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  1. #11
    Xianleather's Avatar
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    Let em set up in a closed down EMPTY hospital they caused to close with a doctor from mexico working for tips .

  2. #12

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    Health insurance? Whats that? They will have medicare/badger care and free clinics. No prob

  3. #13
    Senior Member nittygritty's Avatar
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    What if we all simply told them we were not going to pay for their amnesty deal to the mexicans could they put us all in jail? Maybe we could steal an illegal aliens id and not pay income tax or we could do this, everyone could claim 10 children on their income tax all year long, the irs wouldnt be getting that monthly income tax check or weekly whatever. We could put the amount we are use to paying in the bank for the end of the year, make them go for a year without millions of income tax they are dependent on getting. I am not an accountant could you get away with this or would there be penalties?I have to be truthful everybody, I live on disability so this wouldnt effect me but I would certainaly do it if I had any money to pay the IRS.
    Build the dam fence post haste!

  4. #14
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    My family does not have health insurance. We cannot afford $1000.00 a month in premiums not to mention deductable and out of pocket expenses.

    The illegals will get just like have been. A hospital will either be run out of business for lack of payment for services or they will get our tax dollars to take care of them.

  5. #15
    Senior Member ruthiela's Avatar
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    Time for some good news ........... something VERY FEW KNOW ABOUT YET, BUT THEY WILL SOON
    Not just one state is doing it...........A LOT OF THEM ARE.
    Look up your states July 1, 2006 NEW MEDICAID LAWS
    You are going to love this one
    END OF AN ERA 1/20/2009

  6. #16
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    Quote Originally Posted by ruthiela
    Time for some good news ........... something VERY FEW KNOW ABOUT YET, BUT THEY WILL SOON
    Not just one state is doing it...........A LOT OF THEM ARE.
    Look up your states July 1, 2006 NEW MEDICAID LAWS
    You are going to love this one
    Details? I don't know which part of the state Medicaid laws to look at or whether my state is among those to which you are referring...

  7. #17
    Senior Member ruthiela's Avatar
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    This was snuck in in Feb, 2006

    April 20, 2006
    THE NEW MEDICAID CITIZENSHIP DOCUMENTATION REQUIREMENT:
    A BRIEF OVERVIEW
    The U.S. Department of Health and Human Services has yet to issue guidance to states on how to implement a provision of budget legislation President Bush signed in February requiring all U.S. citizens applying for Medicaid or renewing their coverage after June 30 to prove their citizenship by submitting a birth certificate or passport. This new requirement, the subject of a front-page New York Times story on April 16, was intended by its sponsors to keep illegal immigrants from fraudulently enrolling in Medicaid. Yet its main impact is likely to be to impede or delay coverage for significant numbers of eligible U.S. citizens.
    Many low-income people do not have birth certificates in their possession and do not have passports. Many elderly African Americans were never issued a birth certificate, as explained below. Many other low-income people may have had a birth certificate in their possession at one time, but after moving various times over the course of their lives, no longer have it handy. This could be a particular problem for people who are elderly or have physical or mental disabilities and are in need of immediate medical care. Yet the new requirement contains no exceptions, even for people who are extremely old or have severe impairments, such as Alzheimer’s disease.
    Under the new requirement, a mother whose child is injured could find that her child fails to receive timely medical coverage because she does not have a valid copy of a birth certificate readily available. Citizens who are homeless or who have experienced a disaster such as Hurricane Katrina or a fire may be unable to enroll in Medicaid because they do not have the required documents in their possession. Significant numbers of other low-income patients would be similarly affected.
    Moreover, a recent examination by HHS’s Office of Inspector General (OIG) indicates that the new requirement is unnecessary. OIG found no substantial evidence that immigrants are obtaining Medicaid by falsely claiming citizenship. In addition, state Medicaid directors have stated that the requirement will substantially increase administrative burdens.

    For further detail on the issues discussed here, see the following Center reports: Leighton Ku, Donna Cohen Ross, and Matt Broaddus, “Survey Indicates Deficit Reduction Act Jeopardizes Medicaid Coverage for 3 to 5 Million U.S. Citizens,” revised February 17, 2006 [http://www.cbpp.org/1-26-06health.htm]; Leighton Ku and Matt Broaddus, “New Requirement for Birth Certificates or Passports Could Threaten Medicaid Coverage for Vulnerable Beneficiaries: A State-By-State Analysis,” revised February 17, 2006 [http://www.cbpp.org/1-5-06health.htm]; Leighton Ku and Donna Cohen Ross, “New Medicaid Requirement Is Unnecessary and Could Impede Citizens’ Coverage, revised January 4, 2006 [http://www.cbpp.org/11-9-05health.htm]
    Roughly 49 million low-income Americans will be required to submit birth certificates or passports or else lose their Medicaid coverage.
    Analyses of Census data and Medicaid administrative data show that about 49 million native-born U.S. citizens and two million naturalized citizens were enrolled in Medicaid over the course of the year in 2003. (A little less than 4 million legal immigrants also participated.) Thus, about 49 million native-born citizens will be required to submit birth certificates or passports or lose Medicaid coverage. (The 2 million beneficiaries who are naturalized citizens would be allowed to submit naturalization documents.)
    The new requirement will apply to all Medicaid applications submitted after July 1, 2006, as well as all applications to renew Medicaid coverage. (In most cases, Medicaid beneficiaries must renew their coverage every six months.) In the first six to twelve months, states will have to check citizenship documents for more than 50 million beneficiaries.
    The Center used Census data and administrative data to estimate the number of citizens in each state who will be required to prove their citizenship (see Table 1). In 16 states, more than one million Medicaid beneficiaries will be required to submit new paperwork to receive or stay on Medicaid.

    TABLE 1
    Estimated Number of Citizens Who are Enrolled in Medicaid in
    Each State Over the Course of a Year and Thus Will Be
    Required to Produce These Documents
    United States 51,285,000 Missouri 1,147,000
    Alabama 882,000 Montana 110,000
    Alaska 122,000 Nebraska 260,000
    Arizona 1,133,000 Nevada 227,000
    Arkansas 673,000 New Hampshire 126,000
    California 8,192,000 New Jersey 882,000
    Colorado 446,000 New Mexico 479,000
    Connecticut 479,000 New York 3,993,000
    Delaware 153,000 North Carolina 1,420,000
    Dist. Columbia 150,000 North Dakota 75,000
    Florida 2,590,000 Ohio 1,911,000
    Georgia 1,611,000 Oklahoma 654,000
    Hawaii 201,000 Oregon 607,000
    Idaho 203,000 Pennsylvania 1,746,000
    Illinois 2,091,000 Rhode Island 188,000
    Indiana 927,000 South Carolina 984,000
    Iowa 370,000 South Dakota 118,000
    Kansas 316,000 Tennessee 1,627,000
    Kentucky 802,000 Texas 3,430,000
    Louisiana 1,054,000 Utah 266,000
    Maine 374,000 Vermont 157,000
    Maryland 798,000 Virginia 727,000
    Massachusetts 1,055,000 Washington 1,085,000
    Michigan 1,531,000 West Virginia 365,000
    Minnesota 678,000 Wisconsin 885,000
    Mississippi 729,000 Wyoming 77,000

    Based on Census and Medicaid administrative data for 2003
    The requirement jeopardizes Medicaid coverage for 3-5 million citizens.
    About one in twelve (8 percent) U.S.-born adults aged 18 or older with incomes below $25,000 report they do not have a U.S. passport or U.S. birth certificate in their possession, according to a nationally representative telephone survey of 2,026 adults commissioned by the Center and conducted January 12-16 by the Opinion Research Corporation. Applying this percentage to the number of adult citizens covered by Medicaid over the course of a year indicates that approximately 1.7 million U.S.-born adults could lose Medicaid because of the new requirement or experience delays in obtaining coverage as they attempt to secure these documents.
    More than one-tenth of U.S.-born adults with children who have incomes below $25,000 reported they did not have a birth certificate or passport for at least one child. This indicates that between 1.4 and 2.9 million children enrolled in Medicaid appear to lack the needed paperwork.
    Taken together, the survey indicates that Medicaid coverage could be in jeopardy for 3.2 to 4.6 million U.S.-born citizens because they do not have a passport or birth certificate readily available.
    African Americans and other groups are at particular risk of losing Medicaid because they are less likely than other citizens to have the required documents.
    Some 12 million African Americans, including 800,000 elderly African Americans, will be subject to the new requirement between July 2006 and June 2007. African Americans are at particular risk of having their Medicaid coverage delayed, denied, or canceled as a result of the requirement because many elderly African Americans have no birth certificate: they were born in a time when racial discrimination in hospital admissions kept their mothers from giving birth at a hospital, so their birth often was not officially registered. (One study estimated that about one in five African Americans born in the 1939-1940 period lack a birth certificate.) In the Center’s survey described above, 9 percent of African American adults reported they lack a passport or birth certificate, compared to 5.7 percent of all adults surveyed.
    Other groups that are more likely than adults as a whole to lack the required documents are adults without a high-school diploma, adults living in rural areas (9 percent of both groups reported that they lack the required documents), and senior citizens aged 65 or older (7 percent of whom reported that they lack the required documents).
    Also at special risk of lacking the required documents are several groups not represented in the Center’s survey, including:
    people who have a sudden medical emergency and need Medicaid coverage immediately but cannot get their documents quickly;
    people who are homeless, mentally ill, or suffering from senility or a disease like Alzheimer’s;
    people who are in nursing homes or are severely disabled and would have difficulty getting access to their birth certificate; and
    people whose personal documents have been destroyed by disasters like Hurricane Katrina.
    As noted, the new rule provides no exceptions from the documentation requirement.
    Obtaining the required documents can take substantial time and cost money.
    In California, for example, it generally takes 10 to 12 weeks to get a birth certificate from the county office in the county where the birth occurred, and it can take six to eight months if the information submitted is not complete. Because of heightened security procedures, the process for obtaining birth certificates has become more cumbersome in recent years. In some areas, it may be particularly problematic for people to secure birth certificates on a timely basis for step-children, foster children, or individuals whose names have changed (e.g., because of marriage).
    The cost of getting duplicate birth certificates or passports would effectively add an application fee to Medicaid for many people, which could deter some from entering the program and cause them to remain uninsured. A birth certificate can cost $5-23; a passport can cost $87-97.
    A recent review by the federal government found that states’ existing policies to document citizenship are effective and that no new federal requirements are needed in this area.
    Federal law already requires immigrants who apply for Medicaid to provide proof of their legal immigration status. States demand such documents on their Medicaid applications and take other steps to verify immigrants’ legal status. When people apply as citizens, they normally attest, under penalty of perjury, that they are citizens, and states usually do not require documentation of citizenship on a routine basis. However, if there is any question about the citizenship of an applicant, almost all states require documentation of citizenship.
    HHS’ Office of Inspector General (OIG) conducted a comprehensive review of state policies in this area and issued a report in July 2005. After studying the evidence, OIG did not recommend a new requirement for documentation of citizenship. The Centers for Medicare and Medicaid Services, which oversees Medicaid, concurred, reporting it has no evidence of a problem in this area.
    The new requirement will increase costs for states and health care providers.
    In the above-mentioned OIG study, state administrators informed OIG that requiring birth certificates or passports would increase state administrative burdens and slow eligibility processing. States would have to notify applicants of the requirement, check their documents, keep records that the documents were submitted, delay enrollment if people cannot locate the documents, and in some cases, try to help people locate the documents. If such activities add 15 minutes of administrative effort per beneficiary, as one state estimates, the requirement will increase an average state’s workload by about 125 person-years. Connecticut’s Medicaid director has stated that the requirement “would be an enormous administrative burden.”
    Hospitals and nursing homes will face higher costs as well. Some Arizona nursing homes estimate that 60-70 percent of their residents will be unable to produce the required documents. “People who are cognitively impaired would have difficulty even addressing that issue,” said the head of the Arizona Health Care Association (AHCA), which represents nursing homes. If nursing home residents are denied Medicaid coverage, the nursing home could end up paying the cost of their care. The requirement “will create a huge crisis,” the AHCA head has warned.
    In sum, the new requirement threatens to create new hurdles for eligible low-income citizens applying or reapplying for Medicaid while imposing new burdens on states. To minimize the potential damage, HHS’s forthcoming guidance needs to address a number of critical questions, such as: When and how will HHS begin informing citizens about the new requirement? How does HHS propose to help people such as elderly African Americans who never had a birth certificate or Katrina evacuees whose records were lost in the disaster to document their citizenship? Will HHS demand official birth certificates with a raised seal, or are copies acceptable? There is serious danger that the new requirement, though intended to prevent ineligible persons from receiving Medicaid, will deprive large numbers of eligible persons of the health coverage they need.
    http://www.cbpp.org/4-20-06health.htm
    END OF AN ERA 1/20/2009

  8. #18
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    My heart bleeds.

    Since when is it a burden to have such basic documentation as a birth certificate or passport?

  9. #19
    Senior Member ruthiela's Avatar
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    That bill will have it's advantages, but it will also have it's disadvantages, especially for those in nursing homes.
    But, you'd be surprised how many don't have birth certificates with them or passports.......especially those over here illegally..........
    think about it
    END OF AN ERA 1/20/2009

  10. #20
    Senior Member lsmith1338's Avatar
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    The new healthcare law just passed in MA requires all recipients of Medicare and Medicaid provide proof of citizenship by June 30 or coverage will be dropped. All new applications must also have proof of citizenship. Now they are going after state funded public housing as many illegals aliens are living in state funded subsidized at the expense of our poor, elderly and veterans. So far they have not received any opposition which is good less we MA taxpayers are paying for these illegal aliens benefits
    Freedom isn't free... Don't forget the men who died and gave that right to all of us....
    Support our FIGHT AGAINST illegal immigration & Amnesty by joining our E-mail Alerts at http://eepurl.com/cktGTn

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