Patrick B. McGuigan
Particular to The Southwest Ledger
Hopes for a completely operational Managed Care system for implementation of Medicaid Growth in Oklahoma most likely ended on Wednesday (Could 19).
There are sufficient nuances within the laws that it’s tough to discern absolutely what it actually means – assuming the Home approves the Senate modifications (as appears doubtless) and the measure goes to Gov. Kevin Stitt.
Even then, if Stitt vetoes it, maybe some and even many Republicans will vote to maintain his veto.
The dangerous information about Senate Invoice 131 is that regardless of obvious enhancements made in a Senate Convention Report, the measure handed 39-8.
The excellent news is that many provisions inside this still-lousy invoice have drawn the scrutiny of well-informed opponents.
The dangerous information is that in its current type, it basically locks in for a number of years the assured income of the most important “nonprofit” entities in Oklahoma well being care. These are the established order gamers who characterised Managed Care (a system working in 40 states) a “Well being Care Maintain-Up.”
The excellent news is that some Medicaid recipients and a few essential elements of the brand new system will nonetheless evolve towards a Managed Care system, as well being care reformers had hoped.
The dangerous information is that some Medicaid recipients will, for now, be exterior any form of Managed Care. These of us will stay trapped inside elements of the system which disguise true prices (an issue which may have ameliorated by a reform that obtained spiked a number of weeks in the past).
Though the excellent news is that the governor would possibly nonetheless veto, the dangerous information is that he would doubtless be overridden — though that’s not fairly sure.
The excellent news is that the work of those that criticized S.B. 131 after it grew to become a technique to erode Gov. Stitt’s government authority did im- pact the controversy. Their efforts precipitated some significant modifications to the unique invoice.
The dangerous information is that it’s nonetheless awful, piece-of-crap laws.
The additional dangerous information is that SB 131 falls into that immortal class of laws on which each side (primarily, to make sure, these within the legislative majority) can declare victory, whereas probably not advancing the pursuits of beneficiaries of well being care.
HOW THE SENATORS VOTED ON MAY 19
Supporting Senate Invoice 131 on Wednesday have been Sens. Mark Allen, R-Spiro; Micheal Bergstrom, R-Adair; Mary Boren, D-Norman; Michael Brooks, D-Oklahoma Metropolis; David Bullard, R-Durant; George Burns, R-Pollard; Invoice Coleman, R-Ponca Metropolis; Jo Anna Dossett, D-Tulsa; J.J. Dossett, D-Owasso; Tom Dugger, R-Stillwater; Kay Floyd, D-Oklahoma Metropolis; Jessica Garvin, R-Duncan; Chuck Corridor, R-Perry; Warren Hamilton, R-McCurtain; John Haste, R-Damaged Arrow; Carri Hicks, D-Oklahoma Metropolis; Brent Howard, R-Altus; Darcy Jech, R-Kingfisher; Chris Kidd, R-Waurika; Julia Kirt, D-Oklahoma Metropolis; James Leewright, R-Bristow; Kevin Matthews, D-Tulsa; Greg McCortney, R-Ada; and Jake Merrick, R-Yukon.
Additionally voting sure have been: Joe Newhouse, R-Tulsa; Roland Pederson, R-Burlington; Dewayne Pemberton, R-Muskogee; Adam Pugh, R-Edmond; Marty Quinn, R-Claremore; Dave Rader, R-Tulsa; Paul Rosino, R-Oklahoma Metropolis; Frank Simpson, R-Springer; Rob Standridge, R-Norman; Brenda Stanley, R-Midwest Metropolis; Blake Stephens, R-Tahlequah; Zack Taylor, R-Seminole; Greg Deal with, R-Oklahoma Metropolis; and Darrell Weaver, R-Moore.
Voting in opposition to passage have been Sens. Nathan Dahm, R-Damaged Arrow; Julie Daniels, R-Bartlesville; Kim David, R-Porter; Shane Jett, R-Oklahoma Metropolis; John Michael Montgomery, R-Lawton; Lonnie Paxton, R-Tuttle; Cody Rogers, R-Tulsa; and George Younger, D-Oklahoma Metropolis.
Not voting on Senate Invoice 131 was Sen. Casey Murdock, R-Felt.
NOTE: This evaluation first appeared in The Southwest Ledger, Could 20, 2023 print version and on-line: Southwest Ledger, 7602 US Freeway 277, Elgin, OK 73538, (580) 350-1111. It’s reposted right here with permission. Oklahoma journalist Pat McGuigan is writing a sequence of stories, analyses and commentaries on Medicaid Growth and Managed Care.
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