Tag Archives: Medicaid

Shocking Medicare and Medicaid fraud exposed at Illinois’ Sacred Heart Hospital

Sacred Heart hospital on Chicago’s west side is now a focal point for federal investigators following alleged Medicare and Medicaid fraud charges. Thus far 6 people have been arrested, including Sacred Heart’s owner and CEO – Edward J. Novak, of Park Ridge, and Sacred Heart’s executive V.P. and CFO – Roy M. Payawal, 64, of Burr Ridge. According to a press release from the U.S. Attorney’s office some of the alleged fraud details are shocking:

“Between January 2010 and February 2013, May allegedly received $74,000 in the form of 37 checks, for $2,000 each, disguised as ‘rental payments’; Moshiri, a podiatrist, allegedly received $86,000 in 38 checks pursuant to a purported contract to teach podiatry students; and Maitra allegedly received $68,000 in 34 checks pursuant to a purported teaching contract – and the $228,000 total in alleged kickbacks were all in exchange for their referral of patients to Sacred Heart, the charges allege.
 
“In a recorded conversation last month, Maitra allegedly explained to Administrator A that he used to make Novak ‘so much money’ performing almost daily penile implant procedures on patients, but that he no longer performed as many of those procedures because Medicare had decreased its rates of reimbursement for the procedure. Maitra did not comment on whether the patient need for the procedure had somehow changed, according to the affidavit.”
 
“On March 1, 2013, Administrator A recorded Novak stating that tracheotomies are Sacred Heart’s ‘biggest money maker’ and the hospital can make $160,000 for a tracheotomy if the patient stays 27 days. On March 7, 2013, the Intensive Care Unit case manager told Administrator A that she must often ‘stretch’ a tracheotomy patient’s stay to 28 days to maximize Medicare reimbursements ‘to make Novak happy.’”

Sadly, cases like these are not uncommon in Illinois. In fiscal year 2011, the Department of Health and Human Services reported that in Illinois alone there were:

326 Medicaid fraud investigations
48 were indicted on Medicaid fraud charges
30 were convicted
18 cases of civil settlements/judgments
$47.8 million dollars was recovered in Medicare fraud cases

Until recent legislation was passed in July of 2012, the state of Illinois Medicaid program did not even have a TPA – Third Party Administrator – or other fraud prevention system in place under Rod Blagojevich’s destructive tenure as governor. There was apparently no need for one in Blago’s mind because he was lawless himself. Blago illegally expanded our Illinois Medicaid program to 77,000 illegal aliens – who are still enrolled on our Medicaid program today – and increased the eligibility for one to receive Medicaid to 138% above the Federal poverty level. He did so without our Illinois House or Senate approval.

There is a better way to run Illinois’ Medicaid program. There are proven solutions. They are not new ideas. In fact, if Illinois had emulated Florida’s Medicaid reform program last year, we would have saved $1.1 billion. Or, we could have implemented what former governor Mitch Daniels did to reform Indiana’s Medicaid program. We don’t even need to look to other states for solutions. Our own Jonathan Ingram of the Illinois Policy Institute has penned a recent report that paves the way perfectly for Illinois lawmakers to follow. Will they follow these recommendations? Will Illinois legislators act to protect Illinois’ indigent residents? Or, will they simply auto enroll up to 900,000 more indigent residents – per the President’s health care law – onto a broken, bankrupt, dangerous Medicaid program that is already rationing care? Only time will tell.

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Illinois begins audits and cuts to Medicaid. Rationing of care begins.

On July 7, 2012 the Illinois Tea Party broke down the ‘good’ and ‘bad’ parts of SB2840 and it’s amendments as well as HB5007. Together, these two pieces of legislation comprise what Governor Quinn refers to as ‘Medicaid Reform’. Whilst there was and still is genuine concern over the fiscal impact of Illinois expanding Medicaid nearly 2 years before the rest of the country. There was some good in HB5007. Specifically, the implementation of what most other state Medicaid programs already had in place for years. Namely, a TPA – Third Party Administrator.

The role of this TPA is to audit Illinois’ Medicaid program by verifying each year if current Illinois Medicaid recipients are still:

1.) Living in Illinois.
2.) Still living (not dead)
3.) Making the same income they were when they first qualified. If their income levels have increased rendering them no longer eligible, they are to be purged from our Medicaid rolls.

This is a very good thing since a pharmacist from another state recently stated during testimony that “some of our best customers are on the Illinois Medicaid program.”

The results of the first audit of Illinois’ Medicaid rolls are shocking indeed. According to the Chicago Tribune: Of the first 20,500 recipients screened by an outside contractor, the auditors recommend that 13,709 be removed from the rolls. Yes, that’s two-thirds of the first group screened, flagged as ineligible to receive their current Medicaid benefits. How so? In some cases, the recipients make too much money to qualify. In other cases, they don’t live in Illinois.”

Later in the same article the Tribune states: “Full stop. You may ask, as we do: Why didn’t state officials pluck this low-hanging fruit long ago?If Illinois officials knew, or suspected, that thousands of people were improperly receiving Medicaid coverage, why didn’t they act years ago to save hundreds of millions of taxpayer dollars?”

Since Julie Hamos – Illinois Department of Healthcare and Family Services chief – is quoted in the article as ‘doesn’t yet know‘. The Illinois Tea Party would like to clear up this mystery for her.

During Democrat Governor Rod Blagojevich’s Governorship, our Illinois Medicaid program was expanded illegally without legislative approval. Adding to the rapid bankruptcy of our Illinois Medicaid program was the fact that under Blago’s Governorship, legal residency status was not required on the Illinois’ “All Kids Covered” Medicaid application. Understand that when we use the term legal residency we are referring to U.S. citizenship. It took an investigation conducted by former Chicago Tribune reporter Dennis Byrne to determine just how many illegal immigrants were enrolled on our “All Kids Covered” program. The shocking answer was 75%.

Whilst the Illinois legislature is to be commended for finally implementing a TPA. They are still ignoring one of the largest drains on our Illinois Medicaid program. One that is a clear violation of Federal law. Namely, the 77,000 illegal immigrants who are still enrolled on our Medicaid program. None of which will be removed under Quinn’s ‘Medicaid Reform’ bill or any other legislation proposed.

According to Kaiser Health News the cost to cover just emergency treatment – much of it related to delivering babies – for more than 100,000 illegal immigrants is a $2 billion drain on the federal Medicaid program annually.  This being the case, one must ask. Why is there not a number 4 question added to the above TPA discovery process which asks: Are you a U.S. citizen?

By allowing thousands of illegal immigrants to stay on Illinois Medicaid program, lawmakers are disenfranchising Illinois residents who are not only legal U.S. citizens but are also medically fragile children. Part of Governor Quinn’s aforementioned ‘Medicaid Reform’ bill was $1.6 billion of top down, authoritative, across the board Medicaid cuts. $15 million of which pertain to medically fragile and technology-dependent children.

Equally disruptive and cold-hearted is the fact that Senate Bill 2840 eliminated Illinois’ Cares Rx program, which provides prescription drug coverage for 180,000 fixed and low income Illinois seniors. Seniors on fixed incomes of less than $16,000 have now lost their drug coverage. Community care and in-home care programs also faced severe cuts, resulting in the loss of services for thousands of seniors across the state. There is a word that properly defines this type of top down, authoritative, across the board cuts – rationing. And it’s about to get much, much worse.

Since 2000, Illinois Medicaid rolls have doubled, from fewer than 1.4 million people to nearly 2.8 million, or more than 1 in 5 Illinoisans. Starting in 2014, the President’s health care law is about to exacerbate this problem exponentially. According to various estimates, from 500,000 to more than 900,000 more Illinois residents will qualify for Medicaid when the PPACA (Obamacare) Medicaid expansion takes effect in 2014. This is because the PPACA expands Medicaid to childless adults for the first time ever. There are more than 15.1 million childless adults in the U.S. who will now be eligible for Medicaid. The PPACA also mandates that another 9 million Americans who already qualify for Medicaid but never enrolled do so beginning in 2014.

The ‘silver lining’ in Chief Justice John Roberts historic ruling on the PPACA last year was that states were now given the option to expand Medicaid. Since then many states have run the numbers and decided against expanding Medicaid. In contrast, Governor Quinn is moving ‘forward’ with Medicaid expansion with Senate Bill 26 which will voluntarily expand Illinois’ Medicaid program to nearly 350,000 additional individuals, who are between the ages of 19 and 64 with incomes under 138% of the Federal Poverty Level. The Dept. of Healthcare and Family Services (HFS) states the cumulative cost of this expansion could exceed $2.9 billion by 2020. The Kaiser Commission on Medicaid and the Uninsured estimates a similar number of $2.4 billion by 2020.

Worse yet, our Illinois Medicaid program already has unpaid bills piling up after lawmakers enacted a budget pushing $2.4 Billion of 2011’s bills into 2012. As they have been doing repeatedly for years now. In fact, on January 30, 2012, the Civic Federation released its “Budget Roadmap” for fiscal year 2012. In it, they highlight the fact that state officials now believe the Illinois Medicaid program will have between $21 and $23 billion in unpaid bills by 2017.

Purging illegal immigrants from our Illinois Medicaid rolls and implementing real reforms such as those proposed by the Illinois Policy Institute will save Illinois’ billions and insure that Illinois’ truly indigent and those with special needs are cared for. Until such reforms are implemented, Illinois Medicaid patients will continue to suffer from low reimbursement rates and long payment delays. Nursing homes and hospitals will continue to run out of money while they wait for reimbursement. And, doctors will continue to turn away poor patients and those with special needs.

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‘Affordable health insurance for all’ means Welfare for 17 million more Americans.

To all voters who moved ‘Forward’ with Barack Obama in this last election cycle. I know the President promised that his health care law would guarantee ‘Affordable Health Insurance” for every American. The truth is, your President lied to you. According to the CBO, his health care law will leave 27 million of you UNINSURED after it’s full implementation. Worse yet, according to the CBO his health care law will place 16 to 17 million of you on a Government WELFARE program known as Medicaid. It is important to understand that Medicaid is nothing like private health insurance. Medicaid does not pay medical providers on time. And, when it does it pay – often many months later – it pays a small fraction of what private health insurance pays.
forwardcard
According to multiple studies completed by Johns Hopkins, the Journal of the National Cancer Institute, Columbia-Cornell, the University of Pennsylvania, the University of Pittsburgh and the American Academy of Cardiology.  Medicaid surgical patients have far worse health outcomes than those with private insurance. In fact, in the largest study of it’s kind (with nearly 1,000,000 participants) the University of Virginia found that Medicaid surgical patients are 97% more like to DIE than surgical patients with private health insurance.

According to the New England Journal of Medicine, Medicaid patients in bankrupt states like Illinois & California wait twice as long to see a doctor or specialist as those with private health insurance. And, often times they are denied the care they need. The Medicaid system in Illinois is looking more bleak every day. On January 30, 2012, the Civic Federation released its “Budget Roadmap” for the coming fiscal year. In it, they highlight the fact that state officials now believe that the Illinois Medicaid program will have between $21 and $23 billion in unpaid bills by 2017.
One of the worst parts of the PPACA (Obamacare) law is that if you qualify for Medicaid the law renders you ineligible to receive an APTX – Advance Premium Tax Credit – (subsidy) in order to purchase actual health insurance which would greatly increase your chances of actually receiving the care you need.

Because providers are not getting paid, many Doctors, Specialist and other medical providers will simply stop taking Medicaid altogether, as many in Illinois already have. And, they stopped long before the PPACA.

doctors who take no new patients

If you do not believe that many of you will be enrolled onto our bankrupt Medicaid system instead of private health insurance plans. You should know that this is already happening at Walmart.

Below is an excerpt from the November 2012  update from the Illinois HFS (Health & Family Services) department.

“It is estimated that Illinois has approximately 1.1 million people without health insurance. About 50% of them will be able to buy health insurance on the Health Insurance Exchange, and based on their income, individuals will qualify for tax subsidies to help pay for their health insurance. Illinois will have an Exchange, operating as a state-federal partnership the first year. If the legislature adopts authorizing legislation, it will become a state exchange; if not, the federal government will continue to operate it. Enrollment on the Exchange will open on October 1, 2013, with plans effective on January 1, 2014.

The other 50% of uninsured citizens will qualify for Medicaid, if the legislature adopts authorizing legislation. Today, there is a gap in Medicaid coverage: adults without dependent children, no matter how poor, are not eligible for Medicaid. Under the Affordable Care Act (ACA), the federal government is offering generous federal matching funds to the states to cover this newly eligible population: 100% reimbursement for the first three years then phased down to 90% by 2020.

Newly introduced legislation, House Bill 6253, will take advantage of the ACA to provide healthcare under Medicaid to about 342,000 low-income Illinois citizens who are currently uninsured (the remaining 168,000 citizens currently uninsured, are already eligible for Medicaid but have not enrolled yet). Read the rest of the Illinois  HFS update here.

When you look at the map below, understand that it was completed in 2011. Three years before 17 million more Americans will be enrolled in our bankrupt Medicaid rolls as a result of the “Patient Protection & Affordable Care Act”. Image
Their are intelligent alternatives to simply flooding our bankrupt Medicaid rolls with 17 million more Americans. In fact, these alternatives have already been proven successful in states like Florida, Indiana and Louisiana. Sadly, even with these proven reforms, Republican governors like Arizona’s Jan Brewer and Ohio’s John Kasich haven’t learned a thing from these successful reforms. Instead, they have chosen to double down on failure by expanding Medicaid to historic proportions. Worse yet, they want you to pay for their wrong headed decisions via higher taxes and more ‘cost shifting‘. Both of which will do nothing but continue increase the cost of health insurance for everyone else. What did the President say back in 2010? Oh, that’s right. “It’s estimated that your employers premiums will decrease by as much as 3,000%”. – Barack Obama.

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Illinois Tea Party review of Amendment to Illinois Senate Bill 2840 provides confirmation of immediate Obamacare exchange implementation.

The Illinois Tea Party has completed an initial review of the Amendment to Illinois Senate Bill 2840 issued on 5/21/2012. The following sections outline the immediate development of a state and federally subsidized “Obamacare health insurance exchange”.

Section 65 on page 68, line 18 states the following:

“Section 65. The Children’s Health Insurance Program Act is amended by changing Sections 25 and 40 as follows:

(215 ILCS 106/25)

Sec. 25. Health benefits for children.

(a) The Department shall, subject to appropriation, provide health benefits coverage to eligible children by:

(1) Subsidizing the cost of privately sponsored health insurance, including employer based health insurance, to assist families to take advantage of available privately sponsored health insurance for their eligible children; and(2) Purchasing or providing health care benefits for eligible children.”

Section 65 on page 69, line 19extends these tax subsidized health insurance exchange benefits to:

“(b) The subsidization provided pursuant to subdivision

(a)(1) shall be credited to the family of the eligible child.”

Page 73, line 4 established grants for “community based organizations to educate the public” about this new program.

Page 73, line 13 establishes a state run, web site based health insurance exchange:

“The Department shall annually publish electronically on a State website and in no less than 2 newspapers in the State the premiums or other cost sharing requirements of the Program.

Income requirements to qualify (well above the existing Federal poverty level) as well as the specific expansion of Medicaid are discussed throughout this Amendment beginning on pages 81 & 82. These income requirements and expansion clauses are very similar to the requirement outlined in the Obamacare legislation.

It is crucial to understand that what is being done here is the expansion of eligibility through increasing financial eligibility standards, or through increasing income disregards, or through the creation of new programs.

Such specific changes to our Medicaid system were prohibited by a ‘2 year moratorium” passed by the 96th General Assembly on January 25, 2011 which reads:

(215 ILCS 106/26) –

    Sec. 26. Moratorium on eligibility expansions. Beginning on the effective date of this amendatory Act of the 96th General Assembly, there shall be a 2-year moratorium on the expansion of eligibility through increasing financial eligibility standards, or through increasing income disregards, or through the creation of new programs that would add new categories of eligible individuals under the medical assistance program under the Illinois Public Aid Code in addition to those categories covered on January 1, 2011. This moratorium shall not apply to expansions required as a federal condition of State participation in the medical assistance program.
(Source: P.A. 96-1501, eff. 1-25-11.)

Illinois Senate Amendment #2 to HB5007 also includes language to implement Obamacare in Illinois 2 years early.

Amendment to Illinois Senate Bill 2840 and Amendment #2 to HB5007 provides for a federally subsidized and state subsidized health insurance exchange, as mandated in the federal Obamacare legislation (PPACA) passed on March 23, 2010. Establishing an Obamacare health insurance exchange under the guise of “Medicaid Reform” with a $700 million new price tag to the tax payers of Illinois and a projected cost of $10 billion by the year 2020 is grossly irresponsible.

Why our legislators would attempt to pass legislation now that will incur these extra costs to the Illinois tax payer when the Supreme Court of the United States will be ruling on the Constitutionality of the Obamacare legislation in 3 short weeks from today is incomprehensible and reprehensible.

Not one Republican voted for the Obamacare legislation and we expect the exact same no vote this time around from every Illinois Republican. Most especially our House Minority Leader Tom Cross.

What can you do to stop Governor Quinn, Illinois Democrats and those Republicans who support the implementation of Obamacare in our state nearly 2 years early? You can call your Illinois state representative and let them know that Illinois needs real Medicaid reform, not higher taxes and that you oppose Governor Quinn’s “Medicaid Reforms” and that you are against him establishing a state based Obamacare health insurance exchange via Executive order. Call the statehouse switchboard at (217) 782-2000 to be connected. Look up your legislator here. Again, they could vote as early as tomorrow or Tuesday.

Also call House Minority Leader Tom Cross. He seems to be ‘flip flopping’ and is ready to ‘cut a deal’. He needs to know that you value and expect principled leadership and rigorous policy reform. His statehouse number is (217) 782-1331. If the line is busy, call his district office at (815) 254-0000.

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Governor Quinn, Illinois Democrats and Republicans plan to vote on implementing Obamacare nearly 2 years early!

Illinois Democrats & Republicans plan to vote on implementing Obamacare in our State as early as this Tuesday May 22, 2012.

As early as this coming Tuesday, May 22, 2012 Governor Quinn, Illinois Democrats and some Illinois Republicans will be voting to implement the most fiscally onerous part of Obamacare in our state nearly 2 years early. Namely, the massive expansion of Medicaid eligibility to nearly 800,000 new Illinois residents via a state based “Obamacare health insurance exchange”. Why are they attempting to do so now? Because, the U.S. Department of Health and Human Services (HHS) doled out another $181 million of your money in health insurance exchange establishment grants  this past Wednesday, bringing the total amount of money that the federal government has pumped into state efforts to craft the “Obamacare exchanges” to more than $1 Billion. Illinois’ share was $32.7 Million.

The Obamacare legislation mandates that States must demonstrate by Jan. 1, 2013, that they can operate an exchange (which opens for enrollment in October 2013) or that they manage a partnered exchange with the federal government. Otherwise, HHS will fully oversee the creation and management of a state’s exchange. Even though this timeline for this mandate is quickly forthcoming it is grossly irresponsible for Governor Quinn to threaten an executive order and subsequent vote to implement an Obamacare exchange when the Constitutionality of this legislation will be ruled on by the U.S. Supreme Court less than a month from today.

The following is an explanation of the failed rationale behind their attempt to do so and the reasons why all fiscally responsible, limited Government advocates must contact their local representatives tomorrow (Monday May 21, 2012) in order to inform them as to why they must vote to repeal this onerous additional burden to the tax payers of the state of Illinois as outlined, in part, in the following sections of the Obamacare legislation:

A.) 2001(b) of the Obamacare legislation outlining the “Medicaid Maintenance of Effort requirement (MOE)”

B.) Sections 1311, 1321 and 1401 of the Obamacare legislation which mandates Federally subsidized “premium tax credits” for “Obamacare insurance exchange” enrollees.

Under the Obamacare ‘MOE’, a state would lose all federal Medicaid funding if it makes even the slightest change to the current Medicaid eligibility standards that were in effect prior to the passage of Obamacare.

This essentially freezes our state’s eligibility requirements regardless of the impact on Illinois’ bottom line.  Not only is Illinois forced to keep eligibility at that level, but Illinois is also forced to raise payments to primary care physicians. Section 1202 of H.R. 4872 a.k.a. the Health Care & Education Affordability Reconciliation Act of 2010 (which was used to pass the PPACA) requires that Illinois increase Medicaid reimbursement rates for primary care physicians to the same level as the applicable Medicare reimbursement rates for years 2013 and 2014. At first this sounds like a good idea however, this requirement, along with the federal funding for it, expires on January 1, 2015. Leaving the state of Illinois tax payer holding the bill to maintain this new physician reimbursement or make drastic cuts.

It is crucial to understand that this new burden placed upon the Illinois tax payer is in addition to the already unpaid Medicaid bills piling up in Illinois after lawmakers enacted a budget pushing $2.4 Billion of last year’s bills into this year.  On January 30, 2012, the Civic Federation released its “Budget Roadmap” for the coming fiscal year. In it, they highlight the fact that state officials now believe the Medicaid program will have between $21 and $23 billion in unpaid bills by 2017.

Medicaid patients are already suffering from Illinois’ low reimbursement rates and long payment delays. Nursing homes and hospitals are running out of time and money while they wait for reimbursement. Doctors are turning away poor patients or making them wait weeks or months or even longer to receive care, just to keep their doors open.

What caused our Medicaid system to become so fiscally unsustainable? During Democrat Governor Rod Blagojevich’s Governorship, our Illinois Medicaid program was expanded far beyond simply providing health insurance for children of the poor (which was the original intent of the bi partisan Federal SCHIP bill). Blago expanded our Medicaid based state health insurance program to include 2 new programs that were designed to ‘supplement’ our “All Kids Covered”(www.allkidscovered.com) program (formerly “Kid Care”). These two new Medicaid based Entitlement programs (still in existence today) are called “Family Care”(www.familycareillinois.com) and “Mom’s & Babies” (www.allkids.com/pregnant.html). These programs go far beyond providing health insurance to children of the poor. In fact, they provide ‘free’ to nearly ‘free’ health insurance coverage for pregnant women and even the Father of a child who is enrolled on our “All Kids Covered” program. The program was also expanded to include coverage for those far beyond the existing Federal poverty levels. Adding to the rapid bankruptcy of our Illinois Medicaid program was the fact that under Blago’s Governorship, legal residency status was not required on the Illinois’ “All Kids Covered” Medicaid application. It took an investigation conducted by former Chicago Tribune reporter Dennis Byrne to determine just how many illegal aliens were enrolled on our “All Kids Covered” program. The shocking answer was 75%.
Source: http://articles.chicagotribune.com/2010-05-25/news/ct-oped-0525-byrne-20100525_1_uninsured-illinois-children-blagojevich-illegal-immigrants

Obamacare simply repeats the same mistakes already made by our now bankrupt (and deeply in debt) Illinois Medicaid program. However, it does so, on a national level. It increases Medicaid eligibility to 15 million childless adults and another 9.5 million who are considered ‘old eligibles’. Those who were always eligible but never applied and will now be auto-enrolled. It also increases eligibility for Medicaid to incomes as high as 138% above the federal poverty level. What does this mean in dollars and cents? A report released by the Centers for Medicare and Medicaid Services shows the impact this massive expansion will have: “This expansion, together with greater participation by individuals eligible under current rules, is projected to add 14.9 million people to enrollment in 2014 and 25.9 million people by 2020—26 percent and 44 percent, respectively, compared to pre-[Obamacare] estimates.”

This means that by 2020, Medicaid enrollment will reach 85 million, or approximately one in four Americans. This level of Government dependency distorts the original purpose of the Medicaid program, which was intended to serve as a safety net for only the truly indigent.

As a result of the expansion, the report shows, Medicaid spending between 2011 and 2020 will increase under Obamacare by $619 billion. The federal government will initially pay for most of the new spending, totaling $572 billion. But the expansion will increasingly strain state budgets as well, since the federal contribution decreases rapidly leaving the state tax payer holding the bill. In fact, this massive expansion of Medicaid will bring total state Medicaid spending to $2.3 trillion through 2020. Illinois’ share will be another $10 Billion by the year 2020. Source: http://illinoispolicy.org/blog/blog.asp?ArticleSource=4660

If Illinois lawmakers want to ensure our Medicaid program is both sustainable and protects the most vulnerable, they must redesign it from the ground up in a way that meets the needs of Illinois’ unique population. The first step is transforming it from the broken fee-for-service design into a sliding-scale premium assistance program paired with health savings accounts. This would ensure the most vulnerable would have access to doctors and specialists, would be empowered to make healthy and cost-conscious health care choices and would no longer be trapped in government dependency. It worked in the state of Indiana under Governor Mitch Daniel and it can work here in Illinois as well. Read about the success of Governor Daniel’s Medicaid reforms here: http://www.forbes.com/sites/aroy/2011/11/11/obama-administration-denies-waiver-for-indianas-popular-medicaid-reform/

What can you do to stop Governor Quinn, Illinois Democrats and those Republicans who support the implementation of Obamacare in our state nearly 2 years early? You can call your Illinois state representative and let them know that Illinois needs real Medicaid reform, not higher taxes and that you oppose Governor Quinn’s “Medicaid Reforms” and that you are against him establishing a state based Obamacare health insurance exchange via Executive order. Call the statehouse switchboard at (217) 782-2000 to be connected. Look up your legislator here. Again, they could vote as early as tomorrow or Tuesday.

Also call House Minority Leader Tom Cross. He seems to be ‘flip flopping’ and is ready to ‘cut a deal’. He needs to know that you value and expect principled leadership and rigorous policy reform. His statehouse number is (217) 782-1331. If the line is busy, call his district office at (815) 254-0000.

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