ITCBanner.png
March 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.
Judge Rules 2018 Lame Duck Session Illegal AG Kaul Withdraws State from ACA Lawsuit
 

On Thursday, March 21, Dane County Circuit Court Judge Richard Niess issued an injunction against the legislation passed by the legislature and signed by Governor Scott Walker in December 2018. In doing so, Niess prevented the laws from being enforced.

Niess did not rule the laws themselves are unconstitutional. When the legislature convened in December, legislative leaders called an “Extraordinary Session”. Niess ruled the legislature did not have statutory authority to convene an “Extraordinary Session”. As such, any legislation passed during the session is void, according to the ruling.

“By meeting in the December ‘Extraordinary Session’ without statutory authority, the Legislature has thwarted the peoples’ constitutional constraints on legislative action, the results of which cannot stand,” Niess said in the written opinion.

Governor Tony Evers praised the ruling, saying, “The Legislature overplayed its hand by using an unlawful process to accumulate more power for itself…I look forward to putting this disappointing chapter behind us…”

One of the provisions passed during the extraordinary session limited the Attorney General’s ability to withdraw Wisconsin from federal law suits. Reports in the media at the time stated this primarily to prevent incoming Democratic Attorney General Josh Kaul from removing Wisconsin from a law suit against the Affordable Care Act.

Hours after Niess’ ruling, Kaul, under direction from Governor Tony Evers, filed a motion to remove Wisconsin from that suit against Affordable Care Act. 

Republican legislative leaders expressed their disappointment with the opinion.

“Today’s ruling only creates chaos and will surely raise questions about items passed during previous extraordinary sessions, including stronger laws against child sexual predators and drunk drivers,” said Senate Majority Leader Scott Fitzgerald and Assembly Speaker Robin Vos in a joint statement.

It is worth noting, Niess’ ruling did not place injunctions against other legislation passed during extraordinary sessions; only the ones passed in December 2018.

It is expected the Republican legislature will quickly appeal the ruling to the state appellate courts.

 
Additional Resources
 
 

Governor Evers Introduces 2019-2021 Biennial State Budget

On Thursday, February 28 Governor Tony Evers delivered his 2019-2021 State Budget Address before a joint session of the legislature. The speech marked Evers’ first budget address as Governor and the first budget introduced by a Democratic Governor in ten years.

Evers called his proposal “The People’s Budget” after explaining how he and Lieutenant Governor Mandela Barnes toured the state following their victory in November to gain input on how to craft the budget proposal.

In the nearly 40-minute speech, Evers outlined the major components of his plan to fund state agencies and programs for the next two years. In total, the Evers’ budget aims to spend over $83 billion, which is nearly a $6 billion increase over the budget proposed by former Governor Scott Walker in 2017.

Regarding healthcare, Evers’ told the legislature his proposal accepts federal Medicaid expansion dollars, which could enable further investment in MA programs and reimbursement levels.

“82,000 more Wisconsinites will have access to affordable, quality healthcare coverage. And because we’re accepting these federal dollars, we have the opportunity to invest in programs that improve healthcare access and affordability across our state,” Evers told the legislature.

Wisconsin is one of fourteen states that have not accepted federal Medicaid expansion dollars since they became available following the passage of the Affordable Care Act. Former Governor Scott Walker and the Republican-controlled legislature opposed accepting the funds.

The budget proposal also includes the following healthcare initiatives:

  • The Governor recommends providing additional funding for medical student tuition assistance to provide Wisconsin residents attending the college with tuition assistance at the 2014-15 academic year level of $5,057 per student.
  • Provide $1,000,000 GPR in each year to continue two family medicine residency training programs at the Medical College of Wisconsin covering northeast Wisconsin. These programs produce well-trained, board-certified family physicians. The funding will allow for additional faculty hires to ensure long-term programmatic accreditation, enhanced resident rotations and expansion of residents at each site.
  • Establish medical service delivery through telehealth under the Medicaid program. Provide $2.3 million in fiscal year 2019-20 and $3.5 million in fiscal year 2020-21 to fund the increase of services due to increased access under the telehealth delivery model.
  • The Governor recommends providing additional funding for the Well Woman program. The Governor also recommends adjusting statutory language in the Well Woman Program to allow the program to expend up to $60,000 on multiple sclerosis testing.

Evers’ also announced his intention to fund public K-12 education at a two-thirds funding level, which essentially means the state would pay for 67% of the total cost of public K-12 education, as well as a $600 million dollar increase for special education funding and more than $150 million for the University of Wisconsin system.

Evers’ finished his speech by announcing his intentions to raise new revenues for transportation projects.

“We're going to raise more than $600 million in new revenues to fix our roads, bridges, and highways and make sure that our transportation fund is sustainable for our future,” said Evers.

Evers plans to raise revenues by increasing registration fees for heavy trucks and by raising the gas tax by 8-cents.

For the budget proposal to become law, it needs to pass both houses of the Republican-controlled legislature. Following the address, Republican legislative leaders reacted negatively to the proposal and almost immediately rejected much of the proposal.

“The governor claims he wants to find common ground but then puts forth divisive proposals that Republicans would never support like expanding welfare programs and raising taxes,” said Republican Assembly Speaker Robin Vos. “The problem with Governor Evers’ budget is that it spends too much. It spends way more than Wisconsin can afford by increasing spending by $6 billion. That translates into an increase in spending of about $1,071 for every man, woman and child in Wisconsin.”

“Governor Evers campaigned on bringing people to the table, however Republicans weren't even consulted before he rolled out one of the most liberal budgets in Wisconsin history,” Senate Majority Leader Scott Fitzgerald said in a statement. “His plans will raise the tax burden on manufacturers, potentially send the cost of private health insurance skyrocketing, and hurt the ability of low-income students to escape failing schools.”

The proposal has been sent to the legislative Joint Committee on Finance. The committee has released a tentative schedule for its work, as follows:

  • Wednesday, April 3 – Agency briefings
  • Thursday, April 4 – Agency briefings
  • Friday, April 5 – Public Hearing – Janesville Area
  • Thursday, April 11 – Public Hearing – Milwaukee Area
  • Monday, April 15 – Public Hearing – River Falls/Hudson Area
  • Wednesday, April 24 – Public Hearing – Green Bay Area

Exact times and locations for the public hearings have yet to be announced. Following their hearings, the committee will vote on and amend provisions in the budget one at a time. Significant changes to the proposal are expected.

Following the committee’s work, the budget will be sent to the legislature for approval. The legislature’s goal is to pass a budget and send it to the governor before the fiscal year ends on June 30. The governor will have the opportunity to sign the bill or veto it in whole or in part.

Evers told the media he wouldn’t rule out vetoing a Republican-passed budget in whole or in part if it didn’t meet his goals.

WAFP’s government affairs team will update the academy as the budget process continues.

 
 
 

Governor Creates Health Equity Council

On Wednesday, March 21, Governor Tony Evers issued Executive Order #17, which creates the Governor’s Health Equity Council to address demographic disparities in the Wisconsin’s healthcare system.

According to a press release that accompanied the Executive Order, the council will develop a plan with key benchmarks to reduce and eliminate disparities throughout the state by 2030. The plan will address disparities based on race, economic status, education level, history of incarceration, and geographic location.

The executive order is broad in its description of membership to committee. However, it is seeking members of the public to apply. If any WAFP members are interested in serving on the council, please send a cover letter and resume to govappointments@wisconsin.gov by April 30th.

 

 
 
 
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.
 
Content provided by Hoven Consulting.
 Wisconsin Academy of Family Physicians
210 Green Bay Road Thiensville, WI 53092
Phone: 262.512.0606  Email:
 academy@wafp.org
www.wafp.org
 
To ensure delivery of Inside the Capitol, please add academy@wafp.org to your email address book or Safe Sender List. If you are still having problems receiving our communications, see our white-listing page for more details.
 
Copyright © 2019 Wisconsin Academy of Family Physicians. All rights reserved.
Click here to unsubscribe.
poweredByDark.png