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Texas Legislative Session 2015

Texas Interfaith Center for Public Policy


Texas IMPACT

Getting Ready for the 2015 Legislative Session:


The show started January 13

History Lesson
2001-2011 Texas
added 850,000 K-12
students
Half of all K-12
enrollment growth in
US occurred in TX
= All the kids in MD!

History Lesson
2011 Deep,
Deliberate Cuts
25,000+ Jobs Lost
$5.4 Billion Cut

History Lesson
$1.00
$0.90

Restoration of
$4 billion in
cuts

$0.80

End of
Session
($3.4
billion)

2013 Partial Return


to Sanity

80% State Aid Restored

Stopped vouchers and


privatization efforts

Increased TRS funding


and won cost-of-living
raise for most retirees
the first in 12 years!

$0.70
$0.60

Mid
Session

$0.50
$0.40
$0.30
$0.20
$0.10
$0.00

Start of
Session

2015 Quality Counts report


Texas school nance grade: D
Texas rank among all states in per pupil
spending (taking regional cost variaKons into
account): 49th out of 50 states
Texas grade for student achievement: C-
(equal to average of all states)

Texas School-Finance System Ruled UnconsKtuKonal


(again)
State District Judge John Dietz ruled in August that the state
system of paying for schools violates the state consKtuKon
because it is:
Inequitable

Inadequate

In violaKon of the ban on a statewide property tax

2015 Unfinished Agenda


What Happens Next
Depends on Us

Still $600 per pupil below


2008.
Coordinated attack from
private/corporate
interests

2015 Legislative Agenda


Fund our schools!
Short term: $600 per pupil just to get
back to 2008 levelsthe state has more
than enough reserves built up to do it.
Long Term: New revenue from closing
huge loopholes and ending unjustified
special-interest tax breaks.
Example: Tax break for natural-gas
fracking wells, which are highly profitable
and dont require tax breaks, diverts more
than $1 billion a year from state treasury.

How far behind is school spending?


2008 total education spending averaged $10,220 per student
2014 -15 per student funding averages $9,609
$611 per-student drop
$18,330 less per classroom of 30 students
Need an additional $5.9 Billion to bring spending back to 2008
levels

How might Texas fund public educa7on?



General Revenue available to Legislature exceeds House proposed budget
by $14 billion. That money is currently available without raising taxes.
Economic StabilizaKon Fund (Rainy Day Fund) contains an addiKonal $11
billion that could be used to fund public educaKon
Long-term Tax Restructuring
Eliminate tax break for natural gas producKon
Expand the sales tax to services like accounKng, legal, etc.
Require commercial property owners to disclose purchase prices

2015 Legislative Agenda


Help our students succeed!
We want:
Universal pre-K.
Funding restored to help struggling students meet state
achievement standards.
Class-size caps that are enforced in K-4 and we want them in
pre-K and beyond grade 4, too.
Properly certified teachers in every class. An end to the
misuse of standardized tests, use better measures to gauge
success, and end top-down, punitive sanctions.
Community schools with wraparound services, with parents
and education employees teaming up to set goals and
establish community-based accountability.

2015 Legislative Agenda


A fight between two contrasting visions
In the 2015 session, this will be a fight
between two contrasting visions of the
future of education.
Their three-part strategy already clear:
underfund, declare failure based on
misuse of test scores; privatize.

Private School Vouchers


Vouchers are being proposed (again) despite two decades of
the Texas Legislature rejecKng privaKzaKon of K-12 educaKon
Vouchers are not popular with the public or with parents who
consistently express a desire for high-quality neighborhood
public schools
Voucher advocates are misrepresenKng both the
performance of public schools and the results of voucher
programs in other parts of the country
There is big money behind school privaKzaKon in Texas and
several key elected ocials are advocaKng for vouchers

Why Vouchers are Wrong for Texas

Vouchers eliminate public accountability


Vouchers divert dollars and commitment from public schools
Vouchers are not a way to raise achievement for all students
Vouchers waste taxpayer money
Vouchers leave behind students, especially those with special
needs
Vouchers give choice to private school, not to parents

How We Win
Legislative Work
Volunteer to testify at
key moments during the
legislative session.
Share your personal
story with Texas
Impacts leaders and
Government Relations
staff, so that we can
share it with legislators.

Educators
Parents
Faith Leaders
School Equity Advocates
School Boards
Community OrganizaKons

How We Win
Legislative Work
Reach out to natural
alliesparents,
community friends of
public education, the
labor family, and form
local coalitions.
Remember, we are not
in this fight alone.
Community engagement
is essential to our longterm success.

How We Win
Spread the word
A war against public education by
private and corporate interests that look
at students and schools and see dollar
signs.
Our contrasting agenda: fund our
schools properly, provide our students
with the resources (and freedom from
abusive testing!) they need to succeed,
and dont get sidetracked by voucher
schemes.

Easy Action
Steps You Can
Take Now!
Sign up for text messaging
Sign up for the Legislative Hotline
tinyurl.com/texasafthotline
Like us on Facebook:
facebook.com/texasaft
Follow Us on Twitter:
twitter.com/texasaft
Download our App:
Texas AFT at iTunes or Google Play

The 600,000
a primer from Texas Impact
Joshua Houston, Director of Govt Affairs

2010 vs. 2014 General Election Turnout


2010

2014

25.26 mil

Population

26.45 mil

18.79 mil

18.92 mil
14.03 mil

4.98 mil

Voting Age Pop.


(VAP)
Registered
Voters (RV)
Actually Voted

38%

% of RV

33.7%

27%

% of VAP

25%

13.27 mil

1/28/15

4.73 mil

Redistricting Example
HOUSE
DISTRICT 107
!

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S Peachtree Rd
W Bruton Rd

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Texas Legislative Council

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Miller Rd

S 1st St

Kingsley Rd

78

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S Jupiter Rd

E Miller Rd
Miller Rd

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Texas Legislature

PLANH358

Legislature in safe districts

1/28/15

Statewide Primary Turnout


March 4, 2014
Total

Republicans

Democrats

Voters

1,918,107

1,358,074

560,033

% of RV

14.1%

9.98%

4.12%

% of VAP

10.14%

7.18%

2.96%

1/28/15

Statewide Primary Runoff Turnout


May 27, 2014
Total

Republicans Democrats

Voters

954,063

752,780

201,283

% of RV

7%

5.5%

1.5%

% of VAP

5%

4%

1%

1/28/15

2014 Primary vs. Runoff Turnout


(Both Parties)

Primary

1/28/15

Runoff

1,918,107

Voters

954,063

14.1%

% of RV

7.01%

10.14%

% of VAP

5.04%

2012 Cruz v. Dewhurst


Total

1.1 million

Cruz

631,000

Dewhurst

580,000

Cruz 631,000 =

4.5% of RV
3.3% of VAP
2.4% of entire
population

1/28/15

2014 Patrick v. Dewhurst


Total

752,780

Patrick

489,586

Dewhurst

263,194

Patricks 489,586 =

3.6% of RV
2.6% of VAP
1.8% of entire
population

1/28/15

HD 53 = High Turnout District


HDs Population

170,000 avg.

HDs VAP

125,000 avg.

Total Voters

15,487

Murr

9,387

Henneke

6,100

1/28/15

10

HD 137 = Low Turnout District


HDs Population

170,000 avg.

HDs VAP

125,000 avg.

Total Voters

1,131

Wu

696

Smith

435

1/28/15

11

Growth in Dark Money

1/28/15

12

Dark Money: Texas 2014

1/28/15

13

The Utah Dark Money Scandal


Source: House State Affairs Interim Report

1/28/15

14

Rev. Anna Howard Shaw

15

Rev. Shaw on Democracy:


Democracy is not merely a form of
government; it is a great spiritual force
emanating from the heart of the Infinite,
permeating the universe, and transforming
the lives of men.

16

Thank You!
For more information, contact:
Joshua Houston, General Counsel
Texas Impact
(512) 4723903

17

Threats To
Funding Public Services
A 2016-17 Preview
Jan 26, 2015

Dick Lavine
lavine@cppp.org

Where Does the State


Get Its Money?
Source

2016-17 revenue
(in $billions)

Percent of total
revenue

Tax collections

109.0

49%

Federal income

72.9

33%

Licenses, fees, fines

16.8

8%

Lottery

3.8

2%

Interest, land income

7.3

3%

Other

11.1

5%

What Taxes Does the State Rely On?


Tax

2016-17 revenue
(in $billions)

Percent of total tax


revenue

Sales tax

61.5

56%

Motor vehicle sales

10.1

9%

Franchise (margins)

9.6

9%

Motor fuels

7.0

6%

Oil

5.7

5%

Insurance

4.3

4%

Natural gas

3.2

3%

Tobacco

2.6

2%

Alcohol

2.4

2%

Hotel, utility, other

2.5

2%

Proposal:
End Gasoline Tax Diversion

Texas Constitution requires of motor fuels tax to go


Available School Fund ($810 million in 2014)

Remaining is sent to State Highway Fund ($2.4


billion in 2014)

Proposal:
End Gasoline Tax Diversion
Highway Fund is to be used for acquiring rights-of-way,
constructing, maintaining, and policing such public
roadways, and for the administration of such laws as may
be prescribed by the Legislature pertaining to the
supervision of traffic and safety on such roads

Proposal:
End Gasoline Tax Diversion

So Legislature uses $800 million from Highway Fund to


fund

DPS - $475 million

Dept of Motor Vehicles - $49 million

Related activities

Proposal:
End Gasoline Tax Diversion

Argument for: Gasoline tax should be used only to


build and maintain roads

But: To continue funding DPS etc, must use General


Revenue that is currently funding other services

Proposal: Use Motor Vehicles Sale Tax


for Highways
Sen. Nichols has proposed constitutional amendment
to dedicate all motor-vehicle sales tax over $2.5 billion
a year to the Highway Fund

Would redirect $4-6 billion a biennium from General


Revenue to TXDoT.

Proposal: Use Motor Vehicles Sale Tax


for Highways
Argument for: Motor vehicle sales tax is paid by car
buyers, so should be used to build and maintain roads

But: How to fund services that are now paid for with
General Revenue from motor vehicle sales tax

Proposal: Repeal or Reduce


Franchise (Margins) Tax
Arguments for:
Franchise tax is difficult to calculate
Businesses owe tax even if dont make profit
At least raise small-business exemption from current $1
million to $5 million
At least maintain temporary rate cut

Proposal: Repeal or Reduce


Franchise (Margins) Tax
But:
Franchise tax will generate $9.6 billion in next
biennium
Money goes to General Revenue and Property Tax
Relief Fund
Would increase pressure to cut services

Proposal:
Lower the Appraisal Cap
Current law: Taxable value of homestead cannot
increase by more than 10% a year

Intended to prevent sticker shock in property tax bills

Proposal:
Lower the Appraisal Cap
Proposal: Lower cap on annual increases from current
10% to 5%

Argument for: Rapid appreciation of property values


are raising taxes on homeowners faster than their
ability to pay them.

Proposal:
Lower the Appraisal Cap
But:
Benefit of lower cap would go to higher-value homes,
which appreciate fastest
Protection of homeowners shifts burden onto renters,
businesses
Issue is really local tax rates, not appraisals

Proposal: Lower Rollback


Rate
Current law:

Cities/counties must calculate effective tax rate that


raises same amount of money as prior year. If
property values are up, tax rate goes down

If cities/counties raise effective tax rate by more


than 8%, voters can petition to rollback tax rate

Proposal: Lower Rollback


Rate
Proposal:

Lower rollback rate from 8% to 4%

Make rollback election automatic, without need to


petition

Proposal: Lower Rollback


Rate
But:

State is pushing responsibility for funding services onto


local governments

Proposed changes would make it harder for cities/


counties to raise revenue to support services

Use of This Presentation


The Center for Public Policy Priorities encourages you to reproduce and distribute these slides, which were developed for use in making public presentations. If you
reproduce these slides, please give appropriate credit to CPPP.

The data presented here may become outdated.


For the most recent information or to sign up for
our free E-Mail Updates, visit www.cppp.org.

Center for Public Policy Priorities


7020 Easy Wind Drive, Suite 200
Austin, TX 78757
P 512.320.0222 F 512.320.0227

2016-17 State Budget Outlook

@DeLunaEva

deluna.castro@cppp.org

Eva DeLuna Castro


Budget Analyst
Thursday, January 22, 2015

Outline
2014-15 Budget Developments
2016-17: Needs & Revenue
HB 1, SB 1, and Governors (?) Budget Proposals

forabettertexas.org

forabettertexas.org

Budget Changes since Dec. 2013


Supplemental need of $193 million in
General Revenue, $1.5 billion Other (mostly
federal, State Highway Fund)

Medicaid I.O.U. dealt with mostly through transfers of


already-appropriated General Revenue

State aid to preK-12 drops by $683 million because of


higher property taxes, slower enrollment growth

Nov. 2014 constitutional amendment gives TXDoT net


increase of $1.1 billion more for highways, roads

forabettertexas.org

How much is
needed to
continue state
services for a
growing
population,
budgeting for
medical cost
increases and
other inflation?
Sources: Legislative Appropriations Requests; HHS Consolidated Budget; Higher Ed.
Coordinating Board Formula Funding Recommendations.

forabettertexas.org

forabettertexas.org

$113 B in General Revenue Could


Support a $101 billion GR current services budget
for 2016-17 (keeps the cuts from 03 and 11 still in
budget, but makes no new ones)
Restore $8 billion in state aid to local school
districts, to return state aid to 2008 levels
Restore $4 billion in dedicated General Revenue to
its legally intended state budget uses (such as trauma
care, environmental clean-up, parks)

forabettertexas.org

HB 1 Makes 3.4% Cuts to Current Services, Doesnt Cover HHS


Cost Increases, Relies on $4.5 B School Tax Increases

forabettertexas.org

H.B. 1 also
Is $14 billion in General Revenue below pay as
you go constitutional limit
Is $8 billion below the spending growth limit
(11.68%) adopted by LBB in December 2014;
simple majority vote in House and Senate is
needed to go beyond $107 billion GR budget
Does not tap Economic Stabilization Fund
(could reach $11 billion by end of fiscal 2017)

forabettertexas.org

HB 1 School Funding Starting Point

forabettertexas.org

Local
government
spending
(and taxes)
in Texas
closer to
U.S. average

forabettertexas.org

Use of This Presentation


The Center for Public Policy Priorities encourages you to reproduce and
distribute these slides, which were developed for use in making public
presentations. If you reproduce these slides, please give appropriate
credit to CPPP.
The data presented here may become outdated. For the most recent
information or to sign up for our email updates, visit our website.
CPPP
Center for Public Policy Priorities
7020 Easy Wind Drive, Suite 200
Austin, TX 78752
P 512.320.0222 F 512.320.0227

CPPP.org

2016-17 State Budget Outlook

@DeLunaEva

deluna.castro@cppp.org

Eva DeLuna Castro


Budget Analyst
Thursday, January 22, 2015

Outline
2014-15 Budget Developments
2016-17: Needs & Revenue
HB 1, SB 1, and Governors (?) Budget Proposals

forabettertexas.org

forabettertexas.org

Budget Changes since Dec. 2013


Supplemental need of $193 million in
General Revenue, $1.5 billion Other (mostly
federal, State Highway Fund)

Medicaid I.O.U. dealt with mostly through transfers of


already-appropriated General Revenue

State aid to preK-12 drops by $683 million because of


higher property taxes, slower enrollment growth

Nov. 2014 constitutional amendment gives TXDoT net


increase of $1.1 billion more for highways, roads

forabettertexas.org

How much is
needed to
continue state
services for a
growing
population,
budgeting for
medical cost
increases and
other inflation?
Sources: Legislative Appropriations Requests; HHS Consolidated Budget; Higher Ed.
Coordinating Board Formula Funding Recommendations.

forabettertexas.org

forabettertexas.org

$113 B in General Revenue Could


Support a $101 billion GR current services budget
for 2016-17 (keeps the cuts from 03 and 11 still in
budget, but makes no new ones)
Restore $8 billion in state aid to local school
districts, to return state aid to 2008 levels
Restore $4 billion in dedicated General Revenue to
its legally intended state budget uses (such as trauma
care, environmental clean-up, parks)

forabettertexas.org

HB 1 Makes 3.4% Cuts to Current Services, Doesnt Cover HHS


Cost Increases, Relies on $4.5 B School Tax Increases

forabettertexas.org

H.B. 1 also
Is $14 billion in General Revenue below pay as
you go constitutional limit
Is $8 billion below the spending growth limit
(11.68%) adopted by LBB in December 2014;
simple majority vote in House and Senate is
needed to go beyond $107 billion GR budget
Does not tap Economic Stabilization Fund
(could reach $11 billion by end of fiscal 2017)

forabettertexas.org

HB 1 School Funding Starting Point

forabettertexas.org

Local
government
spending
(and taxes)
in Texas
closer to
U.S. average

forabettertexas.org

Use of This Presentation


The Center for Public Policy Priorities encourages you to reproduce and
distribute these slides, which were developed for use in making public
presentations. If you reproduce these slides, please give appropriate
credit to CPPP.
The data presented here may become outdated. For the most recent
information or to sign up for our email updates, visit our website.
CPPP
Center for Public Policy Priorities
7020 Easy Wind Drive, Suite 200
Austin, TX 78752
P 512.320.0222 F 512.320.0227

CPPP.org

Ge$ng Texans Care:


Click to eTexas
dit M
aster
/ tle style
ACA
Update,
Texas Coverage Gap Advocacy

TEXAS UNITED METHODIST WOMEN'S 27TH ANNUAL LEGISLATIVE EVENT


Austin, Texas

Click to edit Master sub/tle style


Anne Dunkelberg, Associate Director dunkelberg@cppp.org
Center for Public Policy Priorities

Monday, January 26, 2015


CPPP.org
1

Coverage Gap Advocacy


A diverse network of Texans and Texas
organiza/ons are working to help Texans
in the Gap Group tell their stories and
seeking inclusion of Texas working poor
in the ACAs health reforms.

For individuals:
www.TexasLeFMeOut.org
www.texaswellandhealthy.org
For organiza=ons:
www.covertexasnow.org

Coverage Gap Advocacy


Texas Impact

Texas Associa/on of
Community Health Centers

You can add these widgets to your

Other Key issues:


Womens Health
Extending postpartum care access
Consumer Protec/ons in Medicaid Managed
Care
Consumer Protec/ons in Private Insurance
(adequate provider networks, protec/ons
from surprise billing)
Texas Medicaid 1115 Waiver
Health Workforce; Scope of Prac/ce ;
Community Health Workers/Promotoras/es

The Texas Coverage Gap


Refers to U.S. ci=zen Texas
adults that have no aordable
op=ons for healthcare
coverage.
They make less than the poverty
level ($20,000 for a family of 3)
and are not oered healthcare
coverage through their job.
Texans below poverty are ineligible for nancial
assistance in the healthcare Marketplace.

The 1 million Texans in the Coverage Gap could ll the


city of Dallas
6

Texas Coverage Gap: Medicaid Hole in the ACA


Coverage System
States With
Texas - Without Medicaid
Medicaid (AR, NM) vs.
Expansion
Expansion
133% FPL

Marketplace
with Subsidies

Family Income

$25,975 for
family of 3

Marketplace
with
Subsidies
100% FPL

Medicaid

$0

Marketplace
with
Subsidies

Coverage
Gap

Coverage
Gap

19% FPL
Medicaid

Parents and
Childless* Adults

Childless* Adults

Childless includes parents with grown children.

$19,530 for
family of 3

Working Parents

$3,696 for
family of 3

The Coverage Gap


Single parent with
2 kids living on

$19K

per
year

Kids get Medicaid


Mom gets no
nancial help and
has no aordable
op/ons

Single parent with


2 kids living on

$20K

per
year


Kids get Medicaid

Mom gets sliding-


scale Marketplace
coverage for $33/
month or less
8

Majority of
Texans in the
Coverage Gap
are Working

Kids Do Befer when Parents also Get Coverage


Research When parents are covered, children are more likely to:
nds:
Get Enroll
Stay Enrolled
Receive more preven/ve care and other health care services

Parents health can aect childrens health and well-being


Parents who cant get rou/ne and ongoing care may be unable to work, or may end up with big
medical bills even when they do get care. This creates stressful home environments and nancial
consequences that have a big impact on children.
10

Support for Closing the Coverage Gap


o

Texas Associa/on of Businesses

Dallas Ci/zens Council

Chambers of Commerce across Texas

Arlington, Dallas, Fort Worth, San Antonio, Houston, El Paso, Waco, Beaumont (Lubbock, Longview, Huntsville)
o

Bipar/san County Judges

Harris, Tarrant, Dallas, Bexar, Travis, El Paso; Nueces

Hospitals, doctors, community healthcare centers

Editorial Boards

Aus/n, Corpus Chris/, Dallas, Waco, Ft Worth, Longview, San Antonio, Houston, Beaumont
11

Dollars, People, Jobs, Taxes:


Get the County- and State-level
Impact of the Coverage Gap at
www.CPPP.org

12

Current Status of State Medicaid Expansion Decisions


VT

WA
MT

OR

ID

NV

CA

ND

WY


MN
WI*

SD


CO

UT


AZ

NM

PA*
IL

KS
OK

MO

TX

OH

IN*

WV
KY

AR*

AL

VA


NH*

MA
CT RI
NJ
DE
MD
DC

NC

TN
MS


AK

MI*

IA*

NE

NY


ME

SC
GA

LA
FL

HI

Adopted (28 States including DC)


Adop=on under discussion (7 States)
Not Adop=ng At This Time (16 States)

NOTES: Under discussion indicates execu/ve ac/vity suppor/ng adop/on of the Medicaid expansion. *AR, IA, MI, and PA have approved Sec/on 1115 waivers; IN has a pending waiver to
implement the expansion. The PA waiver is set to go into eect on January 1, 2015, but the newly-elected governor may opt for a state plan amendment. NH has submifed a waiver to
con/nue their expansion via premium assistance. WI covers adults up to 100% FPL in Medicaid, but did not adopt the ACA expansion.
SOURCE: Status of State Ac/on on the Medicaid Expansion Decision, KFF State Health Facts, updated December 17, 2014.
hfp://k.org/health-reform/state-indicator/state-ac/vity-around-expanding-medicaid-under-the-aordable-care-act/

Red State Alterna=ves

Conserva=ve States, Republican Governors have Nego=ated Coverage

Ex: Arizona, Indiana,* Iowa, Michigan, Nevada, New Jersey, New Mexico, North Dakota, Ohio,
and Pennsylvania.

Texas can look to other red states for a menu of alterna=ve approaches
to insuring the Coverage Gap adults:

Benets for the newly-covered adults based on commercial & small business plan standards;
Personal Responsibility Provisions: Cost-Sharing for the newly-covered adults is allowed, including
premiums under 1115 waivers.
Financial incen=ves for wellness behaviors like check-ups, immuniza/ons, and par/cipa/on in
chronic disease management programs

Integra=on with Marketplace, maximizing use of private insurers and HMO-style managed care.
Some states combine Medicaid Managed Care below poverty, and Marketplace for adults
100-138% of the federal poverty line (FPL).

Flexibility Exists, but within Limits. Under federal law, 1115 waivers must further purposes of
Medicaid.

FAMILY BUDGETS

Use of This Presentation


The Center for Public Policy Priorities encourages you to reproduce and
distribute these slides, which were developed for use in making public
presentations. If you reproduce these slides, please give appropriate
credit to CPPP.
The data presented here may become outdated. For the most recent
information or to sign up for our email updates, visit our website.
CPPP
Center for Public Policy Priorities
7020 Easy Wind Drive, Suite 200
Austin, TX 78752
P 512.320.0222 F 512.320.0227

CPPP.org
15

Total health expenditure per capita, public and


private, 2009
U.S. spends far more per capita on health care than all other developed countries.

Total expenditure excluding investments.


Source: OECD Health Data 2011; WHO Global Health Expenditure Database.

US Health Spending

(CBO, The 2014 Long Term Budget Outlook , July 2014).


Texas Medicaid/CHIP: Who is Helped Today

CHIP, 405,654

Disabled,
426,267

August 2014, HHSC


data

Elderly, 373,835

Poor Parents,
147,013
Maternity
138,060

Medicaid
Children,
2,871,447

Total enrolled
8/2014:
3.97 million

Medicaid & CHIP:


(44% of Texas kids)

Source: Center for Public Policy Priori/es.

18


Income Caps for Texas Medicaid and CHIP, 2014
250%
200%

$40,174

$40,174

203%

203%

150%

$3,760

19%
Pregnant Newborns
Women

Income
Limit as
Percentage
of Federal
Poverty
Level

Age 1-5

$40,767

206%

138%

50%

0%

222%

$29,487 $27,310

149%

100%

$25,956

$8,892

76%

Age 6-18 Parent o f 2 SSI (aged o r Long Term


disabled)
Care

CHIP

Note: Annual income is for a family of 3, except


Individual Incomes shown for SSI and Long Term
Care

Source: Center for Public Policy Priori/es.

19

Nearly half of Texas Children Were Enrolled


in Medicaid or CHIP in March 2014
from a high of 77% to a low of 10%

Less than 36% (66 counties)


36% to 44% (68 counties)
44% to 50% (57 counties)
50% and over (63 counties)
Note: Includes children less than 19 years of age.
Sources: Medicaid: 8-Month Eligibility Databases, HHSC; CHIP: P10_dob_regular database , HHSC. Prepared by Data Quality & Dissemination,
Strategic Decision Support, HHSC. Children <19: Projections of the Population of Texas and Counties in Texas by Age, Sex and Race/Ethnicity for
2010-2050 (2000-2010 Migration (1.0) Scenario), UTSA, November 2014.

20

Controlling Medicaid and CHIP Costs


The Texas Legislature has aggressively
pursued cost-containment in Texas
Medicaid over the last 15 years.
When adjusted for ina/on, Texas is
spending less per Medicaid enrollee
today than the state did in 2001.

21

Center on Budget and Policy Priorities

Medicare and Medicaid Controlled Costs Better than


Private Insurance Over the Last Decade
Average Annual Growth Rate, 2000-2009
9%
8%
7%
6%
5%
4%

7.2%

4.6%

7.7%

5.1%

3%
2%
1%
0%

Medicaid Per Medicare Per


Beneficiary Beneficiary

Private Per Private Employer


Capita,
Insurance
Comparable
Premiums
cbpp.org
6
to Medicare
22

Title


Medicaid as a share of Texas State-Dollar Spending = 23.3%

Title

24

Texas Medicaid/CHIP nearly 100% Priva=zed


HMO-based Care

At least 85% of Texas Medicaid clients are already provided care through
Private-Insurer HMOs (managed care organiza=ons).

Expansions planned for the next few years will extend Private HMO coverage to
virtually 100% of Texans in Medicaid ($27+ billion/year for 4 million Texans)

Opportuni=es/challenges for home care, or hospice, providers:

Best prac/ces must be integrated into Medicaid Managed Care policy/


contracts

Consumer Assistance and protec/ons in Medicaid Managed Care

Afendant wages, health benets and the Medicaid Coverage Gap


25

United
Methodist
Womens
Legislative
Event
No Texas
One
Shall
Make
Them
Afraid

A Secure Texas For All

No One Shall Make Them Afraid


seeking a secure Texas for all

January 25-27, 2015 Holiday Inn Midtown Austin, Texas


presented by Texas Impact

Lobby Training
Using Lobby Visits to Build Relationships (Bee)
Using Your Legislative Visit Evaluation Form (Bee)
Lobby Day Logistics (Amy)
Lobby Visit Dos and Donts (Amy)
Understanding the Capitol Context (Beaman)
Talking About the UMW Legislative Agenda (Beaman)
Small Group Practice Session with Coaches

Building Community Through Advocacy

Dr. Kings Beloved Community:


the kind of society in which every person is valued
and where all conflicts
are reconciled
in a spirit of goodwill
and mutual benefit.

Civility
Civilusrelating to citizens
appropriate behavior for a citizen

Civility versus Community


Civility is what we
do individually

Community is what
we have together

Community
Com (together)

+ Munus (gift, exchange)


Share-together

Storytelling and Advocacy


Vocarevoice, summon help
For, not against

Story: Building a foundation


for policy

Sept. 24, 1935


Rev. A.F. Whitehurst, Kingfisher, OK
"I am particularly anxious that the new Social Security Legislation
just enacted, for which we have worked so long, providing for old
age pensions, aid for crippled children and unemployment
insurance, shall be carried out in keeping with the high purposes
with which this law was enacted. Your high calling brings you into
intimate daily contact not only with your own parishioners, but
with people generally in your community.

I am sure you see the problems of your


people with wise and sympathetic
understanding."

Using Advocacy to Build Community

Use your participation in public dialogue to build something,


not to get something.
Create a narrative about the kind of community you want to
live in with the other people.
Find out what kind of community other people want to live in.

Communication that Builds Community

Committing to be together even though we dont always agree


Respect for the others worldview
Describing how and why we hope the future can be better

Legislative*Visit*Evaluation*Form

5. Did'the'person'you'talked'to'make'any'commitments'to'you'that'you'wish'you'had'in
writing?

Name:&
Date&of&Visits:&_____________________________________________________________________________________
Legislative&Of5ice&Visited:_______________________________________________________________________

6. Did'they'ask'for'any'speci?ic'follow'up,'like'statistics?''If'so,'are'you'able'to'provide'those
yourself,'or'do'you'need'to'ask'
'to'provide'them?''What'timeframe'did you'
give'for'getting'the'following'up'to'the'of?ice?

Names&of&People&In&the&Meeting:_______________________________________________________________
Issues&Discussed:________________________________________________________________________________
Speci5ic&Requests&of&the&Of5ice&if&Any ________________________________________________________
Any&Follow up&Promised&by&You?&_____________________________________________________________
Any&Follow up&Required&from&

7. Did'they'give'you'any'new'information'about'the'topicfor'example,'did'they'tell'you
that'amendment'is'dead,'or'the'Chairman'said'he'would'bring'that'bill'up'as'soon'as
the'?iscal'note'gets'resolved?

?&________________________________________

Any&Follow up&Promised&by&Legislative&staff?______________________________________________
8. Did'the'new'information'create'any'new'deadlines'or'tasks'for'
1. What'was'your'goal?'(e.g.:'introduce'
'to'the'member;'?ind'out'the
members'position'on'an'issue;'lobby'a'vote;'ask'the'member'to'sponsor'an
amendment)

2. Did'you'get'what'you'came'for?''(Usually'the'answer'will'be'not'exactly,'but)
Yes' No' Not'sure,'and'heres'why:

3. What'did'you'learn'about'the'person'you'talked'to?''For'example:
a. Are'they'receptive'to'
told'them?

?''Did'they'know who'

b. What'level'of'authority'do'they'have?

9. Did'you'have'the'information'you'needed'to'have'a'successful'visit:
a. On'the'member

Yes'

No

b. On'the'issue

Yes'

No

c. On'the'status'of'the'issue'legislatively

Yes'

No

d. On'

Yes'

No

'position'on'the'issue

e. Other''__________________________________________
'before'you'
10. If'no'to'any'of'the'above,'what'additional'information'did'you'wish'you'had?

c. What'issues'are'of'most'interest'to'them?
d. How'much'do'they'know'about'the'topic'you'met'on?
4. What'did'you'talk'about'in'the'meeting?

11. Based'on'your'visit,'should'
'try'to'engage'the'person'you'met'with'in'any
way,'and'if'so'what'would'that'engagement'be?

Lobby Visit
Dos and Donts
and Final Logistics

The Legislative Context

UMW Legislative Agenda 2015


Healthy Texas
We urge the Legislature to advance policies for affordable
healthcare, including mental health and preventive health
services, for the broadest possible number of Texans. This
should include providing affordable insurance for working
Texans, and expanding Medicaid and other existing lowincome programs. We affirm our particular and historic
concern for the health of women and children. We
commend to lawmakers the role that social determinants,
especially access to affordable, healthy food and family
financial stability, play in health, and call on lawmakers to
consider comprehensive health solutions.

UMW Legislative Agenda 2015


Quality Education
The Legislature should affirm its constitutional obligation to
provide high quality public education for the benefit of all
children in our state. Critical legislative actions include
restoring all cuts made in the last decade, providing state
funding for enrollment growth, increasing teacher
compensation to competitive levels, and providing full-day
pre-kindergarten in all school districts. We strongly reaffirm
our historic opposition to any movement toward allowing
the flow of public money to private schools, including the
establishment of any voucher programs.

UMW Legislative Agenda 2015


Living Water
We urge lawmakers to prioritize our states water
infrastructure investments around the primary principle
of fair access to clean water for all Texans, and to take
strong action to protect Texans from potential threats
to the air, land and water that we rely on to live. We
affirm the inherent worth of all creation and call on
lawmakers to protect all of Texas natural resources.

UMW Legislative Agenda 2015


Humane Immigration
We advocate for fair, humane policies toward
immigrants in Texas, including access to necessary
state permits (including drivers permits) and regulatory
structures to live and work and be educated in our
state. We insist that state officials respect the
appropriate boundaries of federal and state
responsibility concerning our national border security.

UMW Legislative Agenda 2015


Criminal Justice
We call on legislators to guarantee fair treatment for all
Texans caught up in the states criminal justice system,
from arrest to re-entry. We have particular concerns
about the grand jury process, and we urge lawmakers
to lift restrictions on SNAP and other important
benefits for former drug felons.

Travel for Tomorrow


John Reagan
Building

T.W.C.
Building

15
16

14th Street

11
10
9

Sam Houston
Building

18

17

CAPITOL

7
H

H
H

13th Street

12th Street

San Jacinto Street

12

State Library
& Archives

Supreme
Cour t Bldg.

Tom C. Clark
Building

13 14

Brazos Street

14th Street

Colorado Street

T.W.C.
Annex

Brazos Street

Colorado Street

15th Street

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