{"id":15867,"date":"2017-01-23T07:13:19","date_gmt":"2017-01-23T14:13:19","guid":{"rendered":"http:\/\/lastbestnews.com\/site\/?p=15867"},"modified":"2017-01-23T07:16:15","modified_gmt":"2017-01-23T14:16:15","slug":"health-care-among-issues-under-scrutiny-in-helena","status":"publish","type":"post","link":"https:\/\/montana-mint.com\/lastbestnews\/2017\/01\/health-care-among-issues-under-scrutiny-in-helena\/","title":{"rendered":"Health care among issues under scrutiny in Helena"},"content":{"rendered":"
\"Sesso\"<\/a>

Freddy Monares\/UM Community News Service<\/p>

Democratic Sen. Jon Sesso introduced a to create the Montana Trust Fund, which would pay for infrastructure projects.<\/p><\/div>\n

The Montana Legislature debated two bills last week that would give patients a more active role in determining the cost of their health care.<\/p>\n

Senate Bill 100<\/a>, introduced by Sen. Cary Smith, R-Billings, would give\u00a0patients the option of directly determining payment options with their doctor for day-to-day care without having to go through insurance.<\/p>\n

\u201cThis bill provides for the opportunity for an individual to go and talk to a doctor and say, \u2018for a specific amount you will cover my basic health care needs,’\u201d Smith said.<\/p>\n

Smith introduced a similar bill last session that was ultimately vetoed by Gov. Steve Bullock. He said because the climate surrounding health care has changed, in part because of\u00a0the potential repeal of the Affordable Care Act under President Donald Trump, that there is more of an appetite for direct payment options.<\/p>\n

Greg Dorrington, representing the Montana Medical Association, said SB 100 opens the door for alternative payment models.<\/p>\n

\u201cThe bill doesn\u2019t mandate participation,\u201d Dorrington said. \u201cIt empowers patient choice, it provides transparency in pricing.\u201d<\/p>\n

Senate Bill 96<\/a>, also introduced by Smith, would give\u00a0patients the \u201cright to shop\u201d for health care services. The bill would also give financial incentives for patients to shop in the form of shared savings. It also would increase transparency in pricing for individual services.<\/p>\n

\u201cWe are very fond of the concept of transparency in health care and using that to bring down health care costs,\u201d said Kris Hansen, representing the state auditor\u2019s office.<\/p>\n

Many argued that consumers are able to shop for everything except health services.<\/p>\n

\u201cIt is rather insane that we accept that approach to shopping for one of the most important things we consume in this country,\u201d said Cori Cook, representing Employee Benefit Management Services.<\/p>\n

\"CapreAir_Variable\"<\/a><\/div><\/div>However, several insurance providers lobbied against the bill, particularly because of the incentives provided to consumers.<\/p>\n

\u201cThis bill would incentivize consumers to \u2018shop around\u2019 for their medical services in a way they could actually have monetary gain,\u201d said John Doran, representing Blue Cross Blue Shield.<\/p>\n

Bruce Spencer, a lobbyist for America\u2019s Health Insurance Plans, urged the committee to put off drafting\u00a0a solution until there was some certainty about the future of the Affordable Care Act.<\/p>\n

\u201cWe ask you to do it in a special session after we can see the whole picture, once Congress does what it\u2019s going to do,\u201d Spencer said.<\/p>\n

Minimum wage increase tabled<\/b><\/h5>\n

The House Business and Labor committee tabled a bill last Tuesday that would have increased Montana\u2019s minimum wage by almost $2.<\/p>\n

House Bill 169<\/a>, sponsored by Rep. Mary Ann Dunwell, D-Helena, would have made the state\u2019s minimum wage $10.10 an hour by January of next year. Montana\u2019s minimum wage is now\u00a0$8.15.<\/p>\n

Dunwell said a living wage in Montana is considered $14.40 for single individuals and $19 for a person with one child.<\/p>\n

\u201cThis bill is a local economic driver,\u201d Dunwell said. \u201cIt would prevent employees from going across the street for another quarter or 50 cents an hour more.\u201d<\/p>\n

Six people spoke in support of the bill. Galen Hollenbaugh, the deputy commissioner for the Montana Department of Labor and Industry, said 6.5 percent of Montana\u2019s workforce consists of individuals over the age of 65. Roughly 94,000 workers are between the ages of 55 and 64. Hollenbaugh said that means a substantial\u00a0portion of them will wind up retiring in the near future, which could hurt Montana\u2019s economy if more workers aren\u2019t lined up to replace them.<\/p>\n

\u201cThere is no doubt that wage increases \u2026 will have some impact,\u201d Hollenbaugh said.<\/p>\n

Many other people, including\u00a0business owners and representatives of interest groups, lined up to oppose the bill.<\/p>\n

\u201cI would urge folks to let the market set the wage rate here,\u201d said Bridger Mahlum, government relations director for the Montana Chamber of Commerce.<\/p>\n

\"Wage\"<\/a>

Freddy Monares\/UM Community News Service<\/p>

Ronda Wiggers, a lobbyist for Helena\u2019s Chamber of Commerce, testified against a bill that would have raised the state\\’s minimum wage.<\/p><\/div>\n

Mahlum said the committee should consider legislation that would encourage businesses to increase wage rates of their own accord.\u00a0Others argued that increasing the minimum wage would force businesses to increase prices.<\/p>\n

Ken Beachy, owner of the Cozy Corner Cafe in Fairfield, said he believes a wage increase would only create further inflation. He said as wages increase for employees, the cost of workers’ compensation, insurance and unemployment would also rise, making it more difficult to keep prices down.<\/p>\n

\u201cIt does not have the effect that is put out that it would,\u201d Beachy said.<\/p>\n

Campaign laws under scrutiny<\/b><\/h5>\n

The Montana House State Administration Committee heard three bills last week that would make changes to existing campaign regulations and finance laws.<\/p>\n

House Bill 186<\/a>, introduced by Rep. Forrest Mandeville, R-Columbus, would eliminate the requirement that candidates with no party affiliation gather signatures to get a spot on the ballot. Under current law, independent candidates must gather 5 percent of the total votes of the winning candidate from the previous election in order to secure a place on the ballot.<\/p>\n

HB 186 would also change the Montana Code to refer to independent candidates as those with \u201cno party affiliation.\u201d\u00a0The bill would still require that candidates who wish to have a third party\u2019s name attached to their candidacy on the ballot to reach the 5 percent signature requirement.<\/p>\n

House Bill 199<\/a>, introduced by Rep. Dave Fern, D-Whitefish, would allow incumbent legislators who are seeking re-election the following term to freeze their campaign funds until the next election cycle. Currently, campaigns are required to dissolve their accounts once the cycle ends.<\/p>\n

\u201cIt seems redundant to go through the reformation of the account and action of borrowing funds,\u201d Fern said.<\/p>\n

The bill was opposed by Commissioner of Political Practices Jonathan Motl, who said the bill unfairly favors incumbents by giving them a financial advantage at the beginning of their campaign. Motl also said that because the money is a lump sum, it would be difficult to determine where exactly the money came from, creating\u00a0transparency issues.<\/p>\n

House Bill 50<\/a>, introduced by Rep. Wendy McKamey, R-Great Falls, would make a simple change to existing campaign finance reports. The form candidates use now to disclose finance information does not require that individual contributions more than $35 include the date of receipt. McKamey\u2019s bill would require that the date be listed.<\/p>\n

\u201cThis will enable us to have … clarity and transparency,\u201d McKamey said.<\/p>\n

Debate begins on Build Montana Trust<\/b><\/h5>\n

Discussion over how to fund state infrastructure projects continued throughout the third week of the Legislature, with Sen. Jon Sesso, D-Butte, introducing a bill that would create a new trust fund.<\/p>\n

Senate Bill 88<\/a> would divert money collected from the existing coal tax into a new trust called the Build Montana Fund. The bill would place $50 million into the trust, and would collect interest over the next 10 years before being spent on infrastructure.\u00a0Sesso said SB 88 is designed to create long-term sources of funding infrastructure development.<\/p>\n

\u201cThere are many projects, and simply not enough money,\u201d Sesso said.<\/p>\n

Gov. Steve Bullock proposed the Build Montana Trust during\u00a0his campaign last year as a long-term funding solution. SB 88 is part of a broad package of bills carried by Democrats that would create and bolster existing infrastructure projects throughout the state.<\/p>\n

Both parties have named infrastructure investment as a session priority, but there have been many disagreements about how to generate the money to pay for it. Bullock and the Democrats have proposed revenue from tax increases, as well as bonding measures, while Republicans seek to fund projects through cutting spending elsewhere.<\/p>\n

Some supporters of SB 88 said while they believe the Build Montana Trust is a good starting point, it does not provide quick\u00a0solutions to Montana\u2019s infrastructure problems.<\/p>\n

\u201cIt doesn\u2019t provide much immediate relief,\u201d said Steve Wade of the Montana Contractors Association. \u201cWe think there should be an effort made to try and provide some of that.\u201d<\/p>\n

Mahlum, with the Montana Chamber of Commerce, said he wants to ensure that the money goes toward \u201ccritical need\u201d projects, and that funding is secured sooner rather than later for some projects.<\/p>\n

Both Sesso and Bullock\u2019s budget director, Dan Villa, said SB 88 does not specifically cite the kinds of projects those dollars would be used for.<\/p>\n

\u201cWe\u2019re silent on that,\u201d Villa said. \u201cWe understand we have a long way to go from introduction of the bill to ultimately where we wind up.\u201d<\/p>\n

Protection for whistleblowers<\/b><\/h5>\n

The House Judiciary Committee heard a bill last Wednesday that would increase protections for state employees who report suspected fraud.<\/p>\n

Rep. Kirk Wagoner, R-Montana City, sponsored House Bill 208<\/a>, which makes it unlawful to retaliate against whistleblowers.<\/p>\n

HB 208 considers everything from discipline and reduction of hours to termination of employment as retaliatory. The punishment for retaliation against an employee would be imprisonment for up to five years and\/or a fine up to $20,000.<\/p>\n

The bill got support from Carol Bondy, who said she faced retaliatory action from the Department of Health and Human Services when she reported misuse of state funds. Bondy said she was unable to access records that would have allowed her to prepare an adequate defense, and was also barred from speaking with any of her employees. Bondy\u2019s case was widely covered late last year.<\/a><\/p>\n

Bondy said the retaliation for reporting this misuse was \u201csevere.\u201d She said many state employees are charged with insubordination, which denies them unemployment benefits.<\/p>\n

\u201cThat\u2019s not fair for saying, \u2018Hey, I think we\u2019re doing something wrong, let\u2019s look at it,’\u201d Wagoner said.<\/p>\n

The bill faced was opposed by \u00a0Motl, who said it would be better suited as an amendment to existing whistleblower laws as opposed to creating\u00a0a new criminal offense.<\/p>\n

\u201cIt does not belong in Montana\u2019s campaign and ethics practice laws,\u201d Motl said. \u201cIt wasn\u2019t discussed with our office, despite our office having a major responsibility for enforcement.\u201d<\/p>\n

Mark Murphy, a lobbyist for the Montana County Attorneys Association, said making whistleblower retaliation a criminal offense overburdens law enforcement who \u201cdon\u2019t have any expertise in the area.\u201d<\/p>\n

\u201cIt\u2019s not something that\u2019s usually in the skill set that law enforcement brings,\u201d Murphy said. \u201cWe don\u2019t want the work.\u201d<\/p>\n

Michael Siebert is a reporter with the UM Community News Service, a partnership of the University of Montana School of Journalism and the Montana Newspaper Association.<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"

The Montana Legislature debated two bills last week that would give patients a more active role in determining the cost of their health care. Senate Bill 100, introduced by Sen. Cary Smith, R-Billings, would give\u00a0patients the option of directly determining payment options with their doctor for day-to-day care without having to go through insurance.<\/p>\n","protected":false},"author":144,"featured_media":15868,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16,14],"tags":[5416,5415,5417,1122,782],"class_list":["post-15867","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-montana","category-news","tag-cary-smith","tag-jon-sesso","tag-mary-ann-dunwell","tag-montana-legislature","tag-steve-bullock","prominence-category-featured"],"_links":{"self":[{"href":"https:\/\/montana-mint.com\/lastbestnews\/wp-json\/wp\/v2\/posts\/15867","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/montana-mint.com\/lastbestnews\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/montana-mint.com\/lastbestnews\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/montana-mint.com\/lastbestnews\/wp-json\/wp\/v2\/users\/144"}],"replies":[{"embeddable":true,"href":"https:\/\/montana-mint.com\/lastbestnews\/wp-json\/wp\/v2\/comments?post=15867"}],"version-history":[{"count":0,"href":"https:\/\/montana-mint.com\/lastbestnews\/wp-json\/wp\/v2\/posts\/15867\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/montana-mint.com\/lastbestnews\/wp-json\/wp\/v2\/media\/15868"}],"wp:attachment":[{"href":"https:\/\/montana-mint.com\/lastbestnews\/wp-json\/wp\/v2\/media?parent=15867"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/montana-mint.com\/lastbestnews\/wp-json\/wp\/v2\/categories?post=15867"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/montana-mint.com\/lastbestnews\/wp-json\/wp\/v2\/tags?post=15867"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}