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Md. Lawmakers Pitch Health-Insurance Down Payment Plan

WASHINGTON INFORMER — About 130,000 uninsured Marylanders could receive health insurance in the next two years.

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By William J. Ford

ANNAPOLIS — About 130,000 uninsured Marylanders could receive health insurance in the next two years, said two state lawmakers floating a health care proposal Wednesday in Annapolis.

With the support of several health care organizations and advocates, Delegate Joseline Peña-Melnyk (D-District 21) of College Park and state Sen. Brian Feldman (D-Montgomery County) plan to use an individual health care mandate in the state.

Their bill allows residents to make a down payment on an insurance plan or pay a $700 penalty during tax season. Either way, the lawmakers said, the money would be minimal and allows more people to receive health coverage.

Tax refunds could be used to sign up for health insurance and forwarded to the state’s health insurance exchange to purchase plans.

“We have to make sure everyone in our state has insurance,” Peña-Melnyk, a sponsor of the bill in the House, said at the Maryland State Medical Society office. “This one, wonderful creative way to do it. This is another in the toolbox. It really is the right thing to do.”

Feldman said the plan would help keep the Affordable Care Act alive in Maryland. The federal government stopped the requirement of the ACA’s individual mandate after a change in the federal tax code in 2017.

He also said prior to the ACA, the state’s insurance rate stood at 12 percent. Today, he said, it’s been cut in half to 6 percent.

“We’re trying to avoid the rancor from Capitol Hill,” Feldman said. “This proposal does that.”

The health care idea, which Peña-Melnyk said has been in the works for about eight months, came from Families USA, a health care consumer organization.

Stan Dorn, a senior fellow with the D.C.-based Families USA, briefly outlined who would benefit in Maryland: 70,000 uninsured residents who have access to federal tax premiums; 50,000 could qualify for Medicaid, a program for low-income residents; and another 10,000 whose down payment could possibly cover most of their premiums.

Dorn said states such as Massachusetts, New Jersey, Washington and Vermont and the District of Columbia implemented individual mandate requirements. However, Maryland would be the only state with an option to provide a down payment.

“We see it as an important, national model,” said Dorn, who is also the director of the National Center for Coverage Innovation.

Representatives for various health organizations such as the American Heart Association, Maryland Hospital Association and SEIU 1199 attended the press conference and applauded the “creative” proposal.

“Our physicians see quite regularly, especially in the emergency rooms, people who come in with illnesses and ailments that could have been prevented if only they had access and if they had known they had access,” said Teresa Healey-Conway, executive director of the state medical societies for Anne Arundel, Howard and Prince George’s counties.

Feldman’s legislation will be discussed at a March 6 hearing in the Senate, but no date has been scheduled yet for Peña-Melnyk’s bill in the House. Neither communicated with Republican Gov. Larry Hogan on this year’s proposal, but he worked with lawmakers last year on similar legislation that stalled.

Hogan spokeswoman Amelia Chasse said the governor generally favors incentives over penalties.

“For example, by successfully enacting legislation and securing federal approval of Maryland’s reinsurance waiver, premiums on the individual market are decreasing across the board for the first time in decades,” she said. “The new Maryland model all-payer contract incentivizes providers to increase quality of care while lowering costs across the health care system. The governor will review and consider any legislation that reaches his desk.”

This article originally appeared in the Washington Informer

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Activism

U.S. House Minority Leader Hakeem Jeffries Speaks on Democracy at Commonwealth Club

Based on his first speech as House minority leader, “The ABCs of Democracy” by Grand Central Publishing is an illustrated children’s book for people of all ages. Each letter contrasts what democracy is and isn’t, as in: “American Values over Autocracy”, “Benevolence over Bigotry” and “The Constitution over the Cult.”

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: House Minority Leader Hakeem Jeffries at the Commonwealth Club World Affairs Council on Dec. 2. Photo by Johnnie Burrell. Book cover: "The ABCs of Democracy" by Hakeem Jeffries.
: House Minority Leader Hakeem Jeffries at the Commonwealth Club World Affairs Council on Dec. 2. Photo by Johnnie Burrell. Book cover: "The ABCs of Democracy" by Hakeem Jeffries.

By Linda Parker Pennington
Special to The Post

House Minority Leader Hakeem Jeffries addressed an enthusiastic overflow audience on Monday at San Francisco’s Commonwealth Club, launching his first book, “The ABCs of Democracy.”

Based on his first speech as House minority leader, “The ABCs of Democracy” by Grand Central Publishing is an illustrated children’s book for people of all ages.

Each letter contrasts what democracy is and isn’t, as in: “American Values over Autocracy”, “Benevolence over Bigotry” and “The Constitution over the Cult.”

Less than a month after the election that will return Donald Trump to the White House, Rep. Jeffries also gave a sobering assessment of what the Democrats learned.

“Our message just wasn’t connecting with the real struggles of the American people,” Jeffries said. “The party in power is the one that will always pay the price.”

On dealing with Trump, Jeffries warned, “We can’t fall into the trap of being outraged every day at what Trump does. That’s just part of his strategy. Remaining calm in the face of turmoil is a choice.”

He pointed out that the razor-thin margin that Republicans now hold in the House is the lowest since the Civil War.

Asked what the public can do, Jeffries spoke about the importance of being “appropriately engaged. Democracy is not on autopilot. It takes a citizenry to hold politicians accountable and a new generation of young people to come forward and serve in public office.”

With a Republican-led White House, Senate, House and Supreme Court, Democrats must “work to find bi-partisan common ground and push back against far-right extremism.”

He also described how he is shaping his own leadership style while his mentor, Speaker-Emeritus Nancy Pelosi, continues to represent San Francisco in Congress. “She says she is not hanging around to be like the mother-in-law in the kitchen, saying ‘my son likes his spaghetti sauce this way, not that way.’”

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MacArthur Fellow Dorothy Roberts’ Advocates Restructure of Child Welfare System

Roberts’s early work focused on Black women’s reproductive rights and their fight for reproductive justice. In “Killing the Black Body: Race, Reproduction, and the Meaning of Liberty 1997)”, she analyzes historical and contemporary policies and practices that denied agency to Black women and sought to control their childbearing—from forced procreation during slavery, to coercive sterilization and welfare reform—and advocates for an expanded understanding of reproductive freedom.

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Dorothy Roberts. Photo courtesy of the John D. and Catherine T. MacArthur Foundation.
Dorothy Roberts. Photo courtesy of the John D. and Catherine T. MacArthur Foundation.

Special to The Post

When grants were announced Oct. 1, it was noted that eight of the 22 MacArthur Fellows were African American. Among the recipients of the so-called ‘genius grants’ are scholars, visual and media artists a poet/writer, historian, and dancer/choreographer who each receive $800,000 over a five-year period to spend as they see fit.

 Their names are Ruha Benjamin, Jericho Brown, Tony Cokes, Jennifer L. Morgan, Ebony G. Patterson, Shamel Pitts, Jason Reynolds, and Dorothy Roberts. This is the eighth and last in the series highlighting the Black awardees. The report below on Dorothy Roberts is excerpted from the MacArthur Fellows web site.

A graduate of Yale University with a law degree from Harvard, Dorothy Roberts is a legal scholar and public policy researcher exposing racial inequities embedded within health and social service systems.

Sine 2012, she has been a professor of Law and Sociology, and on the faculty in the department of Africana Studies at the University of Pennsylvania.

Roberts’s work encompasses reproductive health, bioethics, and child welfare. She sheds light on systemic inequities, amplifies the voices of those directly affected, and boldly calls for wholesale transformation of existing systems.

Roberts’s early work focused on Black women’s reproductive rights and their fight for reproductive justice. In “Killing the Black Body: Race, Reproduction, and the Meaning of Liberty 1997)”, she analyzes historical and contemporary policies and practices that denied agency to Black women and sought to control their childbearing—from forced procreation during slavery, to coercive sterilization and welfare reform—and advocates for an expanded understanding of reproductive freedom.

This work prompted Roberts to examine the treatment of children of color in the U.S. child welfare system.

After nearly two decades of research and advocacy work alongside parents, social workers, family defense lawyers, and organizations, Roberts has concluded that the current child welfare system is in fact a system of family policing with alarmingly unequal practices and outcomes. Her 2001 book, “Shattered Bonds: The Color of Child Welfare,” details the outsized role that race and class play in determining who is subject to state intervention and the results of those interventions.

Through interviews with Chicago mothers who had interacted with Child Protective Services (CPS), Roberts shows that institutions regularly punish the effects of poverty as neglect.

CPS disproportionately investigates Black and Indigenous families, especially if they are low-income, and children from these families are much more likely than white children to be removed from their families after CPS referral.

In “Torn Apart: How the Child Welfare System Destroys Black Families—and How Abolition Can Build a Safer World (2022),” Roberts traces the historical, cultural, and political forces driving the racial and class imbalance in child welfare interventions.

These include stereotypes about Black parents as negligent, devaluation of Black family bonds, and stigmatization of parenting practices that fall outside a narrow set of norms.

She also shows that blaming marginalized individuals for structural problems, while ignoring the historical roots of economic and social inequality, fails families and communities.

Roberts argues that the engrained oppressive features of the current system render it beyond repair. She calls for creating an entirely new approach focused on supporting families rather than punishing them.

Her support for dismantling the current child welfare system is unsettling to some. Still, her provocation inspires many to think more critically about its poor track record and harmful design.

By uncovering the complex forces underlying social systems and institutions, and uplifting the experiences of people caught up in them, Roberts creates opportunities to imagine and build more equitable and responsive ways to ensure child and family safety.

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Activism

Oakland Post: Week of December 18 – 24, 2024

The printed Weekly Edition of the Oakland Post: Week of December 18 – 24, 2024

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