Programs for medically vulnerable children, seniors and people with disabilities could be eliminated next year as a result of Louisiana’s looming budget deficit, officials with Gov. Jeff Landry’s administration said Friday. Louisiana Health Secretary Michael Harrington laid out services he might be forced to cut if the governor and lawmakers reduce the state health care budget by $105.1 million to deal with a financial gap in the next fiscal year. He’s been told to expect a large cut as the state tries to figure out how it will cope with an automatic tax reductions scheduled for mid-2025.
Harrington said that $105.1 million cut to state health care services would balloon to an overall loss of $332.4 million with resulting federal funding reductions. The state would no longer be able to put up the money needed to draw down more dollars from the federal government for health care services.
Given the size of the cut the state health department anticipates, Harrington said there are few options for absorbing the budget reduction that don’t involve eliminating programs considered crucial for seniors, children or people with disabilities. “Any of these kinds of cuts is going to naturally impact the most vulnerable,” Harrington said at a Louisiana House budget hearing Friday. “That’s what we [the health department] do. We take care of seniors and children.”
Advertisement
More than 90% of Louisiana’s $19.9 billion health care budget is spent on Medicaid programs, which pays for health care for people who are pregnant, low-income or disabled, according to Harrington. The bulk of that money, 71%, comes from the federal government, but the state is required to contribute funds in order to receive the federal support.
If forced to make a $105.1 million reduction, Harrington said the Landry administration would eliminate pediatric day care centers ($26.4 million) for families with medically fragile children. Money for a program that helps children with behavioral challenges, called the coordinated system of care, would also be reduced by $5.9 million. The state would also scrap its Program for All Inclusive Care for the Elderly ($20.4 million), known as PACE, that assists older people so they can continue to live at home instead of going into nursing homes. Money for daytime supervision for seniors and adults with disabilities who cannot take care of themselves would also be lost ($9.1 million). Transportation reimbursements for people with disabilities would also be scrapped ($1.8 million). Funding for medical residents who train to be doctors in Louisiana would also be reduced ($23.1 million).
Caregivers who help adults with disabilities and intellectual challenges would also see their reimbursement rates lowered again. Most of these rates have only been raised in the past couple of years after program directors long complained they weren’t able to hire staff at the low wages the state previously provided.
The state budget deficit plan also calls for reducing supplemental payments to hospitals for treating Medicaid patients by $69.4 million and eliminating an expected increase in funding for nursing homes that would have cost $67.8 million. Republicans and Democratic lawmakers on the House Appropriations Committee said they would be unwilling to make such cuts. Rep. Jason Hughes, D-New Orleans, described the plan as inhumane, and Rep. Larry Bagley, R-Stonewall, said families would be unable to care for their loved ones without these programs. “These are people that depend on us for their life,” Bagley said. Other legislators questioned whether health officials under Landry, a Republican, had looked deep enough at its nearly $20 billion budget to find alternative ways to save money. Many of the programs put on the chopping block were also proposed for elimination when Landry’s predecessor, Democratic Gov. John Bel Edwards, faced a budget deficit eight years ago. Rep. Tony Bacala, R-Prairieville, said the health department has never fully accounted for the hundreds of thousands of people removed from Medicaid following the height of the COVID-19 pandemic. Given that the program has significantly fewer people in it, the health agency should have some spare money in its budget that could be used to keep these programs whole, he said. Bacala also alleged the health department ended fiscal year 2023-24 in June with $75 million in leftover state funding, which means some of that money should be available to cover the $105.1 million cut. “You continue to say we need more money to cover 300,000 less people [in the Medicaid program],” Bacala said.
Louisiana is facing a budget deficit of $587 million next year largely because of a planned cut to the state sales tax from 4.45% to 4%. State lawmakers could avoid major budget reductions if they voted to keep the sales tax rate at the current level, but legislative leaders have said the conservative anti-tax Louisiana House of Representatives is unlikely to do so. Lawmakers are more likely to look at expanding the sales tax to new items and services as well as eliminating other tax exemptions to make up some of the revenue. Louisiana Revenue Secretary Richard Nelson has proposed a tax on streaming services such as Netflix as well as services like auto detailing for the first time. If the Legislature chooses to keep a 2% tax on business utilities that is supposed to expire July 1, 2025, it would also generate $220 million and lessen the deficit. Moving $320 million the state generates through a vehicle sales tax from transportation projects into health care services, higher education and other programs could also help close the budget gap.
As unemployment claims are dropping around the nation, initial claims are also falling in Louisiana, according to the latest figures available from the Louisiana Workforce Commission.
Initial unemployment claims dropped more than 30% last week as compared to the previous week, from 1,592 claims to 1,106 claims. The initial filings, a proxy for layoffs, are also 13% lower than what they were the prior year.
The four-week moving average of initial claims, which smooths out short-term fluctuations and highlights longer-term trends, dropped 4.5% to 1,663.
Advertisement
Despite the drop in initial claims, continued claims in Louisiana grew 15% last week as compared to the previous week. There were 12,384 claims filed for the week ending Dec. 28.
Continued filings were 5% lower than the same period a year ago.
The U.S. Supreme Court hasn’t set a date for when it will hear the challenge against Louisiana’s majority-Black 6th Congressional District as an illegal racial gerrymander, but one invested onlooker has made it clear where she stands on the case in the meantime.
In doing so, she claims Louisiana Attorney General Liz Murrill, who’s defending the map, is content to lose the case because it will lead to the removal of the state’s second majority-Black district in Congress.
It’s an allegation Murrill firmly refutes, despite having strenuously defended a prior map in federal court that had just one majority-Black district.
Marina Jenkins, executive director for the National Redistricting Foundation, told reporters last week her group’s “friend of the court” brief (as an outside party to the case) filed Dec. 26 calls on the Supreme Court to keep the current map in place.
Advertisement
Her organization, which is aligned with the Democratic Party, maintains politics, not race, factored into the crafting of the new 6th District. Specifically, Louisiana’s Republican leaders decided who would be sacrificed among their GOP congressional incumbents, she said.
Also, Jenkins suggested that Murrill’s heart might not be in the task of defending the current map.
GET THE MORNING HEADLINES.
Advertisement
Even though Louisiana wants the court to keep the current map in place, she said Murrill and state Solicitor General Benjamin Aguiñaga are trying to undermine the portion of the federal Voting Rights Act that prohibits discrimination on the basis of race, Section 2.
“The state of Louisiana has presented outlandish arguments intending to undermine precedent on Section 2 claims, going as far as to say that the state has no obligation to comply with federal law and vote dilution claims,” she said, referencing prior cases when Murrill stood behind maps that watered down Black voting strength.
Murrill firmly rejected Jenkins’ claims Thursday when reached by the Illuminator.
Advertisement
“We absolutely disagree with everything that she said,” the attorney general said in an email from her spokesman. “We have vigorously defended this map, and we look forward to continuing to defend the map at the United States Supreme Court.”
Louisiana filed its own brief Dec. 19 that explains why it supports the map, Murrill said.
“Our brief urges the Supreme Court to uphold [the map] and provide clarity to states that, like Louisiana, are forced into endless litigation every time a new census requires redistricting,” the attorney general wrote.
Projections show Gov. Jeff Landry’s tax overhaul will erase next year’s budget deficit in Louisiana
A group of non-Black 6th District voters sued in February to throw out the new version of the 6th District state lawmakers had approved the month before. A federal district judge ruled in the plaintiffs’ favor, and the U.S. 5th Circuit Court of Appeal upheld that decision.
Advertisement
The Supreme Court has agreed to hear an appeal but gave its OK to use its boundaries for the Nov. 5 election. State Sen. Cleo Fields, D-Baton Rouge, won his way back to Congress in that race, having previously represented the 4th District from 1993-97. Coincidentally, the federal courts rejected that version of the 4th District because it was deemed an illegal racial gerrymander.
This is not the first time Murrill and the National Redistricting Foundation have crossed paths.
The group, founded in 2017, filed one of its very first lawsuits a year later against Louisiana for its congressional map that had just one majority-Black district out of its six U.S. House seats. The case timed out with the 2020 Census, which required a new round of congressional reapportionment anyway.
The foundation, with the NAACP’s Legal Defense Fund leading the way, successfully challenged a congressional map approved in 2022 – one that’s Murrill job to defend as attorney general – with just one majority-Black U.S. House seat in Louisiana. Before that decision could be appealed, its fate became clear in 2023 when the U.S. Supreme Court rejected Alabama’s congressional map that also shorted the state’s Black population.
At the time, legal analysts said the case for a second Black congressional district in Louisiana was even stronger than Alabama’s. So when Republican Gov. Jeff Landry took office in January, he and Murrill conceded the court fight over the 2022 map, and state lawmakers then convened for a special session to update the lines for the 6th District.
Advertisement
When state legislators were given options in January, the NAACP and NRF backed a bill that created a more compact majority-Black seat out of the 5th District anchored in Northeast Louisiana and held by U.S. Rep. Julia Letlow, R-Start. The GOP-dominated Legislature instead chose to create a 6th District that stretches awkwardly between Baton Rouge and Northwest Louisiana, largely keeping intact Letlow’s district and the 4th District U.S. House Speaker Mike Johnson, R-Shreveport, represents
Jenkins was asked why her organization is now defending the new 6th District rather than suing to revive the revised 5th District it originally supported. She said it’s more important for justices to issue a ruling that ends a federal court pattern of “moving the goalposts” on the Voting Rights Act.
“This has been sort of a nonstop attack against enforcement of voting rights, protections for voters of color,” she said.
Republican attorneys general in other states have followed Louisiana’s redistricting court saga closely. Fourteen of them filed an amicus brief in a separate NAACP LDF lawsuit that argues state lawmakers underrepresented Black voters when they redrew districts for the Louisiana House of Representatives.
Murrill defended the Louisiana House map and didn’t join her Republican peers in the brief.
Advertisement
NAACP Legal Defense Fund attorney Jared Evans said at the time the stakes in that case extend well beyond Louisiana.
“They know that if Section 2 is upheld, there are a lot of states that need to have additional … Black districts in their [state] house maps, but also in the congressional map, in the state school board maps and all of the other political boundaries,” Evans said.
Lawmakers ponder ‘tort reform’ rebrand to fix car insurance crisis in Louisiana
Jenkins highlighted another common thread between Louisiana and other states where Republicans have fought to constrain Black voting strength. The outside law firm Murrill has hired to assist the state in its defense, Holtzman Vogel, also defended what Jenkins called “egregious gerrymanders” in political maps for North Carolina and Ohio.
Drew Ensign, the Holtzman Vogel attorney working on Louisiana’s case, previously worked with Landry and Murrill when they led 24 states in a challenge of the Biden administration’s rejection of Trump-era immigration policy.
Advertisement
Jenkins argues further that race and politics are intertwined. While drawing district lines based on racial makeup is illegal, she noted lawmakers are allowed to take politics into account — making the existing 6th District legally sound.
She contends that the Republican-led Louisiana Legislature and Landry steered the redistricting process to sacrifice Congressman Garret Graves, R-Baton Rouge from the 6th District.
Graves had fallen out of favor with Landry after choosing to back business lobbyist and longtime friend Stephen Waguespack in the 2023 governor’s race. He had also lost support from Louisiana’s hardcore GOP sect who viewed Graves as insufficiently supportive of Rep. Steve Scalise’s failed bid for U.S. House speaker.
“The Legislature had multiple pathways to create a … compliant map, but testimony from legislators showed that the boundaries of the new district were designed with political interests top of mind, specifically the uniquely partisan goal of favoring one incumbent,” Jenkins said, referring to Letlow.
With Republicans now in control of Congress, the outcome of this case isn’t likely to affect whatever momentum the incoming Trump administration builds for at least a couple of years. But if historical election patterns hold true and Democrats attain House control in the 2027 midterms, Louisiana’s two majority-Black seats might be key to that swing.
Stay ahead of the curve with our weekly guide to the latest trends, fashion, relationships and more
Stay ahead of the curve with our weekly guide to the latest trends, fashion, relationships and more
Stay ahead of the curve with our weekly guide to the latest trends, fashion, relationships and more
One Louisiana-based couple celebrated the end of 2024 with an extraordinary delivery — quadruplet daughters.
On November 20, Farrah Larry went in for her cesarean section knowing she was about to give birth to four healthy baby girls. What she and her husband Peyton didn’t know was that their babies would come out as two sets of identical twins.
In conversation with People, the 29-year-old mother spoke about the remarkable birth, which occurred just before Thanksgiving.
“I was laughing and crying at the same time,” she remembered before adding: “My husband was about to pass out.”
Advertisement
The happy couple, who met in college, found out they were having quadruplets only after they announced they were expecting in May 2024. Because they’d conceived their girls naturally, they were stunned to hear Farrah was carrying more than one baby.
According to the Journal of Family and Reproductive Health, the odds of conceiving quadruplets without any fertility treatment are large, falling somewhere between 1 and 512,000 or 1 and 677,000, not to mention the extremely rare outcome of having two sets of identical twins.
“Clearly God has a plan for these girls because the odds were against us. We’ve just got to trust Him,” Farrah said.
The new parents originally referred to the children as Baby A, B, C, and D, before they were named Paisley, Psalm, Lyric, and Fallyn. Paisley and Psalm are one set of twins, while Lyric and Fallyn are another.
Advertisement
Peyton and Farrah left their monikers up to fate, picking each name from a random draw out of a brown bag.
“As the baby came out, he would pull out the name and say, ‘Alright, this is Lyric…,’” Farrah explained.
Each baby came out of the womb weighing about four pounds. They were placed in a neonatal intensive care unit for a few weeks before they were allowed to be released from the hospital.
“I’m sleeping maybe three and a half hours a night,” Farrah shared with People. “For diapers, we’re going through seven or eight a day, times four. We’re going through packs quickly. It’s the same for bottles; they eat like eight times a day.”
In 2023, an Alabama-based couple witnessed their own miracle, welcoming quadruplets, two sets of identical twins. The boys — David and Daniel — and the girls — Evelyn and Adeline — were carried by Hannah Carmack and welcomed via cesarean section when she was 27 weeks.