Democrats show plan to save poor’s health plan

• Phenow

Don Davis/State Capitol Bureau Minneapolis construction worker Al Phenow tells Capitol reporters Thursday that without General Assistance Medical Care, he likely would not be able to be treated for arthritis or to replace his old heart pacemaker. Rep. Tom Huntley, DFL-Duluth, is on the right.
• Huntley

Rep. Tom Huntley of Duluth tells a Capitol news conference Thursday that Democrats have a plan to restore health-care assistance to Minnesota's poorest people. However, he said, it remains "a work in progress."

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ST. PAUL — Democrats want to use federal money, force counties to pay more and divert other funds to restore health-care coverage to Minnesota’s poor.

A program known as General Assistance Medical Care is due to expire March 1 after Gov. Tim Pawlenty eliminated its funding to help balance the state budget. A Democratic plan released at a Thursday Capitol news conference would keep providing health care for the 70,000 adults earning less than $7,800 annually who now receive mostly free care via GAMC. Pawlenty would put most of them on MinnesotaCare, a state-run insurance program that requires that premiums be paid. GAMC does not cost recipients.

Rep Tom Huntley, DFL-Duluth, said the plan restores $292 million that Pawlenty cut, but admitted it remains “a work in progress.”

Key to the plan is a scheme, used elsewhere in state government, to raise a surcharge on hospitals and other health-care providers by $130 million in order to get a like amount of federal money. The increased surcharge then would be repaid to the providers.

More than $100 million in payments to hospitals and other providers would be cut, with no repayments planned, Huntley said.

Counties would be forced to pay $20 million more for poor people’s health care, as well as paying for all health care jail inmates receive. A variety of other existing funds also would be used for the plan, which would last through June 30, 2011. Huntley and other Democratic health leaders say a new federal health-care law should kick in then, providing coverage to poor Minnesotans who otherwise could not afford it.

The plan also would require people now receiving GAMC help to use federal programs if they are eligible.

Minneapolis construction worker Al Phenow, 60, said that without GAMC, he could not receive treatment for arthritis, primarily shoulder and hip replacements. Nor could he replace an aging heart pacemaker, he added.

Even with state-provided health care, he said that he only has $20 a week to live on after he buys food. If Pawlenty’s GAMC elimination occurs, he added, no money would be available.

Huntley, chairman of the House health finance committee, said Democrats’ goal is to pass a health bill the first week of the 2010 legislative session, which begins Feb. 4.

The top Republican on the committee, Rep. Matt Dean of Dellwood, said that will happen only if Democrats work with Republican Pawlenty to reach a compromise.

Pawlenty, speaking on a conference call from Chile Thursday, said he has doubts about the Democratic plan, especially increasing the surcharge just to get federal money. He and Dean said federal officials are taking a dim look at such schemes, although Huntley said he thinks it will fly.

If federal officials do not back the plan, Dean said, hospitals will suffer.

“It does put the onus back onto hospitals to prop up this program,” Dean said.

Dean plans to introduce a GOP plan at a Monday committee hearing. He said it, too, would cover everyone now on GAMC, but would do it for less than the Democratic plan.

Figures Democrats prepared indicate their proposal would reduce payments to hospitals about half that of Pawlenty’s plan to eliminate GAMC. Examples:

•St. Mary’s Medical Center, Duluth, $5 million loss under Pawlenty plan, $1.3 million under DFL plan.

•Rice Memorial Hospital, Willmar, $770,000 under Pawlenty plan, $385,000 under DFL plan.

•Worthington Regional Hospital, $264,000 under Pawlenty plan, $132,000 under DFL plan.

•Mahnomen Health Center, $22,000 under Pawlenty plan, $11,000 under DFL plan.

•Perham Memorial Hospital, $66,000 under Pawlenty plan, $33,000 under DFL plan.

•Kittson Memorial Healthcare Center, $20,000 under Pawlenty plan, $10,000 under DFL plan.

•North Country Health Services, Bemidji, $2.6 million under Pawlenty plan, $654,000 under DFL plan.

•Cannon Falls Community Hospital, $20,000 under Pawlenty plan, $10,000 under DFL plan.

•Fairview Red Wing Medical Center, $220,000 under Pawlenty plan, $110,000 under DFL plan.

•Stevens Community Medical Center, Morris, $66,000 under Pawlenty plan, $33,000 under DFL plan.

•St. Joseph’s Area Health Services, Park Rapids, $483,500 under Pawlenty plan, $120,900 under DFL plan.

Don Davis is employed by Forum Communications, Co. which owns the Daily Globe.

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