Direct Care Contracts: Cheap Non-Insurance Plans Could Put Patients at Risk (video)

Banner University Medical Center

In the Health and Human Services Committee, we have heard a few different insurance plans that would be cheaper and less comprehensive alternatives to the Affordable Care Act (ACA).

With SB1107, healthcare moves into the gig economy. SB1107 covers direct primary care agreements, a non-insurance alternative to the ACA.  In Arizona, people are already allowed to make one-on-one contracts with a healthcare provider for certain services for a designated mount of money per month.

This bill clarifies existing law and says that these contracts are not insurance and, therefore, not regulated by the Arizona Department of insurance. It also says that you can have contracts with doctors, physicians assistants, nurse practitioners, nurses, dentists, and physical therapists.

If you take this to it’s illogical extreme, you could have multiple contracts with different providers for different menus of services. Unless you are really good at contract law, you could end up having several contracts, paying monthly bills to each of these providers and still not getting the care that you need. Since these plans are not insurance, you would not be able to take your complaints to a bureaucrat at an insurance company or at the Department of Insurance.

Direct current primary care agreements are supposed to fill a niche in the healthcare market. The ACA is too expensive, particularly for sole proprietors. These are business people who are their business. Professional people, consultants, artists and musicians could all be sole proprietors.

Continue reading Direct Care Contracts: Cheap Non-Insurance Plans Could Put Patients at Risk (video)

Protect Patients: It’s time for Cannabis Testing in AZ (video)

marijuana

Thirty-four states have some form of legal marijuana. Arizona is the only state that has no quality control testing for contaminants (like pesticides) or for make-up (how much THC, CBDs, etc.)

Cannabis testing died at the end of the session in 2018 during a flurry of negotiations regarding several marijuana reform bills. It is back in 2019 as SB1494, which passed the House Health and Human Services Committee last week. This is a clean cannabis testing bill with no other issues attached.

Arizona has 200,000 medical marijuana patients who purchased 61 tons of marijuana and related marijuana products, like edibles and concentrates, in 2018. Ours is the third largest program in the country… and the only one with no quality control testing.

In committee, the governmental liaison for the Arizona Department of Health Services (ADHS) Shannon Whitaker said that they don’t know how to do quality control testing for marijuana and want more specifics on what to do. I asked if anyone at ADHS had looked at the testing standards and programs from the other 33 states, and she said, “No”. Looking at how other health departments are testing samples of marijuana could be very helpful in setting up the Arizona program. Just sayin’.

Before I voted “yes” on SB 1494, I talked with the lobbyists on both sides of the issue, medical marijuana patient and NORML representative Mikel Weisser, and former ADHS Director and current Executive Director of the Arizona Public Health Association Will Humble.  Humble, who wrote the current medical marijuana rules, said that testing is in the Arizona Medical Marijuana Act (AMMA). He had planned to write testing rules back in 2011, but he was pressed for time with a 120 day window to write all of the rules. He added that he “was getting beat up from all sides” during the process. (I confessed that I was blogging about the card costs, which are the highest in the country.) Humble supports SB1494 but adds that ADHS has the authority to write rules on testing, even without SB1494.

ADHS is sitting on $60 million in card fees that can be spent only on the medical marijuana program. It’s time to protect patients. It’s time for Arizona to spend some of those AMMA funds to write the rules and set up testing.

SB1494 was debated at length in the House Health and Human Services Committee last Friday and passed unanimously. Since almost everything we do is on video, you can watch the debate on the AZLeg website. Click on Archived Meetings and scroll down to House Health and Human Services on March 29, 2018. You have time to voice your opinion on Request to Speak.

Look for amendments and a rousing debate on this in the coming weeks.

Multiple Bills Look at Housing, Homelessness (video)

Homelessness, transitional housing, low-income housing and affordable housing are obviously big problems in the state of Arizona. Currently, the Arizona House is considering a mixed bag of bills that tackle different parts of the housing problem.

Today’s video focuses on SB1471 which provides a creative funding mechanism to put up to $10 million per year in the Housing Trust Fund for homeless youth and families. There are no federal HUD funds for this population.

SB1471 sets up a process for the state of Arizona to collect capital gains taxes on sales of Arizona property owned by out of state individuals. Apparently, compliance with capital gains taxes owed by out-of-state investors is less than 30%. This bill is projected to make around $8 million of year and could go higher. If more than $10 million is collected, the excess goes into the general fund.

We heard SB1471 in Ways and Means this week, and several other housing bills related to the seriously mentally ill (SB1336), AHCCCS members, youth (SB1539), widows and the elderly (SB1383), and other vulnerable populations (SB1098) passed out of the House Health and Human Services Committee unanimously. (I am on both of these committees.)

Why is there so much need? Because the Republicans have repeatedly swept the Housing Trust Fund since the dark reign of the Tea Party began in 2011.

All of the housing bills passed out of the Senate and out of the House committees. Will they make it into law? I hope so. (There is one caveat to this hopeful housing post. A housing tax credit bill, which passed out of House Ways and Means but died, has been revived in the Senate as a striker.  Affordable housing tax credit bills sound good but cost the state tens of millions of dollars over time. Direct help to people is easier and more cost effective.)

Are we done? No.

Instead of a scatter shot approach of random bills to tackle housing and homelessness, what we need is a comprehensive approach, with adequate funding to make a difference.

Legislators Should Stand with #RedForEd: No New Tax Giveaways (video)

The Arizona House Ways and Means Committee is like an extended game of tax giveaway wack-a-mole. I have lost count how many tax giveaway bills Republicans have passed since January.

This week, we heard SB1027, which dramatically increases a tax credit that currently benefits only poor children with chronic diseases or physical disabilities.

Tax credits take money out of the general fund. SB1027 would dramatically expand this tax credit from helping poor children with certain medical conditions to helping *anyone* of any age and any income who has a chronic illness or physical disability.

This bill is overly broad, and it has an unknown cost and no sunset date. Most of the committee testimony focused on one physical therapy center and gym in Tucson that serves clients with Parkinson’s disease, but there are many chronic diseases, most notably diabetes. More than 600,000 Arizonans have diabetes, and another 1.8 million have prediabetes.

The public health problem of helping people lead healthier lives with chronic disease goes far beyond what would be fiscally responsible to fund through tax credits. Medicare, Medicaid, and commercial insurance cover some services. If more is needed, the Health and Human Services Committee should look at it– instead of going to Ways and Means for a tax credit.

Continue reading Legislators Should Stand with #RedForEd: No New Tax Giveaways (video)

On Nov 6: Vote as if Your Rights Depend on It

Rep. Pamela Powers Hannley

Nov. 6, 2018 is a day that millions of Democrats have been waiting for and working toward for the past two years. Since President Trump’s election, people have been organizing and working hard toward nationwide Democratic victories in 2018. Every Presidential Tweet and every backward policy announcement made us cringe but also made us stronger in our resolve to take back our government and our country.

With door-to-door canvassing, postcards, and e-newsletters, my team has reached out to more than 80,000 LD9 voters. With social media, the reach is well over 100,000.

On Nov. 6, it is your turn. I hope you will consider voting to re-elect me– Pamela Powers Hannley– to the Arizona House of Representatives.

When I ran for office in 2016, I said I wanted be your voice—the voice of the people—in the Arizona Legislature. And that is exactly what I did.

I used my voice, my votes, my amendments, and my bills to fight for the rights and wellbeing of workers, patients, teachers, students, women and the underserved.

It’s time for the Arizona Legislature to fund the People’s To-Do list instead of the corporate wish list. It’s time that we funded education, healthcare, infrastructure and safety and security. That would economic development. Continue reading…

To learn more… about my plans and ideas, check out these blog posts links and related videos:

Pamela Powers Hannley: Your Voice in the Arizona House

Balanced Public Health Policy Should Be Legislature’s Goal (video)

LD9 Debate Reveals Stark Contrasts between Democrat & Republican Candidates (video)

Gosh Darn Podcast Interview with Rep. PPH Delves Deep into Education Views

Arizona Daily Star Endorses #LD9 Democrats (video)

#RedForEd: Don’t Get Mad. Get Even on Nov 6 (video)

Where I stand on the issues… check out these links for information and videos on specific issues.

Overall look at issues here.

Specifics about education and funding for it here and here.

Check out news stories and interviews here.

Many have endorsed me… check out this link.

As a progressive Democrat and a Clean Elections candidate, I accept no big money donations or dirty money. As a result, I am beholden only to you, the voters– and not to wealthy national donors or special interest groups.

I want to continue to be your voice– the voice of the people– in the Arizona House. Our work is not done. Please vote for my on Nov. 6, 2018. Thank you so much for your support.

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Healthcare & Equality: Two Big Events on Nov 1 (video)

ERA

When your state and your Congressional district are being targeted by both major political parties and several special interest groups, the days leading up to Election Day are fast-paced as national groups and speakers come to Arizona.

Nov. 1 is a big day for political events.

Tucsonans Talk Back to McSally & Trump Jr.

As Donald Trump Jr. stumps for Congresswoman Martha McSally in Maricopa County, Tucsonans will be protesting in front of her office on Broadway Blvd. Organized by Arizona Healthcare Voters, the purpose of the rally is to call out McSally’s lies about her votes on the Affordable Care Act and on healthcare in general. Media advisory here.

As the ranking member of the Arizona House Health Committee, I am happy to be participating in this event hosted by Arizona Healthcare Voters.

The US has the most expensive and least effective healthcare insurance system when compared to other developed countries. McSally and the Republican Party want to make our already overly complicated and expensive system even more restricted and more expensive. That is going in the wrong direction.

Come on down and tell McSally what you think of her record on healthcare, health insurance, the Affordable Care Act, Medicare, Medicaid, and more.

The organizers’ Facebook event is here.
https://www.facebook.com/events/429229150943449/

Equal Means Equal presents: The Equality Tour 2018

To gear up for Nov. 6 and for the 54th Session of the Arizona Legislature, the Equal Means Equal Equality Tour is stopping in Tucson on Nov. 1 and in Tempe in Nov. 3.

The directors of the movie “Equal Means Equal,” Kamala Lopez and Natalie White, will be in town for the event.

Come on down for a full evening of entertainment– dotted with a few speeches. I will be one of the speakers, along with LD9 Senate candidate Victoria Steele.

Continue reading Healthcare & Equality: Two Big Events on Nov 1 (video)

Arizona Daily Star Endorses #LD9 Democrats (video)

LD 9 Reps. Dr. Randy Friese and Pamela Powers Hannley and Victoria Steele (State Senate candidate).

Several weeks ago, the three LD9 Democratic Party candidates– incumbent Reps. Randy Friese and Pamela Powers Hannley and Senate candidate Victoria Steele–and Republican write-in candidate for Senate Randy Fleenor were interviewed by editors and reporters from the Arizona Daily Star, as part of their endorsement process.(For the second election in a row, Republican House challenger Ana Henderson didn’t participate in the interview.)

On October 17, 2018, the Arizona Daily Star formally endorsed the LD9 Democratic team. (They had endorsed Friese and Powers Hannley in 2016 also.) Here is their announcement:

Star Endorsements: Victoria Steele, Randy Friese, Pamela Powers Hannley in Arizona Legislative District 9 

The Star shot video clips of us after the interview.

 

Balanced Public Health Policy Should Be Legislature’s Goal (video)

Arizona Opioid Epidemic Act

This is the transcript of my opening remarks at the Arizona Public Health Association Conference on Oct. 3, 2018. A video of the speech is below.

It is an honor for me to address the Arizona Public Health Association, since I have a Masters in Public Health from the University of Arizona. I worked in health communication, medicine, public health and behavioral research for many years before deciding to run for the Arizona House in 2015.

In fact, it was my background in public health that prompted me to run for office. Many times since I moved to Arizona in 1981, I have found myself shouting at the radio or the TV or the newspaper or a social post about bad policy decisions made by the Arizona Legislature. Anybody else have that experience?

In the public health arena, the Legislature far too often makes short-term decisions to save a buck or make an ideological point, but in the long-term, these decisions cost money and lives. Do you remember Governor Jan Brewer’s Death Panels? Brewer knocked more than 250,000 adults off of Medicaid—including people on transplant waiting lists. That decision made national news as transplant patients began dying.

Another example of a short-term savings that caused long-term problems is the $80 million cut in childcare subsidies and preventive services for families in need. That recession-era funding sweep played a major role in Arizona’s foster care crisis. At its peak, nearly 19,000 Arizona children were in foster care. Most of those children were removed from their homes for “neglect”. Unfortunately, in Arizona, neglect is a catch-all term which could encompass anything from lack of reliable child care to drug abuse to domestic violence.

None of that $80 million in state funding for childcare has been restored. Why not? Because, of course, we have to cut taxes every year—regardless of the needs of the people.

Continue reading Balanced Public Health Policy Should Be Legislature’s Goal (video)

Pam Powers Hannley: Your Voice in the Arizona House

Rep. Pamela Powers Hannley

When I ran for office in 2016, I said I wanted be your voice—the voice of the people—in the Arizona Legislature. And that is exactly what I did.

I used my voice, my votes, my amendments, and my bills to fight for the rights and wellbeing of workers, patients, teachers, students, women and the underserved.

Protecting your family…

I was a strong voice for public health and affordable access to care during the negotiations and eventual passage of both the Arizona Opioid Epidemic Act and dental therapy. I also co-sponsored a bill to allow Arizonans to buy-in to Medicaid (AHCCCS). This is a potentially cheaper option for folks who are struggling with the cost of health insurance. House Democrats will be proposing it again in 2019.

On budget night 2018, I proposed an amendment to appropriate $56 million in federal child care subsidies to fill the $80 million gap left after Republicans swept the funds during the Great Recession. Arizona House Republicans voted to leave those funds unspent; Arizona is the only state in the country that didn’t use those earmarked childcare funds. (I’ll try again in 2019.) I also backed a bill for tiered reimbursement for childcare subsidies. This bill, which was signed into law, and the $56 million in subsidies would go a long way to help Arizona families and children.

Protecting your rights…

Also on budget night, at around 4 a.m., I defended the rights of pregnant homeless women to have access to abortion and abortion referrals. I have seen young homeless women with infants on the streets of Tucson. The streets are no place for adults– let alone children and babies. Because we are a state that does very little to help women once their babies have been born, I believe we should expand access to contraception and all legal medical procedures and teach medically accurate sex education in the schools.

ERA
ERA advocates participated in the Together We Rise rally on opening day at the Arizona Legislature in 2018. Besides me on the far left, legislative candidates Victoria Steele (third from left) and Sharon Girard (far right) are also pictured above.

Two years in a row, I proposed ratification of the Equal Rights Amendment (ERA) in Arizona. Arizona women won’t have equal pay for equal work without passage of the ERA.  Overall, women are paid roughly 78 cents on the dollar compared to men. Due to the intersectionality of race, class, ethnicity and gender,  African-American women, Native American women and Latinas are paid far less than white men. Latinas make roughly 55 cents per hour for every $1 earned by a white man. Tucson’s population is 41% Latino. Just think of the economic impact to our city and our region if Latinas were paid fairly and if they were offered quality education for themselves and their children. It doesn’t do our community, our state or our country to force people to live in poverty and sickness.

Continue reading Pam Powers Hannley: Your Voice in the Arizona House

Know Your Candidates: Early Voting Begins Aug 1 (video)

Rep. Pamela Powers Hannley

It’ go time, people. Today is July 26, 2018.

In five days, voter registration closes for the August 28 primary on July 30.

In seven days, early voting begins for the August 28 primary on August 1.

In 34 days, it will be Primary Election day on August 28.

It’s time for voters to get serious about making up their minds on who to vote for. Many news outlets– like the Arizona Republic and the Tucson Weekly— are compiling voter guides. (The link to the Republic’s guide is below. The Weekly’s will be published soon.) The state’s main Voter Education Guide, which you will receive in the US mail soon, is already available online here.

In addition to voter guides, organizations, nonprofits, and unions have released candidate statements and endorsements (linked below).

Rep. Pamela Powers Hannley
Rep. Pamela Powers Hannley

For your consideration, I have compiled a list of my endorsements, ratings, awards and news clips– along with links to five organizations that have compiled candidate issue statements.

I am asking for your vote on or before the August 28, 2018 primary and again in the fall– on or before the November 6, 2018 general election.

I promised to be the voice of the people in the Arizona Legislature, and that’s exactly what I did. As a Progressive Democrat and a Clean Elections candidate, I am beholden to no one but you– the voters of Arizona. I accept no big-money donations from lobbyists, special interest groups or unions. Votes should decide our elections– not money.

In the 53rd Legislature, I voted my values and stood up for your rights and wellbeing. The People’s work is not done. We must turn the Arizona Legislature around. It’s time that elected officials stopped voting to give our tax money away and started voting to fund the People’s To-Do List: education, healthcare, infrastructure, and safety and security. I am proud to say that I voted against every tax giveaway that was proposed in two years. Do you want a representative who stands with teachers, students and families or one who stands with the developers? That is your choice in the LD9 primary.

Please check out the links and videos below. It has been an honor to serve you for the past two years in the Arizona House. Thank you for your support.

Continue reading Know Your Candidates: Early Voting Begins Aug 1 (video)