Senate Leader: S.C. Cannot Sustain Medicaid Spending

The Associated Press April 27, 2011, 8:41AM ET



South Carolina’s soaring Medicaid program spending is siphoning money away from other state priorities such as school buses and needs to be kept in check, Senate President Pro Tem Glenn McConnell said Tuesday.

McConnell’s remarks came as the Senate opened debate on a $5.8 billion spending plan that includes more than $1 billion in spending on caring for the state’s elderly, disabled and poor.

Sen. Thomas Alexander, a Walhalla Republican overseeing the Medicaid budget, told senators the spending plan includes adding $435 million just to keep existing Medicaid programs operating.

McConnell, a Charleston Republican, said that’s too much of a drain.

“How is this state going to sustain this?” McConnell asked. “I’m told we don’t have school buses funded in this bill. Not a nickel to replace a school bus and yet we could come up with $200 million-plus to bail this program out of a deficit? I don’t understand the priorities in this state.”

Alexander noted the state hasn’t changed its Medicaid program to make the benefits more generous or expand who is eligible. He said the priorities are right because the program takes care of needs of the disabled, people in nursing home and the growing ranks of children who had access to health insurance until their parents lost jobs in the recession.

But McConnell didn’t back away from the criticism.

“I see it as a program that, year after year, we dump millions and millions more in,” McConnell said. “It’s growing faster than the rest of state government and it’s just eating up every available dollar for higher education, K-12, school buses and everything. We can’t stay on this course.

Meanwhile, state Sen. Mike Fair, a Greenville Republican, told legislators a merger of the state’s Corrections Department and Parole and Probation Department urged by Gov. Nikki Haley will be delayed. “There’s not going to be a merger this year. We can’t make it happen legislatively,” Fair said.

The spending plan’s debate isn’t what many had expected earlier this year.

Legislators began writing the budget fretting over a more than $700 million gap between revenues and expected spending.

That came as the state lost federal bailout cash. Legislators have dealt with that by repeating what they told agencies for the past three years: The bailout cash was a cushion during the recession that wouldn’t last and wouldn’t be replaced.

Budget writers were warned the Medicaid program had a $635 million shortfall for the fiscal year that begins July 1.

Legislators are covering $157 million of that with a cigarette tax increase approved last year. Meanwhile, Health and Human Services came up with $200 million in spending cuts, including saving $125 million by reducing payments to Medicaid providers.

That still left a big hole that Senate Finance Committee Chairman Hugh Leatherman filled with much of the cash the state’s recovering economy is generating.

“Almost every new recurring dollar available for next year’s budget goes to simply maintaining — not growing — the current Medicaid program,” Leatherman said.

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