Health plan fix back tomorrow?


Legislation to bail out the State Health Plan is expected to be back before House members Thursday, and several proposed amendments will be taken up that could further delay its passage.

House Majority Leader Hugh Holliman said one amendment would switch the plan from a fiscal year — July 1 to June 30 — to a calendar year so that members can better take advantage of health savings accounts and other cost-saving initiatives, Dan Kane reports.

Another would allow drugs that help the mentally ill to be treated the same as most drugs, instead of being labeled specialty drugs that would cost members more.

A third amendment would restore a benefit that allows members to pay the same co-payment to see a chiropractor as the family doctor. This is the same benefit that former House Speaker Jim Black inserted into the state budget four years ago and helped land him in prison when three chiropractors admitted to giving him cash payments while pushing their legislative agenda. It was later rescinded.

Holliman didn't criticize the proposals, but he said they all come with a cost.

"We're asking the sponsors where the money will come from," Holliman said.

More after the jump.

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Meanwhile, members of a state employee group are asking House lawmakers to cut out the benefit reductions that would increase co-payments and deductibles and in later years force smokers and overweight members into the most expensive coverage.

"In a year when employees are already facing possible layoffs, furloughs and a freeze in longevity pay reducing health care benefits at over $600 per member is just bad policy," said Chuck Stone, a representative with the State Employees Association of North Carolina.

Holliman, a Lexington Democrat, said putting off benefit reductions for a year would cost the plan $145 million. "With our deficit we don't have somewhere to come up with that," he said.

Holliman and Senate Majority Leader Tony Rand, a Fayetteville Democrat, have urged lawmakers to pass the bail out bill quickly to make money available to the plan before it runs out of money in the next two weeks, and to give the plan time to notify its 667,000 members of benefit reductions and other changes that would start July 1.

Holliman said if the bill gets out of the House Insurance Committee tomorrow it could still get through the chamber next week,  though if it is changed it would then need Senate approval as well. The current version would cost the state's general fund roughly $660 million.

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Re: Health plan fix back tomorrow?

Oh I'll worry about that tomorrow...

Re: Health plan fix back tomorrow?

Can we vote Govern/Reps. out some how?

Re: Health plan fix back tomorrow?

You may be right, but the problem is that our Reps. are taken us for granted. If they had their ins. removed then they would act better. When it comes to the people our Governs pass and present start out with truth to get in office,but as you can see business continues as usual. During the last part of 2008 we never heard about shortfall now we have 3billion shortfall. I smell AIG.

Re: Health plan fix back tomorrow?

I agree that the state of North Carolina needs to get bids on the state health plan. This is the only thing I know of that the state dosn't advertise for bids. Other insurance companies give just as good service as BCBS does. The state is also getting ready to descramite against people who smoke and people who are overweight and this is not fair to them. They also don't pay their employees except for their teachers. I went to work for the state at 56 and worked 8 years until I had to retire. During that time I got 3 raises other than cost of living raises. There were a couple of years we only got extra vacation and no cost of living. Yes our state needs good teachers and better education for our children. But the rest of the state employees need to be better paid so that we can keep them working for the state and not getting their training in with the state then going out into the regular work force.

Re: Health plan fix back tomorrow?

Wow,

The N&O must be protecting something that they need to keep the paper going because the obivious mismanagement of the SHP is handled by the person appointed by the governor. Explain how this is BCBSNC's fault. Oh that's right you can't because if you make a corporate entity that doesn't pay your reporters to lie then they get to be the bad guys. Apparently the State can find money to pay y'all but not the SHP, the road projects, the employee salaries. Face it people, you fell for the Hope is Change of the last election. There is no change, just that we are getting the shaft more often that not. SEANC is being misled by a group of politicans that are saying we support you even though they are going to have you furloughed or laid off permanently. The General Assembly knows the previous SHP director was a political crony of the Ease and knew nothing on how to calculate the healthcare of the largest state workforce in the South, he works for Aenta by the way. Its called responsibility and the Gen Assembly or Governor Perdue, a one term fool, will not accept it, they will when they are no longer office and in jail for fraud or from having a heart attack when the people take this country back, if the proper revolution occurs.

Re: Health plan fix back tomorrow?

a123456, you need to check your facts. shp123, you are right on! Have been a state employee and member of SEANC for 10 years. Never in my life have I seen SEANC honestly not know what they're talking about. I swear it's as if Dana Cope just wants to hear himself talk---what's wrong with him? It was SEANC that helped pressure the legislature to bow to the pharmacists and when that was successful, it was again SEANC who called it an outrage that it occurred. I'm really disgusted that SEANC is talking out of both sides of their mouth. We love BCBS since they cover the entire state. We hate BCBS because...(you name the reasons.) We can't have it all, folks. The contracts are public, read them. Don't just sit around and let others (SEANC, media rags, etc.) convince you of what they say or don't say.

Re: Health plan fix back tomorrow?

I'm pulling out. For my daughter's coverage I can purchase a BCBS plan for her (college student) that will cost less money and provide as good or better coverage than what the state plan is shaping up to be, even with the supposed "pretax" benefit. I have been on the edge in doing this for a few years and have now reached the tipping point.

Re: Health plan fix back tomorrow?

Regarding moving family members off state plan and onto spouse's insurance:

I agree. My then 20-year old son was working under contract at IBM and so had to get his own insurance. He came down from Raleigh with a printout of two plans from BCBS that an independent agent had recommended and we put paper to pencil and compared to my "comprehensive" plan. As I recall, for the same benefits he was paying slightly less than the charge for a single employee plan--probably because he had no maternity. There did not appear to be any discount for the group purchase of insurance for the state employees. Undoubtedly a product of a no-bid contract and leaves one to wonder who got paid off and why isn't the SBI investigating?

Re: Health plan fix back tomorrow?

If our lawmakers had put the money into the Health Plan, our retirement fund and our salary as they should have in years past, we would not be in this position. In other States the Democratic party is for the people; but not here in North Carolina. Rand is pushing for furlough of State employees ... not teachers though. The State employees hope that Gov. Perdue is more like Jim Hunt as a Governor than Easley as he did not distinguish between the 2 groups. We need good leadership so that our lawmakers can make better decisions.

Re: Health plan fix back tomorrow?

Chiropractic IS specialty care, yet the plan allows chiropractic without a primary care physician's authorization. Thus, the office co-pay should remain as is. Better would be to require a referral from the primary care physician. I know some people love their chiropractor, but of the 14 chiropractic clinics in Greenville, there are only two that I trust. Several of the others are clearly practicing quack medicine and it pisses me off that the taxpayers are on the hook for fraud.

Re: Health plan fix back tomorrow?

It's the money, friends; it's the money. As any good reporter knows, you follow the money to find the fix.

Dan Kane and others at the N&O have done admirable jobs on this so far, and we have seen how much BlueCross/BlueShield lobbyists have funneled into accounts that benefit the campaigns of Basnight, Rand and even her Ladyship. Now friends, we are not putting up with those shenanigans any more from DC. Why are we doing it here? SEANAC is trying to put the pressure on, but we need more populist outrage. Pour it on, folks; pour it on.

Re: Health plan fix back tomorrow?

you may want to research your facts on what BCBSNC make(s) or has made off the State Health Plan. BCBSNC pull the State Health Plan out of a bind last year and the State wasted the money on something other than health benefits or claims. No one can tell BCBSNC what they did with the money BCBSNC gave the State. It's not BCBSNC making the money. it's the General Assembly...watch out it will only get WORSE.

Re: Health plan fix back tomorrow?

BCBS is making a bundle off the State, there is no way a plan with over 600,000 members should be anywhere near this expensive. In fact, BCBS offers similar benefit plans to much smaller groups for 40% less. This is a terrible burden on the State employees and with the changes being recommended, it will mean fewer and fewer families will be able to be insured. This will cause a disportionate percentage of high risk individuals to be insured (they will stay regardless the cost) and make things even worse.

Re: Health plan fix back tomorrow?

I don't understand why the State Plan is in so much trouble and is costing the State employees so much. My wife works for Durham County and they use BCBS but they do not have to pay as much and their benefits/deductibles are the same or better than the State plan. I'm moving my daughters health coverage to my wife's plan to save us money in benefit cost. ( I work at UNC)

Re: Health plan fix back tomorrow?

Once again the state employees get to balance a budget on their own backs, this time it's our own health insurance. This deficit isn't the employees' fault, it's the fault of the incompetent management and leadership we have in Raleigh watching over this program. Why this program isn't being competitively bid like every OTHER state contract is managed I don't know, other than to think BCBS has some photos of legislators in a vault somewhere...

Re: Health plan fix back tomorrow?

Unbelievable...