March 7, 2016 Volume XLVI, Issue 4

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March 7, 2016 Volume XLVI, Issue 4 The Missouri House will be busy this week debating all 13 appropriation bills which make up the Missouri State Budget and approved by the House Budget Committee with a few amendments. The House will perfect the bills on Tuesday, March 8 and give final vote on Thursday, March 10. EDUCATION FUNDING: The Governor had recommended an increase of 85 million to the foundation formula: the committee reduced it to 69-70 million, which still leaves the K-12 formula under-funded. Electoral Process - Kathleen Farrell and Linda McDaniel, Directors and Public Advocacy for Voter Protection (PAVP) Chairs The following letter was sent to all Missouri State Senators in reference to the Senate Photo Voter ID bills. Dear Senator The League of Women Voters of Missouri urges you to vote NO on SJR20 and SB594. Missouri already requires voter ID and election authorities across the state make sure that all voters show ID to vote. We must retain this important election law in order to protect the integrity of our elections and ensure that elections are fair and accessible to all who are eligible to vote. Given our state s limited resources, the last thing we need to do is to set up another government department to dispense Photo ID s. The cost to Missouri citizens will be more than $6 million a year. Precious taxpayer dollars are better used to pay for essential services like repairing our roads and bridges, providing excellent education for all of our state s children and delivering essential services. We need to work together to encourage all of our citizens to vote. That s the real challenge for Missouri.

Elaine Blodgett, President League of Women Voters of Missouri *THE LEAGUE ENCOURAGES MEMBERS TO CONTACT THEIR ELECTED OFFICIAL AS AN INDIVIDUAL, NOT AS A MEMBER OF THE LEAGUE! PLEASE CONTACT YOUR STATE SENATOR TO OPPOSE REQUIRED PHOTO ID TO VOTE! Dan.Brown@senate.mo.gov Maria.ChappelleNadal@senate.mo.gov Mike.Cunningham@senate.mo.gov Shalonn.Curls@senate.mo.gov Bob.Dixon@senate.mo.gov Ed.Emery@senate.mo.gov Dan.Hegeman@senate.mo.gov Jason.Holsman@senate.mo.gov Joe.Keaveny@senate.mo.gov Mike.Kehoe@senate.mo.gov Will.Kraus@senate.mo.gov Doug.Libla@senate.mo.gov Brian.Munzlinger@senate.mo.gov Jamilah.Nasheed@senate.mo.gov Bob.Onder@senate.mo.gov MParson@senate.mo.gov David.Pearce@senate.mo.gov

Ronald.Richard@senate.mo.gov Jeanie.Riddle@senate.mo.gov Gary.Romine@senate.mo.gov David.Sater@senate.mo.gov Rob.Schaaf@senate.mo.gov Kurt.Schaefer@senate.mo.gov Dave.Schatz@senate.mo.gov eschmitt@senate.mo.gov Jill.Schupp@senate.mo.gov Scott.Sifton@senate.mo.gov Ryan.Silvey@senate.mo.gov Wayne.Wallingford@senate.mo.gov Gina.Walsh@senate.mo.gov Jay.Wasson@senate.mo.gov Paul.Wieland@senate.mo.gov The following is a letter to the editor appearing in the St. Louis Post-Dispatch written by a League member; submitted as an individual. St. Louis Post-Dispatch Feb 3, 2016 Photo IDs restrict the constitutional right to vote The Constitution guarantees every adult citizen the right to vote. It does not guarantee every citizen the right to board an airplane or open a bank account. A restrictive method of identification will prohibit some citizens from flying or opening an account. But such prohibition is not a violation of their constitutional rights. A restrictive method of identification that prohibits some citizens from voting is a violation of their constitutional right to vote. Adding another layer of proof of identity merely adds another road block, which only makes it more difficult for a citizen to vote. It does not further confirm the identity of the voter.

Photo IDs do not reduce voter fraud, as voter fraud is virtually nonexistent. But they do prohibit some registered voters from exercising their constitutional right to vote. The only logical reason that photo ID laws are proposed is to make it harder for certain segments of our society to vote. Shame on those who support photo ID laws. CT Sharp - Manchester Ethics Bills on the Move The League sent written testimony to the House Governmental Oversight and Accountability Committee in support of two Ethics bills, HB 2056 and HB 2450, which included provisions about legislators becoming lobbyist, campaign finance donor limits, and timely reporting of donations during legislative session by members of the general assembly. The bills are scheduled for hearing on March 7 th, 12 noon. Health Care, Dianne Modrell, Chair A DAY OF ACTION: MARK YOUR CALENDAR RALLY FOR JUSTICE - THURSDAY, MARCH 17 TH Join the Rally for Justice, including our hope to close the Coverage Gap, on Thursday, March 17 th. This is the last day of session before legislators head into almost 2 weeks of spring/easter break. There will be transportation from St. Louis, Springfield and Kansas City. More information or RSVP to michelle.trupiano@gmail.com ANOTHER HOSPITAL TO CLOSE The Southeast Health Center of Reynolds County is set to close on March 11 th. This is the third hospital to close in Missouri in the last two years. The closure of the hospital leaves residents with a 45 minute drive in any direction to get to the next nearest hospital. http://m.thesalemnewsonline.com/mobile/news/article_14ea2568-da48-11e5-a86d- 676687f65aa1.html Adapted from E-news of Senator Cunningham (R-33, Houston MO) Access to quality health care hits rural areas the hardest as there is simply not as much funding or health infrastructure in these agricultural communities. Last week, the Senate advanced a bill that aims to solve two major expensive problems in health care: too many unnecessary emergency room visits and too many patient no-shows at doctors offices. Senate Bill 608, sponsored by Sen. Sater, R-Cassville, will authorize MO HealthNet health care providers. Charge a minimal fee for missed appointments and an $8 emergency room co-pay system.

This policy will encourage patients to visit their primary care doctors before going to the emergency room where they can be treated more comprehensively, at a lower cost to the state. Studies (indicate) more than $18 million a year in Medicaid costs alone if every state had a similar statute. (Some measures were presented as patient financial awareness with an amendment added to SB 608 which seeks to help combat this issue.) it can be especially frustrating to not know the true cost of health care until after a procedure or a clinic visit is complete. Health care providers will be required to provide patients with an estimated cost of treatment... This allows patients to make informed, accurate decisions about their most appropriate financial options when shopping for health services. Also advancing this week is Senate Bill 875, sponsored by Sen. Kurt Schaefer, R-Columbia. The bill helps remove barriers to lower the cost of prescription drugs and ensures patient safety. This measure allows pharmacists to substitute any FDA approved interchangeable biologic products without prior consent just like they do now for generic drugs. [It is suggested,] Ultimately this bill will increase access to cheaper prescriptions for patients and will save the state money up to $12 million in General Revenue spending by 2019. Senate Bill 635, sponsored by Sen. Dan Hegeman, R-Cosby, establishes the MO Palliative Care and Quality of Life Interdisciplinary Council and the Palliative Care Consumer and Professional Information and Education Program. [Measure suggested to improve patient care.] To improve availability of health care in all corners of our state, the Senate gave approval to Senate Bill 621, sponsored by Sen. Gary Romine, R-Farmington. This measure allows for doctors to practice remotely via a computer or telephone connection, otherwise known as telehealth. This will also give patients access to specialists and advanced technologies without leaving their hometowns. For more on these bills and other legislative activity, visit www.senate.mo.gov. Tax Policy Nancy Copenhaver, Director and Tax Chair SB 1018, the Earned Income Tax Credit (EITC) bill was heard in the Senate Ways and Means Committee this past week. A number of groups testified in favor, including the Missouri Budget Project, the St. Louis Regional Commerce and Growth Association, Empower Missouri, BJC Health Systems, The Missouri Children s Leadership Council, The Missouri Restaurant Association, Missouri Catholic Conference, and the Missouri Association of Community Action Agencies. No opposition was voiced at the hearing. LWVMO sent testimony earlier and we will ask you to follow-up with notifying your senator when this bill passes out of committee and heads to the floor. Senator Eric Schmitt sponsored the measure, which will give a boost to moderate and lowincome workers by providing a credit against state taxes, while boosting local economies where those workers live and shop. The measure creates a non-refundable EITC capped at 20% of the federal EITC. The bill is similar to HB 1605 as it was introduced. Non-refundable makes it

slightly different than the federal EITC, meaning that a very low income person who would not have any tax liability anyway would not be entitled to an extra refund, thus eliminating some of the Missouri opposition to such a measure. The week ending February 26, the EITC bill sponsored by Rep. Mike Kelley passed unanimously out of the House Ways and Means Committee. An amendment was added to the bill that will decouple the state EITC from the federal EITC but will provide an equal benefit. The amendment also removed a sunset provision, so if adopted, it will not need to be reauthorized in the future. More information, charts, graphs, and maps of counties benefiting can be found on the Missouri Budget Project website. That same week Sen. Wayne Wallingford presented his SB 795 to the Senate Ways and Means Committee. This bill would make changes to simplify Missouri s Sales and Use tax laws and pave the way for Missouri to join the Streamlined Sales and Use Tax Governing Board. At that hearing, Streamlined Governing Board Executive Director Craig Johnson addressed the committee and assured its members that Missouri would benefit from its participation. Missouri retailers would be treated more fairly and additional revenue could be generated by the collection of use tax that is currently owed. The Missouri Budget Project, Empower Missouri, Missouri NEA, and the Missouri Retailers Association all testified in favor of the bill. LWVMO sent written testimony in favor of the bill to the committee. Much time this past week was spent on budget bills in the House. March 8-10 should see the budget bills being finalized in the House and moving on to the Senate. At that time we can expect to see debate happen on the floor for other bills passed out of committee. Transportation - Gwen Moore, Director and Transportation Chair State s Proposed Budget Would Increase MoDOT s Responsibilities Even More The state s proposed budget, HB2004 Section 4.412, includes $30 million from general revenue to restore MoDOT s cost-share program. This program allowed MoDOT to purchase locally owned roads. Then the roads are usually permanently added to the state s responsibility, and usually are too local to receive federal funding. "We were concerned about our ability to take care of the (transportation) system we have and cost share programs typically expand the size of system," said Roberta Broeker, the department's chief financial officer, and interim director until last December. The department finally suspended its cost-share program in 2014. MoDOT already has 3 times the road miles expected by the size of the state - and the 5 th lowest gas tax in the nation. Missouri is: 18 th highest in land area; and 18 th highest in population; but

MoDOT is 7 th highest in state owned road miles. MoDOT also has a usually high number of miles which are not federally funded 7,200 miles more than 20% of their miles. Most states are responsible for less than 200 such miles. These very local roads cost FIVE TIMES as much as federally funded roads expensive. Such local roads are usually the responsibility of local governments. Instead of helping MoDOT s underfunding, this would increase their financial problems. Helpful information: To find your state officials go to www.moga.mo.gov. Click on member look-up then follow to either put in your mailing address or your 9 digit zip code. PLEASE SAVE YOUR LEGISLATIVE BULLETINS TO USE FOR REFERENCE AS LEGISLATIVE TRACKING CONTINUES THROUGH THE 2016 SESSION.