Maine
Maine health care providers warn of service cuts due to budget stalemate
AUGUSTA, Maine — Hospitals and health care providers are feeling pressure after the Legislature once again failed Tuesday night to pass a short-term budget that fills a $118 million MaineCare shortfall.
The State House dysfunction could cost Mount Desert Island Hospital up to $50,000 a week due to the state now delaying and capping payments from its Medicaid program amid lawmakers not yet passing a supplemental budget to immediately fill the funding gap.
“It will erode services,” MDI Hospital CEO Christina Maguire said Wednesday, describing how the hospital that also covers outer islands and parts of Hancock County will struggle to pay bills and hire staff amid budget delays.
Millinocket Regional Hospital CEO Robert Peterson said payment reductions will make it “increasingly difficult to cover our normal expenses in a timely manner” and noted the budget stalemate delays the state in paying his hospital a “large” settlement following an annual audit.
“It is imperative that our rural Maine hospitals remain viable and available to our residents,” Peterson said. “To risk failure of these hospitals due to a state budget shortfall is abhorrent.”
The dire sentiments came after Senate Republicans opposed Tuesday night a short-term budget that otherwise had bipartisan support in the House to fill a $118 million MaineCare gap and give $2 million to fight spruce budworm infestations. Senate President Mattie Daughtry, D-Brunswick, has called her chamber back Thursday to reconsider the plan.
But it was unclear on Wednesday whether anything had changed to resolve the stalemate. Democrats can pass the measure by a simple majority, but it would not go into effect until June without two more votes from Republican senators.
Daughtry, Senate Minority Leader Trey Stewart, R-Presque Isle, and House leaders crafted an amendment Monday that would limit General Assistance per recipient to 12 months in a 36-month period, force Gov. Janet Mills’ administration to give direct care workers a 1.95 percent cost-of-living increase lawmakers had previously approved and require a third party to study “waste, fraud and abuse” in MaineCare.
After the House overwhelmingly passed it, all Senate Republicans except for Sens. Rick Bennett of Oxford and Marianne Moore of Calais ended up opposing the short-term budget in a final vote Tuesday night. Stewart said his caucus wanted more changes to rein in MaineCare costs, such as work requirements President Donald Trump could push for at the federal level.
Stewart said he had only agreed Monday to bring the amended plan back to his members before making “very clear” to Daughtry and other Democrats on Tuesday his caucus would not support it unless it had “substantive welfare reform.” But Daughtry said Republicans “flipped” on Mainers and walked away “from a compromise that had been negotiated in good faith.”
“This brinksmanship is senseless and counterproductive,” Mills, a Democrat, said in a Wednesday statement. “Senate Republicans should honor this partisan agreement and pass this bill.”
The lack of a supplemental budget is showing up in this week’s pay cycle for MaineCare providers. The Mills administration said certain payments for critical access hospitals are now capped at 70 percent of their normal levels.
The state is also pausing all hospital claims greater than $50,000, all payments for large retail pharmacies and durable medical equipment providers and all payments for out-of-state providers. Independent pharmacies located in New Hampshire towns within 15 miles of the Maine border will continue to be paid, the Department of Health and Human Services said.
Northern Light Health Eastern Maine Medical Center President Ava Collins noted the system has already been struggling financially in recent months and said a lack of a supplemental budget costs the multi-hospital system about $6 million per month.
Rep. Jack Ducharme, R-Madison, a top appropriator who voted in favor of the short-term plan, said the latest indication on MaineCare funding is the state has enough money to last until the end of April. He acknowledged “a whole lot of fear” for health providers and said he is not sure what the Senate may do Thursday but is hopeful for a deal.
Ducharme added if Republican senators have opportunities to “get something that you want … then you should do that.”
Penobscot Community Health Center CEO Lori Dwyer, who leads Maine’s largest federally qualified health center that serves about 60,000 patients, said they will not see payment reductions until March 26. But Dwyer said PCHC does not yet know how much of a reduction it could see amid 38 percent to 40 percent of its patient revenue coming from MaineCare.
This delay and bigger cuts could force the health center with locations in Penobscot County as well as in Belfast and Jackson to reduce hours or temporarily close clinics, Dwyer added.
“This is a completely manufactured crisis that’s entirely avoidable,” Dwyer said.
BDN writers Marie Weidmayer and Michael Shepherd contributed to this story.
Maine
Cooling centers to open in Maine as heat, air quality advisories take effect Wednesday
Many Maine municipalities will open cooling centers this week with the National Weather Service issuing a variety of heat advisories covering the next few days.
The Maine DEP also issued an air quality alert for Wednesday with ground-level ozone expected to reach levels that are unhealthy for sensitive groups.
All of York County, interior Cumberland and Androscoggin counties, and the southern half of Oxford County will fall under an extreme heat warning from 11 a.m. Wednesday to 8 p.m. Friday.
The warning calls for “dangerously hot conditions” that could feature heat index values of up to 110 degrees, with overnight lows only expected to fall into the 70s, according to the weather service’s office in Gray.
The rest of the state — save northern Aroostook, Piscataquis and Somerset counties — falls under a heat advisory from 11 a.m. to 8 p.m. on Wednesday. However, the weather service has also placed much of the state under an extreme heat watch for Thursday.
Heat index values, which measure how hot it feels to the human body when relative humidity is combined with the air temperature, are expected to reach up to 104 degrees during the heat advisory period, the weather service warns. They could reach 110 degrees Thursday, when the extreme heat watch is in effect.
Northern Oxford and Franklin counties, and central Somerset County, can expect a heat index value of up to 99 degrees Wednesday, according to the weather service.
The weather service advises people to drink plenty of fluids, stay in air-conditioned rooms when possible, avoid extended periods in the sun and check up on relatives and neighbors. It also warns not to leave young children and pets in unattended vehicles, as “car interiors will reach lethal temperatures in a matter of minutes.”
Cooling Centers
The Maine Department of Environmental Protection has also issued an air quality alert from 10 a.m. to 11 p.m. on Wednesday along the coast from Kittery to Acadia National Park. The agency warns that ground-level ozone concentrations are expected to reach levels that are unhealthy for sensitive groups.
Ozone levels may reach “moderate levels” further inland, according to the Maine DEP, including in all of Androscoggin and Kennebec counties, as well as parts of Cumberland, Knox, Lincoln, Penobscot, Sagadahoc, Waldo, Washington and York counties.
Elevated ozone levels can pose a risk to children, older adults and people suffering from respiratory or heart diseases, according to the Maine DEP. Anyone exerting themselves outdoors may also experience health effects, which could include coughing, shortness of breath, throat irritation and mild chest pain.
Ozone levels were already climbing in southern New England on Tuesday, according to the Maine DEP, and winds are expected to bring those conditions to Maine on Wednesday.
The Maine DEP recommends that vulnerable populations avoid strenuous outdoor activities, keep windows closed, and circulate indoor air with fans or air conditioners. Those with asthma are also advised to keep quick-relief medication handy.
Particle pollution levels are also expected to be moderate across the state on Wednesday due to wildfire smoke, the Maine DEP said in its announcement Tuesday. Wildfires in Colorado, which have claimed the lives of three firefighters, had burned nearly 90,000 acres as of Tuesday, according to the Denver Post.
Maine
Maine could face $50M in penalties from federal food assistance policy changes
Maine could face up to $50 million in penalties next year due to errors in its payments for federal food benefits under the Supplemental Nutrition Assistance Program.
Newly released data from the U.S. Department of Agriculture find that Maine’s error rate last year was nearly 11%, the bulk of which were overpayments. That’s in line with the U.S. average. But starting in October of next year, states with error rates above 6% must cover a portion of the SNAP benefits.
Anna Korsen, executive director of Full Plates, Full Potential, said the overpayments aren’t fraud — they’re human error. She said this new cost-shifting policy enacted last year under the Trump administration further complicates the SNAP application process.
“Instead, we could make this program more accessible and more efficient,” Korsen said. “And that would reduce the number of errors and also ensure that Mainers who are eligible for SNAP have access to it.”
She’s urging Congress to delay or reverse the policy under the farm bill that’s currently under consideration.
Maine’s Department of Health and Human Services said it’s taking steps to reduce the error rate, including modernizing its systems and hiring an additional 40 eligibility specialists.
This story appears through a media partnership with Maine Public.
Maine
Maine driver to honor friend Kyle Busch during Celebration of America 300
PORTLAND (WGME) — The third annual Celebration of America 300 is set for Thursday night at Oxford Plains Speedway.
This race was a favorite of NASCAR star Kyle Busch, who tragically passed away back in May. He was just 41.
Now, a Maine-born driver who worked on Busch’s team is ready to take the 8 car into victory lane.
For the past five years, Windham native Derek Kneeland was Busch’s eye in the sky, working as a spotter for the cup star. Kneeland says his relationship with Busch was like a brotherhood.
“I was fortunate enough where I got to have a personal relationship with him,” Kneeland said. “He came up, and he ran several races with me in late models and stuff at Oxford and Lee Speedway, and we got to do a lot of cool things together.”
Kneeland says dealing with the sudden loss has been both painful and difficult.
“It’s still hard,” Kneeland said. “I’m having a hard time with it. The weekdays are the hardest. At the track is where I’m most comfortable.”
Kneeland will be at the track and behind the wheel Thursday night, competing in the Celebration of America 300, driving the number 8 car.
“You know, a few days after everything went down, his dad called me, and his dad is a man of very few words, and I said, ‘You know, I’m thinking about running the 8 or 51 as long as I have your guys’ blessing, I would like to do that.’ And he said, ‘Short track world knows him as 51, but the world knows him as 8,’” Kneeland said.
Kneeland says it will be an emotional race, but he’s confident he’ll have a special co-pilot leading the way.
“Hoping he’s going to be on my shoulder and give me the guiding way and but to win it for Kyle, I think that would put the stamp on it,” Kneeland said.
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