http://www.crooksandliars.com/2007/04/06/bush-kills-senior-drug-program/ Wisconsin State Journal:
Gov. Jim Doyle's administration is reviewing how best to maintain prescription drug services to the elderly after the federal government rejected the state's request to extend the popular SeniorCare program, the governor said Wednesday.
Regardless, Doyle said at a news conference that the decision likely kills the program, forcing the 104,000 people on SeniorCare to use the Medicare Part D drug plan.<..>
In an April 3 letter to Doyle, Leslie Norwalk, acting administrator for the Centers for Medicare and Medicaid Services, said the federal government wavier allowing Wisconsin to operate SeniorCare would expire June 30 because state officials had not proven the program was cost-neutral. She said the state's waiver request didn't include information about the assets of program participants, which would help determine if SeniorCare saved taxpayers money
Leslie Norwalk
"loyal b*shy"?
A quick trip to google shows that she has been dicking around in some very basic nuts & bolts of definitions in the medicare and medicaid programs.
http://www.aamc.org/advocacy/library/teachhosp/corres/2007/031907.pdf(a letter from Robert M. Dickler,Senior Vice President,Division of Health Care Affairs, The Association of American Medical Colleges in Washington)
Excerpts:
The proposed rule provides neither data nor rationales justifying the restrictions the Agency seeks to impose. We urge CMS to work with Congress to determine whether, and to what extent, policy changes to the Medicaid program are needed.
~snip~
We are concerned that the totality of the changes in the proposed rule, if finalized, would significantly upset the delicate balance of resources that teaching hospitals rely on to fulfill their patient care and other missions.
~snip~
We strongly oppose this budgetary proposal. We also question whether the Administration can implement such a proposal without explicit statutory direction. If the Administration does choose to raise this as a regulatory issue, we believe it would be necessary for CMS to issue a distinct and explicit notice and comment rulemaking process.