Save Medicaid Utah, a coalition whose members include AARP Utah, the Disability Law Center, Utah Family Voices, the Utah Health Policy Project, and Voices for Utah Children, has formed to advocate for preserving and strengthening Medicaid at a time when its viability is under attack in Congress. At stake is the health, well-being, and quality of life of over 320,000 individuals and working families in Utah – including more than 198,000 children, almost 16,000 seniors, and over 34,000 persons with disabilities.

“Medicaid supports our most vulnerable friends, neighbors, and family members,” says Micah. Vorwaller, Health Policy Analyst and Legislative Counsel with the Utah Health Policy Project. The Congressional Budget Office estimates the American Health Care Act (AHCA) will cut $880 billion from Medicaid over the next decade. As a result, some 14 million Americans will likely lose access to quality and affordable care over the same period. “With that size of a cut, many poor Utahns will undoubtedly lose coverage,” Vorwaller said. The House plans to vote on the legislation sometime tomorrow, March 23rd.

In addition to the cuts directly related to this drastic funding loss, the AHCA undermines the successful 50-year state and federal partnership underlying Medicaid. The partnership has meant that, in good times and bad, the federal government has covered about 2/3 of the cost of care for eligible Utahns. However, a Voices for Utah Children analysis found that, if the caps or block grants proposed in the bill had been in place for the last 10 years, Utah would be facing an estimated $650 million shortfall today.

Such a prospect is especially scary for parents of the thousands of children who would lose their comprehensive benefits under the existing program. Gina Pola-Money, Director of Utah Family Voices, notes, “Many families of children with special health care needs have private health insurance but still have to utilize Medicaid for their unmet needs.” Similarly, Jessie Mandle, Senior Health Policy Analyst with Voices for Utah Children, emphasizes that, “Medicaid is the cornerstone of children’s health coverage; any cuts, block grants or caps will undermine the health and well-being of Utah children and families.”

Danny Harris, Associate State Director of Advocacy for AARP Utah, contends, “Providing a fixed amount of federal funding, as envisioned by the AHCA, could shift overwhelming costs to Utah taxpayers and families, who would be unable to shoulder the costs of care, harming some of Utah’s most vulnerable citizens at a time when their needs are increasing.” Faced with scarce resources and tough choices, the state may be tempted, or forced, to provide only bare-bones care to as few individuals as possible. Disability Law Center Public Policy Advocate, Andrew Riggle, worries, “We could see a rapid return to the dark days of mass institutionalization if services designed to help keep individuals in their home or community or be as independent as possible – like outpatient mental health care, group homes, in-home nursing, or personal care supports – disappear.”

Save Medicaid Utah encourages its constituencies to ask their representatives to oppose the AHCA, and to hold them accountable for their vote.

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AHCA Could Have Deadly Consequences for Utah’s Most Vulnerable

March 30, 2017 is Love UT Give UT!

It’s a day for Utahns to give to the nonprofits that make Utah special. Every donation to Voices for Utah Children through Love UT Give UT gives Voices a chance to win matching grants and prizes—and gives you a chance to win a car!

And you don't have to wait!  Donate now at http://bit.ly/loveUTchildren.

For 30 years now, Voices for Utah Children has called on our state, federal and local leaders to put children’s needs first. But the work is not done. The children of 30 years ago now have children of their own. Too many of these children are growing up in poverty, without access to healthcare or quality educational opportunities.

How can you be involved?

Make a tax-deductible donation to Voices for Utah Children—or join our Network with a monthly donation of $20 or more.  Network membership includes complimentary admission to Network events with food, socializing, and opportunity to meet child advocacy experts. And don't forget to join our listserv to stay informed!

We look forward to the future of Voices for Utah Children and we hope you will be a part of our next 30 years.

Special thanks to American Express for sponsoring our 30th Anniversary Year. 

Testimonies from Utah Parents

Children will lose access to coverage and care because of Medicaid cuts in the ACA Repeal Bill.
The ACA Repeal bill proposes to slash $880 billion in Medicaid funding. These cuts and caps would decimate the Medicaid program and lead to:

• Thousands of Utah children without health coverage
• Cutbacks to critical health services & benefits for children, people with disabilities and seniors
• Limited access to needed medical care

Currently 63% of all Utah Medicaid enrollees are kids, over 200,000 children. Under the current Medicaid program, children have guaranteed comprehensive protections to make sure they can access the health care they need. These protections include a comprehensive benefit package known as Early Periodic Screening, Diagnosis and Treatment (EPSDT), which ensures that if a child is diagnosed with a condition, she or he can get the affordable treatment they need.

But Medicaid cuts in the ACA bill could eliminate EPSDST benefits, and rollback eligibility so thousands of children would lose Medicaid coverage. Medicaid reductions would lead to shortfalls in state budgets; states would be forced to cut benefits to kids, roll back eligibility, increase cost sharing, and deny children the comprehensive care they need to thrive.

We can’t let this happen. For over 50 years, Medicaid has provided foundational coverage to low-income children and children with disabilities. It is the safety net for families who have fallen on hard times and a crucial lifeline of support for families with children who have special health care needs.
Here is what some working Utah parents are saying about Medicaid:

“It would be very hard to get the necessary medical exams and treatment [without Medicaid]. But thank goodness we do.” – E., SLC

[Without Medicaid] we would have to go to emergency room.”

[Without Medicaid] we would be in trouble with medical bills.” – S. , Tooele

“Gave me piece of mind knowing I could take [my son] to the doctor if needed.” -T., West Valley City

[Medicaid] has helped us through 4 babies… it’s very stressful not having insurance because there’s always the feeling of ‘what if.’ – B., SLC

“With Medicaid, I know my kids will be ok.” -E., Herriman

“[Medicaid coverage] provided me with information and opportunities that I would not otherwise know about.” – S., Sandy

“[Medicaid] helped me while I was pregnant and helped me keep my son up to date with everything the first year.” –L., Kearns

“[Medicaid coverage meant] Just knowing I could get help when I needed it through my pregnancy.” -A., SLC

“Medicaid help[ed] my family excellent[ly] because now they have excellent health.” – M., West Valley City

Tell your Congressional Representative to oppose cuts and caps to Medicaid.

The health and well-being of Utah kids are at stake.

Rob Bishop
Jason Chaffetz
Mia Love
Chris Stewart

March 30, 2017 is Love UT Give UT!

It’s a day for Utahns to give to the nonprofits that make Utah special. Every donation to Voices for Utah Children through Love UT Give UT gives Voices a chance to win matching grants and prizes—and gives you a chance to win a car!

And you don't have to wait!  Donate now at http://bit.ly/loveUTchildren.

For 30 years now, Voices for Utah Children has called on our state, federal and local leaders to put children’s needs first. But the work is not done. The children of 30 years ago now have children of their own. Too many of these children are growing up in poverty, without access to healthcare or quality educational opportunities.

How can you be involved?

Make a tax-deductible donation to Voices for Utah Children—or join our Network with a monthly donation of $20 or more.  Network membership includes complimentary admission to Network events with food, socializing, and opportunity to meet child advocacy experts. And don't forget to join our listserv to stay informed!

We look forward to the future of Voices for Utah Children and we hope you will be a part of our next 30 years.

Special thanks to American Express for sponsoring our 30th Anniversary Year. 

Salt Lake City—A new analysis shows the impact that the Republican health plan bill, the American Health Care Act (AHCA), would have on Utah’s state budget. The report finds that the health plan’s proposed restructuring to the Medicaid program would lead to drastic cuts in federal funding.

The analysis, released today by Voices for Utah Children, examines retrospective data and the impact of the proposed Medicaid changes, had they gone into effect a decade earlier. The estimates find that Utah would have experienced a budget gap of $649 million over the last ten years. The report concludes that given inflation and rising health care costs, Utah can expect the budget gap for the coming years to significantly exceed what it would have been in the past.

As part of the AHCA, federal funding for the Medicaid program would be capped and states would receive a per capita allotment. States would get less federal funding than under current law and would expect to see cuts increase over time. To make up for the decline in federal dollars, Utah may need to cut benefits to Medicaid enrollees. Under the per capita cap scenario, states would not have funding for unexpected health care cost growth from disease outbreaks or new life-saving drugs.

“The GOP health plan shifts costs to states and forces our state lawmakers to choose which health care services vulnerable kids will—and will not—receive,” said Jessie Mandle, Senior Health Policy Analyst with Voices for Utah Children. “These are decisions health care providers should be making, not politicians.”

The AHCA changes Medicaid’s current financing structure. The state budget shortfalls that would result would lead to limits placed on the Medicaid program, such as a reduction in benefits, lower provider payments or fewer children covered. The report suggests that the proposed restructuring of the Medicaid program puts Utah children’s health care and coverage at risk.

Read the full analysis here:

Under the ACA Repeal Bill, Utah Medicaid Stands to Lose Millions over a 10-Year Period

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March 30, 2017 is Love UT Give UT!

It’s a day for Utahns to give to the nonprofits that make Utah special. Every donation to Voices for Utah Children through Love UT Give UT gives Voices a chance to win matching grants and prizes—and gives you a chance to win a car!

And you don't have to wait!  Donate now at http://bit.ly/loveUTchildren.

For 30 years now, Voices for Utah Children has called on our state, federal and local leaders to put children’s needs first. But the work is not done. The children of 30 years ago now have children of their own. Too many of these children are growing up in poverty, without access to healthcare or quality educational opportunities.

How can you be involved?

Make a tax-deductible donation to Voices for Utah Children—or join our Network with a monthly donation of $20 or more.  Network membership includes complimentary admission to Network events with food, socializing, and opportunity to meet child advocacy experts. And don't forget to join our listserv to stay informed!

We look forward to the future of Voices for Utah Children and we hope you will be a part of our next 30 years.

Special thanks to American Express for sponsoring our 30th Anniversary Year. 

Congress’ health plan bill, the American Health Care Act, proposes a major restructuring to the Medicaid program. The proposal would cap the federal funding states receive on a per-Medicaid beneficiary basis, starting in 2020. Using retrospective data, Voices for Utah Children investigated the impact of these changes on Utah’s state budget, had they been enacted a decade earlier.

The chart below illustrates the Utah budget impact of the Medicaid per capita cap allotment, if it had gone into effect a decade ago. The scenario is based on the American Health Care Act and state Medicaid annual reports. Given inflation and rising health care costs, Utah could expect the budget gap for the coming years to significantly exceed what it would have been in the past.

The proposed Medicaid caps would be based on states’ per-beneficiary spending, set in fiscal year 2016, and would rise annually to match growth in the medical care component of the Consumer Price Index (M-CPI). States are already locked into their capped amount. However, according to Congressional Budget Office forecasts, Medicaid costs per beneficiary are expected to rise 0.2 percentage points faster each year than the capped amount.

Consequently, states would get less federal funding than under current law and could expect to see cuts growing each year.

States would be expected to make up any excess costs or cut benefits to enrollees. Any unanticipated health care cost growth, such as a Zika outbreak or a new opioid treatment drug, would not be accounted for in the federal per capita cap amount. 

As retrospective data illustrate, Utah consistently would have less available funding for health care costs. Today over 200,000 children rely on Medicaid coverage, including children with special health care needs. The majority of Medicaid enrollees (63%) are children. The Congressional proposal would create situations where state lawmakers choose which health services vulnerable children are eligible to receive, and which services or benefits they will not be eligible to receive. These are decisions best left up to health care providers, not politicians.

The American Health Care Act puts children’s health care and coverage at risk. Changes to Medicaid’s financing structure through a per capita cap would create large shortfalls in Utah’s state funding. These shortfalls would inevitably lead to limits placed on the program, such as a reduction in benefits, cuts to provider payments or fewer children covered. This unprecedented restructuring of the Medicaid program puts Utah children’s health care and coverage at risk.

March 30, 2017 is Love UT Give UT!

It’s a day for Utahns to give to the nonprofits that make Utah special. Every donation to Voices for Utah Children through Love UT Give UT gives Voices a chance to win matching grants and prizes—and gives you a chance to win a car!

And you don't have to wait!  Donate now at http://bit.ly/loveUTchildren.

For 30 years now, Voices for Utah Children has called on our state, federal and local leaders to put children’s needs first. But the work is not done. The children of 30 years ago now have children of their own. Too many of these children are growing up in poverty, without access to healthcare or quality educational opportunities.

How can you be involved?

Make a tax-deductible donation to Voices for Utah Children—or join our Network with a monthly donation of $20 or more.  Network membership includes complimentary admission to Network events with food, socializing, and opportunity to meet child advocacy experts. And don't forget to join our listserv to stay informed!

We look forward to the future of Voices for Utah Children and we hope you will be a part of our next 30 years.

Special thanks to American Express for sponsoring our 30th Anniversary Year. 

The 2017 legislative session was remarkable for focusing more on tax policy than any session since 2007. This came in response to the November 29, 2016 announcement by Our Schools Now of their intention to pursue a campaign to place on the 2018 ballot an initiative to generate $750 million for public education through an increase in Utah’s income tax rate from 5% to 5.875%. In response, the Legislature engaged in a detailed and wide-ranging examination of several tax restructuring options. In that process several important lessons were learned:

LESSON #1: RESTORING REVENUES:

The Utah Legislature is unlikely to pass a tax reform package that is more than marginally or perhaps gradually revenue positive. While it appeared that the Senate was willing to support restoring some state revenues to address the current underinvestment in children, the House of Representatives was particularly averse to generating new revenues for the public investments that our state critically needs, despite strong evidence that Utah’s tax burden remains at a multi-decade low. This strengthens the argument for taking the question directly to voters through the initiative process.

LESSON #2: SALES TAX ON FOOD:

Restoring the sales tax on food is not only the most regressive of the options that were considered, it also fails to substantially reduce revenue volatility during recessions. Moreover, we also learned that restoring the sales tax on food while offsetting that with a lower overall sales tax rate involves a $40 million shift of sales tax burden from out-of-state to in-state taxpayers, since 97% of the food sales tax increase would have been paid by Utahns, while out-of-staters would have received 23% of the overall sales tax rate reduction.

LESSON #3: PROTECTING THE POOREST:

The legislative leadership was genuinely concerned about the impact that raising the food sales tax would have on the poor and made a sincere effort to find ways to achieve their goal of broadening the base without burdening low-income Utahns. Since we never saw a final proposal, we can’t evaluate it properly, but it was clear from the evolution of their ideas that House and Senate leaders were sensitive to the concerns of advocates for the poor such as Voices for Utah Children and our partners. They incorporated into their proposals some ideas from the research that we released at our coalition press conference on February 23 at the Capitol.

LESSON #4: OUR SCHOOLS NOW:

The Our Schools Now proposal to raise the income tax rate from 5% to 5.875% is the fairest to low-income Utahns of any of the leading tax reform proposals. Only 2% of its new revenues come from the lowest quintile of tax filers, those earning under $25,000, who could easily be shielded with an offsetting EITC. And 58% of the $750 million of new revenues comes from the highest quintile, those earning over $111,000. Indeed, that 58% share is approximately equal to the share of all Utah income earned by the top quintile of Utahns. But what about the cost to middle-income Utahns? Under the proposal, the median household pays about $350 more annually. If that family has two kids in the public schools, then their $350 upfront payment will reap a gain of over $2,000 in new investment in their own children – good luck trying to get a return like that in the stock market!

LESSON #5: EITC:

The Earned Income Tax Credit gained in popularity this year, winning 61 votes on the House floor (vs. 38 in 2014) and gaining Senate committee approval. But legislators appear unconvinced by the evidence presented by the American Enterprise Institute on Interim Day last September that, for low-income kids, investing in their family economic stability through an EITC brings greater educational gains than investing those same dollars in the classroom. Thus, it appears that the EITC’s best chance for approval is as part of a larger income tax reform package. Fortunately, legislative leaders have declared that such a package is already a goal for the 2018 legislative session.

LESSON #6: BUSINESS TAX CUTS:

Even though the Tax Review Commission declined to recommend them following months of study, the Legislature remains committed to gradually implementing two business tax reductions: Single Sales Factor corporate income tax apportionment and extending the sales tax exemption for manufacturing inputs to inputs lasting less than three years. While legislation to fully implement those two proposals was not passed, reduced versions applying those changes to more industries did pass, including a creative application of the sales tax exemption as an incentive to switch refineries over to producing cleaner Tier 3 fuels.

Photo Credit: Antoniodiaz | Dreamstime.com - Taking a test in high school

March 30, 2017 is Love UT Give UT!

It’s a day for Utahns to give to the nonprofits that make Utah special. Every donation to Voices for Utah Children through Love UT Give UT gives Voices a chance to win matching grants and prizes—and gives you a chance to win a car!

And you don't have to wait!  Donate now at http://bit.ly/loveUTchildren.

For 30 years now, Voices for Utah Children has called on our state, federal and local leaders to put children’s needs first. But the work is not done. The children of 30 years ago now have children of their own. Too many of these children are growing up in poverty, without access to healthcare or quality educational opportunities.

How can you be involved?

Make a tax-deductible donation to Voices for Utah Children—or join our Network with a monthly donation of $20 or more.  Network membership includes complimentary admission to Network events with food, socializing, and opportunity to meet child advocacy experts. And don't forget to join our listserv to stay informed!

We look forward to the future of Voices for Utah Children and we hope you will be a part of our next 30 years.

Special thanks to American Express for sponsoring our 30th Anniversary Year. 

Early Childhood

Wins for new moms and babies including much-needed funding support for Early Intervention Services/Baby Watch (Sen. Luz Escamilla, D-Salt Lake City, SB 2) and SB 135 which will strengthen statewide, evidence-based home visiting programs for low-income mothers (Sen. Escamilla).

SB 100 (Sen. Ann Millner, R-Ogden) commissions an analysis of early childhood systems throughout the state, to determine where and to what extent early childhood services exist such as developmental screenings, home visiting, high-quality child care and preschool, as well as what access barriers there are between these services and the children and families who need them.

Access to Healthcare

A win for families is HB 278 (Rep. Chavez-Houck, D- Salt Lake City), which makes it easier for divorced parents to seek medical care for their children. It requires medical providers to separately bill each parent for their due portion, and prohibits a parent from getting a negative credit report if the other parent has not made his or her portion. The onus is no longer on the parent to track down the full payment or risk a bad credit score. HB 278 will help more kids get the care they need.

Sen. Christensen (R-Ogden) sponsored SB 51, which would return Medicaid managed care services to a fee for service model. Ultimately, this bill was decided outside of legislation, however, the agreement reached will help more children access a Medicaid pediatric dentist or school-based preventive dental care. To further monitor the issue, Sen. Escamilla (D-Salt Lake City) sponsored intent language that directs the Department of Health to investigate pediatric dental care access issues kids enrolled in Medicaid may experience (SB 2).

Immunization

Rep. Thurston’s (R- Provo) bill HB 308 which will strengthen protections for Utah students against disease outbreaks and standardize vaccination exemption requirements and procedures, creating an online education module for those seeking an exemption.

Suicide Prevention

Lawmakers took several key steps toward addressing bullying, student safety and teen suicide in Utah. Sen. Escamilla (D-Salt Lake City) sponsored SB 161, which strengthens school anti-bullying policies, and gives parents and school staff greater ability to address anti-bullying behavior.

Rep. Eliason (R-Sandy), who was also the floor sponsor for SB 161, sponsored HB 223 which establishes a suicide prevention education program, including firearm safety curriculum to be made available in schools.
A big win this session for Utah kids is the repeal of the so-called “No Promo Homo” in SB 196. Previously schools were not allowed to discuss homosexuality in the classroom and curricula. This harmful and discriminatory policy was repealed thanks to the efforts of Sen. Stuart Adams (R-Layton), champions at Equality Utah and others for create a safer, creating more inclusive environment for Utah kids.

Juvenile Justice

For the last year, the state policy makers have been grappling with how to make Utah’s juvenile justice system work better for kids and our community. With the help of the Pew Charitable Trusts, a workgroup made up of key stakeholders—judges, mental health providers, police officers, school officials, prosecutors, and juvenile defense attorneys—made a number of strong recommendations including:

• Keeping kids out of court for low-level status offenses like truancy.
• Bringing much-needed structure to the sentencing process in the juvenile justice system.
• Ensuring that kids don't spend time in detention just because they can't pay restitutions and fines.
• Creating specific performance requirements for community placement programs.
• Ensuring that children have their constitutionally guaranteed right to counsel.

HB 239, Juvenile Justice Amendments, sponsored by Rep. Lowry Snow (R-St. George), incorporated many of these recommendations and received near unanimous support this legislative session. The bill that finally will bring much-needed structure to juvenile sentencing, and require important training for system workers. However, the legislature failed to provide sufficient funding to ensure kids have access to community-based and school-based interventions that offer more opportunities for positive change and that Utah is meeting its constitutional obligation that kids have legal representation.

The passage of SB 134, Indigent Defense Commission Amendments, sponsored by Sen. Todd Weiler (R-Salt Lake), may provide a forum to address the lack of legal representation for kids involved in juvenile justice system by expanding Utah’s Indigent Defense Commission’s mission to include looking at how Utah will protect children’s Sixth Amendment rights, not just adults.

Public Education

For decades Utah has languished at the bottom in terms of state investment in our kids. While big reforms inspired by the Our Schools Now initiative did not make it through in 2017 (The Our Schools Now ballot initiative, however, remains very much alive), the legislature did take a number of positive steps.

As a result of higher-than-expected revenue projections, the Public Education Appropriations Subcommittee recommended a 3 percent increase to the value of the weighted pupil unit (WPU) — the basic unit of education funding — as well as $68 million for new growth in the state’s public education system.

HB 168 (Rep. Lowry Snow, R-St. George) appropriates just under $3 million in TANF funds to help schools establish kindergarten supplemental enrichment programs (extended-day kindergarten). Schools with at least 10 percent of their students experiencing intergenerational poverty will receive first priority for funding, followed by schools in which 50 percent of students are eligible for free or reduced-price lunch. The bill also directs the State Board of Education to develop kindergarten entry and exit assessments to be used in conjunction with these programs.

HB 212 (Rep. Mike Winder, R-West Valley) provides bonuses for teachers working in high-poverty schools who have a 70 percent median growth percentile or higher (as determined by SAGE scores). The state and the school district will each provide half of the bonus funds. While there are concerns about the limitations imposed as a result of using SAGE scores as the sole determinant, it is nonetheless a good step toward incentivizing highly effective educators who work in high-need schools. The bill passed the Senate unanimously and now goes to the Governor.

SB 34 (Sen. Ann Millner, R-Ogden) authorizes the State Board of Education to reimburse a local education agency that provides competency-based education for a student who graduates early. In the past, school districts and LEAs lost the remaining per-pupil funding each time a student graduated before the end of their senior year. The bill passed the House unanimously and now goes to Governor Herbert.

March 30, 2017 is Love UT Give UT!

It’s a day for Utahns to give to the nonprofits that make Utah special. Every donation to Voices for Utah Children through Love UT Give UT gives Voices a chance to win matching grants and prizes—and gives you a chance to win a car!

And you don't have to wait!  Donate now at http://bit.ly/loveUTchildren.

For 30 years now, Voices for Utah Children has called on our state, federal and local leaders to put children’s needs first. But the work is not done. The children of 30 years ago now have children of their own. Too many of these children are growing up in poverty, without access to healthcare or quality educational opportunities.

How can you be involved?

Make a tax-deductible donation to Voices for Utah Children—or join our Network with a monthly donation of $20 or more.  Network membership includes complimentary admission to Network events with food, socializing, and opportunity to meet child advocacy experts. And don't forget to join our listserv to stay informed!

We look forward to the future of Voices for Utah Children and we hope you will be a part of our next 30 years.

Special thanks to American Express for sponsoring our 30th Anniversary Year.