MI Gongwer
9-5-02
State, Drug Companies Argue New Medicaid Drug Plan
MI Gongwer
9-5-02
Posthumus Sets Reading as Focus
of School Plan
MI Gongwer
9-5-02
New Elementary & Middle School MEAP Scores Out
STATE, DRUG COMPANIES ARGUE NEW MEDICAID
DRUG PLAN
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The state has gone ahead with its new
prescription drug plan for Medicaid fee-for-service recipients,
but drug companies argued to the Court of Appeals Thursday that
the system requiring pre-approval for certain drugs unless the
manufacturers pay additional rebates to the state, is illegal.
In response, the state argued it had plenty
of authority to implement the new program and that Ingham
Circuit Judge Lawrence Glazer had been wrong to issue an
injunction against the program.
In addition to the appropriations bill that
outlined the new formulary system, the Department of Community
Health also had authority under the state's Medicaid laws as
well as under the laws creating the Elderly Prescription
Insurance Program and the children's special services programs,
said Assistant Attorney General Erica Marsden.
Given that authority, Ms. Marsden said the
trial judge overstepped his authority in issuing the injunction
to block the plan.
But Robert Marsac, attorney for the
Pharmaceutical Research and Manufacturers Association (PhARMA),
said the authority to which Ms. Marsden referred allowed the
state to seek the rebates provided in the federal Social
Security Act, not the supplemental rebates the state has sought
through the new program.
And he said the process under which the new
program was created was unconstitutional because it gave the
Legislature excessive veto power over an administrative
program. "Budgetary constraints do no justify an agency going
outside the constitution, outside statutory authority," he said.
Ms. Marsden agreed that the provision
allowing the Legislature to reject the formulary could be found
unconstitutional, but she said that did not make the rest of the
legislation unconstitutional.
Susan McParland, attorney for three
patients with mental illnesses and four associations that
represent such patients, who had intervened in the lawsuit, said
the new formulary causes irreparable harm because in many cases
it deprives mentally-ill persons of needed medications because
those drugs are expensive and the manufacturers have not agreed
to the state's supplemental rebates.
"In reality the process is daunting," Ms.
McParland said of the preauthorization process. And she said
the process requires that patients first try and fail on drugs
not requiring pre-approval before they can be approved for other
medications.
"Mental health consumers are required to
fail first and experience serious side effects 100 percent of
the time," she said.
As most of the pre-approval process can be
addressed over the telephone, "we're not talking about any sort
of oner ous prior authorization process," Ms. Marsden countered.
And she said failing on one of the listed
drugs was only one of the criteria for authorization to use
medication not on the state's list. Other criteria included
medical necessity and better interaction of the non-listed drug
with other medications.
But she said those arguments should not
have been raised in the trial court because Mr. Glazer had said
he would not consider the motion for an injunction by the
intervening plaintiffs, only by the drug companies.
And she said Mr. Glazer had no way to
assess the effects of the program on patients because it was not
yet in effect when he issued the injunction.
The appeals panel, Judges Jane Markey, Mark
Cavanagh and retired Justice Robert Griffin, took the arguments
under advisement for a later order.
POSTHUMUS SETS READING AS FOCUS OF SCHOOL
PLAN
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Citing an ability to read as the
cornerstone of his education proposal, Republican gubernatorial
candidate Dick Posthumus outlined a larger policy that includes
plans for an institute to recruit and train school principals,
proposed tax changes to encourage private investors to build new
buildings that schools could then lease, and state efforts to
stamp out incompetence and corruption in any school district.
Speaking at a press conference at a Lansing
elementary school, Mr. Posthumus said as the product of public
schools he was an enthusiastic supporter of public schools and
public school teachers. "I would bet that Pam and I have spent
more time at public schools," volunteering for different
functions and meeting with teachers on their children's
education "than all the other candidates for governor combined,"
he said.
But his proposal also calls for lifting the
current cap on university-chartered charter schools-something
that has eluded charter school supporters for several years even
now with the support of the Michigan Education Association of a
proposal that would expand some charter schools-and he rejected
suggestions that expanded charter schools could be seen as a way
of hurting school districts but recognizing options that parents
want.
A statement from the Michigan Democratic
Party criticized Mr. Posthumus for continuing to support charter
schools despite recent national studies that indicate the
schools have not kept pace with public schools.
A spokesperson for Mr. Posthumus'
Democratic opponent, Attorney General Jennifer Granholm, Chris
De Witt said, "It looks fairly familiar in many respects to what
Granholm proposed a month ago." He pointed to the emphasis on
early childhood issues, and empowering parents as similar to the
Democrat's proposal. "If you look at our plan and their plan
you see some similarities."
At the Republican convention last month in
Detroit the lieutenant governor said ensuring that all students
can read by the time they are in the third grade would be the
cornerstone of his education policy, and Thursday he repeated
that, saying a focus on reading would lead his education budget
and his efforts to get federal funding.
Now some 20 percent of children cannot read
effectively by the time they reach the third grade, Mr.
Posthumus said.
But he also said he was less interested in
warning schools of consequences if students do not reach that
goal. Instead, those schools that meet that goal would have
rewards that could include having some state regulations lifted
on their operations.
Mr. Posthumus also said he would take
action to root out corruption and incompetence in school
management, just as the state did with the Detroit system, and
he criticized Ms. Granholm for saying she opposed the
takeover. Since taking over the Detroit schools, a new chief
executive has been able to institute changes in the schools, and
Mr. Posthumus said the time is coming to return authority for
the schools to the city, although he backed giving the power to
name the school board and school superintendent to Mayor Kwame
Kilpatrick.
His proposal does not mean the state would
run any schools that might be relieved of their current
leadership, Mr. Posthumus, because "I don't know if the state
could do it better."
Nor did he know if there are other schools
that would require state intervention, he said.
Mr. Posthumus also employed the "tweak"
word again, as he said Ms. Granholm would want to tweak the
state's laws prohibiting teacher strikes and to require binding
arbitration for teachers. Binding arbitration would bankrupt
some school districts, he said, and he said he would fight any
effort to require binding arbitration for teachers or change the
teacher strike law.
Mr. De Witt said, "He talks about
supporting teachers, but considering his record in the
legislature, and as part of the administration, the education
community knows very well he has not been supportive of
teachers. This administration been kicking them left and right
for 12 years."
Saying as well that good principals are
needed to ensure quality schools, Mr. Posthumus said he would
create a "Governor's Principals Academy," to help train
principals and provide them with a resource for developing new
administrative ideas.
Financing new construction and school
renovations has been a major issue for schools, especially in
older, poorer, urban districts, and Mr. Posthumus said he would
attack the issue by encouraging changes in the tax codes that
would allow companies and individuals to help build new school
buildings that could then be leased back to school districts.
Eventually those districts could acquire ownership of the
buildings once the lease was completed.
Corporations have looked at trying such an
approach in Grand Rapids.
But Mr. De Witt said of the proposal, "Sure
sounds like tweaking to me."
NEW ELEMENTARY AND MIDDLE SCHOOL M.E.A.P.
SCORES OUT
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www.bridges4kids.org.
More than half of the elementary and middle
school students in the state are meeting state standards for
mathematics and at least two-thirds are meeting state science
standards, according to Michigan Educational Assessment Program
results released Thursday.
The results for the 4th and 8th
grade mathematics and 5th and 8th grade
science tests were late in being released because they were new
tests with new standards. Treasury officials said the change
also makes comparisons to previous years' tests impossible.
As with the high school test, the new
science and math tests are scored on a four-point scale: exceeds
state standards, meets state standards, at basic level or
apprentice. The previous tests used a three-point scale.
On the mathematics tests, 64.5 percent of
students at least met state standards in fourth grade and 53.8
percent at least met state standards in 8th grade.
On the science test, 73.2 percent of 5th graders at
least met the standards and 66.6 percent of 8th
graders met the standards.
But only on the 8th grade
mathematics test did the largest number, 29.4 percent, exceed
state standards. And on the 8th grade science test,
only 14.8 percent exceeded state standards.
The 8th grade mathematics test
also showed the lowest performance, with 23.6 percent scoring at
the apprentice level. On the 4th grade math test,
only 10.4 percent scored in the lowest category, while 4.5
percent did on the 4th grade science and 12.6 percent
did on 8th grade science. |