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January 2019
 
Inside the Capitol helps you stay up-to-date on key legislation and gain insight into issues that are important to you and your patients and affect Family Medicine in Wisconsin. This electronic newsletter is free to all WAFP members by subscription only. If you are currently not receiving this publication monthly and would like to be added to the distribution, please subscribe and it will be sent to your email box every month.
In This Issue:
 
 
 

Governor, Legislature Begin New Era in State Government

On Monday, January 7, Wisconsin Governor Tony Evers and members of the Wisconsin State Legislature were inaugurated into their state government positions. The date signaled a significant shift in Wisconsin’s political climate. From 2011 through 2018, state government was under the complete Republican control. Wisconsinites now have a Democrat in the governor’s office and a divided government.

In November, Evers defeated Republican incumbent Scott Walker; a victory that surprised many political spectators. His campaign primarily centered on funding for public education and the rising costs of healthcare.

In his inaugural speech, Evers remained focused on those issues, stating, “[On the campaign] We talked about how what’s best for our kids is what’s best for our state. And that means we need to fully fund our public schools at every level, so that every kid in our state has access to a quality education… We talked about making sure that healthcare is affordable and accessible and protects people who have pre-existing conditions.”

Evers is sure to make both issues primary tenants of his budget bill, which will be introduced early this year. While his speech mentioned education, healthcare, and transportation, the address largely spoke to his desire to bring unity to Wisconsin politics and political discourse.

“Finally, [hard work] begins in these marble halls where, as elected officials, we are reminded that our obligation and our allegiance are to the people of this state, not any political leader or party. That is the promise and the spirit of our service. May we dare to transcend divisiveness and party line,” Evers told the inauguration attendees.

Evers inauguration ushers in a new era, but significant aspects of the Walker years remain in place. Specifically, the legislature is still controlled by Republicans, and its longtime leaders, Assembly Speaker Robin Vos and Senate Majority Leader Scott Fitzgerald, are still the heads of their chambers.

In their addresses, both Vos and Fitzgerald stated their desire for unity and bipartisanship during the two-year legislative session. “Let us be united by our shared vision to make Wisconsin a better place to live, work, and raise a family,” Fitzgerald said.

However, Vos stated his intent to ensure the legislature is on equal footing with the new governor. “There are some who will want us to take a backseat and allow the new governor to drive the car alone but that isn't going to happen," Vos told the Assembly.

Evers, Vos, and Fitzgerald are making good faith attempts to make good on their hopes for unity. On Tuesday, January 15, Evers will attend with a rare joint meeting of the Assembly and Senate Republican Caucuses to discuss areas of agreement with every Republican member of the legislature.

The next two years are sure to be interesting and unpredictable as Wisconsin’s government and citizens attempt to navigate divided government.

 
 
 
Additional Resources
 
 

Evers Appoints DHS Secretary, Cabinet Secretaries and Senior Staff

Since Governor Tony Evers won election in November 2018, his transition team worked diligently to appoint individuals to serve as cabinet secretaries in the Evers administration. The appointments were announced slowly over the course of December and early January. Cabinet secretaries serve as administrators of the various state agencies on behalf of the governor.

On January 3, the transition team announced its final group of appointments, including Evers’ choice of Andrea Palm to serve as Secretary of the Wisconsin Department of Health Services (DHS). DHS is a particularly integral stage agency and administers several the state’s largest programs, including Medicaid.

Andrea Palm previously served as senior counselor at the federal Department of Health and Human Services under the Obama Administration. She also served as a senior adviser for the White House Domestic Policy Council during the Obama administration’s enactment of the Affordable Care Act. Ms. Palm also worked as health policy adviser to then-Senator Hillary Clinton.

Ms. Palm was the only secretary appointment from outside Wisconsin. Political spectators have contemplated why exactly she decided to come to the state. While that question remains to be answered, health care groups and advocacy groups seem enthused by the selection.

The Evers team also announced the following appointments:

  • Department of Revenue - Peter Barca. Mr. Barca previously served in the State Assembly, including a few sessions as Minority Leader. He also served as Midwest regional administrator of the Small Business Administration during the Clinton administration.
     
  • Department of Workforce Development - Caleb Frostman. Mr. Frostman served a very short stint in the State Senate when he won a special election in the 1st Senate District in May. He lost the seat in November. Prior to his service in the Senate, he was executive director of the Door County Economic Development Corp.
     
  • Department of Children and Families - Emile Amundson. Ms. Amundson served then-State Superintendent Evers as his chief of staff at the Department of Public Instruction.
     
  • Department of Safety and Professional Services - Dawn Crim. Ms. Crim was previously the assistant state superintendent for the Division of Student and School Success at the Department of Public Instruction.
     
  • Department of Administration - Joel Brennan. Mr. Brennan was the chief executive officer for Discovery World Museum in Milwaukee. He previously served as campaign manager for Milwaukee Mayor Tom Barrett's 2004 mayoral campaign and led the Milwaukee Redevelopment Authority
     
  • Department of Natural Resources - Preston Cole. Mr. Cole has served on the State Natural Resources Board since 2007. He was also Milwaukee Commissioner of Neighborhood Services. 
     
  • Department of Corrections - Kevin Carr. Mr. Carr was the U.S. Marshal for Wisconsin's eastern federal district. He previously spent 30 years in the Milwaukee County Sheriff's Office.
     
  • Department of Tourism - Sara Meaney. Ms. Meaney was the chief marketing and development officer at Milwaukee Film. She has an extensive background in advertising and marketing. 
     
  • Department of Transportation - Craig Thompson. Mr. Thompson served as executive director of the Wisconsin Transportation Development Association, which advocates for "development and maintenance of a strong, interconnected transportation network."
     
  • Public Service Commission - Rebecca Cameron Valcq. Ms. Cameron Valcq was an attorney with Quarles & Brady law firm, who worked in the Energy, Environment & Natural Resources Practice Group. She previously served as in-house regulatory counsel for WE Energies. 
     
  • Department of Agriculture, Trade, and Consumer Protection - Brad Pfaff. Mr. Pfaff served as the U.S. Department of Agriculture's Wisconsin Farm Service Agency executive director under the Obama administration. 
     
  • Office of Commissioner of Insurance - Mark Afable. Mr. Afable was the chief legal officer for American Family Insurance. 
     
  • Department of Veterans Affairs - Mary Kolar. Ms. Kolar served as the District I Supervisor for the Dane County Board of Supervisors. She spent twenty-eight years in active duty service in the U.S. Navy.
     
  • Department of Financial Institutions - Kathy Koltin Blumenfeld. Ms. Blumenfeld served as the executive vice president of special operations for Total Administrative Services Corporation. 
     
  • Department of Administration, State Budget Office - Brian Pahnke. Mr. Pahnke served as the assistant state superintendent for finance and management at the Dept. of Public Instruction.
     
  • Department of Public Instruction - Carolyn Stanford Taylor. Ms. Stanford Taylor served as the Assistant State Superintendent.  
     
  • Each appointee must be confirmed by the State Senate. They will likely be confirmed in the coming weeks.
     

    In addition to cabinet secretary selections, the Evers also announced senior staff positions in the Governor’s Office, which are as follows:

  • Chief of Staff: Maggie Gau
  • Deputy Chief of Staff: Melissa Moore Baldauff
  • Deputy Chief of Staff: Kara Pennoyer
  • Deputy Chief of Staff: Barbara Worester
  • Chief Legal Counsel: Ryan Nilsestuen
  • Policy Director: Jenni Dye
  • Director of Constituent Services: Margie Berkowitz
  • Legislative Director: Stephanie Hilton
  • Deputy Communications Director: Britt Cudaback
  • Operations Director: Royce Kim
  • Director of Appointment for Board and Commissions: Cassi Fenili
  • Scheduling Director: Elsie Raymer
  • Outreach Director: Jamie Kuhn
 
 
 

Legislature Addresses Pre-Existing Conditions

On Tuesday, January 15, the Assembly Committee on Health held a public hearing on Assembly Bill 1. The bill, which seeks to guarantee health care coverage for Wisconsinites with pre-existing conditions, passed the Health Committee on a X to X vote on Thursday, January 17.
 

Authored by Republican Representative Kevin Petersen and Republican Senator Andre Jacque, the bill only takes effect in the event the Affordable Care Act should cease to be federal law. The ACA already guarantees coverage for Americans with pre-existing conditions, and federal law takes precedent over state law. Petersen and Jacque told the Health Committee they wanted to ensure pre-existing condition requirements remain in place in absence of a federal law, should that occur in the future.
 

During debates and discussion at the Assembly Health Committee's public hearing, there was no real opposition to the bill as a concept. Democratic members of the committee stated more than once they're in favor of coverage for pre-existing conditions and supportive of the bill, in general, due to its similarity in language to the Affordable Care Act.
 

However, Democratic lawmakers were concerned that if current federal law ceased to exist, Assembly Bill 1 would not have the effect its Republican proponents say it would. Democratic lawmakers said that without additional state legislation mirroring the ACA's requirements for protections against lifetime limits and mandating essential benefits, a law requiring coverage for pre-existing conditions would not necessarily result in what the Democratic committee members deem proper coverage.
 

The bill's authors signaled they would be open to a discussion on further legislation regarding health care coverage but stated their bill specifically and solely spoke to pre-existing conditions.
 

Now that the bill has passed the Assembly Health Committee, it will likely head to the Assembly floor. To become law, it would need to go through the Senate committee process and receive a vote in that house as well, and ultimately it would need the approval of Governor Tony Evers.
 

On Wednesday, January 16, Governor Evers sent a letter to Republican legislative leaders inviting them to meet with him on Friday, January 18 to discuss pre-existing conditions. The letter signaled Evers is interested in addressing the issue but may not necessarily be interested in Assembly Bill 1.

 
 
 
About this Newsletter
Inside the Capitol is a monthly electronic newsletter for Wisconsin Academy of Family Physicians (WAFP) members who are interested in legislative issues.  Please contact the WAFP office if you have comments or suggestions.
 
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