Rhode Island more fragile than ever, says governor |
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Not sure his guidance has been surefooted as witnessed by the pulling of the cigarette tax bill and the Carcieri global waiver deal showing poor craftmanship with a smaller bit of dollars coming to RI with the stimulus.....bill I do not think he gets it or connects the dots with his exec branch and staff. |
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I think Carcieri does not know what is reality... |
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I think the projo article on the medicaid change is indicative
Effect of R.I. waiver on stimulus share vexed the governor
By Steve Peoples
Governor Carcieri was far more worried about the federal stimulus package's effect on his unprecedented Medicaid plans than he ever let on publicly, according to correspondence that surfaced yesterday. As the legislature last month considered whether to allow Carcieri to overhaul subsidized health-care programs -- known as a "global Medicaid waiver" -- the governor repeatedly said the plan wouldn't jeopardize access to millions of dollars in federal funds. But in a Jan. 30 letter to the state's congressional delegation, Carcieri admitted that may not be the case. "There remains considerable concern about the potential impact of the federal stimulus package now under development on the global waiver," Carcieri wrote. "Rhode Island could lose a full quarter of stimulus package funds ..." The governor asked the delegation to add several provisions to the stimulus package to protect Rhode Island's interests. But in a sharply worded response dated Feb. 5, Senators Jack Reed and Sheldon Whitehouse showed little willingness to help. The delegation had largely opposed Carcieri's plans, which made Rhode Island the first state in the nation to limit Medicaid spending for health-care programs that serve 180,000 elderly, disabled and low-income Rhode Islanders. The senators wrote to Carcieri, "The state has accepted the risk," and noted previous warnings. "Indeed, the letters that we sent you ... highlighted our concern with an aggregate cap, as well as the potential for unforeseen impacts." While the senators refused to release copies of the letters yesterday, The Journal obtained them from the governor's office. The primary concern centered on a provision in the stimulus providing health care for all Rhode Islanders collecting unemployment. Because Medicaid spending is now capped, the state could not have accepted the federal funds without renegotiating the agreement, according to the senators. The problematic provision is not expected to make the final version of the package; the immediate issue may be resolved, Reed and Whitehouse said in their Feb. 5 reply to the governor. But they warned of more complications. "The [stimulus complications] provide stark examples of the risks of the cap that have emerged so far," the senators wrote. "It is unknown what pieces of legislation will come before Congress in the future, particularly with national health reform on the horizon." |