West Virginia
As Justice admin delays funding, group homes to close and displace adults with disabilities • West Virginia Watch
A few weeks ago, Gov. Jim Justice, who is running for an open U.S. Senate seat, asked the public to “stay tuned” regarding funding for programs that help people with disabilities.
West Virginia’s low Medicaid reimbursement rate has led to staffing shortages for workers who help people with intellectual and developmental disabilities (IDD) eat, bathe and live in home-like settings.
As the Republican governor and the Department of Human Services haven’t yet addressed the rates, a group home in Martinsburg for about a dozen people with disabilities will close due to staffing shortages.
“It’s awful. People we serve may have to locate hours away from their family or relocate to live with someone they don’t know,” said Ray Ratke, CEO of enCircle. The Virginia-based company operates the group homes under the name of Stonebrook.
Half of the individuals have no family members who can care for them, he added, meaning they could end up in state-run institutions that were never meant to house individuals long term.
Ratke said the closure, planned for Nov. 1, was due to the state’s failure to address the Medicaid reimbursement rate issue and raise worker pay rates.
People we serve may have to locate hours away from their family or relocate to live with someone they don’t know.
– Ray Ratke, CEO of enCircle
West Virginia Behavioral Healthcare Providers Association CEO Brad Story said it wasn’t likely other providers would be able to take the displaced Martinsburg patients as they’re all grappling with staffing shortages due to the reimbursement rate issue.
“In order to rehome or transfer a client, you’ve got to have another [provider] ready to provide this service. No one I know of is ready to accept clients right now. It’s going to be very, very challenging,” Story said.
There’s a waitlist of more than 700 people for the state’s IDD waiver program, which allows them to access services like in-home care. A DoHS leader said in April that around 6,000 people were served by the program.
Lawmakers bolstered IDD funding during the May special legislative session but didn’t mandate how DoHS spent the money. Many argued the department already had the money to fund the increase but hadn’t chosen to.
West Virginia Watch reached out to DoHS for this story and asked if the closure was connected to the state’s Medicaid reimbursement rate issue.
In an email, DoHS Director of Communications Whitney Wetzel said: “The West Virginia Department of Human Services is aware of the closure and DoHS Bureau for Medical Services Commissioner Cindy Beane has met with the facility.
“We recommend reaching out to the facility for questions regarding its business decision to close.”
Rate increase could happen this fall, but is it soon enough?
The state uses state and federal money from Medicaid to reimburse private companies that employ direct care workers.
Caregivers currently earn around $11 an hour. A rate study last year suggested that a salary range should be closer to $15.50-$18.60 per hour.
Ratke said his company, which plans to lay off around 65 workers, has struggled to staff in-home workers while paying $13.66 an hour — particularly in the Eastern Panhandle where people can easily travel to nearby border states for higher pay.
In April, he stood in the Senate chamber before lawmakers and DoHS leaders and pleaded for a reimbursement rate increase. He warned a closure could happen without an adequate fix.
“It’s very frustrating and disheartening we have been working for two years educating legislators and the governors’ office about this issue,” Ratke said on Monday.
After slashing IDD funding during the regular legislative session, lawmakers in May passed a bill that gave DoHS roughly $180 million in a reserve for department leaders to dip into for limited reasons when needed. It could be used on the Medicaid reimbursement rates.
Lawmakers were wary about giving DoHS money for the reimbursement rate after learning in April that the department previously spent millions of dollars earmarked for people with disabilities on things like in-home COVID-19 tests and contract nurses’ salaries.
Leaders with DoHS have told lawmakers, lobbyists and West Virginia Watch that they’re considering a reimbursement rate increase that would go into effect in October.
Story was hopeful that providers would see a rate increase.
“We’re thankful they’re going to give us that, and [DoHS Secretary] Cynthia Persily has taken every meeting we’ve asked for,” he said.
Under current regulations, private companies wouldn’t be required to spend the rate increase money on staff raises, though many have committed to it. Other providers, including those that serve elderly residents through the state’s Aged and Disabled Waiver Program, have also said they need a rate increase.
For Ratke and the individuals he serves, the possible increase may come too late. He stressed that these individuals are receiving necessary state-funded care due no fault of their own.
Institutionalized individuals, he noted, will cost the state much more than properly funding community-based services like the ones he plans to shutter.
“You can either serve people and serve them well, or you can run into problems and have to pay much more,” he said.
West Virginia
West Virginia Agencies Shielding Details on $1.44B DOE Coal Bail-out Loan from Public – CleanTechnica
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West Virginians Are On the Hook to Pay DOE for Short-Sighted Projects with Big Health Impacts
CHARLESTON, W.Va. — Following two postponements, the West Virginia Department of Commerce has informed Sierra Club’s West Virginia Chapter that there are “no non-exempt records” responsive to the Club’s Freedom of Information Act (FOIA) request pertaining to the U.S. Department of Energy (DOE) plans to loan local utilities $1.44 billion to fund refurbishment projects at six unnamed West Virginia coal-fired power plants.
The DOE and Governor Patrick Morrisey first announced the $1.44 billion in coal refurbishment projects as part of a larger $4.2 billion suite of fossil-fuel expansions in November 2025. The projects are intended to extend the lives of the six coal plants up to 20 years. However, regardless of how long the coal plants manage to continue operating, payments on the low-interest DOE loans will be passed on to West Virginians’ electric bills for decades.
According to the West Virginia Department of Commerce, “certain public records within the scope” of the Sierra Club’s FOIA request are, “exempt from disclosure.” In the January FOIA filing, Sierra Club requested a detailed list of the six plants set to receive loans, as well as information on the cost and the specific upgrades proposed at each plant.
In addition to funding the projects, West Virginians will also shoulder the public health impacts. According to a Sierra Club study, West Virginia’s in-state coal plants currently account for hundreds of expensive hospital visits and 20 West Virginian deaths annually. West Virginia’s coal plants also account for 335 out-of-state deaths annually.
“West Virginians are being kept in the dark,” said Bill Price, Sierra Club West Virginia Chapter Chair. “Our local state agencies, tasked with serving the public interest, are expecting the public to repay billions of dollars in loans — blindfolded. No honest lender operates this way. No reasonable borrower would accept it. So why ask us to go along with the Governor’s deal without any details? In this time of increasing energy costs and high bills, people need to know where their money is going. We will continue to seek the answers and transparency West Virginians deserve.”
“West Virginia’s Freedom of Information Act states quite clearly, ‘The people, in delegating authority, do not give their public servants the right to decide what is good for the people to know and what is not good for them to know. The people insist on remaining informed so that they may retain control over the instruments of government they have created.’ Before the State loads down West Virginia citizens with over a billion dollars in loans, they should at least tell us what this is for, what we have to pay back, and who profits from these loans,” added Jim Kotcon, Conservation Chair for Sierra Club West Virginia.
About the Sierra Club
The Sierra Club is America’s largest and most influential grassroots environmental organization, with millions of members and supporters. In addition to protecting every person’s right to get outdoors and access the healing power of nature, the Sierra Club works to promote clean energy, safeguard the health of our communities, protect wildlife, and preserve our remaining wild places through grassroots activism, public education, lobbying, and legal action. For more information, visit www.sierraclub.org.
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West Virginia
CDC data: West Virginia overdose deaths drop nearly 50% in latest 12-month period
CHARLESTON, W.Va. (WCHS) — New CDC data shows a sharp decline in overdose deaths across West Virginia, dropping nearly 50% over a recent 12-month period. However, the report does not identify a single cause for the decrease.
New CDC data shows a sharp decline in overdose deaths across West Virginia, dropping nearly 50% over a recent 12-month period. However, the report does not identify a single cause for the decrease. (WCHS)
Organizations across the state say progress is likely due to a combination of prevention, treatment and long-term recovery efforts.
The West Virginia First Foundation, which distributes opioid settlement funds, says it has invested heavily in those areas.
“We’ve committed nearly $40 million to over 170 projects throughout the state in those categories,” Executive Director Jonathan Board said.
Board says the collaboration among groups statewide has been key.
“It is all of us and all programs working together with a camaraderie that you rarely see in this space,” he said.
That includes recovery programs like Pollen8, which works directly with people overcoming addiction. Founder and CEO Cheryl Laws says funding has made a noticeable difference.
“There’s momentum, right? That 48% decrease with the funding that has been given is the biggest thing,” Laws said.
While progress is encouraging, Laws says continued effort is critical.
“It has to be a continuum of care. Every piece is important, from harm reduction to longer-term inpatient. I think you see more success rates with that,” she said.
Organizations say maintaining that momentum will be essential to continuing the decline in overdose deaths.
“We still need that momentum going. We just built it. We do not need to go backwards. We need to keep going forward,” Laws said.
Board agrees, emphasizing the long-term impact of the work underway.
“We understand that generations from now people will look back and ask us what we did with the time that was gifted to us. We need to make sure that we respect them,” he said.
West Virginia
West Virginia airport says TSA staffing steady despite shutdown delays nationwide
CHARLESTON, W.Va. (WCHS) — Even as a partial government shutdown continues to cause long lines and delays at major airports across the country, officials at West Virginia International Yeager Airport say operations in Charleston have remained steady so far.
Dominique Ranieri, the airport director, said TSA staffing levels at Yeager have not been hit the way larger airports have been affected.
“Here at CRW, I’m very happy to say that we are holding steady. We are not experiencing nearly the TSA staffing shortages that are hitting the major airports around the country around the country,” Ranieri said.
Airport leaders said Yeager’s smaller size has helped keep passenger volume manageable and security lines moving. They cautioned, however, that travelers could still run into problems after leaving Charleston and landing in larger cities.
Some airports have brought in Immigration and Customs Enforcement to help with crowd control, but Yeager officials said they do not think that will be needed locally.
“No, we have not heard anything about that at all. We’re in contact with them constantly, and we will, of course, support the public as well if we see any changes here at the airport,” said Paige Withrow, the airport’s communications officer.
TSA workers have not been paid since February, and airport officials said community members have stepped in with donations to help workers get by. Ranieri said the situation raises concerns about keeping TSA positions filled over the long term.
“So again, we really want this to end as quickly as possible for the folks here, but for the future security of the new fully staffed TSA throughout the country,” Ranieri said.
Airport leaders also addressed recent backlash over a partisan sign seen in the airport, saying the airport was not responsible for the message.
“TSA does have a dedicated screen that is theirs. So the airport is not affiliated with any messaging that DHS puts on that screen,” Withrow said.
Yeager officials said their concerns also include rising costs tied to international conflict. Ranieri said the recent conflict in Iran has contributed to higher jet fuel prices, forcing fare increases.
“Jet fuel, what we’re experiencing now is what they consider jet fuel shock because the prices have raised so exponentially in a short period of time,” Ranieri said.
Since the shutdown began, airports have lost more than 400 employees nationwide, according to airport officials. At Yeager, Withrow said TSA officers have continued reporting to work.
“Our officers are continuing to show up and work every day, which we appreciate in our community is also stepping up as well with donations,” Withrow said.
Airport ambassadors will continue accepting donations during the shutdown, with a drop-off area inside the airport. Airport leaders said they will provide updates if conditions change.
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