Archives

Commentary

In 2013 the North Carolina General Assembly rejected new federal funds to expand health insurance coverage in the state, but that hasn’t stopped local governments from urging the Governor and legislators to change course.

Counties such as Mecklenburg and Durham have passed Medicaid expansion resolutions as have cities like Greensboro and Winston-Salem. Even Sen. Phil Berger’s hometown of Eden officially went on record endorsing expansion. The Rockingham County towns of Reidsville and Madison have since joined Eden.

This month three more counties — Nash, Edgecombe, and Chatham — joined the chorus.

As retired cardiologist Jim Foster pointed out to the Chatham Commissioners there are tremendous economic benefits to accepting more federal Medicaid dollars. From news coverage of the resolution:

“Anytime money flows into the economy, it ripples through and multiplies,” Foster said.

He pointed to a George Washington University study that broke down the costs and revenues from expanding Medicaid.

The study broke figures down for the state and for its 100 counties.

In Chatham, for example, the study stated that not expanding Medicaid cost 136 jobs and $6 million in gross product.e study Dr. Foster mentions can be found here.

Approval of the Nash County resolution was unanimous and Commissioners added a call for simultaneous reforms to Medicaid. This makes sense. In fact, nearly every expansion state is also reforming the program at the same time.

There is no reason North Carolina’s leaders can’t learn to walk and chew gum like most other states in the country.

News

House lawmakers unveiled their 2015-17 biennial budget Thursday morning—and education proposals were longer on policy pitches than big figure changes, including measures that would affect student assessment & classroom staffing models as well as seven different pilot programs aimed at teacher preparation, workforce development and remediation, among other ideas.

The budget also did not include a much anticipated announcement on teacher pay — that’s to come at the beginning of next week.

Read on for a list of highlights.

K-12 House Budget

School vouchers: Provided the Supreme Court allows the Opportunity Scholarships program to proceed, which provides students with state funds to attend private schools, House lawmakers propose a $6.8 million increase for 2015-16—bringing the annual cost of program to $17.6 million

Disability vouchers: Students with disabilities would be able to use up to $8,000 state funds annually to attend private schools—that’s up from $6,000 annually in prior years. Families could also get tuition funds up front versus having to wait for reimbursement.

Teacher assistants: Lawmakers added $88.9 million compared to the base each year — but the move is just to backfill the loss in lottery receipts and other nonrecurring funds. So the takeaway is that there’s no real change here–funding levels remain the same as ’14-15.

Textbooks & digital resources: $50 million (for textbooks) compared to the base each year, with a cumulative increase during the biennium of $100 million. Textbook funding has been obliterated in recent years. Read More

News

One out of eight teachers in this country is a bad one—and that’s because teachers have failed to safeguard their profession.

So says the American Enterprise Institute’s Rick Hess, an expert in education policy at the conservative think tank who spoke on Monday to a group of North Carolina school leaders at NC State’s Friday Institute about how to empower teachers and principals.

Hess, who was also in Raleigh to promote his new book, The Cage-Busting Teacher, explained that too many teachers are hiding in a ‘classroom cage’ and are not participating in the governance of their schools in ways to make the environment better.

“Teachers…have not done a good job of safeguarding their profession,” said Hess. “When you survey teachers, they will tell you themselves that five percent of their fellow teachers in their district deserve an F and another eight percent of the teachers in their district deserve a D.”

“That is failing to police your profession,” Hess said. “That’s failing to wield that moral authority.” Read More

Commentary

RWJA new report from Manatt Health Solutions on behalf of the Robert Wood Johnson Foundation finds that states that have tapped federal funds to expand Medicaid are seeing significant financial benefits. By the end of 2015 the savings and revenues across the eight states examined in the report are expected to exceed $1.8 billion.

This is consistent with the county level examination of expansion in North Carolina commissioned by the Cone Health Foundation and the Kate B. Reynolds Charitable Trust. That study, using conservative estimates, found that the savings and revenues more than offset the costs of expansion through 2020.

The states featured in the report — Arkansas, Colorado, Kentucky, Michigan, New Mexico, Oregon, Washington, and West Virginia — had direct budget savings from reduced spending on the uninsured, they experienced increased tax revenue from the new flow of federal funds into the state, and they realized additional savings from switching some existing Medicaid patients into the expansion program.

A source of significant savings, for example, comes from pregnant women. North Carolina has traditionally covered pregnant women in Medicaid up to 185 percent of the federal poverty level. This coverage, however, is only for pregnancy related services. Also, once a woman has the baby she oftentimes loses Medicaid because coverage for parents is quite stingy.

After expansion, pregnant women above 133 percent of federal poverty level would qualify for full Medicaid coverage. And, instead of the lower match rate, the federal government would pay 90 percent of the costs for these women. Once the baby is born many women would then be able to continue coverage through Medicaid. This would result in healthier babies, healthier parents, and major savings for the state.

The report notes that states will also garner savings in behavioral health and among the medically needy population.

States that opted to expand Medicaid early will have the largest benefits, but there are still plenty of positives for states like North Carolina that haven’t hit the leader board yet. The final year for the federal government to pay the full cost of expansion is 2016 so we need to act fast or our people, and our economy, will miss out on a much needed boost.

News

Senator Tom McInnis (R-Richmond) filed a bill last week that would require all UNC professors to teach no fewer than four courses a semester. It’s a move that, McInnis says, is an effort to make sure classes are not taught primarily by student assistants — but some are concerned it could hamper research and development at the state’s prestigious institutions of higher education.

“There is no substitute for a professor in the classroom to bring out the best in our students,” McInnis said in a statement, according to the Richmond County Daily Journal. “I look forward to the debate that will be generated by this important legislation.”

University of North Carolina–Chapel Hill Professor Stephen Leonard, who teaches political science and is chair of the UNC system-wide Faculty Assembly, said the legislation is nothing more than an attempt to kill public higher education in North Carolina.

“I think it’s pretty simple,” said Leonard. “Talented faculty would start looking for work out of state, it would be hard to attract junior faculty coming out of graduate school, and it would be impossible to attract senior faculty who bring a lot of resources to our institutions.”

Leonard says the most problematic consequence of the proposed law would be that the discovery and production of knowledge would grind to a halt.

“Which I suppose is okay if you don’t want to cure cancer, fix infrastructure or make new discoveries about manufacturing processes,” said Leonard.

SB 593 would tie professors’ salaries to their course loads—those teaching fewer than four courses each semester would earn less than their full salaries, determined on a pro-rata basis.

The legislation also allows for the salary difference to be made up by an individual campus’ endowment, should they determine a professor should take on a lighter course load in order to conduct research – but Leonard says that’s an untenable scenario for most campuses.

“Good luck with that,” said Leonard. “Almost all of the campuses that are not Research 1 institutions would have a hard time coming up with the funds to do that.”

According to the Richmond County Daily Journal, the bill would result in professors at big research universities like UNC – Chapel Hill finding their course loads nearly double.

The bill comes at a time when the state’s university system is undergoing considerable turmoil thanks to recent controversial decisions to raise tuition, close three academic centers and fire UNC’s widely-praised president, Tom Ross. The system has also been handed substantial budget cuts over the past five years by the state legislature, including a $400 million cut in 2011.

Sen. McInnis did not respond to requests for comment. Read the bill in its entirety below.