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Hospitals try to block state from limiting payments for illegal immigrants

Hospitals throughout Florida are challenging a state rule that limits payments to treat undocumented immigrants.

The hospitals say the Agency for Health Care Administration made the rule without following the proper procedures and unfairly wants them to reimburse the state for some of the Medicaid payments used to treat immigrants who aren’t legally in the United States.

At issue is a technical dispute over how much Medicaid pays for emergency services and when an emergency patient turns into a “stable” patient still in need of care. AHCA’s position is that Medicaid covers emergency care for undocumented patients, but not the ongoing treatment needed to keep the patient stable.

The rule could save taxpayers "millions and millions of dollars," but it would burden large hospital systems that provide loads of charity care, said Joanne Erde, an attorney representing the hospitals.

"What the state is saying is: ‘We don’t care if the patient is in the hospital or not or if the services are medically necessary, we’re not going to pay for anything beyond the point of stabilization’ — whatever that is,” Erde said. “And they’re applying it retroactively, back to 2005, in order to get money back from the hospitals.”

Erde’s clients filed a challenge with the Division of Administrative Hearings on Wednesday. They’re not specifically challenging the rule affecting Medicaid reimbursements, but the fact that it was implemented without public hearings.

AHCA said it never changed its policies, but simply conducted an audit to enforce what was already on the books.

“Our policy has not changed,” said AHCA spokesperson Shelisha Coleman. “We did an audit that raised suspicion that the hospitals were treating illegal aliens for emergencies and continuing treatment after the emergency had stabilized.”

AHCA did not provide data on how much money would be saved from the audit.

More here


Read more here: http://www.miamiherald.com/2012/08/17/2956689/hospitals-battle-medicaid-rules.html#storylink=cpy

Comments

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rked

GOOD....dump these Low-Life, ILLEGAL Scum Out onto the side-walks & streets...!!!--IF that sounds Harsh I do NOT care, cuz evidently Dictator & Chief, aka obobo-the-Clown does NOT like his own: American Citizens/TaxPayers as Demonstrated by his 'Decree' or ILLEGAL Amnesty, therefore I could give a Rat's Behind that ILLEGALS will be Thwarted in this Miniscule way....!!!

Jonathon Joseph

It is my opinion that the USA adopt and enforce all rules and regulations that Mexico enforces against all immigrents, both legal and illegal. If we simply enforced all of these said rules there would simply be no great influx of said illegal aliens.

Sonya Urnowey

I did not realize that Medicaid paid for medical care for illegal immigrants. There are more people on Medicaid than on Medicare and there is not a trust fund to support Medicaid. I am glad the state is taking this action.

Brittanicus

Seriously though, are we as Americans expected forever to keep subsidizing pregnant females with 400.000 unborn babies smuggled annually, with hordes of indigent people who slip past borders or the other 40 percent who fly into America never to return home? It is so easy for the both parties to remain unconcerned or staying deliberately ignorant about this silent invasion. Do we as Americans have to further forfeit our lifestyles, as we continually pay a annual bloated taxes to pay for every destitute foreigners who finds their way here? These are unfunded state mandates that keep on growing in hundreds of billions of dollars. Whether its Governor Brewer in Arizona or another state politician elsewhere, this drain on state treasuries must stop?

THE DREAM CHILDREN ARE HERE TO STAY, BUT IMMIGRATION ENFORCEMENT MUST BE ZERO TOLERANCE IN THE FUTURE. BUT REMEMBER THE PARENTS WHO ILLEGALLY BROUGHT THEM HERE HAVE NO DEFENSE AND STILL CAN BE REMOVED? UNQUESTIONABLY THE PARENTS ARE OPEN TO DEPORTATION, ONCE THE PHYSICAL ADDRESS OF THE ‘DREAMER’ IS REVEALED. The numbers of illegal aliens has risen through decades from the time of the first mass amnesty of 1968. From that time businesses have hounded politicians, to leave well alone and now illegal immigrants seem to have more influence than citizens? If these people came here with no expectations of living off the taxpayer, things might be more positive? But alas, that is not the case.

For the high pressure corporate entities, its financial gain on a grand scale as the wealthy do not live in the neighborhoods, which are literary toilets for the poor and the uneducated foreigners. So they can laugh at us mere taxpayers, who have to deal with the rampant crime or just the deterioration of our communities. For the wealthy business owners it is just pure greed of discount illegal workers. These types of people are not bothered, as they are not paying out enormous taxes, to support the list of welfare handouts.

I used to be a predictable Democrat, but I realize now that a large majority of their voters are out for what they can get? The freeloader--those who feel it’s the responsibility of the government to keep them and support their drug, drink and tobacco habits. The people who are medically infirm or mentally sick are the ones who are hurting, because government support has been cut way down, to pay the schooling, health care treatment for illegal aliens, which is our burden to tolerate? Over the years illegal immigration has become a huge unmovable yoke around the necks of every taxpayer and it’s not going away.

Presumably not under the prospective presidency of MITT ROMNEY or President Obama will the situation change for the American people, but with an understanding of previous issue debates and discussions of VP Paul Ryan, he seems to have the attributes moderate conservative that can really upset his Democrat betrayers of the U.S. Constitution. It is doubtful to me that Mitt Romney has a TEA PARTY ideology, but his Vice President Ryan has been deemed one of the selected.

Immigration and under Obama’s Justice Department all I can see for the future, is more unrealistic backdoor amnesties through executive orders. More money for taxpayers to keep filling the state treasuries to pay for unfunded mandates for illegal immigrant support, just as matching with the ObamaCare, so everybody is forcibly committed to pay for the parasites who find it easy to live of the working public.

Whereas I was originally a democrat in a Republican family, but all I have ever seen from both political parties, is nothing more that the same agenda’s with never ever any different in the direction they are going. That’s why I joined the PEOPLE’S TEA PARTY and looking for change; change like America has never seen before. That’s why we have a maximum effort on behalf of advocates to intrude on the Republican Party to see a new direction. Issues like drilling for oil, locating natural gas and reopening the coal mines that Obama’s Environmental Protection Agency stringent regulations to not approve any permits. The green project pushed by fanatical environmentalists is pushing for windmills, solar are not enough at this time, when America desperately needs energy to run industry and our homes. Can you believe Obama actually wants to give even MORE money to the green industry—despite wasting billions in taxpayer dollars to fund now BANKRUPT solar companies? Can you say Solyndra? Remember that Obama donors had ties to those companies. Corruption and cronyism is running rampant at the taxpayers’ expense?

Both parties are guilty of allowing OPEC and other countries to control our oil needs, when we have immense deposits off the coast and inland. Shipping goods is costing truckers their jobs, because Obama’s EPA prefers to stick us with foreign oil and the costs that come with it. Why is the EPA not turning off the Ethanol tap, when we need the corn to feed people and animals?

Turn the tide of an unceasing Socialist experiment played by the Democrats and Liberals, with an incredulous plan that Obama is sure to enact if has a new coronation next year. The Tea Party no longer has the luxury of merely trying to win, it is now “do or die” for our nation. The struggle is between a socialist schedule and the endurance of the Free-Enterprise Republic. Decide now to join us in our fight…or be predestined to live in a country that is shackled by socialism. I’m afraid under Obama’s agenda there is no middle ground. To be perfectly clear, if the Tea Party falters now…if we lay back or slack off then America we know will be gone forever. The TEA PARTY will let free trade succeed, but will sanction countries as China who are manipulating their coinage and cheating us. We cannot trust the Democrats who remain deliberately unconcerned with non-citizens voting. Both parties refuse to enact mandatory E-Verify (H.R. 2885), to expel illegal aliens from businesses, and a Birthright Citizenship law (H.R. 140), that allows a projected 400.000 babies a year who gain citizenship, without a parent holding U.S. citizenship status. With an unmatched nationwide recession, the Democrats and Republicans have done nothing to reduce the 16 trillion deficits, that this country is now being financially asphyxiated.

American citizens have witnessed firsthand the destructive power of Obama’s socialist agenda and seen, with their own eyes, the destruction that radical Marxist advocate Sal D. Alinsky tactics have brought. Surf his name on the Internet and see the influence of people as this individual and Socialist George Soros. Instead of Democrats following immigration laws as a policy issue they would rather stalk the state of Arizona, because they are the epicenter of illegal immigrants and migrants fleecing that state’s welfare coffers. Anybody who dares to go against the ultra left target is relentlessly pursued, such as Sheriff Joe Arpaio, or former Rep. Russell Pierce. Incidentally—this country is a nation of laws, but since Obama has been in power they have been ignored.

We must use every asset, every tool, every means possible to stop the evil agenda in Washington and replace it with men of courage and vision, those dedicated to freedom, liberty and justice for all. We must do it NOW. Issues as the Tax code, which has been manipulated for the cronies in both parties. We need a tax equally for everybody and not just for corporate friends and the wealthy insiders of Wall Street, but for Main Street. The Tea Party is revolted by Obama’s nauseating lies and horrible claims about presidential candidate Romney and his running mate, Paul Ryan. the campaign continues, it becomes painfully clear the office of the President of the United States of America has been mired by the un-American oratory and persistent mud-slinging coming from the party of the donkey. The Liberal mainstream Media protects their love child. In recent days, the Obama Regime has attacked the evolution of the TEA PARTY—attacking Mitt Romney—Paul Ryan—U.S. Constitution-- Conservative form of government--America’s system of checks and balances (no more Congressional approval needed for presidential appointees)--Freedom, guns and the American way. But the truth of the matter is clear, open and summarizing. While Obama strains to accuse Romney of nasty and contemptible acts, the people of the Tea Party know better!

Obama has sanctioned Eric Holder’s and his minions “Gun Walking - Fast and Furious” which killed Border Patrol Agent Brian Terry. Then loving mothers and fathers, innocent grandparents and children in Mexico have been massacred by our weapons. Then U.S. Senator Harry Reid of Nevada has endorsed in the Senate that the IRS child tax credit for illegal aliens costing 5 billion annually should continue, even if the children live outside the U.S. The Tea Party stands for conservative values across the board and will NOT back down even when assumed Conservative Republicans demand the Tea Party shut-up and sit down? American people must stand up and be counted or we be leaning towards a Socialist nation, with a massive bureaucratic uncontrollable government that shadows us all, with handouts for everybody. Only the voters, the destitute and the freeloaders are in the Democratic pockets, who have always wanted ‘Something for nothing.’ It is the same with the illegal aliens who have poured through fences, protesting for equal rights once here, brandishing foreign flags, insisting for the same rights as citizens-legal residents and now being given food stamps for their votes, even though they scorned our immigration laws to come here.

Do you know that in the November 2010 mid-term election, less than 5 percent of military voters were able to cast an absentee vote that counted, according to data released by the federal Election Assistance Commission? Well sure, because they tend to vote Republican and NOT in Obama’s favor. Our own military men and women ROBBED of their vote. What’s more as part of the ROB THE VOTE plan: 2 million DEAD people are included in U.S. voter rolls. Washington is viciously fighting Florida’s challenge to clean up and purge voter records of illegal’s, deceased, non-citizens and those not eligible to vote. Lax controls at voter polls; a national campaign such as ACORN soliciting foreigners to register to vote and a strong opposition to the use of photo ID at voter polls by the Washington Czars. JOIN THE TEA PARTY AND END THIS MOVEMENT TOWARDS SOCIALISM AS THE COUNTRY OF GREECE?

It might alarm you to know that there are some gaping holes in Barack Obama’s citizenship. Other than say decide for yourself, if the evidence supplied equals a response from the House of Representative and Senate. Just check out the relevant information at any TEA PARTY website or go directly to TEA PARTY DOT ORG. So much intelligence is being concealed by the Democrats and the mainstream press to this oppressive travesty. Learn even more intelligence at NumbersUSA and other pro sovereignty organizations.

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