Capitol Correspondent - 2012
Diocesan Newspaper
columns by James R. Cunningham
Click here to read
Past Columns
Legislature Ready to
Wrap up its Business
April 6, 2012
After a Friday-Monday extended
break for the Easter weekend, state lawmakers have just three days
remaining in their 2012 regular session. Thursday (April 12) is the
anticipated day for adjournment sine die, but the last day, the
60th, could be held set back in order for the Legislature to
consider any vetoes made by the Governor after Wednesday, the 59th
legislative day. It’s a balancing of interests: the Governor has several
days after the Legislature passes a bill to exercise his veto authority;
the Legislature would like to know all his decisions before ending its
session.
After 57 days of session, the
49 legislators have finished a lot of their "heavy lifting." Some
significant decisions remain, including some with spending implications,
but with the mid-biennium budget adjustments completed, the remaining
route to the finish line is mapped out. There still could be some bumps
and potholes in the surface.
The budget package is unique
and interesting. It provides for some deficit appropriations and some
new funding (LB 968), transfers funds to cover other items (LB 969),
taps into some of the state’s cash reserve for major projects, including
$50 million for a cancer research center at UNMC and $15 million for
Nursing and Allied Health Professions at the University of
Nebraska-Kearney (LB 131), and appropriates nearly $7 million to pay
claims against the state authorized by the state claims board (LB 1072).
Also tied to the budget process
this year was the Governor’s desire to provide tax cuts. As the bill
introduced for this purpose on his behalf, LB 970, went through
the committee and floor-debate processes, components dealing with the
inheritance-tax and corporate income tax were eliminated and the
reduction appeared to be settled as just over $97 million in individual
income taxes over the next three years. For most taxpayers it will be
modest relief.
The chairperson of the Revenue
Committee and principal floor manager of LB 970, Sen. Abbie Cornett of
Bellevue, called it a "down payment on the tax relief we promised in
January;" whatever that means.
With just three days remaining,
this is also a worthy time to update a few bills of interest to the
Nebraska Catholic Conference, and addressed previously in this column.
LB 461,
as proposed to be amended by its sponsor, Sen. Pete Pirsch of Omaha, on
behalf of a coalition of pro-life advocacy organizations, including NCC,
ran into a buzz saw of angst-based pushback from lobbyists for health
care organizations, led by the Nebraska Hospital Association and the
Nebraska Pharmacists Association. They and others expressed concerns
about the scope of the amendments and potential consequences. They left
few scenarios untapped in vigorously reacting with a "parade of what-if
horribles," mostly exaggerated, but still effective in attacking the
formulation, if not the premise, of the proposed amendments. As a
result, the process stalled and LB 461 remained stuck in the Judiciary
Committee.
The proposed amendments would
have statutorily protected rights of conscience of health-care providers
and facilities on a comprehensive basis. Providers and facilities would
have been protected from discrimination and adverse administrative
actions when exercising their right not to participate in any health
care function that would violate their religious beliefs and/or
convictions of conscience.
Senator Steve Lathrop of Omaha,
a member of the Judiciary Committee, led discussions to try to find a
consensus among the opposing views, but the overall matter was too
complex and the divide of views over the value ascribable to convictions
of conscience too wide to achieve results before time ran too short.
The goal of protecting rights
of conscience in health care is far from dismissed. It is compelling and
will be pursued again next year as better, tighter legislation.
LB 1145
moved smoothly through the legislative process to passage and
anticipated approval by the Governor. It gives Nebraska a stronger
response to the serious, but largely hidden problem of human trafficking
for sex or labor. It will increase public awareness by establishing a
state commission, which will engage the assistance of the National Human
Trafficking Resource Center. The legislation also strengthens criminal
penalties for forcing or enticing a person into prostitution.
LB 50,
first introduced in 2011 and carried over to 2012, did not make it out
of the Revenue Committee. That’s a lousy outcome for the legislative
idea embodied therein. The bill proposed to establish a state income-tax
credit for donations to organizations that would distribute their
revenue as private-school tuition scholarships.
For the parents and patrons of Catholic schools who
contacted one of more of the Revenue Committee members about LB 50:
thanks for taking action. Your collective expressions caused the
legislators to notice your advocacy and established a foundation for
more effective advocacy in the future. For the many who were urged to
speak out but didn’t, you could still do so now, by expressing your
disappointment over how LB 50 was ignored by the Revenue Committee; and
then again next year when a new bill proposing this good idea is
introduced.
Legislation to Protect Conscience Needs Support
March 16, 2012
As documented by Americans United for Life from
the Annals of Congress, an early draft of the First Amendment
written by James Madison included the following: The Civil Rights of
none shall be abridged on account of religious belief or worship, nor
shall any national religion be established, nor shall the full and
equal rights of conscience be in any manner, nor on any pretext
infringed" (emphasis added). Though not specifically included in
the finally adopted version, this wording indicates the intent of the
Founders and a fundamental principle of the First Amendment.
Perhaps that expression of principle influenced the framers of the
Nebraska Constitution in 1875, because the principle is captured and set
forth in a similar manner. Article I, Section 4 on religious freedom
presents this statement of guiding policy: "No person shall be compelled
to attend, erect or support any place of worship against his consent,
and no preference shall be given by law to any religious society,
nor shall any interference with the rights of conscience be permitted."
(emphasis added)
The state constitution also includes this significant provision as
Article III (Legislative Power), Sec. 30: "The Legislature shall pass
all laws necessary to carry into effect the provisions of this
constitution."
These two provisions of the Nebraska Constitution are relevant to a
compelling and escalating concern; namely, protecting the religious
freedom and rights of conscience of health care providers, both
individuals and institutions. Ideological and political aggressiveness
regarding health care and health professions, particularly in relation
to morally problematic services, such as abortion, sterilization,
contraception, artificial insemination, euthanasia, assisted suicide and
counseling to affirm and enhance immoral relationships, increasingly
threatens to penalize and drive away persons of faith and conscience.
Discrimination in employment and governmental coercion in licensing are
mechanisms by which health care providers can be forced to choose
between their professions and their convictions of conscience.
This is not about who pays for health care. That’s another context
involving threats to conscience. This is about providers and their
rights of conscience.
A number of organizations and websites provide evidence of attacks on
the freedom of health care providers and institutions to provide health
care without violating their religious beliefs and moral convictions.
Pharmacists have been targets, as abortion advocates seek to require
them to dispense "emergency contraceptives" and others that have
post-fertilization, life-ending mechanisms of action.
Here in Nebraska, for instance, licensing boards for Mental Health
Practice and Psychology have shown intent to require licensees to
provide, or be complicit in providing, counseling services to affirm and
enhance same-sex relationships.
Nebraska public policy is limited with regard to protection for
religious freedom and rights of conscience throughout health care. The
cited provisions of the Nebraska Constitution notwithstanding, the
Legislature has not acted to prevent interference with rights of
conscience comprehensively. Except in limited instances involving
abortion, such rights have not been codified or provided with remedies.
LB 461,
as proposed to be amended by its sponsor, Senator Pete Pirsch of Omaha,
would establish by statute that individual health care providers have
the right not to participate in any health care function that would
violate their religious beliefs, moral convictions and/or ethical
principles. Likewise, the proposed amendment would establish that health
care facilities have the right not to participate in any health care
function that would violate their institutional conscience as determined
by reference to its existing mission statement, constitution, bylaws,
etc.
For purposes of the legislation, "participate" and "health care
function" are defined comprehensively.
The amendment protects health care providers and institutions from being
required by employers, or governmentally coerced, to participate in any
health care function. In this context, it would prohibit discrimination
in employment and immunize providers and facilities from civil, criminal
and administrative liability. Authorized remedies would include civil
causes of action for damages and/or injunctive relief.
Sen. Pirsch’s sound amendment is awaiting action by the Legislature’s
Judiciary Committee. Efforts are being made to address sincere concerns
about the scope and wording of the amendment, and to separate legitimate
concerns from misconceptions, exaggerated reactions and bogus
interpretations of the legislation.
Unfortunately, time is
running short on the session—only 14 working days remain. The matter is
urgent. Nebraskans—especially those involved in health care—who wish to
see these basic rights protected in law, to see the guiding principle in
the state constitution brought alive with substance, should contact
state legislators, especially members of the Judiciary Committee, and
express support for the amended version of LB 461. Contact information
is available at the Legislature’s website (www.nebraskalegislature.gov).
More information is available at:
www.nebcathcon.org.
On Prenatal Care, Pro Life Principles Trump
Other Issues
March 9, 2012
Having moved past the two-thirds-point of
its 2012 regular session—40 of the 60 legislative days were completed as
of March 7—the Nebraska Legislature is focused on legislation with
priority status.
Each of the 49 lawmakers has chosen a
priority bill and each of 14 standing committees, plus the Executive
Board, has designated two priority bills.
In addition, the Speaker of the Legislature
has prioritized 25 other proposals.
The Speaker, Sen. Mike Flood of
Norfolk,
will determine the scheduling of the priority bills for the remaining
days of the session.
Some time might be set aside as well for
moving some minimally substantive, non-controversial measures through
the process on a time-limited basis known as the consent calendar.
From the perspective of the Nebraska
Catholic Conference, LB 599 is a
significant priority bill.
It would reinstate a pro-life policy that
was rather suddenly terminated two years ago, after decades of assisting
the health and well-being of unborn children of impoverished mothers.
In late 2009, the federal Centers for
Medicare and Medicaid Services notified Nebraska
that its decades-long policy of providing access to prenatal health care
through Medicaid had to be terminated for some unborn children.
The reason?
Medicaid
does not include the unborn as eligible recipients of
financially-assisted medical care, which is the way the Nebraska
Department of Health and Human Services had long been administering such
coverage.
Nebraska
was warned that Medicaid only considers the eligibility of the pregnant
woman.
Under Medicaid rules, pregnant women who,
even though they qualify as impoverished, are nevertheless ineligible
for prenatal care coverage if they are unauthorized immigrants or
incarcerated or subject to public-assistance sanctions.
So,
Nebraska
had to stop what it had been doing on behalf of some vulnerable unborn
children in impoverished families.
It was estimated the number of cases so
impacted on an annual basis was more than 1,500.
Nevertheless, a way of re-instating access
to prenatal care for these vulnerable unborn children, notwithstanding
the disqualification of their mothers, was readily apparent.
Another federal-state joint program, the
Children’s Health Insurance Program, recognizes the unborn as eligible
recipients in their own right.
For CHIP purposes, the definition of
“child” explicitly includes unborn children “from conception to birth.”
CHIP has a specific
unborn-child option that states can apply for and implement.
What’s more, the state’s financial match
rate is less for CHIP than it is for “regular” Medicaid.
This is a significant economic factor, but
an even more significant economic factor is the undisputable evidence
that prenatal health care results in healthier babies and considerable
cost savings over time.
In early March 2010,
Archbishop George Lucas, Bishop Fabian Bruskewitz
and Bishop William Dendinger joined in
writing to Governor Dave Heineman, urging him to authorize application
for the CHIP unborn child option.
Describing it as “an
important and urgent Pro Life matter,” the Bishops wrote:
“The
immigration status of their mothers should not be allowed to adversely
affect the health and well-being of the unborn children.
When balanced against the legitimate
public-policy concerns about illegal immigration, caring for the unborn
children should be the higher priority, as the right thing to do.”
Regrettably, the Nebraska
Department of Health and Human Services has declined to apply for CHIP’s
unborn-child option.
Readily apparent is that Governor
Heineman’s administration has chosen to view this as an immigration
issue rather than a pro-life or health-care issue.
“No benefits for the illegals” is the
political mantra.
The flaw in that assertion is
that these unborn children, who are at risk of not receiving vitally
important prenatal health care with this means of access denied, are not
“illegals.”
Either they have no immigration status or
they are presumptive citizens, because they will be citizens upon birth.
In any event, they are CHIP-eligible.
In 2010, an effort was
made—through LB 1110—to legislatively direct Nebraska DHHS to apply for
the unborn-child option under CHIP.
That effort failed to garner enough
support.
LB 599 is a renewed effort to accomplish
the objective.
There are at least four
reasons why LB 599 is a significant pro life issue; for which pro life
Nebraskans urgently need to speak up in support of the unborn as the
Legislature decides on public policy.
First, it is potentially harmful to the
health and even the lives of unborn children not to provide for their
prenatal care.
Second, failing to implement this specific
and readily available means of access to prenatal health care for unborn
children unjustly punishes them for the circumstances and actions of
their mothers.
Third, the lack of access to prenatal
health care could be a decisive factor in causing some pregnant women to
choose abortion over childbirth, each time a tragedy.
Fourth, denying prenatal care coverage in
these circumstances of family poverty is an affront to the individual
human dignity of the unborn and to pro life principles.
For more information ion this
issue, visit
www.nebcathcon.org.
Religious Liberty
Concerns Exist in Nebraska
February 17, 2012
The federal Department of Health and Human
Services’ arrogant efforts to coerce all employers, including all but a
narrow category of those with religious and moral objections, into
purchasing health-insurance plans that cover abortion-inducing drugs,
sterilization and contraception, are receiving the uproar and criticism
they deserve. The threat this "preventive services" mandate poses to
religious liberty is unmistakable.
Including these products and procedures as
governmentally emphasized, cost-free health care for virtually all who
are insured, regardless of the moral objections of those who provide the
coverage or pay the premiums, is not the only context in which religious
liberty is under mounting pressure.
Last May, the same federal agency added a new
requirement to its contracts for services for victims of human
trafficking so that the Migration and Refugee Services agency of the
U.S. Conference of Catholic Bishops, which had a record of exemplary,
effective services, would be barred from participation if it did not
provide the "full range" of reproductive services—namely, abortion,
sterilization and contraception.
Last March, the U.S. Department of Justice
stopped defending the congressionally enacted Defense of Marriage Act.
Then in July, DOJ began filing briefs that actively attack DOMA’s
constitutionality, arrogantly claiming that supporters of the duly
enacted law could only have been motivated by bias and prejudice. If
"bigot" is applied by the government to churches and religiously
motivated institutions and individuals because of their teachings and
religious convictions about marriage as a natural union of a man and a
woman, conflict over religious liberty will exist for years to come.
Issues of religious liberty and freedom of
conscience are not exclusive to federal policy actions. There are
state-level examples as well.
Several years ago, the Archdiocese of Boston
was forced out of its adoption ministry because, as a matter of fidelity
to the Church’s teaching on marriage, it could not place children with
homosexual and lesbian couples as the state government was dictating.
More recently, in Illinois, the state cancelled contracts with Catholic
Charities agencies because they were not providing adoption and
foster-care services in a manner consistent with a new state law that
legalized same-sex civil unions.
Individuals are affected by threats to
religious liberty as well. In New Jersey, a dozen nurses had to file a
lawsuit against a state medical facility in order to overcome an
employment dictate that they assist in abortions. In New Mexico, a
photographer who declined to provide professional services for a
same-sex commitment ceremony because of her religious convictions was
ruled to have engaged in unlawful discrimination by the state’s human
rights commission.
Here in Nebraska, a serious matter pits
governmental coercion against religious liberty. Unless state officials
resolve this in a way that respects convictions of conscience, it is
likely that Catholic diocesan agencies will be forced to terminate their
counseling ministries, including those provided as charity care.
The state licensing boards that govern Mental
Health Practitioners (also encompassing the affiliated categories of
marriage and family therapists, social workers and professional
counselors) and Psychologists, as well as the State Board of Health, are
pushing for regulations that would delineate "unprofessional conduct" to
include an open-ended proscription of all discrimination on the basis of
"sexual orientation" and "gender identity;" neither of which is defined.
The Nebraska Catholic Conference has taken a stand that defining
unprofessional conduct in such a manner will dictate the type and scope
of counseling that must be provided or for which referrals must be made.
No person is denied access to any of the
counseling services that diocesan agencies can and do provide in accord
with Catholic moral teaching and values, using state-credentialed staff
as required by state law. The issue at hand is not at all about
excluding persons from services; it is about accommodating exclusion of
a narrow context of services; namely, therapy or counseling that has as
its purpose to validate, affirm, support and/or enhance behavior (e.g.,
sexual expression outside the bond of marriage between a man and a
woman) that the credential holder considers immoral.
The firmly held position of the Nebraska
Catholic Conference is that individuals who hold professional
credentials have a right of religious liberty to act in accord with
their religious beliefs and moral values. They should not be coerced
into participating—whether by providing or by the complicity of making a
referral—in professional services that contradict their religious
beliefs and/or convictions of conscience. They should not be forced into
the untenable position of either acting contrary to their convictions or
being subjected to administrative punishment, including license
suspension or revocation.
Without effective accommodation for religious beliefs and convictions
of conscience, these regulations that the licensing boards intend to be
a shield against discrimination will instead be a sword used to dictate
the scope and type of counseling services that must be provided or for
which a referral must be made. Fortunately, the Director of Public
Health has not allowed this unjust policy, this trampling of religious
liberty, to occur. But conscience protection has not been settled on
either.
Spending Cuts and Tax Cuts
February 3, 2012
As the Nebraska Legislature
maneuvers its way through the 39 legislative days remaining in its 2012
regular session, the word "cuts" is again going to be a prominent part
of the session-related vocabulary.
That’s "cuts" as in spending cuts, which has
become a fairly common usage during the economic downturn of recent
vintage. Then there’s the common, but now relatively new idea in the
current mix, "tax cuts," which pops up as the state’s economic outlook
brightens and achieving greater stimulation is argued.
On the spending-cuts side of the equation,
much of the attention will likely be focused on Nebraska’s
medical-assistance program, i.e., Medicaid and the Children’s Health
Insurance Program, which helps pay for health care for low-income and
medically needy populations, including adults, children, seniors and
those with chronic illnesses and disabilities. On Dec. 1 last past, the
state Department of Health and Human Services’ Division of Medicaid and
Long-Term Care notified the Legislature, as required by law, of proposed
cuts within its implementation of the Medicaid program, primarily in the
form of increases to copayments for eligible recipients and limits on
services.
State law requires DHHS to hold off on
proposed administrative changes until after one regular session of the
Legislature. The purpose is to provide the Legislature with an
opportunity to consider the proposed actions, including cuts, and to
overturn or modify them by legislation if there is enough support to do
so.
Among the changes being proposed by DHHS—the
essence of which amounts to cuts in coverage—are an increase from $1 to
$2 in copayments on physical, speech and occupational therapies; an
increase from $3 to $50 for non-emergency visits to emergency rooms; a
limit of 240 hours per year on home health services (nursing and aides)
for both adults and children; the elimination of private-duty nursing
services, an increase in the level of care needed to receive personal
care services; a limit on personal-assistance services to
three-and-a-half hours per day and a 60-hour limit per month;
elimination of oral nutritional supplements provided through the durable
medical equipment program; a limit on behavioral health therapy visits
to 60 per year. In addition, proposals are prepared to eliminate some
items from coverage, e.g., eyeglasses, hearing aids and dentures for
eligible adults, if federal Medicaid cuts happen.
Some costs would shift to other services or
programs, but the net savings from the planned changes is projected to
be $7.7 million for the second half of Fiscal Year 2013 and $15.4
million for Fiscal Year 2014.
In response to the proposals from DHHS, Omaha
Senator Jeremy Nordquist introduced LB 952. It would prohibit
implementation of the proposed changes, which amount to cuts in
services. The bill was assigned to the Appropriations Committee, which
held a public hearing Jan. 30.
On the other side of the "cuts" equation
there’s LB 970. It was introduced by the chairperson of the
Legislature’s Revenue Committee, Sen. Abbie Cornett, on behalf of
Governor Heineman. The proposal has three facets. It would reduce the
individual state income tax by lowering the tax rates and expanding the
income brackets. It would reduce the top corporate income tax rate. And
it would entirely repeal the inheritance tax, which is imposed on the
beneficiaries of decedents’ estates and paid to the counties.
The fiscal note on LB 970 projects a drop in
state revenue of $51.8 million for the budget year that ends June 30,
2013 and considerably more than that in out-years.
So, there is an interesting juxtaposition of
proposals here. Cuts in medical-assistance spending on one hand; cuts in
revenue on the other. It certainly seems to raise questions of whether
or not the state can afford the tax cuts, or whether the cuts in medical
assistance are really necessary and justified. What’s more, there are
other pressing needs as well, such as child-welfare reform, meeting the
needs of those with developmental disabilities and all components of
education. Keep in mind, too, that last year the Legislature and the
Governor agreed to ear-marking some General Funds for construction and
maintenance of highways and roads.
It all boils down to decisions about
priorities. These are tough decisions for the policy makers, which they
will confront between now and mid-April. Stay tuned.
And finally…..
After about four hours of floor debate last
week, LB 276, proposing to repeal the death penalty and replace
it with imprisonment for life without parole, moved quietly to the side
of the road, so to speak. Most likely it won’t be on the Legislature’s
agenda any more this session. Regrettably, the votes aren’t there to
pass it.
As long as the desire for revenge is a greater motivation for
lawmakers and their constituents than a desire for effective justice and
true concern for victims, legal authority for state-imposed killing of
convicted murderers—answering violence with violence—will remain in
place.
Religious Liberty
Concerns Exist in Nebraska
February 17, 2012
The federal Department of Health and Human
Services’ arrogant efforts to coerce all employers, including all but a
narrow category of those with religious and moral objections, into
purchasing health-insurance plans that cover abortion-inducing drugs,
sterilization and contraception, are receiving the uproar and criticism
they deserve. The threat this "preventive services" mandate poses to
religious liberty is unmistakable.
Including these products and procedures as
governmentally emphasized, cost-free health care for virtually all who
are insured, regardless of the moral objections of those who provide the
coverage or pay the premiums, is not the only context in which religious
liberty is under mounting pressure.
Last May, the same federal agency added a new
requirement to its contracts for services for victims of human
trafficking so that the Migration and Refugee Services agency of the
U.S. Conference of Catholic Bishops, which had a record of exemplary,
effective services, would be barred from participation if it did not
provide the "full range" of reproductive services—namely, abortion,
sterilization and contraception.
Last March, the U.S. Department of Justice
stopped defending the congressionally enacted Defense of Marriage Act.
Then in July, DOJ began filing briefs that actively attack DOMA’s
constitutionality, arrogantly claiming that supporters of the duly
enacted law could only have been motivated by bias and prejudice. If
"bigot" is applied by the government to churches and religiously
motivated institutions and individuals because of their teachings and
religious convictions about marriage as a natural union of a man and a
woman, conflict over religious liberty will exist for years to come.
Issues of religious liberty and freedom of
conscience are not exclusive to federal policy actions. There are
state-level examples as well.
Several years ago, the Archdiocese of Boston
was forced out of its adoption ministry because, as a matter of fidelity
to the Church’s teaching on marriage, it could not place children with
homosexual and lesbian couples as the state government was dictating.
More recently, in Illinois, the state cancelled contracts with Catholic
Charities agencies because they were not providing adoption and
foster-care services in a manner consistent with a new state law that
legalized same-sex civil unions.
Individuals are affected by threats to
religious liberty as well. In New Jersey, a dozen nurses had to file a
lawsuit against a state medical facility in order to overcome an
employment dictate that they assist in abortions. In New Mexico, a
photographer who declined to provide professional services for a
same-sex commitment ceremony because of her religious convictions was
ruled to have engaged in unlawful discrimination by the state’s human
rights commission.
Here in Nebraska, a serious matter pits
governmental coercion against religious liberty. Unless state officials
resolve this in a way that respects convictions of conscience, it is
likely that Catholic diocesan agencies will be forced to terminate their
counseling ministries, including those provided as charity care.
The state licensing boards that govern Mental
Health Practitioners (also encompassing the affiliated categories of
marriage and family therapists, social workers and professional
counselors) and Psychologists, as well as the State Board of Health, are
pushing for regulations that would delineate "unprofessional conduct" to
include an open-ended proscription of all discrimination on the basis of
"sexual orientation" and "gender identity;" neither of which is defined.
The Nebraska Catholic Conference has taken a stand that defining
unprofessional conduct in such a manner will dictate the type and scope
of counseling that must be provided or for which referrals must be made.
No person is denied access to any of the
counseling services that diocesan agencies can and do provide in accord
with Catholic moral teaching and values, using state-credentialed staff
as required by state law. The issue at hand is not at all about
excluding persons from services; it is about accommodating exclusion of
a narrow context of services; namely, therapy or counseling that has as
its purpose to validate, affirm, support and/or enhance behavior (e.g.,
sexual expression outside the bond of marriage between a man and a
woman) that the credential holder considers immoral.
The firmly held position of the Nebraska
Catholic Conference is that individuals who hold professional
credentials have a right of religious liberty to act in accord with
their religious beliefs and moral values. They should not be coerced
into participating—whether by providing or by the complicity of making a
referral—in professional services that contradict their religious
beliefs and/or convictions of conscience. They should not be forced into
the untenable position of either acting contrary to their convictions or
being subjected to administrative punishment, including license
suspension or revocation.
Without effective accommodation for religious beliefs and convictions
of conscience, these regulations that the licensing boards intend to be
a shield against discrimination will instead be a sword used to dictate
the scope and type of counseling services that must be provided or for
which a referral must be made. Fortunately, the Director of Public
Health has not allowed this unjust policy, this trampling of religious
liberty, to occur. But conscience protection has not been settled on
either.
Norris-Led
‘Experiment’ Marks 75th Anniversary
January 20, 2012
As one of the early, official
acts of their 2012 session, Nebraska lawmakers overwhelmingly passed
Legislative Resolution 362, recognizing Jan. 5 of this year as the
celebration of the 75th anniversary of the Unicameral
Legislature.
It was on that date in 1937, that U.S. Senator
George Norris missed the opening of Congress in order to address the
first members of the first Unicameral. Norris’s speech emphasized the
opportunity those legislators had to expand the horizons of
representative government through the innovative device of a unicameral.
It was a concept he championed—the "Nebraska Experiment"—believing that
a one-house system would curb abuse of conference committees and promote
transparency in government proceedings. His concept also included
election of the legislators on a nonpartisan ballot.
Nebraska voters had approved the idea at the
General Election in 1934. Thereby, Nebraska became the first and only
state with a one-house legislature. That’s still fact.
Norris represented Nebraska for five terms in
the U.S. House of Representatives, from 1903 through 1912, and then for
five terms in the U.S. Senate, from 1913 through 1942. Three of his
famous undertakings were sponsorship of legislation creating the
Tennessee Valley Authority (1933), which enabled dam construction on the
Tennessee River to control flooding and general low-cost electricity;
legislation creating the Rural Electrification Act, which brought
electricity to rural areas throughout the country and ensured public
ownership of the power generation and delivery system; and the Norris-La
Guardia Act, which was a boon to working men and women throughout the
nation.
Norris died in McCook in 1944. A law enacted
in 1981 already designates Jan. 5 of each year as George W. Norris Day.
In addition, in 1984, the Legislature’s chamber at the State Capitol was
named in his honor.
Transitional
Program Helps with Pre-Existing Conditions
The fate of federal health care reform
legislation, the Patient Protection and Affordable Care Act of 2010, is
"up in the air" to say the least. It’s the law, but it’s under
significant legal challenges. The U.S. Supreme Court has agreed to hear
and decide at least some of the constitutional issues. The Act might
survive. It might fail in part. It might collapse in total. It could be
that. Justice Anthony Kennedy controls the fate, as he once again
appears to be the swing vote on a major issue. Stay tuned.
Parts of the Act are already operative. One
such part is the Pre-Existing Condition Insurance Plan (PCIP). Available
since July 2010, it provides a health care coverage option for children
and adults throughout the country who otherwise are denied coverage due
to a pre-existing condition. Currently in most states, private health
insurance companies can refuse to insure an individual for that reason.
Nebraska is one of 23 states in which the plan
is federally operated.
In order to be eligible to enroll in the
Pre-Existing Condition Insurance Plan, an individual has to be a citizen
or national of the U.S. or reside here legally. He or she has to have
been without health care coverage for at least the last six months. And
he or she must have a pre-existing condition or have been denied
coverage because of a health condition. The latter two criteria are
state-law determinations.
Applicants who are approved as eligible can
choose from three plan options, with different levels of premiums,
calendar-year deductibles, prescription deductibles and prescription
co-pays. One option is a Health Savings Account. Each option covers
preventive care at 100 percent, with no deductibles.
PCIP covers a range of health benefits,
including primary and specialty care, hospital care, and prescription
drugs. There are no waiting periods for coverage to kick in after its
effective date, even if it’s to treat a pre-existing condition. There is
no lifetime maximum or cap on the amount of covered health care. There
is provider choice.
For PCIP/Nebraska, premiums range from $132
per month to $568 depending upon the age of the insured and the coverage
option selected. For example, the potential premium for a 50-year-old
under the standard plan is $303. The maximum a Nebraska participant can
pay out-of-pocket for covered services in a calendar year is $5,950 in
network and $7,000 out-of-network. Nebraska’s provider network includes
more than 6,700 physicians, 460 pharmacies and 73 hospitals throughout
the state.
The current PCIP program is considered
transitional; to last until 2014. Then, if what is scheduled to happen
survives the legal storm, insurers will no longer be allowed to deny
coverage to individuals with any pre-existing condition.
More information about the Pre-Existing
Condition Insurance Plan is available at
www.pcip.gov.
Click on "Find Your State" to learn how it works in Nebraska.
And finally… Nebraska’s 49 legislators are paid a salary of $12,000 a
year. That’s been the salary since 1988. It’s in the state constitution.
It’s unreasonably low. On the second day of this session, Senator Scott
Lautenbaugh from Omaha introduced a legislative resolution (LR373CA)
proposing to place before the voters in November an amendment to the
Nebraska Constitution that would boost the salary to $32,000 per year.
There might be enough support to move something less than that to the
ballot.
Legislature’s
New Session Has Carry-Over Bills
January 6, 2012
When he met in October with
Italy’s interior minister, Pope Benedict XVI described civic leadership
as having "an almost sacred character." "Therefore," the Pope
stated, "it must be exercised with great dignity and a deep sense of
responsibility."
Those values the Pope emphasized—dignity and
responsibility—would certainly seem to be highly regarded standards for
all contexts of the exercise of temporal authority. For instance, they
come to mind in the context of the second session of the 102nd
Nebraska Legislature, newly underway at the State Capitol, having
convened on Jan. 4 for up to 60 days of lawmaking.
Fortunately for Nebraskans, dignity and
responsibility prevail far more often than not when the Legislature is
doing its business.
The second regular session of each Nebraska
Legislature—the "even-year" session"—has legislation available for
action right from its opening gavel. This is due to the fact that
legislation not finally decided during the first year of a
Legislature—always odd-numbered years—"carry over" to the ensuing year.
Legislative bills introduced in 2011, but neither passed nor
indefinitely postponed, began this session at the stage of the process
they were at when that first session ended.
Approximately 400 legislative bills (also
including a few substantive resolutions that are addressed procedurally
as bills) carried over from 2011 to this year. The total includes 38
bills that are on "General File," which is the first stage of floor
debate by the body as a whole. The session started with seven bills at
the second stage, "Select File," and one held on Final Reading. The
other 350 or so carry-over bills are under the jurisdiction of the
committee to which they were assigned. Every one of these bills was the
subject of a public hearing conducted last year by the respective
committee.
While there is carry-over legislation to work
on, new legislation is being introduced as well. Once the committees
begin holding public hearings on these newly introduced bills, the
legislators will spend mornings in floor sessions and afternoons in
their committee assignments.
With the foregoing information as background,
what’s an example of a carry-over bill that is likely to attract early
attention?
Perhaps it will be LB 276, which
proposes to repeal the death penalty as punishment for aggravated
first-degree murder. It would replace execution with imprisonment for
life without parole, subject only to the constitutionally-established
authority of the Board of Pardons—three elected statewide
office-holders: Governor, Attorney General, and Secretary of State— to
commute life sentences to specific terms.
LB 276 had a public hearing last March 4 and
was subsequently advanced to the full Legislature, i.e., General File,
by a 6-2 vote of the Judiciary Committee. It was not designated a
priority bill, so it received no action and remained on General File.
While it may be doubtful that LB 276 would
have enough support—not just to advance and pass with 25 votes, but to
reach 30 in order to override an almost-certain veto by the Governor,
the debate nonetheless would be worthwhile.
In addition to the longstanding policy
arguments relating to capital punishment, as well as new data and
information, there are two other, more specific aspects we hope draw
attention and comment if this debate occurs.
First and foremost would be more information
and more probing about the messy situation Nebraska has been in
regarding acquisition of drugs to carry out a lethal-injection
execution. Whether Nebraskans, including the legislators, view this
quagmire as a prevailing reason, or yet another reason, to repeal the
death penalty, or not, this matter ought to be thoroughly scrutinized as
a matter of legislative record.
Secondly, we hope there would be some
expression of concern about what happened at the Republican
presidential-candidate debate in California in early September. As part
of his introduction of a question about the death penalty, national
newsman Brian Williams, serving as the moderator, mentioned the
candidate’s (Texas Governor Rick Perry) record of authorizing 234
executions in a little more than 10 years. The audience burst into
clapping and cheering. It was a chilling reaction to such a somber
reality. How does it reflect on society? How would both defenders and
opponents of the death penalty explain it? Such questions are ripe for
discussion.
And finally.... The Unicameral Legislature, which consists of 49
state senators, has two new members in 2012. They fill vacancies that
occurred since the 2011 regular session concluded. District 33 office
holder, Senator Dennis Utter from Hastings died Dec. 27. He served
admirably, as a competent and dedicated legislator, who made valuable
contributions to legislative outcomes. His replacement had not yet been
appointed as of the first day of the new session. Senator R. Paul
Lambert, from Plattsmouth, was appointed by Governor Heineman on Oct. 7
to replace Dave Pankonin, who resigned as the legislator for District 2.
Senator Lambert had a "baptism by fire," as his service began in time
for November’s special session on the pipeline issues.
|