Marketplace Virginia Archives - Senator Creigh Deeds

First Week of the 2015 Session of the Virginia General Assembly

January 20, 2015 by Creigh Deeds

The 2015 Session of the Virginia General Assembly is underway. This is a short session, scheduled to adjourn on February 28, 2015, so the work will be fast and furious. We will deal with some hefty matters this session, but as usual, budgetary issues will control much attention. Virginia’s economy is changing in fundamental ways, which affects Virginia’s revenue stream. If we fail at this time to meet the changing economy, diversify and do the best we can to insure that Virginians for generations will have the opportunity to succeed, our legacy, regardless of the issues we address this session, will fall short.

The Governor is rightfully focused on the economy and job creation, as reflected in his State of the Commonwealth address. While Virginia faces many challenges, there are certainly successes that have occurred in his first year in office. In the past year, he has closed over 200 economic opportunities bringing thousands of jobs to Virginia and $5.58 billion in capital investments to the Commonwealth. That is more than twice as much as any past administration during the Governor’s first year in office. That is certainly good news.

However, the reality is that in the face of sequestration at the federal level, the loss of defense contracts in Northern Virginia and Hampton Roads, we have no choice but to remain dedicated to bringing new investment to the Commonwealth. An important tool the Governor has used to bring jobs to Virginia is the Governor’s Opportunity Fund. I am proud to have written that Fund into the Code of Virginia in 1996. We have to strengthen the Fund and make certain it is available for opportunities throughout Virginia. The Agriculture and Forestry Industries Development Fund is another key tool that supports a critical part of Virginia’s economy. The Governor announced in his speech that agricultural exports are at an all-time high.

Despite the fiscal climate, the Governor made a point of not cutting K-12 spending or making further cuts in higher education this year. I have always likened cuts to education to eating your seed corn. The cuts simply do not make sense if one wants to have a promising future. We must continue to invest in education so that the next generation of Virginians has the tools they need to succeed in the workforce or at the next level of education. Likewise, we need to make sure that the Standards of Learning are realistic and a tool to help our children and schools succeed. We began a reform movement last year and will take that another step this year.

Although we are in a new year, the issue of Medicaid expansion continues to play a role in our economy. By refusing to expand Medicaid or adopt the alternative approach offered last year, Marketplace Virginia, we gave up about $2.1 billion in federal funding for 2014. Under the Affordable Care Act, 100 percent of the costs of Medicaid expansion will be borne by the federal government in 2015 and 2016 should we expand. Up to 400,000 Virginians who currently are without insurance and ineligible for existing Medicaid – primarily the working poor – could benefit. Unlike a lot of federal programs, Medicaid expansion is already paid for through new taxes or fees embedded in the ACA, including a tax increase on those who earn more than $200,000 annually.

Virginia has offered a number of reforms, which have ensured accountability and individual responsibility, lessening the likelihood of fraud and requiring co-payments. We have even written into the law that if the federal share of Medicaid expansion drops below 90 percent after 2016, Virginia will drop out. Nevertheless, the Virginia General Assembly continues to refuse to expand Medicaid. Expanding Medicaid this year would reduce our budget deficit by over $100 million, provide much needed insurance to hundreds of thousands of people, and improve the long-term health of our workforce. As I have said before, it is just the right thing to do in my view.

In spite of the intransigency of the House of Delegates with respect to Medicaid expansion, the Governor has administratively found a way to provide a level of healthcare to about 20,000 people who struggle with severe mental illness. While this program is important, it’s a drop in the bucket. There are estimates that as many as 77,000 Virginians who struggle with serious mental illness would be eligible if the legislature expanded Medicaid. The inability to fully access services or treatment leaves this population vulnerable and puts them and the community at risk. It is simply irresponsible for us not to find a way to provide more coverage to people with significant health care needs.

Session will be busy for me. I will continue my work on mental health issues this year with a bill that originates from the University of Virginia Law School and deals with advanced directives for people who have a mental illness and with a couple of bills from the Governor’s Mental Health Task Force. My legislative package also includes initiatives to follow up on SB 261, which passed last year. The primary work on mental health reform will generate from the Joint Subcommittee to Study Mental Health Services in the 21st Century, created last year by Senate Joint Resolution 47. The Subcommittee is scheduled to report to the General Assembly in December 2015 and 2017. The process of reform will be deliberate because we want to get it right. And it is my hope that in spite of the measured nature of this work, we do not lose our sense of urgency, because people’s lives are literally at stake.

I am carrying a number of bills this session and will report on those in the coming weeks. It continues to be my high honor to serve you in the General Assembly. If we can of service or assistance during the legislative session, or if you would like to visit Richmond to see the legislature in action, please feel free to contact us at: PO Box 396, Richmond, VA 23218, district25@senate.virginia.gov , or (804) 698-7525.

Best,

Creigh

What a Week…

June 17, 2014 by Creigh Deeds

Last week saw the passage of a state budget and also the potential demise of Medicaid expansion in Virginia. Two dramatic events of the previous few days drove the results of the Special Session.

Resignation of Senator Phillip Puckett

First, word leaked out gradually on June 6th and June 7th of the sudden resignation of Senator Phillip Puckett. His resignation restored the Republican majority in the Senate of Virginia, ensuring that Republicans controlled both houses of the General Assembly.

When I first heard about Senator Puckett’s resignation, I called him. Phillip Puckett has been a good friend of mine for a long time. I have eaten at his table, been a guest in his home, prayed in his church. He told me he was resigning to do what was best for his family and would not give me more detail. I trust Phillip and am certain that his decision to leave the Senate of Virginia was what he thought was right for his family. However, members of the General Assembly also have an obligation to the people they represent and to the Commonwealth of Virginia.

Red flags appeared immediately. First, Republican legislators seemed more informed about what was going on than did Democrats. Republican senators were quoted in the papers about Senator Puckett continuing his service and a prominent Republican delegate from southwest Virginia, the Chairman of the Tobacco Commission, indicated that Senator Puckett was going to be considered for the position of Deputy Director of the Tobacco Commission. In fact, the Tobacco Commission had a meeting scheduled for last Wednesday and the only thing on the docket was the consideration of the hiring of a Deputy Director.

Second, in recent years Senator Puckett has maintained a focus on helping appoint his daughter to the bench. Republicans denied him the 21st vote necessary to have her elected as a judge based on a supposed tradition of the Senate not appointing family members to the bench. While I think such a policy makes sense, history suggests there is no such tradition. In the 1990s, former Delegate Ward Armstrong’s brother was appointed to the district court bench. Later, former Delegate Joe Johnson’s son went on the district court bench and was elevated a few years later to the circuit bench. I have never known of another senator to have a family member considered for a judgeship, but it is clear that there is no such tradition with respect to members of the General Assembly.

After Senator Puckett resigned and the public exploded, he withdrew his name from consideration for employment with the Tobacco Commission. The meeting scheduled for last Wednesday was cancelled.

Senator Puckett’s sudden resignation came at a crucial time in this budget standoff – when the pressure was on both sides to find a way to close the coverage gap and get a budget passed before the end of the fiscal year, June 30. The resignation means that Republicans have the majority in both houses of the legislature. They were able to pass a budget, and they now have the unfettered ability to elect judges.

The Defeat of US House Majority Leader Eric Cantor

The second event which turned the political world on its head in Virginia was the defeat of Eric Cantor, the majority leader in the U.S. House of Representatives in the Republican Primary in the 7th Congressional District. Eric Cantor was elected to the House of Delegates with me in 1991. I have known Eric for a long time and while we have disagreements on matters of policy, we have always been friendly to one another. His loss in the primary sent a shockwave through the Republican apparatus in Virginia and allowed the House Republican Caucus and the 17 members of the Senate Republican Caucus that opposed Marketplace Virginia, to put pressure on the three senators who have worked with the Governor and with the Democratic Caucus to arrive at a compromise on Medicaid expansion in Virginia.

Much speculation has centered on the strength of the Tea Party and its effect on the primary. The Tea Party is an important subset, a populist subset, of the Republican Party. However, my take on things is much simpler. I think Representative Cantor took his eyes off the ball and paid more attention to his job as majority leader than to the residents of the Seventh Congressional District of Virginia. While he had plenty of money in the bank, he did not have the field organization necessary to turn people out to vote in the primary After all, elections are pretty simple – you just need to get more people to vote for you than the other guy.

Governor McAuliffe’s Options

The end result of this tumultuous political week in Virginia was that the three Republican senators, described as moderate in the media, caved. Not only did a budget pass without Medicaid expansion, but interwoven into the budget is language aimed at preventing the Governor from trying to expand administratively.

The legality of the Governor expanding Medicaid without prior legislative approval has generated significant discussion and debate. The Constitution requires all monies spent by the Commonwealth, even flow through dollars from the federal government, be appropriated by the General Assembly. Last year, the House and the Senate, working together, agreed to put language in the budget to create the Medicaid Innovation and Reform Commission (MIRC) to reform Medicaid and set up a mechanism to expand Medicaid. The amendments adopted last week by the House and the Senate removed that compromise language from the budget. Medicaid expansion will now need approval from the majority of the General Assembly.

The Governor’s options at this point are at least threefold. First, he could sign the budget. The budget agreement that passed is balanced. The Medicaid language can be changed (at least theoretically) when we reconvene in January. Signing the budget will end this protracted budget debate and allow local governments to move forward.

The Governor could veto the budget. A veto would leave everything up in the air for the remainder of the month, and the General Assembly would likely be in session for many days trying to craft a compromise before the end of the fiscal year.

The third option is to use the line item veto to eliminate the new budget language that strips authority from the MIRC. Although the language is interwoven in the budget, in my view, this is the best option. Sign the remainder of the budget. Austerity cannot be prevented in a time of declining revenue. If the amended language is stricken, and the General Assembly fails to muster the two-thirds vote to override the veto, the Governor can continue to explore ways to expand Medicaid and close the coverage gap. At this point, there is not much for him to lose if he can find a way to line item veto the amendment out of the budget.

In the meantime, candidates are being chosen to fill Senator Puckett’s seat in southwest Virginia. Elections in that region are driven by the politics of coal. The coal field counties are areas that have seen significant population loss over the past 30 years and face severe economic challenges. I am convinced that we can find a Democratic candidate who can hold on to the seat. If we can accomplish that goal, we can restore balance to the General Assembly.

It continues to be my high honor to serve you in the Senate of Virginia. Should you have concerns, questions or views you wish to share, please contact me at (434) 296-5491 or district25@senate.virginia.gov.

Best,

Creigh

General Assembly Special Session on the budget (April 10, 2014)

April 10, 2014 by Creigh Deeds

After the Special Session began on the 24th of March, I started to write a column that never got published. The column began as follows:

I have always thought that it is important to maintain a sense of wonder, a sense of amazement at life’s twists and turns. That sense of wonder keeps you from taking for granted the people and places in your life that are important. So it is with some pride that I can report that on the 25th of March, the first daffodil bloomed in my yard. However, I can also report that bloom was soon covered with snow as winter is playing the part of Gilda Radner in that old Saturday Night Live skit about the guest who would not leave… speaking of guests that will not leave, the General Assembly is still in session.

The Governor called the Virginia General Assembly into Special Session for the purpose of passing the budget. The Constitution requires that we adopt a balanced budget every two years. For the most part, finalizing a budget compromise is not a significant problem. This year, the House and the Senate, Democrats and Republicans, are hung up on the notion of Medicaid expansion.

The real debate does not revolve around healthcare. After all, most people recognize that it makes sense for us to close the coverage gap and provide insurance for up to 400,000 people. After all, a healthier workforce makes for a smoother, more effective economy. Insurance coverage means more illnesses are prevented, and it is simply the right thing to do to help people stay well. The hang up is on the details of this particular plan. The column that I started a few weeks ago was shelved, at least in part, because it reflected my pessimism about the Special Session. I like to remain optimistic.

The real debate this year is about the way healthcare is provided. Those who argue against Medicaid expansion are concerned the federal government will not be able to meet its fiscal obligations and the burden will fall on Virginia’s taxpayers. It seems to me that this is an argument that can be made about any federal program. But unlike some federal programs, like Medicare Part D prescription coverage, Medicaid expansion has a funding source set out in the Affordable Care Act. In 2002-2003, Medicare was expanded to provide a prescription drug benefit. There is no question that this program was needed, but in passing it, Congress and the President failed to fund it. Every cent of Medicare Part D that has been spent over the last 12 years has been borrowed money. The Affordable Care Act on the other hand, is paid for through tax and fee increases at the federal level. In fact, Virginians are paying about $2.9 billion a year for Medicaid expansion. What sense does it make to pay for a program that Virginians cannot access?

For some, opposition to expansion is just a continuation of frustration over the passage of the Affordable Care Act. The appropriate place to have a debate over federal programs, how they are funded, and over the size and scope of the federal government is not in the state legislatures, but in Congress and in federal elections. That is precisely why Republican senators have joined Democratic senators to pass Marketplace Virginia. While we have rejected outright Medicaid expansion, we have adopted a Virginia approach that will allow us to provide insurance coverage to hundreds of thousands of people, and bring the federal dollars that Virginians pay in taxes for the Affordable Care Act back to Virginia. Who can argue that over $5 million a day in federal funds will not have a positive impact on Virginia’s economy?

In fact, expanding access to our healthcare system will require the addition of jobs to take care of those people. And, access to preventative health care, rather than relying on expensive treatment in emergency rooms for unmanaged illnesses, will save money. In part, the Affordable Care Act cuts some Medicare reimbursements. Those cuts will cost Virginia hospitals in excess of $300 million. Why should we not accept federal money to expand coverage, to make those hospitals whole, and to increase the healthcare workforce?

From where I sit, the hang up now is not over what is the right thing to do for Virginia. The hang up between the Senate and the House of Delegates is purely political. The House says no to Medicaid expansion, so the Senate offers Marketplace Virginia, a private insurance based program. The House continues to say no. Anything linked to the Affordable Care Act is anathema to some, whether or not it is beneficial to Virginians, to our hospitals, and to our overall healthcare system.

Anyone watching the recent episode of 60 Minutes that contained a story about healthcare in rural southwest Virginia recognizes that we have a huge gap in the number of people that are covered in Virginia. We need to address it now. The way to close the gap between the House and the Senate and get a budget passed in Virginia is to adopt Marketplace Virginia and do it now.

Best,

Creigh

Session Newsletter (March 10, 2014)

March 10, 2014 by Creigh Deeds

Final Update from 2014 Session

The 2014 Session of the General Assembly is over; we adjourned on Saturday. However, the main work, the budget, remains to be accomplished. The General Assembly will go back into session on the 24th of March to try to finalize a spending plan for the next biennium.

Impasse over Medicaid Expansion

The big hang up, as I suggested from the beginning of the session, is the expansion of Medicaid. Opponents of expansion seem to be swayed by the argument that by refusing the federal dollars attached to Medicaid expansion Virginia will send a message to the President and in some way rebuke the Affordable Care Act. The predominant concern is over whether the federal government can sustain Medicaid payments, despite the requirement that the feds fund no less than 90 percent of the cost of expansion. The argument ignores the fact that the feds have never failed to make their payments to Virginia under the original Medicaid plan, started in 1965.

There are at least three reasons why Virginia needs to move forward with the Senate’s approach, Marketplace Virginia, to this issue.

First, ignoring the fact that a healthier population will result in a healthier community and a more robust economy, hospitals and insurance companies are already subsidizing the cost of providing healthcare to the uninsured. And thus, the people who pay the bills at the hospitals and the premiums to insurance companies are already picking up the tab. The people who will be covered by Marketplace Virginia are primarily the working poor, people who are already working but are not making enough money to afford insurance premiums and do not receive insurance through their work. For many, primary care is received through the emergency room, which cannot refuse care for a sick person. Those costs are subsidized by the hospital or other providers through increased costs for those who can pay and for insurance companies. We are already picking up the tab, and it just makes sense to provide coverage to the uninsured.

Second, the flow of federal money to Virginia, up to $1.8 billion a year, or about $5 million a day, is bound to have a positive effect on Virginia’s economy. Because the plan will provide healthcare coverage to over 200,000 Virginians, expanding coverage is expected to create as many as 30,000 jobs in the next six years. In an area where we need job growth, especially with a stagnant economy, this aspect cannot be ignored.

Third, we are paying for Medicaid expansion anyway. There is no doubt that fees and taxes went up at the federal level to pay for Medicaid expansion. In fact, Virginians are paying as much as $2.9 billion a year under the Affordable Care Act. Why should those dollars be spent anywhere but Virginia? It is true that we may not recoup all of the money Virginians pay the federal government under the Affordable Care Act, but why should we not receive as much as we can back from the federal government? Under the law, the feds have to pay 100 percent of the costs for three years and no less than 90 percent after that. What part of that deal is bad for Virginia?

Obviously there are people who disagree with my point of view. We will strive in earnest, I hope, to resolve the budget impasse as soon as practical. Millions of Virginians and hundreds of localities depend on Virginia getting its budgetary house in order.

Despite the budget impasse, the General Assembly did achieve some things this session:

Ethics Reform

A package of ethics reform bills passed, and, without question, raises the standard. For example, the new limit on tangible gifts to legislators is $250. However, for those looking for real reform, the legislation will not satisfy your hunger. One obvious flaw is that there is no limit on “intangible” gifts such as trips, or sporting events.

Increasing the Number of Judges

Every year there seems to be an argument about the appointment of judges, where the judgeships belong, and who gets appointed. To satisfy many questions, in 2012 the legislature directed the Supreme Court of Virginia to develop a system to evaluate caseloads and determine the appropriate use of resources in our judicial system. The National Center for State Courts completed the study on behalf of the Court in November. The results show that we need about twenty-eight judges more than we currently provide in the Code. Because legislators from different parts of the state can pick apart just about every section of the report, particularly those that dealt with their region, the report was somewhat controversial. Nevertheless, the report provided us with a metric to use, and we finally agreed to increase the number of judges provided in the Code to 429. That does not mean all of the judgeships will be funded, but at least it gives us a point from which to work.

Mental Health Policy Reform

My personal goals with respect to mental health reform were met. I needed the strongest bill possible to leave the Senate to increase my negotiating power with members of the House of Delegates. The Senate supported legislation to establish a 24-hour ECO period, a registry of psychiatric beds, and the establishment of state facilities as providers of last resort for any individual deemed to require hospitalization. While we did not achieve the 24-hour wait, the House agreed to the proposal to ensure that the state provide a bed of last resort. This is significant. It changes the paradigm. Under existing law, the issuance of a temporary detention order is triggered not by the need or behavior of the individual, but by whether a bed exists in which to place said individual. That makes no sense. The new process will effectively end what is known as “streeting”, where one in need of a bed is released at the end of the ECO period because a bed is not identified. We also lengthened the period of the TDO from 48 hours to 72 hours. These changes in the law will give the state enormous tools in mental health crisis situations.

But we cannot lose our urgency about the need for changes in our mental health system. We are still severely lacking, not just in Virginia but around the country, in our system of delivery of mental healthcare services. Importantly, my legislation creating a legislative study committee passed, and we will spend the next four years working to develop in Virginia a mental health delivery system that, I hope, can be a model for the rest of the country. In fact, I will not settle for less. I hope to examine and weigh the costs and benefits of every aspect of our system. Many argue that funding is the problem. I know that our system of community services boards has been underfunded and that the ones that work best are those that receive a significant amount of funding from local government. However, funding is not the entire issue. For example, a recent Inspector General’s report showed that one of the reasons we have a shortage of psychiatric beds is that the state hospitals are inefficient in the discharge of patients. I believe that we can squeeze inefficiencies out of the system and ensure that money is spent on effective, patient-focused care.

Best,

Creigh

Session Newsletter (March 3, 2014)

March 3, 2014 by Creigh Deeds

Last Week of the Virginia General Assembly Session

Every year as the General Assembly session winds down, it’s important to take some time to reflect on the things that have been accomplished, the things yet to accomplish, and perhaps the missed opportunities. With less than a week left before the scheduled adjournment of the 2014 session, a couple of things are clear.

The biggest opportunity this session has been to try to find a way to provide health insurance to perhaps as many as 400,000 additional Virginians and also recapture some of the federal taxes we are paying to fund the Affordable Care Act. Some people deem this the expansion of Medicaid. We in Virginia have come up with a different response, Marketplace Virginia, that basically turns this over to the private insurance market. Perhaps the next week, and more likely the next few months, will determine whether we are able to take advantage of this opportunity.

I have been on a journey to bring reform to the area of delivery of mental health services. The road to reform has been somewhat bumpy. My proposals, many of which were roughed out in my mind as I tried to process what happened in November, are moving forward. The details will be finalized in conference this week. These proposals are just the first steps of a concerted effort to improve our mental health system.

A number of other issues, some a regurgitation of past efforts and others brought on by the exigency of circumstances, have been considered this session. A few of those are as follows:

Legislative ethics reform has been put forward in bills sponsored by Delegate Todd Gilbert of Shenandoah County and Senator Tommy Norment of James City County. Both of these bills represent a very modest step forward, and many who call for reform in the area of ethics, including me, are going to be left unsatisfied with the results. Those bills will be in conference this last week.
Sunday hunting has been championed through bills from Senator Phillip Puckett of Russell County and Delegate Todd Gilbert. Those bills limit Sunday hunting to private property with written permission from the landowner and are headed to the Governor’s desk. He has indicated he will sign them.
Delegate Tim Hugo and Senator Dave Marsden, both of Fairfax County, sponsored legislation to require social studies textbooks used in Virginia to identify the body of water between the Korean Peninsula and Japan as both “Sea of Japan” and the “East Sea.” This legislation appears to be enjoying the majority of support in both bodies but is tied up procedurally right now. The Governor has indicated he will sign this legislation if it reaches his desk. The legislation has many proponents in the Korean American population.
My effort to increase the court fee paid by those convicted of crime to fund the Internet Crimes Against Children units in Bedford and Fairfax, grants to localities throughout the Commonwealth, and maintenance of the Child Pornography Images Registry appears to be stalled in the House of Delegates. The bill enjoyed unanimous support in the Senate. The legislation would raise the fee $5 and generate an additional $900,000 a year for this important work.
The legislature has tackled SOL reform through bills championed by Senators John Miller of Newport News, George Barker of Fairfax, and Delegate Tag Greason of Loudoun County. I also sponsored two bills on the matter. The number of tests, especially for elementary age students, will be reduced as a result of this effort. High standards are the right thing for our schools and students, but the emphasis on testing has diminished the role of teaching the basics of reading, writing and arithmetic. Many of the concerns some of us had about the SOLs when they were adopted back in 1994 are being heeded 20 years later.
The additional hybrid fee added last year as part of the comprehensive transportation package was repealed. As many recall, Governor McDonnell included the fee in his transportation proposal in 2013. Both the Senate and the House removed the provisions from their versions of the legislation. When the bills went into conference, the conferees reinserted the language into the bill. At that point in the process, the bill could not be amended. While many opposed this particular provision, a majority of legislators voted for the proposal in its entirety. Governor McAuliffe has signed the legislation, which will become law July 1.
For the second consecutive year, the General Assembly has passed a resolution to place on the ballot this fall a proposed constitutional amendment to allow localities to grant real estate tax relief to the surviving spouses of service members who were killed in action. The companion bill that stipulates the details of how this exemption would work is still moving through the process. Voters should expect to vote on this measure in November.
A number of bills were introduced to delay the July 1, 2014 start date for local governments to have in place new stormwater management programs that reduce runoff. Many localities were concerned about the implementation costs and whether they had sufficient time to put in place the necessary regulations and staff by the deadline. During the deliberations, a compromise measure came forward that makes the adoption of this program optional for localities that do not operate a municipal separate storm sewer system. The Department of Environmental Quality will manage a stormwater management program in those localities that opt out.

Over 2,700 bills and resolutions were introduced this year, ranging from resolutions recognizing great Virginians we lost this year to legislation effecting major policy changes. Today is the final day for committees to meet. In this final week, we will finish up work on bills in conference and take action on the bills coming out of committees today. I look forward to your continued input during this last week.

It continues to be my honor to serve you in the Senate of Virginia. This session is rapidly winding down and while it is true that some issues may not be resolved by the scheduled adjournment period, I expect to be able to be back home practicing law soon. If you have concerns or questions please contact us at district25@senate.virginia.gov. We can be reached by phone in Richmond at (804) 698-7525. Beginning March 10, please contact the district office at (434) 296-5491 or P.O. Box 5462, Charlottesville, VA 22905.

Best,

Creigh