image description

Voices Speaking

May 20, 2013

Cap Crunch

Matt Santacroce

As budget negotiations enter the final weeks of the legislative session, a major obstacle remains: without a two-thirds majority of each chamber of the General Assembly agreeing to the Governor’s proposed spending cap changes, legislators will need to cut over a billion dollars from the proposed upcoming biennial budget due in large part to existing structural flaws in the current spending cap formula. To do so would be to miss a prime opportunity to address these structural flaws, and would slash critical resources from a state budget already stretched thin.

The Governor has proposed two substantive reforms to the cap rules. Here’s why they matter:

  • To help the state take advantage of fully-funded federal programs (like the expansion of Medicaid to low-income adults under Obamacare), the Governor proposes exempting new spending that is entirely reimbursed by the federal government from the spending cap. This will ensure that the spending cap fulfills its original purpose – to limit state, not federal, spending.  Under current cap rules, the state has an incentive to turn away new federal funds.
  • Additionally, the Governor proposes that contributions to pay down the state’s huge unfunded pension liabilities should be exempted from the cap.   Making these pension fund contributions is important to improving the state’s long-term fiscal health, and the Governor’s proposed reform would  help us fill the hole in the pension system without squeezing out other important investments in kids and families.

Failure to adopt these proposed changes would force more than a billion dollars in proposed cuts to critical investments in Connecticut’s future – while handcuffing the state’s ability to pay ahead on longstanding fiscal obligations, and creating a disincentive for the state to maximize important new federal revenue.

Lawmakers should act swiftly to approve the changes set forth in House Bill 6352.  For more information, see Voices’ recently-released fact sheet and see our new issue brief on the topic, which explores additional reforms that could improve spending cap rules.

 

Issue Area:
Budget and Tax
May 16, 2013

Take Action to Protect Parents in HUSKY

Sharon Langer, M.Ed., J.D.

ActionThe legislature’s Appropriations Committee budget proposal would maintain Medicaid (HUSKY A) coverage for parents up to 185% of the federal poverty level. The Governor proposed reducing coverage to 133% of the federal poverty level with the expectation that these parents would pay for coverage in the new health insurance exchange come 2014.  A recent research report found that thousands of parents currently enrolled in the HUSKY program would go without health care as a result of the Governor’s eligibility cuts, because parents would not be able to afford premiums and co-payments in the private health insurance exchange.  The Malloy administration is now considering using state funds to reduce the costs of the premiums the parents would have to pay in the Exchange, though the complete details of this proposal have not been released.  The final budget package must be negotiated between legislative leaders and the Governor.

Given the anticipated cost of insurance in the exchange and the lack of access to dental, vision, non-emergency transportation and the mental health services currently available to HUSKY members, the proposal to provide  “premium assistance” or “wraparound” coverage won’t work for families enrolled in HUSKY.  It also won’t work for the state budget, since the estimated cost of subsidizing premiums and out-of-pocket payments for parents through the health insurance exchange would be greater than the current cost of the HUSKY coverage that the state is now paying for.  See this fact sheet for more information.

To help preserve HUSKY coverage for parents, please contact your state legislators now.  Ask them to urge legislative leaders to maintain Medicaid (HUSKY A) coverage for parents up to185% of the federal poverty level when the budget is negotiated.

To e-mail your legislators, or find out the names of your legislators, see the General Assembly website.

To call your state legislators:

  • Senate Democrats: 1-800-842-1420
  • House Democrats: 1-800-842-8267
  • Senate Republicans: 1-800-842-1421
  • House Republicans: 1-800-842-8270

 

Issue Area:
Health
May 14, 2013

Spotlight on Early Education: Promising Signs, But Lots of Work To Do

Sarah Esty

From Hartford to Washington, D.C., early childhood education and services have been a major topic of conversation over the last few months. In February, President Obama proposed to invest $75 billion in expanding preschool, Early Head Start, and other services to young children. Nobel prize winner and early childhood expert James Heckman argued that our society’s significant investment in remediation and interventions in later years is massively inefficient, and we are dramatically underinvesting in the earliest years. The New York Times reported last month on multiple recent studies highlighting the need for greater services targeted at children before they enter kindergarten.

Our fourth annual Connecticut Early Care and Education Progress Report: 2012, released last week, finds that Connecticut is making some progress on providing access to early care experiences for Connecticut’s most vulnerable infants, toddlers, and preschoolers and improving the quality of those programs. However, funding for early childhood services fell between Fiscal Years 2011 and 2012, and remains below levels from a decade ago. And too many children in the state’s low-income families lack access to state-subsidized care. Most significantly, the report finds:

  1. Spending on early care and education fell by 1.1% ($2.6 million) from Fiscal Year (FY) 2011 to FY 2012 (ending June 2012). Funding has been stagnant or declining since 2008.

Early care spending

  1. Connecticut served 4.4% more infants and toddlers and 5.5% more preschoolers with state subsidies in FY 2012, compared to FY 2011. However, even with these increases, 80% of infants and toddlers in low income families (below 75% of the State Median Income) and 30% of preschoolers in low income families did not receive state-subsidized care.  The counterintuitive finding that the number of children served increased while state spending fell is a result of provider reimbursement rates that have not kept pace with inflation (rates in Care4Kids, the largest subsidy program for low-income working families, have not been raised since 2001). Thus, while it appears that the state is serving more children with less money, in reality, this merely reflects that the per-child subsidy amount has fallen, leaving parents and providers to shoulder an ever-larger share of the cost.

Access to early care

  1. Connecticut has seen improvements in quality, with a growing percentage of state-subsidized children being served in accredited settings – 35.2% of infants/toddlers and 56.1% of preschoolers in 2012. The average level of education of the early childhood workforce has also risen, with 57% of administrators and 37% of teachers holding a BA or more and at least 12 ECE-related credits. This is particularly important because most of the benefits of ECE accrue only when children have access to high quality care.

Children in accredited settings

Looking forward to the results of the current fiscal year and beyond, we have several reasons for optimism. First, the budget for FY 13 funded 1,000 new preschool slots, facilities capital improvements to support those slots, and $6 million for the creation of a Quality Rating and Improvement System (QRIS) that will help parents identify high quality programs and providers improve their performance. If these funds are fully spent during the current fiscal year (FY 13), even after rescissions and deficit mitigation, this will represent an 8% increase over FY 12 and the greatest amount spent on early care and education since 2002.

Second, and perhaps even more exciting, is the proposed new Office of Early Childhood. For each of the last four years, one of the most significant recommendations in our annual reports has been the need for a coordinated early childhood system to overcome the present patchwork of programs and funding streams which are confusing for parents and providers. House Bill 6359 is the result of a yearlong planning process kicked off by legislation passed in 2011. It would create a new Office of Early Childhood that addresses this concern by bringing together under one roof the hundreds of millions of dollars in funding and staff from five agencies.

This office is not an end in and of itself – even if all the programs and staff are brought together, much work will remain to be done to  achieve the streamlining, coordination, and improved data collection necessary to realize the benefits of an ECE system. In the long term, the state will need to increase funding in order to raise wages to a level where we can attract and retain quality providers and extend access to all children through the creation of new slots. However, despite the long road still to travel before we see universal high quality early childhood education for all Connecticut’s young children, the Office of Early Childhood will be a critical first step and significant achievement.

Issue Area:
Early Care
April 28, 2013

Connecticut Taxes: Lower Than New York's for Everyone but the Poor

Wade Gibson, J.D.

One sometimes hears that recent state income tax increases on the rich could cause them to leave Connecticut for New York and points south. Academic research has shown that taxes are simply not a significant factor in families’ moving decisions. Nonetheless, some believe they are, and so it is important for policymakers to understand how much people actually pay in state taxes in Connecticut vs. New York.  A close examination of how much people in different income groups pay in taxes reveals that if taxes are really so pivotal, the rich in New York should be moving to Connecticut, while the poor in Connecticut should be moving to New York.

According to an analysis by the national Institute on Taxation and Economic Policy, the effective rates (how much people actually pay) of New York state income taxes are substantially lower for the poorest 40% of taxpayers, while the effective rates of Connecticut income taxes are lower for the richest 1% (5.4% vs. 6.3%). (State earned income tax credits in both states lower the income tax liability for low-income workers to offset the impact of sales and property taxes.)

 

Effective State Income Tax Rates, Connecticut and New York

Chart (Effective State Income Tax Rates, CT and NY

Factoring in sales, property, and other state and local taxes for a complete picture, the story is similar. Taxes in New York are higher than Connecticut’s for every income group except the poorest 20%, who pay more in state and local taxes in Connecticut than in New York. In Connecticut, the poor pay more while everyone else pays less.

 

Effective State and Local Tax Rates, Connecticut and New York

Chart (Effective State and Local Tax Rates, CT and NY)

If Connecticut state government conducted this kind of analysis regularly, policymakers could make more informed decisions about the impact of our state and local tax policies on workers in different income groups and businesses of different sizes.  That’s why we’ve called for “tax incidence analyses” that would help policymakers to reform Connecticut’s regressive state and local tax system and develop tax policies based on solid evidence.

Issue Area:
Budget and Tax
April 25, 2013

A Missed Opportunity: The Finance Committee's Revenue Package

Wade Gibson, J.D.

In February, Governor Malloy proposed a budget that relies heavily on one-time revenues and borrowing to achieve balance. Last Friday, the legislative Finance Committee passed up an opportunity to improve upon the Governor’s budget.  Instead, as we describe in a new issue brief on the topic, the Committee proposed borrowing even more money, further increasing one-shot revenues, and boosting estimates of how much revenue would be generated by proposals already in the Governor’s budget.

Two years ago, the General Assembly and Governor budgeted based on the assumption that our economy would recover strongly and refill the state’s coffers with new tax revenues. Unfortunately, the robust recovery never materialized, and we were left with over $2 billion in deficits going into the next two-year budget, which starts July 1.

The Governor and Finance Committee are placing the same bets for the next two years. The Governor proposes to borrow $750 million and cut vital public services in the hopes that the economy will recover and we will be able to pay down those debts and restore those services. The Finance Committee goes one step further, proposing over $900 million in borrowing.  While the Appropriations Committee has restored funding for some vital services in its spending package, the Finance Committee’s revenue proposal puts the future stability of funding for child and family services at risk.

It does not have to be this way. The General Assembly still has time to balance the package of borrowing and cuts currently being advanced with additional revenues. Closing corporate tax loopholes through mandatory combined reporting could generate about $90 million per year, while raising income taxes on income over $1 million could generate over $400 million annually and still keep our rates below New York’s. These two changes could more than offset the Finance Committee’s proposal to borrow $900 million over two years, and would do so without leaving our children an even heavier debt burden.

Issue Area:
Budget and Tax
April 22, 2013

HUSKY in the Appropriations Committee Budget

Sharon Langer, M.Ed., J.D.

The legislature’s appropriations committee has released its proposed budget for Fiscal Year (FY) 14 and FY 15.  Below we describe several services or programs related to HUSKY and how they compare with the Governor’s budget proposal from February.  The Finance, Revenue and Bonding Committee also released its proposal for how the government will fund the two-year budget.

  • HUSKY A Parents. The Appropriations Committee restored eligibility for HUSKY A (Medicaid) parents with income between 133% and 185% of the federal poverty level (FPL).  The Governor had proposed eliminating coverage for the 37,500 parents with income above 133% FPL.  (This adds back $5.6 million in FY14 and $58.8 million in FY15.)
  • Co-Payment for Non-Emergency Use of Hospital Emergency Department.  The Committee proposes to impose a co-pay on certain Medicaid (HUSKY A, C and D) enrollees of up to $7.90.  The budget document explains that “under federal law, states may charge co-payments for non-emergency use of emergency room services.”  It also acknowledges that co-pays may not be imposed on certain categories of individuals, such as children.  The Governor’s budget did not include this proposal.  The Committee expects to save $675,000 in each of the two years of the budget cycle. 
  • Healthy Start. The Committee restored funding for community-based Healthy Start programs that assist pregnant women in accessing health coverage and prenatal care. (Adds back $1.43 million in FY14 and FY15.  (Carries forward 5% cut from rescissions in FY13.)
  • HUSKY Independent Performance Monitoring (“Children’s Health Council” line item). The Committee restored funding for independent monitoring of enrollment patterns and long-term trends in the use of children’s health services, including well-child, dental, emergency, and asthma care.  Since 1995 these analyses have been conducted by Connecticut Voices for Children under a contract between DSS and the Hartford Foundation for Public.  (Adds back $208,050 in FY14 and FY15.  Carries forward 5% cut from rescissions in FY13.)
  • 2-1-1/United Way’s HUSKY Infoline (“HUSKY Informational and Referral” line item).  This longstanding service provides families with one-on-one assistance with information, accessing coverage and obtaining needed care.   The Governor proposed halving the funding in FY14 and eliminating it entirely in FY15 with the expectation that the new help lines available through the new Health Insurance Exchange will take the place of services provided through Infoline.  The Committee agrees with the Governor’s proposal.  (Retains reduction of $159,393 in FY14 and -0- in FY15).  
  • School-Based Health Centers (SBHCs).  The Committee restores funding for “new, expanded, or newly funded SBHCs” from FY13 carrying the funding forward in both FY14 and FY15 ($2.7 million per year).  Also, $5 million was added to permit five school districts to increase hours of operation, conduct outreach about their services, provide services to “students outside the school district”, or offer behavioral health and other services not ‘typically provided by SBHCs.”
  • Funding for Hospitals.  For the most part, the Committee agrees with the Governor’s proposal to reduce hospital funding by hundreds of millions of dollars.  The proposals assume that many more individuals will be covered by public and private insurance in 2014 and therefore hospitals will no longer need “Disproportionate Share Hospital” (DSH) payments that account for hospitals serving those who lack insurance.

We assume that it will not be easy for the Governor and the legislature to come to an agreement on the revenue and spending package before the regular session ends on June 5th.  As a result, it is vital that constituents contact legislative leadership and the Governor and make their preferences heard.  

Also, please take the time to thank the co-chairs of the Appropriations Committee, Senator Toni Harp and Representative Toni Walker for restoring funding for HUSKY parents with income above 133% FPL.

  • Senator Toni Harp 1-800-842-1420
  • Rep. Toni Walker 1-800-842-8267

 

Issue Areas:
Budget and Tax, Health

Blog

STAFF AUTHORS