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Medicaid offices raid deceased homes to recover medical costs

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WASHINGTON (AP) – As Salvatore LoGrande battled cancer and all of the pain that comes with it, his daughters promised to keep him within the white house with the pitched roof that he worked so hard for many years ago.

So Sandy LoGrande thought it was a mistake when, a 12 months after her father’s death, Massachusetts billed her $177,000 for her father’s Medicaid expenses and threatened to sue over his house if she didn’t pay up quickly.

“Home was everything,” LoGrande, 57, told her father.

But the bill and its accompanying threat weren’t a mistake.

The U.S. Department of Health and Human Services constructing, April 5, 2009, in Washington, DC. (AP Photo/Alex Brandon, File)

Rather, it was a part of a routine process the federal government requires of each state: recovering money from the estates of deceased individuals who, of their final years, relied on Medicaid, taxpayer-funded medical insurance for the poorest Americans.

An individual’s home is often exempt from qualifying for Medicaid. However, it’s subject to the estate recovery process for people who find themselves 55 or older and used Medicaid to pay for long-term care, similar to a nursing home stay or home health care.

This month, Democratic MP proposed completely abandoning the “cruel” program. Critics say this system collects too little – about 1% – of the greater than $150 billion in Medicaid spends annually for long-term care. They also claim that many states don’t warn individuals who join for Medicaid that their families could face large bills and claims on their estate after their death.

LoGrande says she became involved in a two-year legal dispute with Massachusetts after her father’s death. Just a few years before his death in 2016, she turned to an area nonprofit for advice on caring for her elderly father. The group suggested she enroll him in Medicaid. She even remembers asking a couple of home, but was assured that the state would only search for a house if it sent her father to a nursing home.

“He would never sign a contract for something that would put his home in danger,” she said.

For years, her father received an annual notice of profit renewal from the state’s Medicaid office. She says it wasn’t until after his death, when a state claim for $177,000 got here in, that she saw the primary bill for his care, which included a brief hospital stay for cancer pain, medications and hospice.

“That just blew my guts,” LoGrande said. “It was unfair.”

In 2019, the state reached an agreement with LoGrandes and withdrew its claims on the home.

State policies regarding this recovery process vary greatly, according to the 2021 Medicaid and CHIP Payment and Access Commission Reportwhich makes policy recommendations to Congress.

Some states place a lien – a right – on your private home, while others don’t. Meanwhile, some Medicaid offices try to recover all medical costs from patients, similar to doctor visits or prescriptions, while others simply recover long-term care costs. In recent years, Alaska and Arizona have foreclosed on just dozens of properties, while other states are foreclosing on 1000’s of homes price tons of of tens of millions of dollars.

New York and Ohio led the nation in such collections, recovering a complete of over $100 million in a single 12 months, Dayton Daily News investigation found.

Some investigation for the Kansas program, released Tuesday by the Health and Human Services Inspector General, found that this system was profitable – it brought in $37 million and only $5 million was spent recovering the cash. However, the state didn’t all the time collect money from eligible estates.

Last month, a foundation from one among the medical insurance industry’s largest giants called on Massachusetts to change its process for collecting reimbursements for many Medicaid costs, going beyond the federal government’s minimum requirements for recovering long-term care expenses. The Blue Cross Blue Shield Foundation of Massachusetts has really useful that the state legislature pass a bill that will prohibit such additional collections.

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Wealth recovery “can perpetuate wealth disparities and intergenerational poverty,” said Katherine Howitt, director of Medicaid policy at the muse.

In Tennessee, which recovered greater than $38.2 million from greater than 8,100 estates last 12 months, Imani Mfalme found herself in an identical situation after her mother died in 2021.

As her mother’s early-onset Alzheimer’s disease progressed, Mfalme continued to take care of her. But in 2015, when Mfalme was diagnosed with breast cancer and required a double mastectomy, she began to consider other options. She arranged a gathering at her mother’s house with the local Medicaid office. The representative told her to empty her mother’s bank accounts – money that Mfalme had transferred to her mother as a part of her assisted living payments – in order that her mother would qualify for this system.

She recalls feeling somewhat offended through the meeting when the representative asked her thrice, “This is your mother’s house?” The representative, Mfalme said, failed to mention that after her death, she may be forced to sell the home to settle her mother’s Medicaid bills.

Currently, Tennessee’s Medicaid office says she owes $225,000, and the state is looking for a court order requiring Mfalme to sell the home to repay the debt.

Imani Mfalme poses for a portrait outside her late mother’s home, Thursday, March 7, 2024, in Knoxville, Tenn. (AP Photo/Caitie McMekin)

Mfalme, now 42, said she wants to pay what she will, however the home is a selected problem. Her mother, a black woman, bought her dream home in Knoxville after she won a landmark discrimination lawsuit against her former employer, Boeing, for paying her lower than her colleagues.

“She fought hard for equal pay and equal rights. “Just seeing it torn away just because she was sick and I was sick is just devastating,” Mfalme said of her mother.

TennCare, Tennessee’s Medicaid office, said in an email to the Associated Press that it could not comment on specific cases.

A report by the Commission on Payments and Access to Medicaid and CHIP really useful that Congress repeal a 1993 law that required states to recoup money from estates, as a substitute making it optional.

Earlier this month, Democratic Rep. Jan Schakowsky of Illinois reintroduced laws that will have ended the mandate of the federal government. Schakowsky believes the rule is a lose-lose proposition for families who hand over their homes and taxpayers who don’t see much profit from recovery efforts.

“This is one of the most cruel and ineffective programs we see,” Schakowsky told the AP. “It’s a program that doesn’t work for anyone.”

In a deadlocked Congress, with some Republicans calling for limits on Medicaid eligibility, the bill is unlikely to gain the bipartisan support needed to change into law.

There is a minimum of one one who admits this rule doesn’t work: the person who created it.

Many people do not know in regards to the decades-old order, which was intended to encourage people to save for long-term care – otherwise they risk losing the equity of their home, explained Stephen Moses, who now works for the conservative Paragon Health Institute.

“The plan was to provide long-term care options for people who need long-term care, but you have to plan ahead to be able to pay privately so you don’t end up in a public health care program,” Moses said.


This article was originally published on : thegrio.com
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Matt Gaetz withdraws from Trump’s nomination for attorney general

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Former Florida congressman Matt Gaetz is withdrawing from President-elect Donald Trump’s presidency nomination for attorney general after backlash.

In an announcement released Nov. 21 via X, Gaetz withdrew from the nomination, saying his confirmation was a “distraction.” “I had excellent meetings with senators yesterday. I appreciate their thoughtful opinions and the incredible support from so many people. While momentum was strong, it is clear that my confirmation unfairly distracted from the critical work of the Trump-Vance transition,” he wrote.

“There isn’t any time to waste on an unnecessarily prolonged fight in Washington. “I am therefore withdrawing my name from consideration for the position of Attorney General.”

Knowing that the appointed attorney general should be able to serve on the primary day of the brand new Trump-Vance administration, waiting for legal proceedings would make it harder for Gaetz to meet that commitment. A former lawmaker is under federal investigation for allegedly paying two women to have sex and watch him appear on Fox News. Both women claim that in 2019, Gaetz also paid them to accompany him to a Broadway show. During testimony before the bipartisan House Ethics Committee, the ladies alleged that Gaetz paid them to travel across state lines to have sex almost twice.

The women were between 19 and 21 years old on the time of the alleged encounters. They testified that the disgraced congressman paid them to travel to the Bahamas with other young women – including one who alleged that she had had sex. with Gaetz when she was a minor.

After Trump announced his nomination to move the Department of Justice (DOJ), attention focused on outdated allegations, prompting the discharge of an Ethics Committee investigation report.

As committee members failed to determine whether to release the report’s findings, Sen. John Cornyn (Texas) characterised Gaetz’s potential confirmation as “Kavanaugh on steroids” in reference to the 2018 racial and sexual misconduct hearings. – Judge Supreme Court Justice Brett Kavanaugh. “He’s a smart guy, I’m sure he realizes that,” Cornyn said, in line with .

A senior member of the Judiciary Committee warned that each one details of the FBI’s investigation and committee report – each good and bad – will eventually develop into public. “It will reach us a technique or one other. There are not any secrets here,” Cornyn said.

Before withdrawing, Gaetz met with Cornynand in addition Sens. Lindsey Graham (R-S.C.), Josh Hawley (R-Mo.), Mike Lee (R-Utah), Marsha Blackburn (R-Tenn.), Tom Cotton (R-Ark.) and John Kennedy (R-La.) .). Vice President-elect J.D. VAnka also took part within the meetings. He encouraged lawmakers to present their former colleague a likelihood to present his vision for reforming the Justice Department and to carry off on making judgments about his fitness to serve.

At the time of Gaetz’s withdrawal, Trump had not yet issued an announcement.


This article was originally published on : www.blackenterprise.com
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Missouri police officer fatally shot 2-month-old baby and her mother after relative called police for help, family says

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A Missouri family and community are mourning the tragic death of a 34-year-old woman and her infant daughter who were killed in an officer-involved shooting earlier this month.

Family members say Maria Pike and her 2-month-old daughter, Destinii Hope, were shot to death on November 7 after police were called to an apartment in Independence, Missouri, in response to a domestic disturbance.

Two-month-old Destinii Hope died together with her mother in an officer-involved shooting in Independence, Missouri on November 7, 2024. (Photo: Facebook/Talisa Coombs)

In the weeks for the reason that shooting, local law enforcement has released few details, but eyewitnesses have provided local media with their accounts of what happened.

said Talisa Coombs, the baby’s grandmother Kansas City Star that she was the one who called the police after a physical altercation with the kid’s mother. Family members say Maria Pike has had mental health issues, anger issues and most recently suffered from postpartum depression.

Coombs said that when she called the police, she thought authorities would arrive, arrest Pike and get her the assistance she needed. She told her son and Destinia’s father, Mitchell Holder, that she desired to press charges against Pike for assault.

When police arrived, Holder initially refused to allow them to inside, however the apartment constructing’s assistant manager persuaded him to let two officers inside.

Assistant manager Gavin Delaney told The Star that when police entered the apartment, Pike was sitting within the bedroom closet, holding Destinia, not doing or saying anything.

Destinia’s father, who witnessed the shooting, recounted the moments leading as much as the shooting to his sister, Ashley Greenfield.

Greenfield told The Star that when officers entered the apartment, she and Holder tried to take the baby from Pike as she moved from the closet to the bed. Greenfield stated that when Pike reached for an object on the nightstand, the officer shot the baby in the top while he was still in his mother’s arms.

Holder later recalled his horrified response to the shooting of “The Kansas City Defender.”

“They shot my baby,” Holder said outlet. “It looked like her head had exploded. Her blood splattered throughout my glasses and throughout me. All I could do was scream. I just kept repeating three words – the identical three words – “You killed her!” I screamed it. Time and time again.”

He added that Pike jumped after the primary shot and the officer opened fire on her.

Accounts vary as as to if Pike had a gun when officers entered the apartment.

Local news outlets reported that among the many few details police have released up to now concerning the shooting is that Pike was armed with a knife.

“When we arrived, officers encountered a woman who was ultimately armed with a knife,” said Independence Police Chief Adam Dustman. “As a result of this encounter, two people died, one was an armed woman and the other was a child.”

However, family members say otherwise. Before calling the police, Destinia’s grandmother stated that there have been no weapons in the home. Holder also said he never saw Pike holding a knife in the course of the encounter with police.

“Yes, I was in the room when it all happened,” Holder he said. “From what I saw, I never once saw Maria armed with anything. Honestly, I do not even know where that got here from. I heard crazy things like she held a baby hostage in a closet, that she had a knife, and all this crazy stuff that is not true. I mean, all I can say is that it’s possible she had a knife and I didn’t see it, but all I do know is that I never saw her holding anything – and I used to be there within the room.

Independence police said the investigation has been turned over to the Jackson County Police Involvement Investigative Team (PIIT), a team of detectives that investigates police shootings and use of force incidents.

Chief Dustman said just one officer, a “long-time law enforcement veteran,” fired in the course of the incident. The officer and two other people on the scene were placed on administrative leave.

Capt. Kyle Flowers, who heads the PIIT team investigating the shooting, said last week that investigators had reviewed body camera footage and planned to interview witnesses. According to KMBCthe team will turn over the findings of the investigation to the Jackson County Prosecutor’s Office, but Flowers didn’t specify exactly when that will occur.

Family members have called on authorities to release the body camera footage, which is able to hopefully reveal once and for all whether Pike was armed with a knife on the time of the shooting. They also call for punishment of the officers involved within the shooting.

“Why hasn’t the body camera footage been released?” Amber Travis, cousin of the victims, he said at a community vigil for Pike and her daughter. “Give my family a break.”

“It means a lot that the community feels the same way we do,” Holder he said. “It means the world. It won’t bring her back, but no less than we all know now we have loads of support here.

AND GoFundMe page was created to assist pay for Destinia’s funeral. As of Wednesday afternoon, greater than $3,000 had been raised.

On November 22, Destinii would have turned 3 months old.

This article was originally published on : atlantablackstar.com
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Jasmine Crockett blasts Republicans for so-called white “oppression” over anti-DEI bill

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Jasmine Crockett, theGrio.com

On Wednesday, during a passionate speech before the committee, Sen. Jasmine Crockett, R-Texas, chided her Republican colleagues for the content of an anti-DEI bill that calls for eliminating all diversity, equity and inclusion programs and offices within the federal government.

Crockett, a 43-year-old congressional student who has change into a star within the Democratic Party because of her quite a few viral committee appearances, condemned the Dismantle DEI Act of 2024. The bill, H.R. 8706 – first introduced by Republican Vice President-elect J.D. Vance – essentially prohibit all DEI-related activities within the federal government, including all related positions, offices, training, and funding. Strikingly, the bill also prohibits federal employees working in DEI positions from transferring to a different federal position.

During a House Oversight Committee hearing wherein she responded to Rep. Clay Higgins, R-La., who repeatedly called DEI policies “oppression” — seemingly aimed toward white people, as many Republicans suggested — Crockett used the committee’s speaking time to criticize the suggestion that white individuals are oppressed in consequence of efforts to shut racial disparities in sectors resembling business, education, and health.

“You don’t understand the definition of oppression… I would ask you to just Google it,” said Crockett, who moments later read the dictionary definition of the word, adding: “Oppression is long-term cruel or unfair treatment or control, that’s the definition of oppression.” The congresswoman emphasized: “There was no oppression of the white man in this country.”

Referring to the history of chattel slavery and racial segregation within the US, the Texas lawmaker said: “Tell me which white men were dragged from their homes. Tell me which one was dragged across the ocean and that you will go to work. We will steal your wives. We will rape your wives. It didn’t happen. This is oppression.”

Attempting to further explain the importance of DEI, Crockett noted that she is barely the fifty fifth Black woman elected to Congress in its 235-year history, unlike the 1000’s of white men who’ve served on Capitol Hill.

“So if you want to talk about history and pretend it was that long ago, it wasn’t,” Crockett said, citing data showing that corporations perform higher and are more profitable after they are more diversified.

The anti-DEI movement, championed exclusively by Republicans, has led to several lawsuits invalidating federal programs, including debt forgiveness for Black farmers and business loans to Black and other disadvantaged businesses. Many states led by Republican governors have indicated that DEI – especially teaching about slavery and racism – is harmful to students, namely white students. In response, they banned such topics from public classrooms.

Jamarr Brown, executive director of Color of Change PAC, the political arm of the civil rights organization, said Congresswoman Crockett’s statements on DEI were “poignant and necessary.”

Jordan Brand amplifies Black storytelling with StoryCorps'

While the Dismantling DEI Act actually won’t be passed while Democrats control the Senate and President Joe Biden stays in office, it signals what may very well be a priority for Republicans next yr, as outlined within the pro-Trump “Project 2025” political manifesto “.

“According to Project 2025, diversity, equity and inclusion is synonymous with ‘White lives don’t matter,’” Brown noted. “Now more than ever, we at Color Of Change PAC, as well as advocates and activists across the country, must work to protect Black people and other people of color from harm resulting from anti-DEI attacks.”

Brown continued, “Civil rights protections have helped reduce mortgage discrimination, increase the number of Black physicians to counter problems such as Black maternal mortality, and provide financing for Black-owned businesses.”

He added: “Our country thrives and everyone benefits when diversity, equality and inclusion are valued rather than stifled.”

This article was originally published on : thegrio.com
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