• Medicaid plan draws fire, By Marsha Shuler, Baton Rouge Advocate: “A state health agency proposal to scale back rates paid to Medicaid providers drew opposition Monday from nursing home and hospital interests. State Department of Health and Hospitals Undersecretary Charles Castille said reducing the rates to the levels they were three years ago would lower spending by $232 million. The program grew $1 billion in one year and now costs more than $6 billion. State Treasurer John Kennedy, the chairman of a Commission on Streamlining Government advisory group, said cutting the budget across the board, such as this one, is not the way to go. Kennedy asked DHH officials to instead consider prioritizing spending for Medicaid, the health insurance program for the poor…”
• Analysis: Missouri finally produces Medicaid report, By David A. Lieb (AP), St. Louis Post-Dispatch: “After claiming for more than a year that it could not do so, the Missouri Department of Social Services finally has obeyed a state law and published a list of employers whose workers get government-funded Medicaid health care coverage. Yet compliance with the Medicaid reporting law may be only an experiment. Although the list is supposed to be published quarterly, the department says there’s no telling when it will produce the report again. As lawmakers in Washington, D.C., debate a national health-care overhaul, Missouri’s experience shows how slow and difficult it can be for bureaucracies to implement even incremental changes in the health care system. Missouri was one of several states to mandate employer-Medicaid reports in recent years as a way to gauge the extent to which government was picking up the slack for businesses that either didn’t offer their employees affordable health insurance or paid them so little that they qualified for Medicaid…”

R.I.’s hard times hit child support, By W. Zachary Malinowski, October 26, 2009, Providence Journal: “One-by-one, day-after-day, the men sheepishly walk to the lectern in Family Court and answer questions about why they can’t possibly make their child-support payments. On a recent morning, Kervin Candelier fumbled through his pants pockets and pulled out a wrinkled receipt from Western Union that suggested he had paid $1,000 in June. Candelier owed $6,900 in child support payments, and his former girlfriend, the mother of their two children, claimed that he only gave her $500 to pay for school clothes and supplies. He said that he’s doing his best, but he’s a barber and only makes about $230 a week. ‘Every business is slow right now because of the economy,’ he said. Magistrate George N. DiMuro, acting on a recommendation from the state Office of Child Support Services, ordered the father to immediately pay a lump sum of $300 and begin paying her $70 a week through the court system. DiMuro tells him to make sure the payments are made through the court, so it’s recorded - not directly to the mother. ‘Otherwise, you’re going to get yourself in a world of trouble here,’ DiMuro warned. There’s no better place to get an understanding of the state’s poor economy than Family Court - the place where divorce, custody, child support and other domestic crises are settled. According to the latest national economic data, Rhode Island’s unemployment rate of 13 percent is the third highest in the nation, trailing only Michigan and Nevada…”

More welfare going to parents here illegally, By Timothy Pratt, October 27, 2009, Las Vegas Sun: “Jose Silva had just obtained an appointment in three weeks to see whether his family would be eligible for monthly welfare benefits. ‘Now I just have to not eat until then,’ he joked, standing with his wife on the sidewalk outside the state office on Flamingo Road. Silva has been without a steady job for a year, one of tens of thousands of workers still reeling from the bottom dropping out of the Las Vegas Valley’s construction industry, the region’s second-largest employer after tourism. If approved for assistance, the Silvas will belong to the fastest-growing category of families in the Temporary Assistance for Needy Families program. Bearing the confusing government label of ‘non-qualified non-citizens,’ this category refers to families with parents who are not U.S. citizens and children who are. Since the recession began in late 2007, the average monthly caseload of these families has grown 96 percent, according to state records. About 4,250 of these families of mixed immigration status were on the program’s rolls in September, making it the second-largest category in TANF, after single-parent households…”