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Budget News and Notes

Friday, February 3rd, 2012

By: Jan Moller

Gov. Bobby Jindal will release his 2012-13 budget plan in less than a week, and that’s when we’ll find out how he proposes to close the $895 million shortfall. But so far it looks like more of the same is on the way: tax breaks for those who need them the least, with higher costs and fewer services for those who need them the most.

If you’re a Fortune 500 chief executive, the state wants to pay 25 percent of your moving costs if you agree to put your headquarters to Louisiana. That should help defray the cost of hauling all those Mercedes and BMWs to the Pelican State, though who knows how the CEOs will react when they see our
roads.

The moving cost proposal was among a bushel of new corporate tax breaks that Jindal proposed this week, even as he was deliberately vague about their cost to the state treasury and their effect on employment.

Jindal said he expects the breaks to generate 10,000 “direct and indirect” jobs in the next “five to 10” years, meaning that by the time anyone gets around to calculating whether these tax breaks had any effect on job-creation he will have long since moved on to his next job.

Meanwhile, there is strong evidence to suggest that the tax breaks Jindal is proposing – while doing plenty to lift the governor’s political profile – will have a negligible effect on a company’s decision on where to expand or relocate. Author Greg LeRoy cited longtime site-selection executive Robert Ady in making the case that other factors are far more important than taxes:

“In summary, site selection data do not suggest any correlation between low taxes and positive economic growth, or between high taxes and slow growth. The location requirements are too many, the process too complicated, and other factors too important to justify a strong relationship.

“Ady’s findings are consistent with those of others: tax-rate differences and tax incentives are too small to make a difference. Subsidies cannot make a bad place a good place. Good places are competitive because they have the long-term business basics that a company needs to produce supply to meet demand. So if cities and states want to grow more jobs, instead of cooking up more tax breaks, they should focus on improving their business basics – the valuable inputs and linkages they have.”  

While the exact effect of Jindal’s proposed tax breaks on state revenues is hard to calculate, The (Baton Rouge) Advocate gave it the old college try and came up with $25 million. Coincidentally, that’s almost as much as the Louisiana State University hospital system is being forced to cut to make up the latest mid-year shortfall.

That means if you have a child with complex medical needs, you may soon have to look for another doctor, as LSU is getting ready to close pediatrics clinics throughout the state to cope with a $29 million cut. As Andre Billeaud wrote in a letter to the The Advertiser newspaper in Lafayette, where University Medical Center is looking at closing its pediatric clinic as of March 1:

My family is fortunate to have private health insurance coverage that enables us to travel the nation for the best specialty care available for our son’s conditions. We choose UMC’s Pediatric clinic because it is the best primary care that money can buy for his unique needs, including heart disease, asthma, epilepsy, stroke, feeding tube dependency, developmental delays and attention deficit disorder.

Sadly, health care coverage remains a privilege in this country. We recognize our privilege and the precarious position that we and all parents are in trying to provide health care coverage for our children. We are deeply grateful that UMC is equally accessible to all children with complex medical needs, including HIV, sickle cell anemia, autism, diabetes, regardless of their families’ ability to pay. After all, there, but for the grace of God, go I — or you.

Meanwhile, if you’re a middle-class state employee, your payroll taxes are likely to rise from 8 percent to 11 percent under Jindal’s plans to “reform” the state’s pension system. And if you had planned to retire after 30 years on the job, you may instead have to keep working until age 67.

But the governor, who has his hands full with education issues this session, may first have to convince his hand-picked Retirement Committee chairman that the pension changes are a good idea. Rep. Kevin Pearson, R-Slidell, sounded somewhat skeptical when talking to The Times-Picayune:

Though Pearson, chairman of the House Retirement Committee, volunteered to file the administration’s bills, he said he still has questions about Jindal’s proposal. Among those questions are whether the bills will treat employees equitably and how raising the retirement age could affect existing employees.

“This is the first approach and then we have the whole session to debate the bills,” he said.

Pearson is right, of course. This is only the beginning. We are still a week away from finding out how the governor plans to deal with the fourth straight year of budget shortfalls under his watch. But the early returns are not encouraging.

Budget News and Notes

Tuesday, January 24th, 2012

By: Steve Spires

The 2012-13 budget shortfall: $895 million.

That’s what Gov. Bobby Jindal’s administration told the Joint Legislative Committee on the Budget  last Friday when the “continuation budget” was released. The continuation budget represents what it would cost to maintain current levels of government services, and the shortfall—unfortunately—was larger than many were expecting.

The Associated Press broke down what is driving the budget gap. Most significant, and troubling, is that the shortfall is in large part of result of all the “one-time money” the administration used to plug last year’s budget hole:

“At least 40 percent of the gap is tied to the use of one-time money that propped up parts of the current budget and that is expected to fall away in the new fiscal year that begins July 1, most of it used in the state’s Medicaid program. . .

When the governor’s financial architects and lawmakers crafted this year’s budget, they scraped dollars from state funds earmarked for other areas and tapped into one-time available sources of federal cash to balance the spending plans. Most agencies took cuts at the beginning of the fiscal year and then earlier this year when income estimates again fell short of projections. . .

According to the article, around $335 million of the $538 million Medicaid shortfall is due to the use of one-time money. While using this one-time money gave lawmakers a timely election-year reprieve from making health-care cuts, it only served to kick the can down the road another year.

The Medicaid program provides health care to 1.2 million Louisianans, and state cuts to the program would only make the budget situation worse, because they would lead to the loss of federal Medicaid dollars.

To begin to address the shortfall, the Jindal administration can take a number of steps:

To start addressing the hefty state budget gap, Jindal and lawmakers can shave off at least $175 million of the shortfall by refusing to pay for inflationary increases, pay hikes and education funding boosts that they haven’t covered in recent years.

Make no mistake:  despite rhetoric about “doing more with less,” budget cuts have real consequences for vital services like health care and education.

While “inflationary increases” doesn’t sound like a lot, failing to fund them year after year is harmful. For example, the “education funding boosts” mentioned above are for the Minimum Foundation Program (MFP), the state’s primary way of funding K-12 education. Because of budget problems, the MFP hasn’t been increased in three years, despite the fact that the costs of educating a child have increased.

Meanwhile, from the Baton Rouge Advocate comes more evidence that budget cuts have real consequences. After the Jindal administration decided in December to close the mid-year budget shortfall in part through millions in cuts that hit the LSU hospital system, LSU Vice President Fred Cerise sent out notice that lay-offs were in the works.

Yesterday, Cerise announced more cuts:

“An LSU medical clinic that serves about 5,000 Baton Rouge area children is on the chopping block because of Jindal administration budget cuts.

‘We are trying to identify other providers who can absorb the patients,’ LSU System Vice President for Health Care Fred Cerise said Monday. ‘We will do our best to transfer kids to other providers. We are having those conversations right now. We want to make sure they don’t have gaps in care.’

Cerise said LSU has been unable to identify a source of funding that would keep the clinic open because of 2011-12 fiscal year budget cuts.’

Unfortunately, failing to adequately fund education and children’s health care is nothing new for Louisiana. A new survey on children’s well-being ranks Louisiana 48th out of the 50 states in terms of children’s quality of life. The report, by the Foundation for Child Development, only ranks Mississippi and New Mexico lower.

The  report specifically cited Louisiana’s lack of adequate investment in K-12 education and health care as two of the major reasons for the state’s low ranking.

It isn’t hard to connect the dots. Raising the quality of life for Louisianans requires smart public investments in education and health care. Those investments that aren’t being made today because the governor and the legislature would rather rely on one-time money and take a cuts only approach to the budget instead of focusing on building a responsible and sustainable revenue base for Louisiana’s future.

Protecting health care from state budget cuts by…cutting hospital budgets?

Wednesday, January 4th, 2012

By: Steve Spires

When Gov. Bobby Jindal’s administration presented its mid-year budget cuts to the Joint Legislative Committee on the Budget last month, Commissioner of Administration Paul Rainwater assured lawmakers that neither Medicaid providers nor LSU hospitals were being affected.

Not so fast. Now it appears the LSU public hospitals , which provide critical safety-net care for the state’s poorest residents, will in fact have to cut  $29 million over the next six months, according to a story in the Baton Rouge Advocate.

How did this happen?

In a nutshell:  To help close the $251 million December shortfall, the administration replaced $50 million in state dollars it was planning to spend at the Department of Health & Hospitals with federal dollars through a change in what is called “means of financing.” Legislators were assured that this was simply the result of a smarter use of federal dollars and would protect state health-care services from cuts.

But when something sounds too good to be true, it often is. And in this case, it turns out the LSU public hospitals were counting on using the same federal dollars to pay for their own operations – something legislators weren’t told at the time.

Now the LSU hospitals – including small, rural hospitals that provide critical outpatient care to communities with few health-care options – are starting 2012 by deciding which employees to fire and which services to cut.

More than anything, this latest episode shows the need for new revenues to fund vital safety-net services. Instead of robbing Peter to pay Paul year after year, the state needs a long-term strategy for paying its health-care bills while ensuring that its neediest residents get the care they need. For years, we have been told that state agencies are doing “more with less.”

But the state’s public hospitals will be doing less with less after this latest round of cuts.

Unfortunately, there is little that can be done in the short term. The Legislature is constitutionally barred from considering any revenue measures when it meets this spring, when the Legislature is expected to face another billion-dollar shortfall.

And that means more of a cuts-only approach that harms education and health care.

 

 

Medicaid in Louisiana: Improving Health, Protecting Children

Thursday, December 15th, 2011

It is hardly a secret that Louisianans, on average, are poorer and less healthy than other Americans. But Louisianans would be even worse off without assistance from Medicaid, the federal-state program established to expand access to medical care.

As Louisiana’s Medicaid program prepares for an era of rapid change, a new report by the Louisiana Budget Project highlights the importance of the state’s health-care safety-net for children and families, as well as the state’s economy. It is the first in a series of two papers highlighting the key role Medicaid plays in protecting the state’s most vulnerable citizens.

Medicaid provides vital health care services to nearly 30 percent of Louisianans. In 2010, three out of five children in Louisiana received Medicaid. This means nearly 775,000 kids relied on Medicaid for everything from routine checkups to specialty care for serious health conditions.

Read the full report and press release.

Commentary: Constitutional Amendment No. 1 Is the Wrong Prescription for Louisiana

Friday, November 11th, 2011

A proposed constitutional amendment on Louisiana’s November 19 statewide ballot to prohibit taxes on the sale of homes or businesses would damage the ability of state and local governments to provide revenue needed to support health care, education, and other essential services.

Here is an excerpt:

Real estate transfer taxes (RETTs) are charged on the sale of immovable property, such as homes or businesses, and are generally paid by buyers. Louisiana is among 37 states and Washington, D.C. with some form of real estate transfer tax, either at the state or local level. . .

. . . While there is currently no movement to establish RETTs outside Orleans Parish, a Constitutional prohibition against all such taxes would unnecessarily tie the hands of future policymakers at the state and local level as they grapple with budget challenges. . .

. . . As state government continues to retrench, it has been asking parishes and municipalities to shoulder an ever-increasing share of the cost for public education, transportation and other critical services. Parishes need more flexibility, not less, as they cope with these challenges. Amendment 1 is a step in the wrong direction.

 To read the full commentary, go to www.labudget.org and read “Constitutional Amendment No. 1 Would Make It Harder To Provide Essential Public Services.”