Roll Calls on Dirigo Health Plan

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Roll Calls on Dirigo Health Plan

You show me something worth back-patting and I'll think about it.

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Roll Calls on Dirigo Health Plan

State of Maine LegislatureRollcall Details for Senate Roll-call #174
LD 1611 (HP 1187)
Overview
  Date: June 13, 2003
  Motion: ENACTMENT
  Number of Yeas Required: 17 (simple majority)
  Outcome: PREVAILS
  Yeas (Y): 25
  Nays (N): 8
  Absent (X): 2
  Excused (E): 0
Member Party Vote
  BENNETT of Oxford R N
  BLAIS of Kennebec R N
  BRENNAN of Cumberland D Y
  BROMLEY of Cumberland D Y
  BRYANT of Oxford D Y
  CARPENTER of York R Y
  CATHCART of Penobscot D Y
  DAGGETT of Kennebec D Y
  DAMON of Hancock D Y
  DAVIS of Piscataquis R N
  DOUGLASS of Androscoggin D Y
  EDMONDS of Cumberland D Y
  GAGNON of Kennebec D Y
  GILMAN of Cumberland R N
  HALL of Lincoln D Y
  HATCH of Somerset D Y
  KNEELAND of Aroostook R Y
  LaFOUNTAIN of York D Y
  LEMONT of York R X
  MARTIN of Aroostook D Y
  MAYO of Sagadahoc R Y
  MITCHELL of Penobscot R Y
  NASS of York R N
  PENDLETON of Cumberland D Y
  ROTUNDO of Androscoggin D Y
  SAVAGE of Knox R N
  SAWYER of Penobscot R Y
  SHOREY of Washington R N
  STANLEY of Penobscot D Y
  STRIMLING of Cumberland D Y
  TREAT of Kennebec D Y
  TURNER of Cumberland R Y
  WESTON of Waldo R N
  WOODCOCK of Franklin R Y
  YOUNGBLOOD of Penobscot R X
-------------------------------------------[url=http://]http://janus.state.me.us/legis/LawMakerWeb/rollcall.asp?ID=280010921&cha... Call[/url]----------
----------State of Maine LegislatureRollcall Details for House Roll-call #247
LD 1611 (HP 1187)
Overview
  Date: June 13, 2003
  Motion: RECEDE AND CONCUR
  Number of Yeas Required: 72 (simple majority)
  Outcome: PREVAILS
  Yeas (Y): 105
  Nays (N): 38
  Absent (X): 8
  Excused (E): 0
Member Party Vote
  ADAMS of Portland D Y
  ANDREWS of York R N
  ANNIS of Dover-Foxcroft R Y
  ASH of Belfast D Y
  AUSTIN of Gray R N
  BARSTOW of Gorham D Y
  BENNETT of Caribou D Y
  BERRY of Belmont R N
  BERUBE of Lisbon R N
  BIERMAN of Sorrento R Y
  BLANCHETTE of Bangor D Y
  BLISS of South Portland D Y
  BOWEN of Rockport R N
  BOWLES of Sanford R N
  BRANNIGAN of Portland D Y
  BREAULT of Buxton D Y
  BROWN of South Berwick R Y
  BROWNE of Vassalboro R Y
  BRUNO of Raymond R Y
  BRYANT-DESCHENES of Turner R N
  BULL of Freeport D Y
  BUNKER of Kossuth Township D Y
  CAMPBELL of Newfield R Y
  CANAVAN of Waterville D Y
  CARR of Lincoln R Y
  CHURCHILL of Orland R Y
  CHURCHILL of Washburn R Y
  CLARK of Millinocket D Y
  CLOUGH of Scarborough R N
  COLLINS of Wells R Y
  COLWELL of Gardiner D Y
  COURTNEY of Sanford R N
  COWGER of Hallowell D Y
  CRAVEN of Lewiston D Y
  CRESSEY of Baldwin R N
  CROSTHWAITE of Ellsworth R N
  CUMMINGS of Portland D Y
  CURLEY of Scarborough r N
  DAIGLE of Arundel R Y
  DAVIS of Falmouth R X
  DUDLEY of Portland D Y
  DUGAY of Cherryfield D Y
  DUNLAP of Old Town D Y
  DUPLESSIE of Westbrook D Y
  DUPREY of Hampden R N
  DUPREY of Medway D Y
  EARLE of Damariscotta D Y
  EDER of Portland G Y
  FAIRCLOTH of Bangor D Y
  FINCH of Fairfield D Y
  FISCHER of Presque Isle D Y
  FLETCHER of Winslow R N
  GAGNE-FRIEL of Buckfield D Y
  GERZOFSKY of Brunswick D Y
  GLYNN of South Portland R Y
  GOODWIN of Pembroke D N
  GREELEY of Levant R Y
  GROSE of Woolwich D Y
  HATCH of Skowhegan D Y
  HEIDRICH of Oxford R N
  HONEY of Boothbay R N
  HOTHAM of Dixfield R Y
  HUTTON of Bowdoinham D X
  JACKSON of Fort Kent U Y
  JACOBSEN of Waterboro R N
  JENNINGS of Leeds D Y
  JODREY of Bethel R Y
  JOY of Crystal R X
  KAELIN of Winterport R Y
  KANE of Saco D Y
  KETTERER of Madison D Y
  KOFFMAN of Bar Harbor D Y
  LANDRY of Sanford D Y
  LAVERRIERE-BOUCHER of Biddeford D Y
  LEDWIN of Holden R N
  LEMOINE of Old Orchard Beach D Y
  LERMAN of Augusta D Y
  LESSARD of Topsham D Y
  LEWIN of Eliot R N
  LUNDEEN of Mars Hill D Y
  MAIETTA of South Portland R Y
  MAILHOT of Lewiston D Y
  MAKAS of Lewiston D Y
  MARLEY of Portland D Y
  MARRACHÉ of Waterville D Y
  McCORMICK of West Gardiner R Y
  McGLOCKLIN of Embden D X
  McGOWAN of Pittsfield D Y
  McKEE of Wayne D Y
  McKENNEY of Cumberland R N
  McLAUGHLIN of Cape Elizabeth D Y
  McNEIL of Rockland R N
  MILLETT of Waterford R Y
  MILLS of Farmington D Y
  MILLS of Cornville R Y
  MOODY of Manchester R Y
  MOORE of Standish R X
  MURPHY of Kennebunk R N
  MUSE of Fryeburg R N
  NORBERT of Portland D Y
  NORTON of Bangor D Y
  NUTTING of Oakland R X
  O'BRIEN of Augusta R N
  O'BRIEN of Lewiston D Y
  O'NEIL of Saco D Y
  PARADIS of Frenchville D Y
  PATRICK of Rumford D Y
  PEAVEY-HASKELL of Greenbush R N
  PELLON of Machias D Y
  PERCY of Phippsburg D Y
  PERRY of Calais D X
  PERRY of Bangor D Y
  PINEAU of Jay D Y
  PINGREE of North Haven D Y
  PIOTTI of Unity D Y
  RECTOR of Thomaston R N
  RICHARDSON of Greenville R N
  RICHARDSON of Brunswick D Y
  RICHARDSON of Skowhegan R X
  RINES of Wiscasset D Y
  ROGERS of Brewer R N
  ROSEN of Bucksport R Y
  SAMPSON of Auburn D Y
  SAVIELLO of Wilton D Y
  SHERMAN of Hodgdon R N
  SHIELDS of Auburn R N
  SIMPSON of Auburn D Y
  SMITH of Monmouth D Y
  SMITH of Van Buren D Y
  SNOWE-MELLO of Poland R N
  STONE of Berwick R N
  SUKEFORTH of Union U N
  SULLIVAN of Biddeford D Y
  SUSLOVIC of Portland D Y
  SYKES of Harrison R Y
  TARDY of Newport R Y
  THOMAS of Orono D Y
  THOMPSON of China D Y
  TOBIN of Windham R N
  TOBIN of Dexter R N
  TRAHAN of Waldoboro R Y
  TREADWELL of Carmel R N
  TWOMEY of Biddeford D Y
  USHER of Westbrook D Y
  VAUGHAN of Durham R N
  WALCOTT of Lewiston D Y
  WATSON of Bath D Y
  WHEELER of Kittery D Y
  WOODBURY of Yarmouth U Y
  WOTTON of Littleton D Y
  YOUNG of Limestone R Y
---------------------------------[url=http://janus.state.me.us/legis/LawMakerWeb/rollcall.asp?ID=280010921&cha... Call[/url]

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Re: Roll Calls on Dirigo Health Plan

Portland Press Herald
Saturday, June 14, 2003Innovative health bill embraced By JOSIE HUANG, Portland Press Herald WriterCopyright © 2003 Blethen Maine Newspapers Inc.  
[img]http://www.portland.com/photos/030614health.jpg[/img]
Staff photo by Doug Jones
[i]Sen. Sharon Treat applauds passage of the Dirigo Health bill in the Senate chamber on Friday. Treat was the bill's chief sponsor in the Senate. She says the program aims for the same goal of universal health care as a single-payer health-care system[/i].
AUGUSTA — State lawmakers embraced one of the nation's most ambitious attempts at health-care reform Friday, passing a bill that promises affordable coverage to all Mainers within five years while controlling health-care spending statewide. National policy analysts have described the bill's focus on access, cost and quality as groundbreaking at a time when other cash-hungry states are taking slower, more cautious steps. Others attach "first-in-the-nation" to the bill's centerpiece, the state-sponsored Dirigo Health insurance program that would use the state's buying clout to offer low-deductible but comprehensive health plans through private insurance carriers. The program would subsidize premium payments for income-eligible enrollees. Gov. John Baldacci - who introduced the bill May 5 and pushed for its passage this session despite protests from Republicans, the health care industry and members of the business community - said the legislation could become a national model. "We send a message not only to our citizens but to others, that this is the way things should be done," he said.Carla Plaza, health policy analyst at the National Conference of State Legislatures, said Maine is leading other states."The governor has taken bits and pieces of what other states are doing and incorporated it into one huge plan," Plaza said. "I don't think any other state has done something like this." The House of Representatives voted 105-38 on the final version of the bill, the Senate 25-8; despite partisan rifts, both bodies easily reached the simple majority required for passage. The bill takes effect 90 days after the Legislature adjourns, as early as today.After weeks of work sessions and deal-brokering behind closed State House doors, final enactment in the Senate on Friday drew applause from supporters, who said the health-insurance program - coupled with an expansion of Medicaid - will cover the estimated 180,000 Mainers who go without insurance each year. "It's a great day for people who can't afford the high cost of health-care coverage because help is on the way," said Joe Ditre, executive director of Consumers for Affordable Health Care. Democratic Sen. Sharon Treat, the bill's chief sponsor in the Senate, said the program aims for the same goal of universal health care as a single-payer health-care system, a controversial measure being studied by a legislative panel. But, she said, Dirigo Health is not "disruptive to the current system we have."The program is funded by contributions from employers and employees who can afford to pay, federal money and an annual fee on insurance carriers to recover the tens of millions of dollars of bad debt and charity care normally incurred by the uninsured and ultimately shifted onto the premiums paid by insured individuals. The governor has pledged about $53 million in federal funds for the first year of the program, which would start on July 1, 2004."One of the key features is that it's a combination of public- and private-sector resources and market forces," said Sen. Michael Brennan, D-Portland, co-chair of the bipartisan Joint Select Committee on Health Care Reform, which unanimously endorsed the bill. Other groups had mixed feelings about the bill's enactment, saying they hope the plan will work but have their doubts. The Governor's Office says a Dirigo Health premium for an individual will likely cost under $300 a month, but some business associations wonder whether employers will be able to contribute up to 60 percent to participate, or whether uninsured individuals who have been relying on charity care from hospitals will want to buy insurance.They also worry that an annual fee on insurance carriers will be passed on to premium payers, despite assurances from the Governor's Office that safeguards will make it unnecessary for any cost-shifting.Also concerned were lobbyists for Maine's health-care industry, which publicly supported the bill only after the Baldacci administration relaxed some cost-containment measures. Among the bill's provisions is that insurers, doctors and hospitals adhere to voluntary 3 percent caps on revenue increases. There are also tighter restrictions on medical expansions that doctors and hospitals can undertake.Hospitals, which also face a voluntary 3.5 percent cap on price increases, might have to consider cutting back health-prevention programs and reducing salaries, according to the Maine Hospital Association."We don't know how much fat there is out there, but we'll soon find out," said association president Steve Michaud, who says he plans to meet with members this summer to assess the plan's impact. Many Republicans questioned whether the law will be able to contain costs, but voted for it because of amendments made in work sessions.To help win a unanimous "ought to pass" report from the health-care reform committee, the Baldacci administration agreed to a provision that would let the Legislature consider a high-risk pool model if Dirigo Health performed unfavorably. That insurance model, found in 31 other states, separates the sickest individuals to bring down premium costs for other premium payers.Dirigo Health would have to show after three years whether it is helping to reduce the number of uninsured Mainers and whether it is reining in insurance costs. "We do have a 'Plan B,' and that gave us a lot of comfort," said Rep. Kevin Glynn, R-South Portland, who sat on the health-care reform panel.The governor was ready to begin making appointments this summer to the Dirigo Health board and an advisory committee on quality, but that will now happen after September. The start date was pushed back when Republicans voted against a version of the bill that contained an emergency provision.The votes were close. Rep. Joe Bruno, R-Raymond, House Minority leader, said the bill could have been passed with the "emergency preamble" if another vote were taken.Aides say Baldacci will hold a bill-signing ceremony next week, when members of his health care team - Trish Riley, director of the Office of Health Policy and Finance and the chief author of the bill, and deputy director Ellen Schneiter - will be available.Staff Writer Josie Huang can be contacted at 791-6364 or at:jhuang@pressherald.com
[url=http://www.pressherald.com/news/statehouse/030614health.shtml]http://www...

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Re: Roll Calls on Dirigo Health Plan

Kennebec Journal
Saturday, June 14, 2003Dirigo Health plan approved
Baldacci expected to sign bill next week By GLENN ADAMS, Associated Press WriterCopyright © 2003 Blethen Maine Newspapers Inc.  
AUGUSTA — Maine lawmakers gave final approval Friday to a bill to create one of the nation's most far-reaching health insurance plans.Uncertain of holding the two-thirds majorities that would be required to have the bill take effect immediately, proponents in the Senate and House of Representatives stripped away emergency language so only simple majority votes were needed for passage. Once that happened, super majorities materialized. The final recorded vote in the 151-member House had 105 members voting in favor. Enactment in the Senate came on a tally of 25-8. Without an emergency preamble, the measure's effective date will be delayed by 90 days. Lee Umphrey, spokesman for Gov. John Baldacci, said the governor was expected to hold a bill-signing ceremony next week. Baldacci, a Democrat, made a promise of universal health care a central theme of his campaign for governor last fall. The Dirigo Health plan, which was negotiated by a spectrum of interests during the past month, received unanimous bipartisan support of a special committee. Several amendments presented in the House and Senate were defeated after the bill received initial approval Thursday. The bill would create a quasi-public agency to help people secure medical coverage for 180,000 Mainers through private insurers and expand eligibility for many through MaineCare, previously the state's Medicaid program. Baldacci would have preferred that the bill take effect immediately so a board and administrative structure for Dirigo could be set up and insurance timelines met, Umphrey said. But the bill would stay substantially intact by removing the provision that it take effect immediately. Dirigo Health would take effect in July 2004, and supporters say all Mainers would have access to coverage within five years. Baldacci has pledged $52 million in one-time federal fiscal relief money to start up the program. It also depends on the recovery of tens of millions of dollars now lost to charity care and bad debt from those without coverage. [url=http://www.centralmaine.com/statehouse/stories/030614xgr__uni.shtml]http...

Mark T. Cenci
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Re: Roll Calls on Dirigo Health Plan

It seems to me certain Republicans failed Mainers terribly by participating in this. Well, Republicans, now you (all of you) own it too.Rep Glynn explains that the efforts of Republicans make the system less offensive, less expensive, more fiscally feasible, more palatable to hospitals, insurance companies and whoever.That's the problem.The only response I want from legislators whom I have any respect for in regard to any of this nonsense is a boycott.The only things I want them working on is a steadfast and principled explanation to the people of Maine that government is the problem. And that deregulation is the solution.Then go home. Boycott the committee hearings, boycott the vote.Let the socialist nuts load their plan up with all the gimmicks they love. Let the debate become one between the Green and the Dems to make it ever more market and freedom hostile. That would only cause it to fail all the sooner and all the more spectacularly.I prefer short term pain for long term gain in the battle of ideas. Make a big deal over a prediction that with the passage of Dirigo, service will worsen, costs will rise and economic ruin will follow. Then when it does, and it would, be everywhere all the time saying "we told you so, they are a menace, we have the solution, it is based on good old American freedom, elect us".So now, thanks to Republicans, we get long term pain with no gain. When crisis arises, and it will, what will be done? Will we be able to say "told you so!" No. We will have to abide by more Republican and Democrat tinkerings, service reductions, tax increases and all the rest.Sure, I'm merciless in my taunting of Republicans. Maybe you are sick of me.But I'm right. And here's why.

MaryAdams
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Re: Roll Calls on Dirigo Health Plan

Mark,A case to your point: in l977 we had succeeded in getting enough signatures to put the question of repealing the state property tax on the ballot. The steam was building to get rid of the tax. The major threat to repeal was if the legislature reduced the mill rate enough to turn down the heat. I prayed they would not do it because this was our one chance to take back the property tax from the legislature. There was great pain and hardship in many places because state-mandated revaluations had resulted in sky high taxes but the pain was what finally brought us gain and the voters threw it out on Dec 5, l977.Pain is essential to overthrowing bad law. Without it there is no revolt. Otherwise the fly specking and adjusting to make a bad law fit better keeps the bad thing alive and relief from it never comes. Had the legislature reduced the rate significantly, it would have reduced the pain level and reduced our chances to be free of it once and for all. Mary

Editor
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Re: Roll Calls on Dirigo Health Plan

Mark --I agree with you 100 percent.Scott K Fish

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Re: Roll Calls on Dirigo Health Plan

Dirigo Health plan enacted by Maine Legislature By Glenn Adams, Associated Press, 6/13/2003 21:42 AUGUSTA, Maine (AP) Gov. John Baldacci said Mainers won a ''great victory'' when lawmakers gave their final approval Friday to a bill to create one of the nation's most far-reaching health insurance plans. Uncertain of holding the two-thirds majorities that would be required to have the bill take effect immediately, proponents in the Senate and House revised the bill so only simple majority voteswere needed for passage. Once that happened, super majorities materialized. ''This was a great victory for the people of Maine,'' said Baldacci, a Democrat who made a promise of universal health care a central theme of his campaign for governor last fall. Senate Majority Leader Sharon Treat, D-Farmingdale, called the Dirigo bill the single most important piece of legislation she's worked on since she was first elected in 1990. ''This is a breakthrough,'' said Rep. Christopher O'Neil, D-Saco, co-chairman of the select committee that negotiated the bill. The governor credited lawmakers from both parties and groups that had a stake in the outcome with successfully negotiating a package over the past month that won unanimous committee support. The committee worked from a bill Baldacci submitted. The final recorded vote in the 151-member House of Representatives had 105 members voting in favor. Enactment in the Senate came on a tally of 25-8. Without an emergency preamble, the measure's effective date will be delayed by 90 days, to mid-September. Baldacci, who was expected to hold a bill-signing ceremony next week, promised himself before he became governor that health-care legislation would materialize by June 9, the date of his parents' anniversary, spokesman Lee Umphrey said. That was the day the committee reached its compromise. Several amendments to limit the scope or substantively change the bill were presented and defeated during House and Senate debates. The bill will create a quasi-public agency to help secure medical coverage for 180,000 uninsured Mainers through private insurers and expand eligibility for many through MaineCare,previously the state's Medicaid program. Coverage will be available to businesses and municipalities with 50 or fewer employees and the self-employed. Baldacci would have preferred that the bill take effect immediately so a board and administrative structure for Dirigo could be set up and insurance timelines met, Umphrey said. But the bill would stay substantially intact by removing the provision that it take effect immediately. Dirigo Health will take effect in July 2004, and supporters say all Mainers will have access to coverage in 2009. Baldacci has pledged $52 million in one-time federal fiscal relief money to start up the program. It also depends on the recovery of tens of millions of dollars now lost to charity care and bad debt from those without coverage. A companion bill is being carried over to next year's session because supporters were unable to persuade lawmakers to pass it this year. The proposed constitutional amendment seeks to protect the Fund for a Healthy Maine from raids for non-health programs. The measure failed to win the two-thirds majority vote it needed to win final passage so it could be sent to voters. The fund includes millions of dollars Maine has received as part of a settlement of states' lawsuits against tobacco companies. The constitutional amendment would ensure that the money is used only for health promotion and disease prevention. Supporters say the tobacco settlement money was intended to be used for health purposes only. [url=http://www.boston.com/dailynews/164/region/Dirigo_Health_plan_enacted_by...

Bob Stone
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Re: Roll Calls on Dirigo Health Plan

I don't know if I understand this enough yet to know if it will, or won't, work.Mark, can you explain the bad debt recovery and how it will translate into cash to pay hospitals?[ 06-14-2003: Message edited by: Bob Stone ]

Peter Zaimes
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Re: Roll Calls on Dirigo Health Plan

Many Republicans had the courage to step up to the plate and do somethng to effect a change in the rubbish pile of laws and mandates that we call health insurance in the state of Maine. They are to be applauded, not denigrated.If this turns out to the the disaster that many of you predict then the Republicans can try to legislate change. oooooooooooooops I am sorry. Did I say that the Repblicans could try to legislate change to the health insurance plan? That was silly. They have not done anything to effect a change yet, so why would we expect them to try to correct the Dirigo plan in the future if it is a disaster?Heck, maybe somebody could explain to them that all is needed is deregulation with no state mandates. Do you think they could figure it out and try to pass some legislation along these lines? Naw. I don't think so. The Republicans in Maine are just plain losers no matter how you look at it.What's the difference? If you replace one disaster with another disaster, you still have disaster? I don't really see what the fuss is about.

Jon Reisman
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Re: Roll Calls on Dirigo Health Plan

The vote means no accountability as we march towards the nanny state. I take some solace in the no votes, few as they were- at least Paul Davis and David Bowles voted no as did a distressingly small host of R's. A few R's I really respect voted Yes. At least my own reps (Shorey and Al Goodwin) voted No, and I sent them a note thanking them. As I predicted, Susan and Olympia, nanny state enablers par excellence, have already provided the seed money, and will soon be taking credit for securing the Medicaid match dollars. It's probably not a healthy thing to be a male conservative here in the nanny state. I could see Trish Riley, Sharon Treat, Bev Daggett and Lani Graham and Lori Lachance declaring a public health threat and invoking their new powers to mandate a healthier sustainable lifestyle and environment, cleansed of antisocial bad boys.In fact, I'm pretty sure that's already in the learning results.

Doug Thomas
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Re: Roll Calls on Dirigo Health Plan

I didn't realize we had so many Socialists in the Republican party, they ought to be ashamed of themselves.

Anonymous
Re: Roll Calls on Dirigo Health Plan

My Dist. 46 Rep. joined Kevin Glynn in supporting the measure. I was very surprised by both. Rep. Glynn said on the Maine Talk show the GOP put in enough triggers to protect Mainers. Government fails miserably administering health care. Just look at our own DHS (DIE HARD SPINDOCTORS)I am afraid we lose on this one...

Editor
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Re: Roll Calls on Dirigo Health Plan

Rep. Glynn's vote is very disappointing. I don't care how he spins it.skf

Bob Stone
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Re: Roll Calls on Dirigo Health Plan

Ok...so what are we gonna do about it?

Editor
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Re: Roll Calls on Dirigo Health Plan

Bob -Short term? I'm writing a thank you to every legislator with the brains, heart, and courage to vote on [i]behalf[/i] of Maine and [i]against[/i] this trash plan.As for the rest of the legislators? I'm going to wait until I calm down before making any [i]final[/i] decisions.skf

Bob Stone
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Re: Roll Calls on Dirigo Health Plan

Scott-Good thinking.If you run across a clean copy of the final bill, could you let us know.

Editor
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Re: Roll Calls on Dirigo Health Plan

New York Times
June 14, 2003Maine Lawmakers Approve Plan for Universal Health Coverage
By THE NEW YORK TIMESBOSTON, June 13 — The Maine Legislature today passed a comprehensive health insurance plan that will make low-cost coverage available to all state residents by 2009.The legislation will create a semiprivate agency that provides private coverage to the state's 180,000 uninsured residents, businesses and municipalities with fewer than 50 employees and the self-employed. Employers would pay up to 60 percent of an employee's premium.The voluntary program looks to insure 31,000 residents by 2004 and the remainder by 2009."Our motto is you can't have a healthy economy if you can't have healthy people," Gov. John Baldacci, who crafted the plan, said in an interview today. He will sign the legislation into law at a ceremony next week.About a dozen state legislatures are mulling universal health care bills, according to Richard Cauchi, a manager for the National Conference of State Legislature's health care program. Experts say the Maine legislation could serve as a model nationwide."It's a very important statement that the state is saying we believe as a matter of public policy that every person in Maine should have health insurance," said Arthur Levin, the director of the Center for Medical Consumers, a New York-based nonprofit consumer advocacy organization. "It's a statement no other state has been willing to make."Premiums will be based on a sliding scale according to income, family size and a person's chosen plan. Individuals with annual incomes below $27,000 and families of four that make less than $55,000 a year will be eligible for reduced premiums. The plan places a one-year voluntary cost cap on insurers, hospitals and providers and limits outpatient procedures. A watchdog group will monitor hospital costs and services.The plan is to be financed in a number of ways, including by federal tax relief money the first year and then with money recovered that does not have to be paid for the uninsured to receive emergency medical care.The bill passed the House on a vote of 105 to 38, and the Senate by 25 to 8. State Senator Richard Nass, who was among the dissenters, said that financing was spotty after the first year and that the plan would drive up the cost of premiums for those who already have health insurance.[url=http://www.nytimes.com/2003/06/14/national/14MAIN.html]http://www.nytime...

HenryGonzalez
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Re: Roll Calls on Dirigo Health Plan

NoneDare --I've removed (and saved!) your posting. It was so long that it was causing this thread to load r-e-a-l s-l-o-w. (That's not good for those of us with 56K modems as our only option.)Was what you had posted here the original LD 1611 text or the text of LD 1611 as amended/enacted?Either way, instead of posting the entire text here, do you have a link you can offer people?Thank you.Scott K Fish[ 06-15-2003: Message edited by: Editor ]

Anonymous
Re: Roll Calls on Dirigo Health Plan

I hope people note how many so-called conservatives who voted for Baldacci's plan. People are oftened criticized here for votes on social issues. People should note those that may be conservative on social issues who voted with the liberals on this important issue.

HenryGonzalez
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Re: Roll Calls on Dirigo Health Plan

[url=http://janus.state.me.us/legis/LawMakerWeb/externalsiteframe.asp?ID=2800... is the committee ammendment that constitutes the final bill language; everything on this page beyond that and before S-288 are Republican attempts to ammend it. S-288 stripped the emergency clause from Dirigo so the majority could pass it. S-278 is an alternative (completely replaces the bill) based on free market principles (if that is possible in this day and age).[/url]Those who want a copy of Dirigo should click on H-565 and then on "download bill text" to get a Word version.nd

Editor
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Re: Roll Calls on Dirigo Health Plan

ND -Many thanks.skf

Bob Stone
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Re: Roll Calls on Dirigo Health Plan

None Dare...Thanks for the link.I now understand how the cost savings funding is designed. If the health care system reduces the amount of bad debt as the result of Dirigo, the amount of bad debt reduced will be paid back to the state by the insurance companies. This will be billed to policy holders.

Jack Spratt
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Re: Roll Calls on Dirigo Health Plan

Lets not be so hard on Kevin Glynn and other Republicans on the special committee that did the work on this bill. They spent many hours negotiating this proposal and blunted many of the most onerous provisions.Those of us on the outside sometimes do not realize that compromise is about the only way something gets passed. Glynn especially was a thorn in their paws. Even R's who voted in favor supported an earlier effort to advance an alternate proposal which centered around risk-pools. It also had provisions to end guaranteed issue and broaden the community rating standards.You will note that Dirigo has a provision to include risk-pools if the savings are not realized down the road. This was one of Glynn's doings. I predict that Dirigo will not pan out and we will see risk pools. The socialists running Dirigo wanted no part of this concept. Jack

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Re: Roll Calls on Dirigo Health Plan

quote:Originally posted by Jack Spratt:
[b]Lets not be so hard on Kevin Glynn and other Republicans on the special committee that did the work on this bill. They spent many hours negotiating this proposal and blunted many of the most onerous provisions.[/b]

Negotiating without a clear idea of what you want is an excercise in futility. Rep. Glynn and Sen. Turner did an excellent job pointing out problems with Dirigo during the committee's work and proposed some good alternatives. Nearly all of the problems that were pointed out are still there and the alternatives were not included in the bill.The 4% tax on health insurance, to me, is the most onerous provision and it is still there and thanks to the compromise, it will now be possible for insurance companies to pass that along directly to ratepayers under certain circumstances.

quote:Originally posted by Jack Spratt:
[b]Those of us on the outside sometimes do not realize that compromise is about the only way something gets passed.[/b]

Why would anyone want to compromise to help get a government run health care plan passed?

quote:Originally posted by Jack Spratt:
[b]You will note that Dirigo has a provision to include risk-pools if the savings are not realized down the road. This was one of Glynn's doings. I predict that Dirigo will not pan out and we will see risk pools. The socialists running Dirigo wanted no part of this concept.[/b]

The triggers can be removed by a majority vote of the Legislature and you can be sure that is what will happen if it looks like any of the triggers are about to be fired.Incumbents who voted yes avoided having to explain a tough vote. Unfortunately, Republican support for the plan will make it very hard to hold the Democrats accountable when the plan fails. The Democrats can truthfully say that the plan's details were negotiated with Republicans so Republicans are also responsible for the plan.A better strategy would have been to let the Democrats pass their plan and to let it explode in their faces. The timing of the plan's failure should have put Republicans in a good position to elect a Governor in '06. So far, Republicans have signed on to pretty much all of Baldacci's proposals. When they don't work, the Governor will talk about how his plans had bi-partisan support and the average voter will rightfully be confused about who really is responsible.I am starting to think my the Libertarians may be right when they say there isn't any difference betweeen the two parties.[ 06-15-2003: Message edited by: George ]

MaryAdams
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Re: Roll Calls on Dirigo Health Plan

A lot of promising Republican legislators have died on hills which are going to be bulldozed almost immediately by Democrats. George is right, that risk pool will be gone so fast we'll never even know it was there because we're not in control. I don't understand why, as George and others have said, Republicans don't give the Democrats clear title to these disasters (that means NO Republican votes) and watch them stew in their own juice when it blows up. At least the voters would know who to vote for next time. When things fall apart...and they will soon...one looks as bad as the other. There is no "good side" emerging from this.We had Republicans vote for the budget, for Dirigo (the first dawn of state takeover of the health system) and I expect when the horrible tax reform initiative is taken up, there will be Republicans voting for that too.This is not the way to win future elections.

Bob Stone
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Re: Roll Calls on Dirigo Health Plan

When you don't have a sound strategy, it is almost impossible to win the tactical battles. This is an economic disaster in the making for this state and a political disaster for the Republican party. Maybe we have just reached our low point.

Mark T. Cenci
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Re: Roll Calls on Dirigo Health Plan

Jack: I do believe you are correct about the need to compromise on certain things.Proposing a tax cut of 500 billion and compromising on a 300 billion cut is a good compromise.I do not believe this was a good compromise and I am encouraged to read that informed and thoughful people like Mary, Scott, Doug and George think so as well.

MMan
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Re: Roll Calls on Dirigo Health Plan

If the Dems keep running this state and dominating the policy agenda many more will "Dirigo" caravans of young people out of Maine.

Anonymous
Re: Roll Calls on Dirigo Health Plan

Bob Stone-Just what sort of strategy would you have the republicans have? They are in the minority, have at least 25% of their membership RINOS. The democrats use the rinos constantly, just look at the makeup of the committee, and every other committee of any importance for that matter. The party leadership is run by Olympia. (talk about a rino!!) It is of little help to the leadership of the republicans in the legislature. Baldacci gave and gave on this Dirigo thing until it is toothless. The republicans on the committee voted for this because of the compromises and back pedeling by Baldacci. He gave to the hospitals, business, doctors, insurance companies, and even to the republicans on the committee. The big problem is it is in place and Trish will be there doing everything to try to make it work. The only thing that will make it work is more money and taxes. More assaults on free enterprize. Other problems include the fact it will take until after the 2006 election for it to be the failure I think it will be. At the very best it has only a slim chance of any success. People have very short memories, next year people are going to wonder where the inexpensive insurance is, Baldacci is going to have to tell them to be patient. $53 million is going to be spent, just to start it up. To get this, Maine did not conform to the federal tax code.I would agree the republicans gave Baldacci some cover but it is all his idea and he will have take the heat for it when it fails.

Keith
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Re: Roll Calls on Dirigo Health Plan

quote:Originally posted by Bob Stone:
[b]Ok...so what are we gonna do about it?[/b]

My guess... NOTHING!
Unless you count complaining to one another on AMG.
You can see what a group of brave republican Senators did. Who is willing to help give them the majority next time around?
I am betting that most of us will choose the easier course of beating up on those who voted with the democrats and leaving the party of eight hanging out there on their own.

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