West
Top Republican demands answers from Newsom, feds over wrongful Medicaid payments to California immigrants
EXCLUSIVE: The top Republican on the Senate Budget Committee is demanding answers from both the Newsom and Biden administrations regarding promised repayment of $52 million in “improperly claimed” Medicaid disbursements made via “MediCal” to certain immigrants.
Sen. Charles Grassley of Iowa sent letters to both California Gov. Gavin Newsom and Centers for Medicare & Medicaid Services (CMS) administrator Chiquita Brooks-LaSure, requesting updates on the Golden State’s promise to return to the feds $52 million in wrongful disbursements from payouts to “noncitizens with unsatisfactory immigration status[es].”
In response to a previous Fox News Digital inquiry on the matter, a representative for the California Department of Health Care Services (DHCS) acknowledged the findings of an inspector general’s report on the matter and pledged to repay the feds by June 30.
CALIFORNIA AGREES TO REPAY FEDS $52M IN IMPROPERLY-CLAIMED IMMIGRANT MEDICAID DISBURSEMENTS
California Gov. Gavin Newsom, left, and Sen. Charles Grassley, R-Iowa. (Getty Images)
“The investigation found that the state over-counted its reimbursable emergency care percentage by 8.49 percent, and had improperly claimed $52,652,698 from the start of October 2018 to the end of June 2019,” Grassley wrote to Newsom regarding Health and Human Services (HHS) Inspector General Christi Grimm’s probe.
“HHS OIG recommended that California refund the $52.7 million improperly claimed during that period and work with CMS to find any additional improperly claimed reimbursements for periods outside of the OIG audit.”
Grassley added that it appears California did not adjust its algorithm for determining Medicaid disbursements to such immigrants, after the inspector general’s report made the recommendation.
“As of today, [they] remain unimplemented. Each state must ensure that proper care is taken to protect the American taxpayer from fraud, waste, and abuse,” Grassley wrote.
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Grassley followed up with a list of questions he wanted Newsom to answer by Sept. 5.
“Has California repaid any portion of the money it improperly received from the federal Medicaid program? If so, how much and when? If not, why not?” he wrote.
“What is California’s current methodology to quantify its portion of reimbursable income?”
Grassley also noted California’s annual budget is around $300 billion, therefore, questioning why the California DHCS is using a “manual process” to repay the feds rather than an immediate lump sum.
The May audit conducted by Grimm underlined that federal Medicaid benefits are usually limited only to citizens and “qualified” noncitizens. Examples of qualified noncitizens are refugees, people granted asylum or those lawfully admitted for permanent residence.
The audit covered more than $372 million in federal Medicaid reimbursements made on behalf of noncitizens during FY 2019.
The report, in part, blamed outdated algorithmic metrics on California’s end for the discrepancy in “improperly claimed” Medicaid reimbursements for the particular noncitizen class.
In comments to Fox News Digital, Grassley said economic conditions created by President Biden and Vice President Kamala Harris have led to households now “struggling, and having to stretch their dollars in every which way.”
“Meanwhile, California is providing federal health insurance to ineligible illegal immigrants using taxpayers’ hard-earned money,” he added.
The Centers for Medicare & Medicaid Services logo is seen displayed on a smartphone. (Getty Images)
“It’s a slap in the face, and we ought to know what CMS is doing to collect the improper reimbursements California confirmed it owed months ago.”
In his corresponding letter to Brooks-LaSure, Grassley noted the Social Security Act of 1935 requires the feds to reimburse states via her agency for a percentage of their Medicaid costs.
He said that, for “noncitizens with unsatisfactory immigration status,” only “emergency services” are typically covered after five years of coverage.
MediCal (the state’s equivalent to Medicaid) “uses state funds to provide full coverage for noncitizens with UIS by paying each managed care plan a monthly capitation,” Grassley said.
He similarly asked Brooks-LaSure whether California repaid their liability, and whether her agency has initiated any type of review to prevent this from happening in the future.
Meanwhile, illegal immigrants remain ineligible overall for federal coverage and disbursements under the Affordable Care Act, according to HealthCare.gov.
Fox News Digital reached out to CMS for an independent update on California’s agreed-upon repayment of the Medicaid remittances.
In a statement at the time, an official with California’s DHCS expressed plans to repay the requested amount by June 30.
“Additionally, DHCS has worked with the federal Centers for Medicare & Medicaid Services to develop and implement a more refined service identification methodology with updated payment and claiming processes,” the spokesperson said.
UPDATE: A spokesperson for the federal Center for Medicare & Medicaid Service said California has since returned the $52 million cited in the inspector general’s report.
Read the full article from Here
Montana
The Record is Clear: The Wilderness Society, Greater Yellowstone Coalition, and Montana Wilderness Association have Consistently Undermined the Roadless Rule
Beartooth Range, Montana. Photo: Jeffrey St. Clair.
The Wilderness Society, the Greater Yellowstone Coalition, and the Montana Wilderness Association, now rebranded “Wild Montana,” all claim they support the Roadless Rule and have been asking people for donations to oppose efforts to repeal it. But a review of the record shows that these “conservation” groups have supported opening 1,585,000 acres or Roadless and Wilderness Study Areas to logging and road building since the roadless rule went into effect in 2001.
Tracy Stone-Manning, now the President of The Wilderness Society, has been widely quoted as supporting the Roadless Rule. But while working as a top environmental advisor for former Montana Senator Jon Tester, she strongly supported his 2009 Forest Jobs and Recreation Act. The Montana Wilderness Association, now doing business as Wild Montana, was also one of the main cheerleaders for Tester’s bill
Although the bill never passed, it would have opened one million acres of roadless lands in the Beaverhead-Deerlodge National Forest in southwest Montana and mandated logging 10,000 acres per year for 10 years in the Beaverhead and Kootenai National Forests. The Kootenai contains the smallest, most threatened grizzly population in the world in the Cabinet-Yaak. Since most grizzly bears are killed within 1/3 of a mile of a road, more logging means more logging roads would be bulldozed into grizzly habitat, resulting in more dead grizzly bears. The measure was so extreme even the Forest Service opposed it.
The groups also strongly supported former Montana Senator Max Baucus’ Rocky Mountain Front Heritage Act, passed as a rider on the 2014 defense spending bill. The measure opened 208,000 acres of roadless lands to logging and road-building and guaranteed grazing in perpetuity with no environmental analysis or public review. The pitiful 67,000 acres of wilderness tack-ons also required the sacrifice of four Wilderness Study Areas in Eastern Montana, opening 29,000 acres to oil and gas exploration and development.
Then came Tester’s 2017 Blackfoot Clearwater Stewardship Act that carved up 50,000 acres of an Inventoried Roadless Areas contiguous to the Scapegoat and Bob Marshall Wilderness Areas. The measure also allowed loggers to decide where to build roads and designated 5,000 acres as a play area for snowmobiles and mountain bikes.
The bill didn’t even make it out of committee, but now these same groups have renamed it “A River Runs Through It Act” — although there is no sponsor and no “act.” In addition to the roadless lands Tester’s bill would have destroyed, it turns over management of 70,000 acres in grizzly, lynx and wolverine habitat in the Ogden Mountain Roadless Area northwest of Lincoln Montana to the timber industry. It also converts 130,000 acres of Inventoried Roadless Areas into play areas for motorized recreation and mountain bikers.
The clearcutting, bulldozing new logging roads, and motorized recreation in roadless areas will send tons of sediment into the Blackfoot River which has been designated critical habitat for bull trout, a threatened species. It should be called “A Clearcut Runs Through It Act.”
Finally, all three groups support the Greater Yellowstone Conservation And Recreation proposal. There is no sponsor and no bill, but the proposal opens much of the Lee Metcalf Wilderness Study Area and other Inventoried Roadless Areas to motorized recreation, logging and road building. While adding only 102,000 acres as wilderness — less than half of the 250,000 acres that qualify for wilderness designation — it also significantly reduces the 155,000 acre Hyalite-Porcupine-Buffalo Horn Wilderness Study Area by 53,000 acres.
Don’t fall for the con. The record is clear: these groups have supported reducing, not protecting Inventoried Roadless Areas in the past and are doing so now.
Please consider helping us get the only bill before Congress that would designate all 23 million acres of roadless in the Northern Rockies designated as wilderness, the Northern Rockies Ecosystem Protection Act. Please also consider donating to Counterpunch to help them continue exposing hypocrites.
Nevada
Nevada Youth Sports estimates $250K in damage after Fourth of July firework fire
LAS VEGAS (KSNV) — Nevada Youth Sports is working to keep thousands of young athletes on the field after a fire believed to have been sparked by illegal fireworks caused nearly a quarter of a million dollars in damage to its facility.
The fire broke out late on the night of July 4. Jane Ramos, chief administrative officer for Nevada Youth Sports, said she received a call from the organization’s landlord telling her there had been a fire at the building.
“We got a call from our landlord saying I needed to come out here right away because there had been a fire,” Ramos said. “We didn’t really understand the scope of what had happened until we could hardly open the door because of the fumes, the smoke, and the smell.”
According to Ramos, firefighters responded shortly before midnight after flames were reported on the roof of the building. In the days since, the organization says it has learned the fire is believed to have started when embers from illegal fireworks landed on the roof.
“It’s something that was preventable if it truly was illegal fireworks,” Ramos said.
Early damage assessments estimate nearly $250,000 in structural, electrical and water damage. Ramos said the organization is still working to understand the full financial impact.
“We’re trying to assess where we are financially in all of this,” she said. “It’s really a question mark.”
The damage has forced Nevada Youth Sports to temporarily close its facility, affecting the thousands of athletes and families who rely on the organization for leagues, clinics and training programs.
Nevada Youth Sports serves more than 14,000 athletes and families across the Las Vegas Valley each year. Ramos said the organization’s immediate priority is finding alternate locations so programs can continue with as little disruption as possible.
“We’re definitely allocating our resources toward those efforts,” Ramos said. “Whatever the cost is to continue programming outside of this building, that’s where we’re focusing our efforts right now.”
While investigators continue looking into the cause of the fire, Ramos said the organization hopes whoever is responsible will be held accountable. She said neighboring businesses have provided surveillance video that could help determine exactly what happened.
“I’m hopeful that we can point some accountability somewhere,” Ramos said. “Our commercial neighbors have been very kind to offer their camera footage, so we’re still collecting all of that information before we pursue anything further.”
Despite the damage, Ramos said the organization’s commitment to local families remains unchanged.
“We’ll continue to be steadfast and patient,” she said. “Our mission is being a partner to our athletes and families. We’re here for a bigger purpose than just this building, and we’ll see it through.”
Nevada Youth Sports expects to have a better understanding of the repair timeline by the end of the week. In the meantime, leaders say they’re grateful for the community support they’ve already received as they work to restore operations.
New Mexico
Storm chances continue all week for parts of New Mexico
Grant’s Monday Night Forecast
Monsoon storms will return to parts of New Mexico every day this week, while hotter temperatures move in later in the week.
Thunderstorms developed across the mountains of New Mexico Monday afternoon. These storms slowly drifted south into the evening. Almost all of these showers and storms have ended now tonight. Another round of afternoon thunderstorms is expected Tuesday, developing first over the mountains before spreading into nearby valleys and lower elevations again. However, some storms around the Four Corners will be on the drier side, increasing the threat for lightning caused wildfires with little rainfall.
The monsoon high that has been bringing thunderstorms early this week will shift well west of New Mexico on Wednesday. This will bring hotter and slightly drier weather across the state. Even so, afternoon thunderstorms will still develop, especially over the mountains and across northeast New Mexico. Drier air will limit storm coverage Thursday and Friday across central, northern, and western New Mexico, while southern and eastern parts of the state continue to see the best chance for afternoon storms. Hotter weather will also return later this week, with triple-digit heat expanding to more locations, including the Albuquerque metro area Thursday and Friday.
The heat will continue into the weekend as the monsoon high strengthens and shifts back toward Utah and Colorado. That pattern will also bring higher monsoon moisture into New Mexico, bringing increasing chances for afternoon and evening thunderstorms statewide Saturday and Sunday.
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