The Louisiana Legislature's latest round of budget negotiations has prompted the return of what is becoming an annual tug-of-war match between funding TOPS and funding state health care services.
The House Appropriations Committee on Monday advanced its version of a $27 billion state budget to begin July 1 featuring full funding for the popular Taylor Opportunity Program for Students scholarships and deep cuts to safety-net hospitals and other programs that serve the poor and disabled.
"This is a process," House Appropriations Vice Chair Franklin Foil, R-Baton Rouge, said during the committee's hearing on House Bill 1. "There are other steps we'll be going through."
HB1 is scheduled to hit the House floor on Thursday, where it is certain to generate additional debate over where the brunt of nearly $650 million in cuts should land. Lawmakers haven't ruled out the idea of holding yet another special session to try to close all or part of the remaining "fiscal cliff" the state faces when temporary tax measures expire June 30, but they can't take up most revenue-raising measures during the regular session and current budgeting process. . . .
"In rushing to pass amendments out, the House Appropriations Committee proved what we’ve been saying all along – there simply isn’t a way to fashion a budget that adequately funds our state’s pressing needs," Edwards said in a statement. "TOPS is absolutely a priority and should be fully funded, but so should higher education institutions, health care for our seniors and those with disabilities, funding for medical schools in Shreveport and New Orleans, and our partner hospitals. Now we can see that it’s not possible to do that without replacing more of the revenue that is expiring."
The move to prioritize funding for TOPS, which is wildly popular among middle class and more affluent families, mirrors recent actions from the Appropriations Committee, which gets the first bite at the state budget under state law.
Rep. Gary Carter, D-New Orleans, said he worried about the ripple effect cuts to the state's safety-net hospital partners would have. Several of those operators have already said they will walk away from the agreements, threatening the shuttering of hospitals across the state, if their funding is drastically reduced to the levels that have been proposed.
"We have health care providers in the state of Louisiana making tough decisions," Carter said. "I'm a big believer in both education and health care, but I certainly don't want to risk closing any hospital."
Several Democrats also questioned the plan to fund TOPS while cutting general funding for college and university campuses.
It didn't take jetliners flying into New York skyscrapers.
It certainly didn't take any declaration of war.
All it took was Bashar al-Assad dropping a chlorine (and perhaps sarin) gas bomb onto a Damascus neighborhood and killing 40-odd people in the latest outrageous act of Syria's long and bloody civil war. For that, the combined forces of the United States, France and Great Britain launched 100-something missiles into a country with which we weren't at war, at least not legally.
What, then, shall we do with Louisiana?
Artistic tradition pictures the jealous Cain slaying with the jawbone of an ass, as Samson later in scripture did away with the Philistines. In Louisiana, it's asses jawboning who mow down the poor, the disabled and the sick with their votes and their callous neglect. If the House committee's will becomes budgetary law, what little cash the state has on hand will fully fund a popular welfare program that overwhelmingly benefits the adult children of middle-class white people.
The poor and the ill, then, will be left to be their own damned keeper. Should be interesting to see how well Grandma shifts for herself when she's wheeled to the curb after the Medicaid money stops but her nursing-home tab doesn't.
The white children of white parents with ample green will have their tuition to crumbling state universities (which aren't being funded) paid in full with taxpayers' dollars. The state Department of Health would be starved to the point where virtually every public-private "safety net" hospital closes its doors.
Meantime, medical education virtually would end in Louisiana.
“So of $346-million available, you want to spend $246-million of it for this, leaving $100-million for everything else?” [Rep. Walt] Leger [D-New Orleans] asked. “You believe $246-million is best spent in these ways?”
“I do,” [Rep. Franklin] Foil [R-Baton Rouge] replied. “We had a lot of ground to make up, since the executive budget had zero dollars spent on TOPS.”
“Isn’t this message giving students false hope, because the full body isn’t likely to maintain this in lieu of funding other programs?” Leger pressed. “You’re okay getting a positive news story today, even if it ultimately will prove to be fake news?”
“My commitment is to students,” Foil answered.
“What about the Department of Health?” Leger asked.
“What about it?” Foil fired back.
“You’re aware that department is taking biggest cuts? And you still believe it is more valuable to fund TOPS?” Leger asked, incredulously.
“Your district includes a substantial constituency that is on Medicaid, doesn’t it, Rep. Foil?” Rep. Pat Smith [D-Baton Rouge] asked. “But you’re willing to fully fund TOPS to benefit a different socio-economic group in your district, instead?”
“I think this helps everyone, in every district,” Foil replied. “We are clearly short on revenue, and even if we were to take all of the money available and give it to the Department of Health, they would still have a shortfall.”
“Yet your amendment fully funds TOPS to the detriment of all the other programs in the state: disabilities waivers, nursing homes, public-private partner hospitals, graduate medical education,” Leger said. “It’s a trap, forcing us Democrats to say we either support TOPS or we don’t. That’s a false choice, and it will really end up being nothing more than a comment about what we would like to do.”
“We are already on notice that the public-private partner hospitals will be closing,” Rep. Gary Carter (D-New Orleans) chimed in. “We say ‘we fund our priorities.’ Your amendment makes TOPS a greater priority than health care.”
“I believe we will find funding as we go through this process,” Foil insisted.
“That’s pie in the sky,” Pat Smith told him, bluntly. “You’re perfectly aware there is no guarantee to raise additional revenue. Some 20 members of this body won’t vote for any new revenue under any circumstances. What this ends up saying is that we only want to fund a program for kids doing well in school, but not the schools they go to, and not the hospitals.”
BREAKING NEWS . . . Louisiana to poor, sick and higher ed: Drop dead.Breaking news? That's old news. It's also today's news, tomorrow's news, next year's news and your grandkids' news.
In this era of concussive enforcement of the Geneva Conventions and international human-rights charters, here's the news I eagerly await:
As a proportional and just response to unacceptable violations of civilized norms, I await news that sea- and air-launched cruise missiles from the combined armed forces of the United States and sundry NATO allies have sent a message to America's own pariah state. And that the Louisiana Capitol Complex now looks a lot like some of the sadder parts of north Baton Rouge.
Right is right, after all, and rogue regimes must be put on notice that certain red lines must not be crossed. Even in the reddest of states.
We're all in agreement on that, am I right? Am I right?
Hello?
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