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

 

CLT UPDATE
Monday, December 30, 2002

My New Year's Resolution


The citizens' initiative petition, a process that created the Clean Elections Law and nearly wiped out the state income tax last month, would become more difficult for residents to use under a bill filed by a state senator....

The Legislature has recently resisted funding the Clean Elections Law, and it froze the income tax rollback voters passed in 2000, noted Barbara Anderson, executive director of Citizens for Limited Taxation, a group that has helped to pass some of the most prominent ballot measures in recent state history.

Now, she said, lawmakers seem to have decided that "just ignoring the petition after it passes isn't going to be enough forever. Therefore, they felt they should probably get out there now and drive a stake through its heart."

The Boston Globe
Dec. 29, 2002
Measure targets ballot drives
Required signatures would rise to 100,000


The limitations of the ballot question process are more apparent now than ever to some lawmakers, including state Sen. Stanley C. Rosenberg, an Amherst Democrat.

Because he has been a member of the Senate leadership for the past five years, Rosenberg has rarely filed bills of his own so that he wouldn't seem to use his position to promote his own legislation.

This year, however, he plans to file two bills that will be considered in the next legislative session, both having to do with an enduring concern of his: citizen participation....

Rosenberg would subject the whole ballot question process to more rigorous guidelines similar to those that political candidates now have to observe ...

The Hampshire Gazette
Dec. 3, 2002
Ballot question concerns


On Beacon Hill, the new year and a new administration are coming in on the heels of another drop in state revenues. Numbers announced this week put this year's state budget another $100 million in the hole, which may prompt another round of service cuts and state employee layoffs.

Thanks to a constitutional amendment adopted in rosier economic times, the new year will also bring something state legislators neither need nor deserve: a pay raise....

But there's another pay raise the Legislature can, and should, repeal. In 2000, lawmakers doubled their expense accounts on the pretext that under the rules of the new Clean Elections system, campaign funds couldn't be used for office expenses and constituent services....

Last year, the Legislature all but killed the Clean Elections reforms and its leaders intend to finish the job this year. But they haven't returned the backdoor pay raise. What was a thinly-disguised cash grab then looks even more craven now. Given the state of the state budget, and the Legislature's underhanded handling of Clean Elections, the least the lawmakers can do is repeal this $720,000 sweetening of their expense accounts.

A MetroWest Daily News editorial
Dec. 29, 2002
A pay raise legislators don't deserve


So teach 'em a lesson right off, Mitt. Let it be known you'll go along with a pay raise, maybe - about the same time they implement the final phase of that tax cut the voters also approved in 1998. [sic - 2000]

The Boston Herald
Dec. 29, 2002
Placing right bet on casinos:
Mitt brings a welcome skepticism to the table

by Wayne Woodlief


The Walgreens drugstore chain has joined CVS in planning to pass on to customers a $1.30 state-mandated tax on most prescriptions.

The tax, approved by the Legislature as part of the budget, is designed to raise $36 million for prescriptions paid for by Medicaid, the state's health care program for the poor. It takes effect New Year's Day....

The only prescriptions not subject to the fee are those filled by Medicaid or Medicare....

The Patriot Ledger
Dec. 28, 2002
Prescription tax to be passed on;
Buyers to pony up for $1.30 levy


Even as anger mounts over a new state prescription tax that takes effect Wednesday, consumers are looking for ways to avoid it....

Many consumers are angry about the new tax. Sallie Cote of Marblehead said she is furious the state would tax something as essential as prescription drugs. Don Davenport, a consultant and registered pharmacist who lives in Springfield, said the timing couldn't have been worse.

"Our political leaders, while promising to lower the cost of prescription drugs, have done the exact opposite while at the same time effectively punishing those who need prescriptions the most - the elderly, the ill, and those who can least afford to pay," Davenport said.

The Boston Globe
Dec. 29, 2002
Some options to beat new prescription tax


Medicaid copay rises

Medicaid recipients may be exempt from the new prescription tax, but starting Wednesday they will be hit with a $1.50 increase in their prescription drug copayment....

But pharmacies say the copayment increase will hurt them the most. Under federal law, pharmacies cannot withhold medications from Medicaid recipients who say they cannot afford the copayment.

Pharmacists say that a significant number of Medicaid recipients don't pay the current copayment, and that 30 percent to 40 percent of them will not pay the higher fee.

[Ibid.]


CLT asserts authorship

Last week's item about the tax-me-more provision in the new state tax forms said the idea originated with Governor Mike Huckabee of Arkansas, but Citizens for Limited Taxation in Massachusetts says it first came up with the concept.

Chip Ford, CLT's director of operations, said he came up with the idea in 2000 after tax-cutting Question 4 passed.

The idea was to give those who wanted to pay more the ability to do so, he said.

[Ibid.]


Chip Ford's CLT Commentary

The year 2002 is about to go out with a whimper, but 2003 already is roaring in on Beacon Hill with a vengeance. Citizens and taxpayers across the Commonwealth are -- as usual -- under assault from their lieges, "The Great and General Court."

Last Friday, CLT issued a statewide news release presenting our agenda for next year as 2002 fades in the rear-view mirror.

See: CLT looking forward to 2003

Already most of our incoming agenda is being reported and analyzed by the media, and to a certain extent its skepticism if not cynicism matches our own.

As we have pointed out, the Legislature ALREADY took itself a $10,000 pay raise in the underhanded disguise of an alleged necessity to level the playing field in light of voters' adoption of the Clean Elections Law. This veiled raid on the state treasury did nothing to stop them from smothering Clean Elections in the crib, and will do nothing to keep the Beacon Hill pols from finally driving a stake though its young heart in the coming year.

Will they give back their ill-begotten bounty?

Don't hold your breath. They never give back. They are only separated from their advantages when we voters take it from them by initiative petition.

And they know it, which is why there is now a palace plot under foot to steal away our only peaceful means of keeping them in line, holding them accountable: the initiative petition process. It is the one remaining means we citizens have to hopefully exert any control over our government whatsoever (even though of late they have taken to simply ignoring our orders).

They recognize as long as this power remains with the people -- as the state Constitution protects -- then they are ultimately answerable to the voters sooner or later. This surviving annoyance, if not obstacle, ultimately cannot be tolerated if their power and rule is to be absolute.

Sure, we'll still have elections -- that alleged opportunity to throw the bums out but we're all only too well aware how that deck has been stacked to insure incumbency advantage. Sen. Stanley Rosenberg's assault on the initiative process does nothing to affect that advantage, rest assured.

"Rosenberg would subject the whole ballot question process to more rigorous guidelines similar to those that political candidates now have to observe ..." Hampshire Gazette columnist Mary Carey wrote on Dec. 3.

Political candidates are not subject to the dramatically increased signature requirements in Sen. Rosenberg's proposal, so just where is that alleged similarity?

"We are making more and more complicated laws and more and more simplistic, one-sided bills," he said. "A very simplistic title and message is all they usually use to get people to sign at the supermarket to get it on the ballot. And then once it's on the ballot, you're halfway there," the Boston Globe reported Rosenberg stated.

Without the hurdle of collecting many tens of thousands of signatures we the people are required to submit, how does this differ from defining the Legislature's 1998 ballot question that gave them life-long automatic pay raises?

"'The purpose of this legislation was to take pay raises out of the dark of night, take politics out of it by tying it to the median household income,' the source said. 'But it was poorly drafted so it is virtually impossible to implement on its face,'" the Boston Herald reported on Dec. 27.

The best and brightest of the Beacon Hill Cabal created their constitutional amendment that was "poorly drafted so it is virtually impossible to implement." They summarized it in the Voter Information book as "This proposed constitutional amendment would prohibit the state Legislature from changing the base compensation received by members of the Legislature ..."

Yet Stanley Rosenberg has the gall to rationalize: "We are making more and more complicated laws and more and more simplistic, one-sided bills ... A very simplistic title and message is all they usually use to get people to sign at the supermarket to get it on the ballot. And then once it's on the ballot, you're halfway there"!

That's as bad as Speaker Finneran's claim that voters were too stupid in 1998 to know what they were voting on when they came to Question 2, Clean Elections; but they were more than equipped to vote intelligently on the preceding Question 1 -- the perpetual legislative pay raise! He demanded that voters reconsider Question 2 on this year's ballot, and voters changed their minds. To Finneran's satisfaction they voted against the Clean Elections Law this time.

Voters deserve an equal opportunity to reconsider their vote on Question 1 ... if Finneran is not being merely duplicitous.

Starting on Wednesday, we pay a new tax every time we have to fill a prescription. Isn't it typical though that those who are subsidized by us taxpayers through Medicare and MassHealth aren't required to pay the increase on their prescriptions, that all they have to claim is that they can't afford it?

I guess now we know what a "single-payer healthcare plan" means at the State House: It means, look in the mirror to find the single-payer who pays for everything and then some!

The buffoons on Beacon Hill sure did take care of the high cost of prescription drugs, the only way they know how to take care of any perceived or concocted problem: They drove the cost of prescription drugs even higher, called it a success, and went home for the rest of the year to celebrate ... in July!

Boston Globe columnist Bruce Mohl corrected his column of last week:

At least I think he made an attempt, however poor. "CLT asserts authorship"? "... he said"?

Bruce Mohl was provided with links to our website, which documented the history of our Voluntary Tax and Arkansas Gov. Huckabee's "Tax Me More Fund". He had only to lift one finger ... the one on his mouse ... to learn the facts for himself.

Yesterday I sent him a follow-up e-mail message:

Thanks for at least making the correction -- though I didn't just "say" we came up with it first: I gave you the evidence. You could have said simply that we DID come up with it first without making it my claim. Did you not take a portion of the time to read the information -- evidence if you will -- that I took considerable time to provide at your fingertips?

Yeah, you were accurate, I "said" it (or at least, I wrote it), but I also provided more than sufficient information to you so you could have said it yourself with accuracy, instead of making it seem like I "asserted" a mere claim.

Was what I provided you factual ... or a mere assertion?

Did you look at the date of our filing, compared to the date of Gov. Huckabee's proposal a year later almost to the day? That's all it would have taken to independently establish authorship: I made it as easy as I possibly could for you, research a simple mouse-click away.

My New Year's resolution for 2003 is, nobody and nothing goes unchallenged, ever, next year. I've been practicing up all through 2002 and I'm getting pretty good at it!

You might like to adopt my resolution too by writing your own letters to the editor and calling in to radio talk shows - it'd sure help our cause!

If we here at CLT don't get another chance, Happy New Year to you and your family -- and be rested up and ready to roll in 2003!

Chip Ford


The Boston Globe
Sunday, December 29, 2002

Measure targets ballot drives
Required signatures would rise to 100,000

By Joanna Weiss
Globe Staff

The citizens' initiative petition, a process that created the Clean Elections Law and nearly wiped out the state income tax last month, would become more difficult for residents to use under a bill filed by a state senator.

Stanley C. Rosenberg's bill would sharply increase the number of certified signatures required to put a question on the ballot, raising it for the next election cycle from 72,000 to 100,000.

Rosenberg, an Amherst Democrat, said he was inspired by a recent national study finding that initiative petitions are open to manipulation by wealthy special-interest groups. He said the bill would bring the law in step with the realities of today's ballot drives, which increasingly rely on paid signature-gatherers and large out-of-state financial donations.

The measure, which requires a change in the state constitution and approval by voters, would also tighten financial reporting requirements for initiative petitions, ordering swifter disclosure of large donations.

But if it gains momentum in the Legislature - an open question, since lawmakers are expected to be embroiled in a budget crisis - the bill could also set off a debate over whether the initiative process, which has helped shape Massachusetts law since 1917, is still a useful or necessary tool. Some government watchdogs and advocacy groups see the bill as a veiled attempt by lawmakers to kill the process outright, since it has produced results that legislators don't like.

The Legislature has recently resisted funding the Clean Elections Law, and it froze the income tax rollback voters passed in 2000, noted Barbara Anderson, executive director of Citizens for Limited Taxation, a group that has helped to pass some of the most prominent ballot measures in recent state history.

Now, she said, lawmakers seem to have decided that "just ignoring the petition after it passes isn't going to be enough forever. Therefore, they felt they should probably get out there now and drive a stake through its heart."

And Pam Wilmot, director of Common Cause Massachusetts, notes that the mere threat of citizen-driven initiative petitions, which differ from Legislature-introduced referendums, has been useful in persuading the Legislature to create a state Ethics Commission and implement other reforms.

"It's the best way to make law when you have tons of support for an issue and the Legislature's just not listening," she said.

But with higher signature requirements, she said, the process could become so arduous that only people who could afford to pay signature-gatherers would be able to put questions on the ballot.

Rosenberg admits that he is no fan of the initiative process; he would prefer nonbinding advisory questions to guide lawmakers about public sentiment. But he said he believes voters across the state want to keep ballot petitions in place.

"This is fine-tuning," he said. "If I wanted to kill it, I would have filed a bill to repeal it."

Initiative petitions are responsible for some of the most dramatic changes in Massachusetts law in the last few decades. In 1980, voters statewide passed Proposition 2½, a measure that limits increases in local property tax rates. In 1994, they passed a measure that ended rent control in Boston and Cambridge.

This past November, voters faced two initiative petitions. They approved an initiative financed by California millionaire Ron Unz to replace bilingual education with English immersion classes. And they rejected a bid, spearheaded by Libertarian gubernatorial candidate Carla Howell, to eliminate the state income tax. But that measure received more support than many political analysts had predicted, startling some lawmakers.

Some critics of the process point to the income tax vote - which opponents said would have wreaked further havoc on the budget - to explain what's wrong with the initiative process. Voters aren't always fully aware of the financial impact a ballot question will have, Rosenberg said.

"We are making more and more complicated laws and more and more simplistic, one-sided bills," he said. "A very simplistic title and message is all they usually use to get people to sign at the supermarket to get it on the ballot. And then once it's on the ballot, you're halfway there."

But Anderson said it's hardly easy to get initiative petitions on the ballot. The current state law requires signatures from 3 percent of the number of votes cast in the most recent gubernatorial election, plus another one-half of 1 percent if the Legislature chooses not to take up the bill on its own. But to discourage legal challenges to the validity of signatures, which she said have become commonplace, her group now tries to collect twice as many signatures as it needs.

During a petition drive, she said, "you just forget about having a life. It's constant 40, 80 hours a week, weekends. That's when you're out petitioning, you're organizing. You just don't do anything else."

The proposed bill, cosponsored by Representative Robert P. Spellane, a Worcester Democrat, would change the requirement to 2.5 percent of the number of registered voters, a higher number.

It would also change the way the ballot questions, and the publicly disseminated information about them, are written.

Drafting of the questions has become a controversial process, as opponents have accused one another of manipulating the wording to get desired results.

Currently, the secretary of state and attorney general are responsible for the wording of ballot questions and informational summaries. The bill would create a commission, filled with members of advocacy and watchdog groups, that would hold public hearings and vote on the wording.

But Wilmot said that process itself would be vulnerable to logistical difficulties and political machinations.

Spellane said the bill would also address the mechanics of signature-gathering, requiring groups to collect signatures for one initiative petition at a time. This winter, an Arizona-based company collected signatures for a drive to protect horses from slaughterhouses at the same time it was gathering signatures for a drive to ban gay marriage - prompting some residents to complain, after the fact, that they didn't know which petition they were signing.

"We're trying to prevent mistakes like that from happening," Spellane said. "We're looking to inform the public more of what goes into these petitions."

Spellane said supporters of the bill have collected support from at least a dozen House members. Because changing the number of signatures required would mean a change to the state constitution, it would need a public vote to pass.

Wilmot said advocacy groups will work to fight some measures of the bill, while supporting increased financial disclosure requirements.

And on her own group's Web site, Anderson has already put out a call for action, complete with a quote from Revolutionary War hero John Paul Jones: "We have not yet begun to fight."

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The Hampshire Gazette
Tuesday, December 3, 2002

Ballot question concerns
By Mary Carey
Staff Writer

The limitations of the ballot question process are more apparent now than ever to some lawmakers, including state Sen. Stanley C. Rosenberg, an Amherst Democrat.

Because he has been a member of the Senate leadership for the past five years, Rosenberg has rarely filed bills of his own so that he wouldn't seem to use his position to promote his own legislation.

This year, however, he plans to file two bills that will be considered in the next legislative session, both having to do with an enduring concern of his: citizen participation.

One would form a committee to study why voter turnout continues to decline in Massachusetts.

The other would fine-tune the process by which citizens write and approve their own laws as outlined in Article 48 of the state constitution.

There are no limitations now on paid signature gatherers; there are very few limitations on how much money can be spent by proponents or opponents of a question; and there isn't much of a process for deciding how a ballot question should be worded.

The three statewide ballot questions this year illustrate these and other potential pitfalls of the system in Rosenberg's view. Question 2, for instance, is a case in which an individual targeted Massachusetts as a high-profile state in which to pass a referendum, gaining a foothold to promote the cause nationally, Rosenberg said.

Question 2, which was approved by a majority of voters, eliminates bilingual education in favor of "sheltered immersion" in English. The referendum was heavily financed by Silicon Valley millionaire Ronald Unz who was behind a similar question approved in California.

As a further example of outside influence, Rosenberg cites the group seeking to ban the slaughter of horses for consumption, which sought to put a question banning that practice on the ballot.

The intent of the ballot question process is to give citizens a way of enacting legislation if they think the government is unresponsive, said Rosenberg, who sees the horse question as being irrelevant in Massachusetts. "Show me the problem," he said.

Furthermore, Rosenberg pointed to confusion caused by the same Phoenix-based company gathering signatures on petitions supporting the horse question and another that would ban gay marriage in Massachusetts.

The group Save Our Horses said paid signature gatherers duped voters into thinking they were signing the horse meat question when they were actually signing the gay marriage question.

Rosenberg would subject the whole ballot question process to more rigorous guidelines similar to those that political candidates now have to observe, with greater disclosure of who is contributing how much money. And he would like to have a commission appointed to help the secretary of state who now determines whether a question is fairly worded.

Finally, Rosenberg believes there is a problem with a statewide vote on laws that only affect some populations or regions, such as the 1996 ballot question which resulted in the banning of certain beaver traps.

The people of eastern Massachusetts, who outnumber the western Massachusetts population by 10 to 1, may never have seen a beaver and are even less likely to have a family of them cause flooding in their yard, but they overwhelmingly approved the question, Rosenberg said.

"It was an emotional vote for them," he said. "They had no practical experience with it."

State Rep. Stephen Kulik, D-Worthington, points to another example of a question in 1994 to end rent control.

"There were only three communities, Brookline, Boston and Cambridge, which had rent control and yet the whole rest of the state got to abolish it," Kulik said. "The referendum process has been badly misused and I strongly support a thorough review."

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The MetroWest Daily News
Sunday, December 29, 2002

Editorial
A pay raise legislators don't deserve

On Beacon Hill, the new year and a new administration are coming in on the heels of another drop in state revenues. Numbers announced this week put this year's state budget another $100 million in the hole, which may prompt another round of service cuts and state employee layoffs.

Thanks to a constitutional amendment adopted in rosier economic times, the new year will also bring something state legislators neither need nor deserve: a pay raise.

The amendment, approved by voters in 1998, made sense at the time. Legislative salaries had been a political football for years. The amendment took the power to raise their salaries away from the legislators, instead instructing the governor to adjust the raises every two years based on changes in the state's median household income. There were no complaints two years ago when, with state government awash in revenue and household incomes rising, Gov. Paul Cellucci raised legislators' pay by 7 percent, to a base pay for state representatives of $50,123.

Things are very different today. Faced with an unprecedented drop in revenues, the Legislature has raised taxes and cut spending. State employees have faced layoffs and unpaid furloughs. Acting Gov. Jane Swift has refused to pay contracted salary increases to thousands of workers in the state higher education system. The next year promises more of the same, and the image of lawmakers taking a pay raise while cutting spending elsewhere is an embarrassment for politicians, an outrage for taxpayers.

The mechanics of the pay raise pose practical as well as political problems. While it is assumed median household incomes have increased in the last two years, the U.S. Census won't have official figures until next fall. Cellucci used an estimate derived by his staff, but given the circumstances, Gov.-elect Mitt Romney - Swift apparently will pass the buck to her successor - will be tempted to lowball any such estimate. The legality of that or other options, including whether the Legislature can itself override the amendment's process, will require further study. Meanwhile, lawmakers are advised to consider turning down the raise or turning it over to charity.

But there's another pay raise the Legislature can, and should, repeal. In 2000, lawmakers doubled their expense accounts on the pretext that under the rules of the new Clean Elections system, campaign funds couldn't be used for office expenses and constituent services. But the extra expense money wasn't limited to incumbents running as Clean Elections candidates, nor was it restricted to office expenses or monitored in any way. For all practical purposes, it was a pay raise worth $300 a month for each legislator, peddled as compensation for the hardships posed by campaign finance reform.

Last year, the Legislature all but killed the Clean Elections reforms and its leaders intend to finish the job this year. But they haven't returned the backdoor pay raise. What was a thinly-disguised cash grab then looks even more craven now. Given the state of the state budget, and the Legislature's underhanded handling of Clean Elections, the least the lawmakers can do is repeal this $720,000 sweetening of their expense accounts.

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The Boston Herald
Sunday, December 29, 2002

Placing right bet on casinos:
Mitt brings a welcome skepticism to the table

by Wayne Woodlief
[Excerpt]

... So, thanks to Romney for slowing down this runaway gambling train.

And maybe while he's at it, he can perform another feat of fairness. See, legislators would get a roughly 7 percent pay raise, tied to the (usually rising) median household income in Massachusetts, under the state constitution. But the governor has to determine the amount of the raise. Aides to Swift say she'll probably leave that hot potato on Romney's desk as she exits office this week.

A revenue crisis with layoffs of other state officials looming is no time for these guys to get a raise. That's surely not what Romney had in mind when he promised to "clean up the mess on Beacon Hill."

So teach 'em a lesson right off, Mitt. Let it be known you'll go along with a pay raise, maybe - about the same time they implement the final phase of that tax cut the voters also approved in 1998. [sic - 2000]

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The Patriot Ledger
Saturday, December 28, 2002

Prescription tax to be passed on;
Buyers to pony up for $1.30 levy

By Julie Jette

The Walgreens drugstore chain has joined CVS in planning to pass on to customers a $1.30 state-mandated tax on most prescriptions.

The tax, approved by the Legislature as part of the budget, is designed to raise $36 million for prescriptions paid for by Medicaid, the state's health care program for the poor. It takes effect New Year's Day.

The fee will be imposed on any prescription filled by a licensed retail pharmacy in Massachusetts, including mail-order pharmacies, long-term care pharmacies and hospital pharmacies that provide outpatient drugs.

The $1.30 tax would be imposed from January to the end of March, according to regulations the state is proposing. After that, it would be reduced to 65 cents on each prescription.

The only prescriptions not subject to the fee are those filled by Medicaid or Medicare.

Since Medicare does not have a comprehensive prescription drug benefit, most Medicare patients will pay the tax. The Medicare exemption applies only to people who receive prescription benefits through Medicare HMOs or those buying the few drugs covered by Medicare.

CVS spokesman Todd Andrews said Friday that the company, which has about 300 pharmacies in the state, has contacted insurance companies that offer drug benefits to see if they would cover the cost.

"At this time, no prescription insurance (company) plans to pay for this tax on behalf of its beneficiaries," Andrews said.

CVS and Walgreens said that with insurance companies refusing to pay, they have no choice but to pass the tax onto customers.

"It's something that's going to have to be passed on to the customer in the end," said Walgreens spokesman Michael Polzin.

A hearing on the implementation of the tax will be held Monday at 9:30 a.m. at the headquarters of the Division of Health Care Finance and Policy, at 2 Boylston St., Boston.

But a spokeswoman for the division said the hearing will be used to gather comments on the way the tax will be levied, not on whether it will be levied.

"The important thing to keep in mind is this is not a debate over whether the pharmacy assignment will happen," said Heather Shannon, a spokeswoman for the division. "The Legislature said that it would happen, they made that decision."

The state does need approval from the federal government to impose the tax, but a spokeswoman for the Division of Medical Assistance said that approval is expected shortly.

The state's $6 billion Medicaid program has been hard hit by budget cuts as the state has struggled to cope with sharply declining revenues.

Some 50,000 chronically unemployed people will lose their MassHealth health insurance in April because of the cuts.

Benefits to those who are still covered have also been cut.

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The Boston Globe
Sunday, December 29, 2002

Some options to beat new prescription tax
By Bruce Mohl

Even as anger mounts over a new state prescription tax that takes effect Wednesday, consumers are looking for ways to avoid it.

BJ's Wholesale Club, which operates three pharmacies in Massachusetts and plans to open a fourth early next year, has announced that it intends to swallow the tax and not pass it along to customers. It's unclear whether other pharmacies will follow suit.

Consumers also can avoid the tax by buying their prescription drugs through the mail. Mail-order purchases not only have lower insurance copayments but sidestep the tax because the companies filling the prescriptions are generally located outside Massachusetts.

The prescription tax was enacted in this year's state budget to offset the rising cost of Medicaid, the state-administered insurance program for the poor and disabled. The tax is supposed to raise $36 million a year, but since all state money spent on Medicaid is matched by the federal government, it would eventually yield $72 million.

Under state rules, the tax is being assessed on pharmacies for all non-Medicaid and non-Medicare prescriptions they fill, an estimated 55 million a year.

With just six months left in this fiscal year, the tax is being set at $1.30 initially. It is scheduled to drop to 65 cents when the next fiscal year starts July 1.

CVS Corp., the state's largest pharmacy chain, announced a little over a week ago that it intended to collect the tax directly from consumers along with their insurance copayments. A CVS spokesman said the chain views the new fee much like a sales tax and decided to collect it in the same way.

Brooks Pharmacy and Walgreens, the second and third-largest pharmacy chains in the state, have declined to say what they intend to do.

But, when I called individual Brooks and Walgreens stores in the Boston area, officials at the pharmacies said they would be charging consumers the tax. Independent pharmacies have indicated they will probably pass the tax along to consumers as well.

BJ's is bucking the trend so far. The company, which operates pharmacies at its stores in South Attleboro, Danvers, and Stoneham, and plans to open another in Framingham next month or in February, said it plans to absorb the fee to distinguish itself from its competitors.

"This is another way to offer our members value," said BJ's spokeswoman Julie Somers. "We see this as a great opportunity."

Charles Burnett, who oversees pharmacy operations for Costco Wholesale Club, said the company was investigating the new tax to determine whether the state had the legal authority to impose it.

"In many cases, we don't even make a profit of $1.30 per prescription, and I'm not going to fill a prescription below cost," Burnett said.

Many consumers are angry about the new tax. Sallie Cote of Marblehead said she is furious the state would tax something as essential as prescription drugs. Don Davenport, a consultant and registered pharmacist who lives in Springfield, said the timing couldn't have been worse.

"Our political leaders, while promising to lower the cost of prescription drugs, have done the exact opposite while at the same time effectively punishing those who need prescriptions the most - the elderly, the ill, and those who can least afford to pay," Davenport said.

Other state residents immediately began looking to mail order purchases as a way around the tax. Officials at the state's Division of Health Care Finance and Policy, which is holding a hearing on the tax tomorrow, said it only applies to prescriptions filled by pharmacies licensed by the state of Massachusetts.

Officials at the three major health plans in the state - Blue Cross Blue Shield, Tufts Health Plan, and Harvard Pilgrim - said their mail-order prescriptions are filled out of state and therefore exempt from the tax.

Mail-order prescription drug purchases, which work well for maintenance drugs, also save on the cost of copayments. Blue Cross-Blue Shield, for example, charges a copay for a 30-day supply of a drug purchased at a pharmacy but only one copay for a 90-day supply purchased through the mail. The copay savings tend to be less at other health plans.

Medicaid copay rises

Medicaid recipients may be exempt from the new prescription tax, but starting Wednesday they will be hit with a $1.50 increase in their prescription drug copayment.

Officials involved with the Medicaid program say the copayment, which is rising from 50 cents to $2 per prescription, will be a burden on some patients, particularly those who fill multiple prescriptions at the same time.

But pharmacies say the copayment increase will hurt them the most. Under federal law, pharmacies cannot withhold medications from Medicaid recipients who say they cannot afford the copayment.

Pharmacists say that a significant number of Medicaid recipients don't pay the current copayment, and that 30 percent to 40 percent of them will not pay the higher fee.

Pharmacies say they will have to absorb that loss, although a state handout to Medicaid recipients indicates a "pharmacy may use any legal way to collect the money you owe."

Andrea of Canton, who asked that her last name not be used, said the Medicaid copay should be mandatory. She said Medicaid recipients should pay their fair share, particularly at a time when the state is hitting everyone else with a tax to finance the insurance program.

"We are only asking that they take a little bit out of their pocket," she said.

CLT asserts authorship

Last week's item about the tax-me-more provision in the new state tax forms said the idea originated with Governor Mike Huckabee of Arkansas, but Citizens for Limited Taxation in Massachusetts says it first came up with the concept.

Chip Ford, CLT's director of operations, said he came up with the idea in 2000 after tax-cutting Question 4 passed.

The idea was to give those who wanted to pay more the ability to do so, he said. 

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