which he feels gave him the leverage needed to deny benefits on state property. It looks to us like more work for Jimmy Faircloth to try and defend another administration policy of questionable legal merit.

What makes this order so egregious is the blatant flag waving hypocrisy in which Jindal envelopes himself.

This is the same governor who, in a great show of his patriotism for the benefit of newspaper photographers and television cameras, traveled all over this state to hand out those appreciation medals to military veterans. The bill to award the medals was passed in the belief that legislators would benefit from the goodwill but Jindal stole that opportunity from under their collective noses with his shameless traveling awards show, denying lawmakers the chance to get in on the act. (Just for the record, as a matter of principle, I chose not to stand in line to have him present my medal nor did I apply for it to be mailed to me even though I served.)

Moreover, as thousands of Louisiana guardsmen were deployed to Iraq and Afghanistan over the past decade or so, never once do I remember anyone in this administration inquiring if anyone being placed in harm’s way for his or her country was gay. Apparently it’s perfectly okay to get shot or blown up by a roadside IED if you’re gay but if you’re lucky enough to survive, don’t bother coming home and applying for benefits.

Never, in my 70 years, have I witnessed an act so gutless, so callused. To hide behind the flag and to call oneself a Christian and a patriot while at the same time issuing such a cowardly order is beneath contempt.

It is the act of a petulant little ingrate who would defend the senseless and insensitive comments of a Phil Robertson while pretending to support the men and women who wear the uniform that he never had the courage to wear.

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ALEC holds National meeting in D.C. in December to decide on ‘model’ legislation pushes for states, including Louisiana

Posted in ALEC, American Legislative Exchange Council, Economy, Education, Elections, House, Senate, Legislature, Legislators, Lobbyist, PACs, Politicians, Privatization, Taxes on January 22, 2014| 7 Comments »

The American Legislative Exchange Council (ALEC) may have suffered a mass exodus of sorts in the wake of its Stand Your Ground mantra that led to the shooting of Trayvon Martin, but ALEC is far too strong to let a few defections stand in the way of its political agenda in such areas as public education (even to borrowing from John White’s playbook), weakening workers’ rights, diluting environmental protections, healthcare and now even in the way U.S. senators are nominated and elected.

For that reason alone, the upcoming legislative session which begins at noon on March 10—less than two months from now—will bear close watching for any bills that might appear to have originated at ALEC’s States & Nation Policy Summit last month in Washington, D.C.

ALEC, while striving to change laws to meld with its agenda, nevertheless denies that it is a lobbying organization. That way, corporations and individuals who underwrite ALEC financially are able to claim robust tax write-offs for funding ALEC and its companion organization, the State Policy Network (SPN).

ALEC has a strong presence in Louisiana. Former legislator Noble Ellington, now a deputy commissioner in the Louisiana Department of Insurance, is a former national president of the organization and Gov. Bobby Jindal was recipient of its Thomas Jefferson Freedom Award a couple of years ago when ALEC held its national conference in New Orleans.

Current Louisiana legislators who are members of ALEC are:

House of Representatives:

  • Rep. John Anders (D-Vidalia), Energy, Environment and Agriculture Task Force;
  • Rep. Jeff Arnold (D-New Orleans),      attended 2011 ALEC Annual Meeting;
  • Rep. Timothy G. Burns (R-Mandeville), Civil Justice Task Force Alternate;
  • Rep. George “Greg” Cromer (R-Slidell), State Chairman, Civil Justice Task Force (announced he was resigning from ALEC and from his position as Alec state chairman of Louisiana on April 17, 2012);
  • Rep. James R. Fannin (R-Jonesboro), ALEC Tax and Fiscal Policy Task Force;
  • Rep. Franklin J. Foil (R-Baton Rouge), Communications and Technology Task Force;
  • Rep. Brett F. Geymann (R-Lake Charles), ALEC Communications and Technology Task Force;
  • Rep. Johnny Guinn (R-Jennings);
  • Rep. Joe Harrison (R-Gray), State Chairman, member of Education Task Force; (solicited funds for “ALEC Louisiana      Scholarship Fund” on state stationery July 2, 2012);
  • Rep. Cameron Henry, Jr. (R-Metairie), ALEC Tax and Fiscal Policy Task Force;
  • Rep. Bob Hensgens (R-Abbeville);
  • Rep. Frank Hoffmann (R-West Monroe), ALEC Education Task Force;
  • Rep. Girod Jackson (D-Marrero), (resigned last August after being charged with fraud);
  • Rep. Harvey LeBas (D-Ville Platte),  ALEC Health and Human Services Task Force;
  • Rep. Walter Leger, III (D-New Orleans), ALEC Education Task Force;
  • Rep. Joe Lopinto (R-Metairie), (attended 2011 ALEC Annual Meeting where he spoke on “Saving Dollars and Protecting Communities: State Successes in Corrections Policy”);
  • Rep. Nicholas J. Lorusso (R-New Orleans), ALEC Public Safety and Elections Task Force;
  • Rep. Erich Ponti (R-Baton Rouge;
  • Rep. John M. Schroder, Sr. (R-Covington), ALEC Tax and Fiscal Policy Task Force;
  • Rep. Alan Seabaugh (R-Shreveport);
  • Rep. Scott M. Simon (R-Abita Springs), ALEC Commerce, Insurance and Economic Development Task Force;
  • Rep. Thomas Willmott (R-Kenner), ALEC Health and Human Services Task Force;

Senate:

  • Sen. John A. Alario, Jr.(R-Westwego), ALEC Energy, Environment and Agriculture Task Force;
  • Sen. Jack L. Donahue, Jr. (R-Mandeville), ALEC Civil Justice Task Force member;
  • Sen. Dale Erdey (R-Livingston); Health and Human Services Task Force;
  • Sen. Daniel R. Martiny (R-Metairie); Public Safety and Elections Task Force;
  • Sen. Fred H. Mills, Jr. (R-New Iberia), ALEC Civil Justice Task Force member;
  • Sen. Ben Nevers, Sr. (D-Bogalusa), ALEC Education Task Force member;
  • Sen. Neil Riser (R-Columbia), ALEC Communications and Technology Task Force;
  • Sen. Gary L. Smith, Jr. (R-Norco), ALEC Communications and Technology Task Force;
  • Sen. Francis Thompson (D-Delhi)
  • Sen. Mack “Bodi” White, Jr. (R-Central), ALEC Tax and Fiscal Policy Task Force.

All ALEC meetings are held under tight security behind closed doors. During one recent conference, a reporter was not only barred from attending the meeting, but was actually not allowed into the hotel where the event was being held.

Apparently, there is good reason for that. It is at these conferences that ALEC members meet with state legislators to draft “model” laws for legislators to take back to their states for introduction and, hopefully, passage. Some of the bills being considered for 2014 are particularly noteworthy.

We won’t know which proposals were ultimately approved at that December meeting in Washington, however, because of the secrecy in which the meetings are held. We will know only if and when they are introduced as bills in the upcoming legislative session. But they should be easy to recognize.

One which will be easy to recognize is ALEC’s push for implementation of Louisiana’s Course Choice Program in other states. Course Choice, overseen by our old friend Lefty Lefkowith, is a “mini-voucher” program which lets high school students take free online classes if their regular schools do not offer it or if their schools have been rated a C, D or F by the state.

Course Choice has been beset by problems in Louisiana since its inception first when companies offering classes under the program began canvassing neighborhoods to recruit students and then signing them up without their knowledge or permission. Vendors offering the courses were to be paid half the tuition up front and the balance upon students’ graduation, making it a win-win for the vendors in that it didn’t really matter if students completed the courses for the companies to be guaranteed half the tuition. Moreover, there was no oversight built into the program that would ensure students actually completed the courses, thus making it easy for companies to ease students through the courses whether or not they actually performed the work necessary to obtain a grade. The Louisiana Supreme Court, however ruled the funding mechanism for Course Choice from the state’s Minimum Foundation Program unconstitutional.

Three other education proposals by ALEC appear to also borrow from the states of Utah. The first, the Early Intervention Program Act, is based on Utah’s 2012 law which has profited ALEC member Imagine Learning by diverting some $2 million in tax money from public schools to private corporations. But Imagine Learning did not offer test scores for the beginning and ending of the use of its software, little is known of what, if any, benefits students might have received. The Student Achievement Backpack Act and the Technology-Based Reading Intervention for English Learners Act also appear to be based on Utah’s education reform laws.

The former provides access to student data in a “cloud-based” electronic portal format and was inspired by Digital Learning Now, a project of Jeb Bush’s Foundation for Excellence in Education when he was Florida’s governor.

Not all of ALEC’s proposals address public education.

For example, do you like to know the country of origin of the food you place on your table? More than 90 percent of American consumers want labels telling them where their meat, fruits, vegetables and fish are from, according to polling data. ALEC, though, is resisting implementation of what it calls “additional regulations and requirements for our meat producers and processors,” including those that would label countries of origin.

ALEC’s “Punitive Damages Standards Act” and the accompanying “Noneconomic Damage Awards Act” would make it more difficult to hold corporations accountable or liable when their products or practices result in serious harm or injury.

The organization’s “Medicaid Block Grant Act” seeks federal authorization to fund state Medicaid programs through a block grant or similar funding, a move that would cut Medicaid funding by as much as 75 percent. U.S. Rep. Paul Ryan (R-WI) has pushed similar block grant systems for Medicaid in several of his budget proposals.

In what has to qualify as a “WTF” proposal, ALEC for the second straight year is seeking approval of a bill to end licensing, certification and specialty certification for doctors and other medical professionals as requirements to practice medicine in the respective states and to prohibit states from funding the Federation of State Medical Boards.

Then there is the “Equal State’s Enfranchisement Act,” which is considered an assault of sorts on the 17th Amendment. For more than a century, U.S. senators were elected by state legislatures, a practice which often led to deadlocks and stalemates, leaving Senate seats open for months on end. But 101 years ago, in 1913, the 17th Amendment was ratified, changing the method of choosing senators to popular vote by the citizenry.

While ALEC’s proposal doesn’t mean full repeal of the 17th Amendment, it does mean that in addition to other candidates, legislatures would be able to add their own candidates’ names to ballots for senate seats. ALEC, apparently, is oblivious or unconcerned with a national poll that shows 71 percent of voters prefer electing senators by popular vote.

To keep track of these and other ALEC bills introduced in the upcoming session, just keep an eye on the member legislators and the bills they file.

And keep reading LouisianaVoice.

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Firm’s advice to fire Orleans teachers after Katrina may cost taxpayers $1.5B; hired for $4M by Jindal to save state money

Posted in Boards, Budget, Commissions, Contract, Contracts, Courts, Education, Governor's Office, Jobs, Judges, Layoffs, Legislature, Legislators, ORM, Office of Risk Management, Privatization, Revenue, Teague on January 17, 2014| 9 Comments »

It’s small wonder that Gov. Bobby Jindal wanted to get out of town quickly—he departed the state for an extended trip to Asia to recruit business and industry investment in Louisiana—given the flak he is receiving from the legislature and radio talk show hosts over his hiring of a consulting firm at a cost of $4.2 million to somehow magically find $500 million in state government savings. http://theadvocate.com/csp/mediapool/sites/dt.common.streams.StreamServer.cls?STREAMOID=sZuDzNJoJK2fudmeRm9FJpM5tm0Zxrvol3sywaAHBAlauzovnqN0Cbyo1UqyDJ6gE0$uXvBjavsllACLNr6VhLEUIm2tympBeeq1Fwi7sIigrCfKm_F3DhYfWov3omce$8CAqP1xDAFoSAgEcS6kSQ–&CONTENTTYPE=application/pdf&CONTENTDISPOSITION=Alvarez%20Marsal%20Government%20Savings%20Contract.pdfhttp://theadvocate.com/news/8045923-123/vitter-super-pac-raises-15

And that contract doesn’t even take into account Pre-Jindal recommendations by the firm that may ultimately end up costing taxpayers $1.5 billion which, of course, would more than offset any $500 million savings it might conjure up that the Legislative Fiscal Officer, the State Treasurer, the administration, the legislature and the Legislative Auditor have been unable to do, largely because of a time honored political tradition affectionately known as turf protection.

One might even ask, for example, why representatives of the consulting firm, Alvarez & Marsal, who somewhat smugly call themselves “efficiency engineers,” were wasting their time Friday at the gutted Office of Risk Management. Isn’t there already a promise of $20 million in savings on the table as a result of Jindal’s privatization of that agency four years ago? For just that one small agency, that’s 4 percent of the entire $500 million in savings Jindal is seeking through the $4 million contract. (The elusive $500 million savings, for the real political junkies, represents only 2 percent of the state budget.)

The Baton Rouge Advocate also got in on the act on Saturday with Michelle Millhollon’s excellent story that  noted that the actual contract contains no mention of a $500 million savings. http://theadvocate.com/home/8131113-125/vaunted-savings-not-included-in

That revelation which is certain to further antagonize legislators, including Senate President John Alario (R-Westwego) whom Jindal will now probably try to teague for his criticism of the governor’s penchant for secrecy.

Hey guys, your contract is only for four months, so why waste your time in an agency that supposedly is on the cusp of a $20 million savings? That ain’t very efficient, if you ask us.

Legislators immediately voiced their displeasure at the contract. “There’s a lot of people who don’t like it,” said Rep. John Schroder (R-Covington), a one-time staunch Jindal ally.

Rep. Tim Burns (R-Mandeville), chairman of the House Governmental Affairs Committee (if he hasn’t been teagued by now), said when the dust settles any cost cutting will ultimately be the responsibility of state officials. “Even the best PowerPoint presentation isn’t going to cut government,” he said. “The trick is to make the political choices.”

The contract raises immediate questions how Jindal, now entering his seventh year in office, could justify the move in light of his many boasts of efficiencies his administration has supposedly initiated.

Ruth Johnson, who is overseeing the contract for the Division of Administration, defended the deal with the simplistic and less than satisfactory logic that “Sometimes you have to spend money to save money.”

And while Jindal has indicated he wants a final set of recommendations in April, the contract runs through 2016, meaning the final cost could far exceed the $4.2 million Alvarez & Marsal is scheduled to receive for its review.

Jim Engster, host of a talk show on public radio in Baton Rouge, on Friday predicted during an interview with State Treasurer John Kennedy that Alvarez & Marsal’s final report will most likely bear an uncanny resemblance to the 400-plus-page interim report of Dec. 18, 2009, by the infamous Commission on Streamlining Government.

The hearings by that commission, you may remember, gave birth to the term teaguing, a favorite tactic employed by the Jindal administration when a state employee or legislator refuses to toe the line. A state employee named Melody Teague testified before that commission and was summarily fired the following day. Six months later her husband, Tommy Teague, was fired as head of the Office of Group Benefits when he was slow in getting on board the Jindal Privatization Express. Mrs. Teague appealed and was reinstated but her husband took employment elsewhere in a less volatile environment.

The Alvarez & and Marsal representatives have pleaded ignorant to questions of whether their report will draw heavily from the four-year-old commission report and even professed to not know of its existence.

A curious denial indeed, given that Johnson was also the ramrod over the streamlining commission during Jindal’s second year in office. Does she not share this information with the firm or was all that commission work for naught? Or part of Jindal’s infamous deliberative process? Curious also in that Alvarez & Marsal is specifically cited—by name—no fewer than six times in the report’s first 51 pages, each of which is in the context of privatizing the state’s charity hospital system. The report quoted the firm as recommending that:

  • “The governor and the legislature authorize and direct the LSU Health System to adopt the recommendations of Alvarez and Marsal for the operation of the interim Charity Hospital in New Orleans. The governor and legislature direct every other charity hospital in Louisiana to contract for a similar financial and operational assessment with a third party private sector consulting firm, such as but not necessarily Alvarez and Marsal, that specializes and has a proven track record in turnaround management, corporate restructuring and performance improvement for institutions and their stakeholders.”

That’s right. That is where the seed was apparently first planted for the planned privatization of the LSU Hospital system, even to the point of directing the LSU Board of Stuporvisors to vote to allow a Shreveport foundation run by one of the LSU stuporvisors to take over the LSU Medical Center in Shreveport and E.A. Conway Medical Center in Monroe. Alvarez & Kelly performed that bit of work under a $1.7 million contract that ran for nine months in 2009, from Jan. 5 to Sept. 30 (almost $200,000 per month).

Alvarez & Marsal also received a $250,000, contract of a much shorter duration (10 days) from Jindal on April 9, 2013, to develop Jindal’s proposal to eliminate the state income taxes in favor of other tax increases. That quickie, ill-conceived plan was dead on arrival during the legislative session and Jindal quickly punted before a single legislative vote could be taken

But Alvarez & Marsal’s cozy if disastrous relationship with state government goes back further than Jindal, even. http://www.alvarezandmarsal.com/case-study-new-orleans-public-schools It’s a relationship that could become one of the most costly in state history—unless of course, the state chooses to ignore a court judgment in the same manner as it has ignored a $100 million-plus award (now in the neighborhood of a quarter-billion dollars—with judicial interest) stemming from a 1983 class-action flood case in Tangipahoa Parish.

In fact, the state probably has no choice but to ignore the judgment as an alternative to bankrupting the state but that does little to remove the stigma attached to a horrendous decision to accept the recommendation of Alvarez and Marsal which subsequently was rewarded with a $29.1 million three-year state contract from April 4, 2006 to April 3, 2009 to “develop and implement a comprehensive and coordinated disaster recovery plan in the wake of Hurricane Katrina.”

In December of 2005, the Orleans Parish School Board adopted Resolution 59-05 on the advice of the crack consulting firm that Jindal somehow thinks is going to be the state’s financial salvation.

That resolution, passed in the aftermath of disastrous Hurricane Katrina was specifically cited in the ruling earlier this week by the 4th Circuit Court of Appeal that upheld a lower court decision the school board was wrong to fire 7,500 teachers, effective Jan. 31, 2006. The wording contained in the ruling said:

  • “In December 2005, the OPSB passed Resolution No. 59-05 upon the advice and recommendation of its state-selected and controlled financial consultants, the New York-based firm of Alvarez & Marsal. The Resolution called for the termination of all New Orleans Public School employees placed on unpaid “Disaster Leave” after Hurricane Katrina, to take effect on January 31, 2006.1 On the day that the mass terminations were scheduled to take place, Plaintiffs amended their petition to seek a temporary restraining order preventing the OPSB from terminating all of its estimated 7,500 current employees at the close of business on that day. The trial court granted the TRO and this Court and the Louisiana Supreme Court denied writs on the issue. The TRO was later converted into a preliminary injunction that restrained, enjoined and prohibited the OPSB, et al, from “terminating the employment of Plaintiffs and other New Orleans Public School employees until they are afforded the due process safeguards provided in the Orleans Parish School Board’s Reduction in Force Policy 4118.4.” Nevertheless, Plaintiffs and thousands of other employees were terminated on March 24, 2006, after form letters were mailed to the last known address of all employees of record as of August 29, 2005.”

The appellate court upheld the award of more than $1 million to seven lead plaintiffs in the case of Oliver v. Orleans Parish School Board but adjusted the lower court’s damage award, ordering the school board and the Louisiana Department of Education to pay two years of back pay and benefits and an additional year of back pay and benefits to teachers who meet certain unspecified requirements.

Immediately following Katrina, state-appointed Alvarez and Marsal set up a call center to collect post-Katrina addresses for a majority of staff members in time for the anticipated layoffs. But when the state began the hiring process for schools that had been taken over, the terminated employees were never called, prompting plaintiff attorneys to charge that the entire procedure was intentional and part of the state’s plan to take over the Orleans Parish school system.

Plaintiffs said that then-State Superintendent of Education Cecil Picard chose Alvarez & Marsal to prevail upon the school board to replace acting parish Superintendent Ora Watson with an Alvarez & Marsal consultant.

So, Watson was replaced, 7,500 teachers were fired, and the teachers sued and won, leaving the Orleans School Board and the state liable for a billion-five and the firm that started it all is hired by Jindal to find savings of an unspecified amount. What could possibly go wrong?

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