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Wednesday, February 01, 2023

Roundhouse Potpourri: A Voting Holiday, A Smell Test And A Shut-Out Republican, Plus: Billions In Medicaid Contracts Stalled Amid Turnover At The Top 

One of the major debates this legislative session is about extending school hours to increase public school performance. But then you get this in the voting rights bill:

Every general election and regular local election shall be a school holiday for students and staff at each public school in this state.

That's better than the proposal to make the day a holiday for the entire state but it doesn't pass the smell test. That's because the Dems are also pushing for those extended school hours. Which is it? More school or more holidays?

What apparently does pass the smell test is a bill to make the smell of roasted green chile the "official aroma" of New Mexico. Maybe, but it's getting competition from all that legal marijuana wafting through the air. 

(See, this is why we need a full-time paid legislature with lots of staffers--to settle these critical matters once and for all.) 

As the only Republican left in the Legislature from Bernalillo County, Rep. Bill Rehm is used to being the odd man out. And he was again Tuesday when he went 0 for 5 with his series of crime-fighting bills. Every one of them was tabled by the House Consumer and Public Affairs Committee. 

It's not only a rejection of Rehm's approach but perhaps a signal that some lawmakers are tiring of the ABQ crime problem and expecting more from city leadership. Most of the state is not enduring the crime outbreak that led to Rehm's bills. It raises the question of whether the city's banner crime proposal this year--the one asking for $20 million to track down folks in ABQ and around the state with outstanding arrest warrants--will make the grade at the Roundhouse. 

The aforementioned voting rights act does not have that controversial clause that would allow 16 year olds to vote in state and local elections but it now resurfaces in House bill 217. Well, clearly the teens aren't mature enough to vote but maybe we should let them run and get elected to the legislature. Would we notice a difference?

While the progressives have gone off the rails by advocating for 16 year olds voting, the far right Republicans are right behind them. Take a look:

One bill sponsored by five House Republicans would allow anyone over the age of 18 to carry a concealed gun without needing a permit. One sponsor says this is a common-sense measure. “Violent criminals, they already don’t follow laws. So, this would just further protect law-abiding citizens. To allow them to have the autonomy to own a gun whether they prefer to have a permit or not. And that would help them to stop bad criminals in their different areas that they live in the state from being able to target them.

Hear that violent criminals? You don't follow the laws anyway so do what you're going to do. Heck, the Burque gangsters may start voting Republican. 

MEDICAID SUSPENSE

The multi-billion dollar question of which companies will be awarded contracts to run the state's Medicaid program will have to wait for an answer. Amid high-level personnel turnover, a decision has been canceled. 

Awarding the contract is the most consequential financial and health care decision the state makes. We took a deep dive into Medicaid money January 16, focusing on a controversy over the billing practices of healthcare giant Centene, whose subsidiary WesternSky Community Care is a current Medicare provider and seeking a new contract. The current one is set to expire at year's end. 

The reason the state gave for cancelling the awarding of contracts for the program that serves 970,000 residents or about half the state's population is this:

The Human Services Department canceled the procurement process for the selection of managed care organizations in its soon-to-be revamped Medicaid program next year. The news follows the departures of HSD Secretary David Scrase and Medicaid Director Nicole Comeaux last week. HSD said the decision was made after their departures “so that the agency’s new leadership … can assess the design of the procurement.” The contracts for the Medicaid program’s current MCOs – which includes Blue Cross Blue Shield of New Mexico, Presbyterian Health Plan and Western Sky Community Care – are set to expire at the end of the year. In late-September, HSD began soliciting proposals from health insurers for Turquoise Care, the renamed Medicaid program for 2024. “HSD is working on a new timeline, but anticipates vendors will be selected in the next few months." A spokeswoman said. 

The Legislative Finance Committee reports annual state Medicaid spending is now $9 billion with about two-thirds of that coming from the federal government. NM tops the nation in the percentage of its population covered by Medicaid. 

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(c)NM POLITICS WITH JOE MONAHAN 2023

 
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