Friday, July 3, 2015

Issues facing Missouri...to begin with--Medicaid, Long Term Care

I had stated in my last post I would begin sharing information from the recent conference I attended on Medicaid Health Policy in Washington DC.  This conference was very informative and gave me quite a good deal of information.

Medicaid is a much used program all across our nation.  It is funded with Federal and State dollars, in Missouri this comes to quite a huge portion of our state’s budget every year.  This portion of the budget continues to grow each and every year.  The question is how to meet the needs of the citizens that are receiving these benefits while also trying to make the best use of the limited funds that we have available.  We also must consider the ever growing list of citizens whom are applying for assistance from the Medicaid program.  I have no answer for this situation at this time but at least I do understand the situation better from a policy standpoint.

I am concerned about the current administration of our Medicaid system. I am still looking at the past few years of legislation that impacted Medicaid and made changes.  As a nurse I have had patients that applied for Medicaid but by the time a response was received it was too late.  I cannot begin to tell you how many calls I receive each week due to the constituent applying for Medicaid but not receiving a timely response.

After attending this conference, as well as several teleconferences and webinars, I feel strongly that Medicaid’s administration/structure must be addressed first.  If the structure is so that the system cannot function in an effective and efficient manner, it will do no good to add more money or people to the system, it would in fact, make the situation worse for all those involved.

HB 11, in this past legislative session, included a component that will hopefully address this through a task force.  I am hopeful that if I am not included on this team as a member I will at least be able to be an active participant through attending and listening to the meetings and talking with the team members.  I will keep you posted on this issue as I continue to learn more.


Long Term Care in Missouri
I am also preparing for the beginning of a series of brainstorming sessions that I will host at the Capitol in regards to the Long Term Care situation in Missouri.  This issue is a related one to Medicaid but has several other contributing factors to it as well.  The first meeting will be in August and we will begin looking at where Long Term Care is and begin outlining where we would like to see Long Term Care in Missouri.  Care of our elderly is very important.  How we treat our young, old and defenseless citizens shows very clearly what type of people and society we have.  I want this to be a great picture of who we are as Missourians.  If you have any input that you would like to share, please do not hesitate to contact me, my email is tila.hubrecht@house.mo.gov.