Weekly Capitol Update
We have completed 24 days of the state constitutionally-mandated no more than 40 legislative day session. The situation is progressing positively on the budget front, especially in light of the shortfall for the PeachCare health insurance program for children. Indications from the U.S. Congress are that they will make up a portion of the shortfall, but to what amount is uncertain. That will be a positive outcome to what could have been a budget nightmare with this program that provides health insurance to children of poorer families.
The most controversial issue taking place currently under the “Gold Dome” is Certificate of Need (CON). CON is the process in which a hospital or medical facility must receive a CON from the state. The process was adopted in the early 1990’s as an attempt by the federal government to keep healthcare costs lower by only allowing medical facilities that were needed based on a formula of potential patients in an area and how many similar services were being provided. The federal government did away with the program after it was determined that it didn’t lower healthcare costs and left it to the individual states to determine if they wanted to do away with the CON process. Most states did away with CON or greatly reduced its impact. Georgia did not. The impact for us is a cumbersome process in which the ability to create new health businesses, open new hospitals, expand current ones, or offer new services is slowed, stifled or outright denied.
Last year, the Legislature created a CON study committee which held hearings and issued a report. From that process, several bills have been introduced including one form Governor Sonny Perdue. The bills range from the total repeal of CON to an adoption of the CON study report findings. The House of Representatives has created a special CON committee to hold hearings and vote on CON bills in the House. The Senate is sending their CON legislation to their Health and Human Services Committee. In the next few weeks we will start seeing the direction that the legislature may want to take, but for now, it’s an open debate.
We handled several pieces of legislation tied to law enforcement. House Bill 168 made the requirements for associate juvenile court judges the same as juvenile court judges including being 30 years of age, been a citizen of the state for at least 3 years, and having practiced law for 5 years. We approved a raise for district attorneys making their pay more in line with Superior Court judges in H.B. 319. We also passed H.B. 155, a bill requiring a mandatory background check for owners of personal care homes, private home care providers, community living arrangements and child welfare agencies. The bill also makes it unlawful for an owner to operate any of these businesses with a criminal record. All of these bills easily passed and now head to the Senate.
To help our continued desire to always protect society’s most vulnerable from unscrupulous individuals, we passed H.B. 233, legislation that added the term “exploitation” in the long-term care code section. The language would include “exploitation” as the improper use of a disabled or elder person’s resources and property through undue influence, coercion, harassment, duress, false representation or false pretence. Please do not hesitate to let me know your position or feelings on these or any other issue. If you would like to reach me, please call me at (404) 656-7573 or write me at: State Rep. John Lunsford, 401, State Capitol, Atlanta, GA 30334 or e-mail me at john.lunsford@house.ga.gov