Posts Tagged ‘Mediciad’

Dispute Emerges Between Sandoval, Lawmakers Over Access To Budget Data

By Sean Whaley | 5:23 pm October 25th, 2012

CARSON CITY – A dispute has emerged between Gov. Brian Sandoval and the Legislature over what information in the initial state agency request budget should be made available to legislative staff and the public.

At a meeting of the Legislature’s Interim Finance Committee today, state Budget Director Jeff Mohlenkamp was asked about what is considered by legislative staff to be a departure from past practice regarding the budget information provided to legislative fiscal staff and the public.

The 2013-15 budget information conveyed to the Legislature on Oct. 15 does not include “items for special consideration” requested by state agencies. These items are budget requests from agencies that Sandoval will consider including in his final spending plan, but that have not yet been approved for inclusion by Sandoval.

Sandoval’s budget won’t be made public until mid-January.

Rick Combs, director of the Legislative Counsel Bureau, said this information has been provided to legislative staff historically as specified in state law. It has also been made available to the public.

LCB Director Rick Combs.

An example of an item of special consideration is the expansion of the Medicaid program to a new group of Nevadans as provided for in the federal Affordable Care Act. Sandoval has not made a decision on whether to expand Medicaid to this new group of Nevada residents.

Because of this apparently new interpretation by Sandoval, the Medicaid expansion information has not been provided to the Legislature’s fiscal staff and so is not available to the public either.

“The part that is of concern to us there is twofold,” Combs told the committee. “Your staff doesn’t have access to the information. The other concern is that information that is provided to us on Oct. 15 is supposed to be open for public dissemination at that point.

“Now if you, or a member of the public, asks us for anything that was in an item for special consideration, we don’t have it,” he said. “Even though we feel the statute requires that that to be available to you or a member of the public that ask for it.”

Combs said his staff  has asked for the information but has not received a response from Mohlenkamp.

IFC Chairwoman and Assemblywoman Debbie Smith, D-Sparks, asked Mohlenkamp for an explanation.

Mohlenkamp said a decision has not been made yet on whether to provide the information to legislative staff, and that the budget information transmitted to lawmakers has fulfilled the statutory obligation to lawmakers.

“We’re still considering whether we will be able to provide access to LCB fiscal,” he said. “That decision hasn’t been made. I’ve been in coordination with the governor’s office on this and I’m hopeful that we will be able to give a firm and final response in the near future. But right now that decision hasn’t been made.”

Mohlenkamp said there are all kinds of agency requests beyond Sandoval’s flat-budget guidelines that may not end up as part of the budget, and so should not be subject to speculation.

The change is significant enough that Geoff Dornan, the long-time capital bureau reporter for the Nevada Appeal, made a rare public comment at the meeting.

“We have always gotten the items for special consideration,” he said. “This change completely changes how the law has been interpreted, for longer than Mr. Mohlenkamp, no offense, has been working for the state.”

Sen. Ben Kieckhefer, R-Reno, also expressed concern, saying that if Sandoval decides not to propose expanding Medicaid to the new eligible population, then the budget data collected to provide background on this item of special consideration might never be provided to lawmakers or the public.

Kieckhefer said he would have a problem if that information was never made public.

Mohlenkamp said the Sandoval administration has not yet decided whether that information would be made public at some point.


Audio clips:

LCB Director Rick Combs says the lack of budget data creates two concerns:

102512Combs1 :13 at that point.”

Combs says the LCB fiscal staff cannot provide information to lawmakers about the special budget requests because it does not have the information:

102512Combs2 :16 asks for it.”

Nevada Appeal reporter Geoff Dornan says the budget information should be made public:

102512Dornan :33 capital press corps.”

State Budget Director Jeff Mohlenkamp says  a decision has not been made on whether to provide the information to legislative staff:

102512Mohlenkamp :21 hasn’t been made.”




Nevada Budget Director Says Congress Not Expected To Extend Medicaid Funding To States

By Sean Whaley | 4:00 pm June 30th, 2010

CARSON CITY – Nevada Budget Director Andrew Clinger said today he does not believe Congress will act to extend Medicaid funding that was counted on by lawmakers in February when they approved an $800 million plan to balance the state budget.

Even so, Clinger said it is “not yet time to panic” over the failure of Congress to approve a six-month extension of the temporary enhancement of the federal medical assistance percentage (FMAP), which provides funding for state Medicaid and other health programs. A number of states were counting on the extension from Jan. 1, 2011 through the end of the fiscal year June 30. The extension was expected to bring $88.5 million to Nevada.

Clinger said a number of factors need to be analyzed before deciding on what needs to be done about the loss of the anticipated federal funding.

One piece of good news is that state tax collections are up about $57 million over what was projected for this fiscal year, he said. If tax revenues continue to exceed estimates, it will help keep the state budget balanced, Clinger said.

Taxable sales reported earlier this week for April were up 2 percent, the first increase in Nevada in 20 months.

Clinger said the first step will be to revise tax revenue estimates for the remainder of this fiscal year and the 2011 fiscal year that begins Thursday. Clinger said he will also sit down with Mike Willden, director of the Department of Health and Human Services, to get new caseload estimates on Medicaid and other programs.

Another unresolved factor is $62 million taken from a Clark County water pipeline project as part of the plan approved by lawmakers in February to balance the budget. The diversion of funds is being challenged in court by the Clark County Clean Water Coalition.

There is also a concern about whether a new three-month tax amnesty program set to start Thursday will bring in the $10 million anticipated by lawmakers as part of the budget balancing plan, he said.

Clinger said earlier this month he believes that if a shortfall materializes in the current budget, any spending reductions can be presented to the Legislature’s Interim Finance Committee for approval rather that the full Legislature, an option that would require Gibbons to call lawmakers into a special session.