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Budget News and Notes

Friday, January 13th, 2012

While Gov. Bobby Jindal has focused on education, his administration has been conspicuously quiet on another issue that’s sure to grab headlines in the months ahead: the state budget.

But the calendar doesn’t lie. In less than four weeks the governor will lay out his spending plan for 2012-13. And what we have learned so far is not encouraging.

As states across the country begin to rebound from the Great Recession, Louisiana is one of just seven states that experienced a mid-year shortfall in the current fiscal year. And while Louisiana’s $198 million gap was smaller than those in California, Illinois, New York and Washington, it is the second-biggest gap when measured as a percentage of the overall budget.

For fiscal year 2012-13, states across the country have identified a collective $44 billion in budget shortfalls. That’s a major improvement over last year, when states faced $103 billion in shortfalls that had to be fixed through spending cuts or new measures. But next year’s list is incomplete, and Louisiana is among a handful of states that have yet to detail the size of next year’s budget gap (that figure is expected later this month, when the Joint Legislative Committee on the Budget meets).

According to the Center on Budget and Policy Priorities:

“These preliminary totals may be down somewhat from the daunting budget gaps of the last several years, but they are still very large by historical standards. And it is reasonable to expect that this total will grow as governors issue new gap projections along with the budget proposals they will be releasing in the coming months.

Making matters worse, the latest downturn comes in a year when Congress is unlikely to ride to Louisiana’s rescue, as it has done several times in the recent past. As Stateline.org reported this week, last summer’s deal to raise the federal debt ceiling is likely to trigger automatic, across-the-board cuts in the federal money that states receive for education, social welfare and other programs:

“A long siege of deadlock and dysfunction in Washington has left states frustratingly unclear what to expect from the federal government in the coming year. About the only thing they know for sure is that it is not going to be a year of generosity.”

It’s too early to tell how Gov. Jindal will propose to cope with these challenges. But with the governor having ruled out new revenue measures – and having already raided various pots of one-time money to balance the current-year budget – our fear is that the cuts will come from the health-care and social welfare programs that poor and moderate-income residents depend on.

- On another note, it appears from this Bloomberg story that the state Bond Commission got snookered in 2005 when it overruled the advice of its staff and decided on a risky scheme to borrow money for Superdome upgrades. The cost of financing $187 million worth of repairs has climbed to $42 million and led outside analysts to conclude that the state was “unsophisticated” compared to the Wall Street bankers who sold them on the plan:

“In most cases, the elected political leadership are part- time amateurs,” said Roger Noll, professor emeritus of economics at Stanford University near Palo Alto, California. “They get a noisy political grassroots movement that wants to subsidize a team, and then they get sold a bill of goods.”

Quotable:

“It’s a fallacy to say reductions in Medicaid rates impact the economy,”

- Louisiana Health and Hospitals Secretary Bruce Greenstein, who gets paid $242,001 per year as a state employee, pretending that government spending does not create jobs.

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.