CITIZENS   FOR  LIMITED  TAXATION  &  GOVERNMENT
and the
Citizens Economic Research Foundation

 

CLT UPDATE
Saturday, July 27, 2002

Beacon Hill "village idiots" stumble on
with prescription drugs, nursing homes


[Senate Majority Leader Linda] Melconian warned that lawmakers will again need to examine more tax hikes early next year for the fiscal 2004 budget that begins next July 1. She said she supports increasing the income tax to 5.6 percent ...

"The worst is yet to come," Melconian said. "Next year, we will be back. Everything will be on the table." ...

The Springfield Union-News
Jul. 26, 2002
Swift tax veto defeated


Whatever the politicians think, Massachusetts voters ought to find very sobering the news that the state's deficit was the fifth worst in the country and tax increases the third largest. Just bad luck, you think? Beware - Taxachusetts, which we had hoped had been buried at the crossroads with a stake through its heart, is coming back to life to stalk John Q....

If we hadn't been spending so much - spending throughout the 1990s rose at roughly twice the rate of inflation - the hole in the fiscal fence would have been a lot smaller.

A Boston Herald editorial
Jul. 27, 2002
Taxachusetts sees an untimely return


A report comparing the ways state legislatures have been coping with the economic slump of the past 18 months indicates the Bay State is well on its way to regaining its "Taxachusetts" title....

In a survey by the National Conference of State Legislatures, Massachusetts' $755 million increase in personal income taxes -- enacted over Gov. Jane M. Swift's veto -- has the dubious distinction of being by far the largest increase in the nation. In fact, it was seven times as large as the second biggest increase -- a $108 million tax package in Oregon....

The consequence can be seen in the Conference of Legislatures report: While 11 states managed to reduce personal income taxes this year, Massachusetts is lapsing into its old tax-and-spend ways.

A Telegram & Gazette editorial
Jul. 26, 2002
We're No. 1!


The [tax] package and the $23 billion state budget will include [among other tax increases]:

●   Adding a $2 fee to the purchase of all non-Medicaid prescription drugs.

●   Creating a $3,300 "user fee" for nursing home residents who pay for their own care.

The Salem Evening News 
Jul. 25, 2002
Tax package


Barbara Levings plans to pay her own way if she moves into a nursing home. Under the just-approved state budget, she may have to pay extra to cover the costs of those who can't....

The budget includes a tax on nursing homes based on the number of occupants who pay their own way...

"I'm concerned that this is going to hit people who are living very much on the edge and push them off the precipice and onto Medicaid rolls," said Harriett Wittenborg, another North Hill resident. "If you're pushing people onto the Medicaid rolls, then the tax is doing more harm than good." ...

The tax would generate $145 million from nursing homes. Some of the money would be used to fund neighborhood health centers and programs to attract long-term care workers.

The Boston Herald
Jul. 25, 2002
Budget taxes elderly for peers


Massachusetts' largest pharmacy chain is threatening to withdraw from the state's Medicaid program, close stores, and reduce hours because of the legislature's decision to reduce reimbursement for prescriptions....

About one of every three Medicaid prescriptions dispensed in Massachusetts is dispensed by a CVS pharmacist, according to the Division of Medical Assistance.

[CVS president and CEO Thomas Ryan] said that the proposed reimbursement rate, which would save the state an estimated $60 million, is lower than those paid in any of the other 32 states where they operate and is not "economically rational." ...

"This would be a huge disruption to the patients," said Carmelo Cinqueonce, vice president of the Massachusetts Pharmacists Association. "But I think they (CVS) have no choice with the drastic reduction that has been proposed. I don't think the legislature was aware of the impact this would have."

Associated Press
Jul. 26, 2002
Budget raises the ire of CVS: Drug chain may drop Medicaid


A day after CVS Corp. said it would stop filling Medicaid prescriptions in Massachusetts ... Walgreen Co. vowed to take similar action at its 90 pharmacies in the state.

"Our Massachusetts stores can't fill prescriptions below our costs and continue to operate" ...

The Boston Globe
Jul. 27, 2002
Walgreen fights rate cut


Chip Ford's CLT Commentary

Can you believe this utter foolishness? Oops, that was a rhetorical slip ... of course you can. That's why you're a member of CLT.

Now the Beacon Hill Village Idiots are going to tax self-paying nursing-home patients out of their beds and onto welfare before they can die in peaceful dignity, in the pol's never-ending lust for more cash at any cost. Longtime CLT member and office volunteer Barbara Levings had it absolutely right when she asserted: "It's unfair that we'll be the only ones taxed. Many of us are on fixed incomes." They planned ahead, made arrangements at the sacrifice of immediate gratification. They took care of their own future welfare at their own expense, never intended to be a burden on taxpayers.

"I don't think the legislature was aware of the impact this would have," said Carmelo Cinqueonce, vice president of the Massachusetts Pharmacists Association, in response to the Legislature's attack on pharmacies -- in the understatement of the week.

She could have cut her statement shorter, or made it bolder and more accurate, with a simple "The Beacon Hill Village Idiots don't have a clue."

So we're all going to pay more, an additional $2.00 for each prescription we have filled and pay for ourselves ... if we can find a drug store that's still open for business!

And even if we paying customers can eventually find one, perhaps after driving many miles to it, "the most vulnerable among us" will be out of luck: they'll be greeted by "No Medicaid customers need apply" signs, thanks to The Best Legislature Money Can Buy.

We may all soon have to make that trip north to Canada, not to find just affordable prescription drugs ... but to find ANY prescription drugs whatsoever. (Of course, if you're a smoker you can also pick up duty-free cigarettes as you cross the border, then pick up a few more cartons when passing back through "Live free or die" New Hampshire!)

Only here in the Peoples' Republic of Taxachusetts do the dim bulbs on Beacon Hill believe they can repeal the law of cause and effect; vote to suspend the rule of unintended consequences. Only here are the fools on the hill so delusional of their power that they actually are convinced they can decree with impunity over even natural laws. (Yikes, at this rate, don't be surprised if the Village Idiots soon attempt repealing gravity!)

What ever happened to that brilliant, Churchill-like figure, "fiscal conservative" Tom Finneran? How many times were we assured over the past decade that this demi-god had eliminated the potential of another fiscal crisis? It comes down to "In the land of the blind, the one-eyed man is king," and he's not known as "King Tom" for nothing.

"Never have so many owed so much to so few," Prime Minister Winston Churchill remarked after the crucial WWII Battle of Britain. Finneran can now adopt his alter-ego's sentiment ... when "the few" are us beleaguered taxpayers.

Good job, Sir Thomas, King George III would be proud of having appointed such a Royal Governor ... before the taxation revolution of 1775. The king firmly believed in taxation without representation as well. Fortunately, it didn't work back then either. Eventually that policy and the arrogance of the king's appointments reached critical mass and led to revolution ... and that's coming soon to a theater near you, good colonists.

Chip Ford


The Springfield Union-News
Friday, July 26, 2002

Swift tax veto defeated
by Dan Ring

BOSTON - With a final vote of the Senate yesterday, state residents were committed to paying $1 billion more in taxes this year.

The state Senate voted 28-9 to override acting Gov. Jane M. Swift's veto of $1.14 billion in new taxes. The House of Representatives on Tuesday voted 122-29 to override the veto.

Senate Minority Leader Brian P. Lees, R-East Longmeadow, made a spirited defense of the acting governor's veto, but Lees and other Republicans were outnumbered by the Democrats. Three Democrats, none from Western Massachusetts, joined the chamber's six Republicans in voting to sustain the veto.

Lees said he was embarrassed to be a member of the Senate.

"I've seen some stupid things happen in this Legislature, but nothing can be ... dumber than raising taxes ... during an economic downturn," Lees said. "It's foolhardy.

Lees said the new taxes will discourage companies from expanding in Massachusetts and may drive some out of the state.

The vote came in the wake of a report by the National Conference of State Legislatures in Denver that found Massachusetts taxpayers are receiving the third-largest overall tax increase in the country this year and the highest increase in personal income taxes.

Senate Majority Leader Linda J. Melconian, who presided during the override, said the new taxes are needed to help close an estimated $2.5 billion shortfall in the $22.9 billion state budget for the fiscal year that began July 1. The budget already contains deep cuts in human services, health care, education and local aid, but the reductions would be even more severe without the tax increases, she said.

"We had no alternative," Melconian, a Springfield Democrat, said after the vote. "We had no choice."

Melconian said the new taxes come after $4.5 billion in tax cuts approved by lawmakers during the past decade.

The tax package means a typical family of four will pay an additional $324 a year, according to the state Department of Revenue. The law freezes the state's income tax at 5.3 percent instead of allowing it to drop to 5 percent in January as scheduled under a law approved by voters in November 2000.

It also includes taxing at 5.3 percent any profits on capital gains from the sale of stock and other investment properties sold after May 1. The new capital gains tax replaces a rate that sought to encourage long-term investments by dropping a percentage point for every year an asset was held until it reached zero after six years.

It also abolishes a deduction on donations to charities, another law approved by voters in 2000, and lowers the personal exemptions by 25 percent.

The package raises the state's cigarette tax by 75 cents to $1.51 a pack, the highest in the country by a penny over the New York tax. People who smoke a pack a day will pay an additional $287 a year, said Timothy J. Connolly, spokesman for the revenue department.

The cigarette tax takes effect immediately, Connolly said. The freeze in the income tax, the lowering of personal exemptions and repeal of the charity deduction are all retroactive to Jan. 1.

Melconian warned that lawmakers will again need to examine more tax hikes early next year for the fiscal 2004 budget that begins next July 1. She said she supports increasing the income tax to 5.6 percent and considering other measures such as legalizing casino gambling and limiting lottery prize payouts to generate revenues for the state.

"The worst is yet to come," Melconian said. "Next year, we will be back. Everything will be on the table."

New revenues will be needed next year because lawmakers over the past year drained all but $170 million from the state's "rainy day" fund, Melconian said. Lawmakers used about $900 million to balance the state budget.

Acting Gov. Jane M. Swift is scheduled to sign the state budget Monday and issue vetoes that could total about $300 million.

Sen. Michael R. Knapik, R-Westfield, joined Lees yesterday in voting against the override of the acting governor's veto. In the House on Tuesday, Reps. Cheryl A. Rivera, D-Springfield; Anne M. Gobi, D-Spencer; Mary S. Rogeness, R-Longmeadow; Reed V. Hillman, R-Sturbridge; Shaun P. Kelly, R-Dalton, and Cele Hahn, R-Westfield, all voted against the override.

Other Western Massachusetts lawmakers voted in favor of the override.

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The Boston Herald
Saturday, July 27, 2002

A Boston Herald editorial
Taxachusetts sees an untimely return

Whatever the politicians think, Massachusetts voters ought to find very sobering the news that the state's deficit was the fifth worst in the country and tax increases the third largest. Just bad luck, you think? Beware - Taxachusetts, which we had hoped had been buried at the crossroads with a stake through its heart, is coming back to life to stalk John Q.

The National Conference of State Legislatures found that the $1.14 billion tax package approved by the Legislature amounted to increasing the previous year's take by 5.6 percent, trailing only Tennessee and Indiana. And the hole that had to be plugged by some combination of taxes, fees, reserves and spending cuts amounted to 15 percent, trailing only California, Alaska, Kentucky and New Jersey.

Yes, we know, the economic slowdown probably hit Massachusetts harder than other states because of our concentration of firms supplying the telecommunications industry, but there really has to be more to the story. If we hadn't been spending so much - spending throughout the 1990s rose at roughly twice the rate of inflation - the hole in the fiscal fence would have been a lot smaller.

The new budget enacts, for the first time, a mechanism that prevents the Legislature from using all of any future windfall revenue increases for ordinary programs. It limits annual spending increases to 2 percent plus inflation, with excess revenue devoted to a few special purposes, mostly the rainy-day fund and debt reduction.

When this passed the House, there were only three such purposes, the third being a return to taxpayers of 25 percent of the excess. But when it got to the governor's desk, Presto! A new special use had been created, an "open space acquisition fund," to get 15 percent of the excess. The taxpayer share had been cut to 10 percent.

If this isn't attaching jumper cables to the corpse of Taxachusetts, we yield to anyone who can come up with a better description.

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The Telegram & Gazette
Friday, July 26, 2002

A Telegram & Gazette editorial
We're No. 1!

A report comparing the ways state legislatures have been coping with the economic slump of the past 18 months indicates the Bay State is well on its way to regaining its "Taxachusetts" title.

In a survey by the National Conference of State Legislatures, Massachusetts' $755 million increase in personal income taxes -- enacted over Gov. Jane M. Swift's veto -- has the dubious distinction of being by far the largest increase in the nation. In fact, it was seven times as large as the second biggest increase -- a $108 million tax package in Oregon.

It also shows that Massachusetts is one of just 16 states to raise personal income taxes by 1 percent or more -- and one of only five states to increase them by more than 5 percent.

There are probably as many alibis on Beacon Hill as there are lawmakers who voted for the $1.2 billion package of new taxes and fees. Some blame it on the slump in capital gains revenue resulting from the bull market on Wall Street. Lawmakers' counterproductive response is doubling the gains tax rate to 12 percent -- retroactive to May 1 -- raising the specter of an artificially induced revenue dip as investors sit on their securities until next year.

Mark C. Montigny, Senate Ways and Means chair, blames the biggest-in-the-nation tax hike on the tax cuts of the past decade. That is disingenuous. Although the cuts reduced the growth in tax collections by an estimated $3.6 billion, collections overall grew by leaps and bounds -- thanks, at least in part, to the private-sector economic activity stimulated by the cuts.

The Legislature achieved a precarious budget balance this year by raising taxes and draining reserve funds. But it has shown little inclination to make the structural changes employed by other states to achieve long-term stability: reining in Medicaid and other entitlement programs, eliminating obsolete and poorly performing programs, reducing duplication, privatizing services where appropriate, providing public employees incentives for money-saving ideas, and more.

The consequence can be seen in the Conference of Legislatures report: While 11 states managed to reduce personal income taxes this year, Massachusetts is lapsing into its old tax-and-spend ways.

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The Salem Evening News 
Thursday, July 25, 2002

Tax package

The [tax] package and the $23 billion state budget will include [among other tax increases]:

●   Adding a $2 fee to the purchase of all non-Medicaid prescription drugs.

●   Creating a $3,300 "user fee" for nursing home residents who pay for their own care.

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The Boston Herald
Thursday, July 25, 2002

Budget taxes elderly for peers
by Jennifer Heldt Powell

Barbara Levings plans to pay her own way if she moves into a nursing home. Under the just-approved state budget, she may have to pay extra to cover the costs of those who can't.

The budget includes a tax on nursing homes based on the number of occupants who pay their own way or who are covered by Medicaid. It is up to nursing-home operators to decide how much, if any, of the tax they will pass on to residents.

The tax is intended to generate money that will be matched by the federal government. The added payments would boost the reimbursments nursing homes get for taking care of Medicaid recipients.

Opponents figure the change will mean a cost of up to $1,000 a person each year. The tax will be borne mostly by those who cover their costs themselves or through private insurance.

"It's unfair that we'll be the only ones taxed," Levings said. "Many of us are on fixed incomes."

Levings has lived at North Hill, a continuing-care retirement center in Needham, for two years. It has a nursing home as well as assisted-living housing.

North Hill is a nonprofit center, so the added tax will be passed on to residents, she said.

"I'm concerned that this is going to hit people who are living very much on the edge and push them off the precipice and onto Medicaid rolls," said Harriett Wittenborg, another North Hill resident. "If you're pushing people onto the Medicaid rolls, then the tax is doing more harm than good."

Lawmakers approved the budget last week, and it is in the hands of acting Gov. Jane Swift.

Many nursing-home operators support the tax as a way to make up the loss they take on Medicaid residents. The state pays an average of $136 a day - $15 short of the actual cost.

The low reimbursement rate has driven many nursing homes into bankruptcy or out of business, say industry leaders. Since 1999, 88 homes - with 53,000 beds - have closed in Massachusetts alone.

"The problem we have is providing adequate care for 50,000 frail elderly and disabled residents given the inadequate reimbursement that we have had to operate on for the last decade," said Ernie Corrigan, spokesman for the Extended Care Federation.

The tax would generate $145 million from nursing homes. Some of the money would be used to fund neighborhood health centers and programs to attract long-term care workers.

But most of the cash would be put into the Medicaid program, which is matched dollar for dollar by the federal government. As a result, the total increase would be $261.1 million, which would mean an average of $8 a day for each patient, according to industry estimates.

"We support the concept (of the tax) as a means of beginning to address the crisis of care many have seen in nursing homes," Corrigan said. "It doesn't solve all of our problems, but it begins to address the issue of funding and of staffing."

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Associated Press 
Friday, July 26, 2002

Budget raises the ire of CVS:
Drug chain may drop Medicaid

BOSTON - Massachusetts' largest pharmacy chain is threatening to withdraw from the state's Medicaid program, close stores, and reduce hours because of the legislature's decision to reduce reimbursement for prescriptions.

The president of CVS sent a letter to acting Gov. Jane Swift yesterday, saying these consequences are unavoidable unless she vetoes a portion of the recently approved state budget that reduces Medicaid payments to pharmacies by 11 percent.

"We are disappointed that we have to contemplate this action," CVS president and chief executive officer Thomas Ryan wrote. "However, the current budget offers us no alternative."

CVS, which opened its first store in Lowell in 1963, has 13,000 employees working in 325 Massachusetts branches. About one of every three Medicaid prescriptions dispensed in Massachusetts is dispensed by a CVS pharmacist, according to the Division of Medical Assistance.

Ryan said that the proposed reimbursement rate, which would save the state an estimated $60 million, is lower than those paid in any of the other 32 states where they operate and is not "economically rational."

The state's independent pharmacies have also lobbied vigorously against the cut, arguing that it would cause them to lose money on prescriptions for the elderly, poor and handicapped Medicaid patients.

The end result, they argue, would be fewer pharmacies providing Medicaid services and fewer medical services for the state's neediest citizens.

"This would be a huge disruption to the patients," said Carmelo Cinqueonce, vice president of the Massachusetts Pharmacists Association. "But I think they (CVS) have no choice with the drastic reduction that has been proposed. I don't think the legislature was aware of the impact this would have."

Swift spokeswoman Sarah Magazine said that no veto decisions have been made but that the reduction in Medicaid reimbursement was of "particular concern."

"The Legislature has given us a terribly difficult decision to make," Magazine said.

The budget deliberations are now in Swift's hands, as she reviews the spare $22.9 billion spending plan sent to her last week by the Legislature.

Confronting a $2.4 billion decrease in the state's tax base, the Legislature made spending cuts in nearly every agency, including deep cuts in the medical assistance program.

Swift is expected to carve hundreds of millions more from the budget to address the ongoing decline in state revenues and reduce the amount of money the state needs to withdraw from its so-called "Rainy Day" fund.

Swift has 10 days to review the budget and she has said she plans to use all of that time.

In addition to calling for the veto, Ryan of CVS asked Swift to call for a public hearing on the cuts before they take effect to determine whether they "represent sound public policy."

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The Boston Globe
Saturday, July 27, 2002

Walgreen fights rate cut
By Globe Staff and Wires

A day after CVS Corp. said it would stop filling Medicaid prescriptions in Massachusetts if a proposal to cut pharmacy reimbursement rates is not vetoed by Acting Governor Jane Swift, archrival Walgreen Co. vowed to take similar action at its 90 pharmacies in the state. "Our Massachusetts stores can't fill prescriptions below our costs and continue to operate," said Illinois-based Walgreen. If the proposal takes effect, Massachusetts will have the lowest pharmacy reimbursement rate among the 43 states in which Walgreen operates, the company said.

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