A show of force in Raleigh

An old saying cautions that you had better be careful what you ask for, because you just might get it. During the past several years, county officials from around the state have asked to be more involved in the Association’s legislative efforts. On May 17, the Association provided us that opportunity. And I am pleased to report that we responded in kind.

More than 300 county officials from around the state – the highest turnout we’ve had for that event in many years – turned out for the 2006 County Assembly Day and Legislative Reception.

After the General Assembly convened May 9, it quickly became apparent that the Senate was not going to include Medicaid relief in its budget, and that both chambers appeared intent on making it a true short session. As a result, just a few days prior to County Assembly Day, staff made the decision to abandon the traditional format and turn it into a day-long Medicaid relief lobbying effort.

Association staff made every effort to reach all county commissioners and managers about the changes and urge them to attend. District directors were asked to contact the board chairs in their district and urge them to contact their commissioners with the change in plans.

As a result of these efforts, more than 200 county officials came to Raleigh early to spend the day walking the halls of the General Assembly while wearing their “Medicaid relief for counties” buttons. Dozens more who had not planned to attend changed their schedules so they could show up and lend their assistance.

More on Medicaid relief

County officials should be commended for a job well done. Your presence pushed public awareness of this issue to even greater heights. The event generated significant media coverage throughout the state, including dozens of articles and several editorials in support of eliminating or reducing the county Medicaid share.

While the efforts were not enough to convince the Senate to include any Medicaid relief in its budget, which was unveiled the next week, House members received the message loud and clear. Leaders continued to pledge their support for the $65 million of Medicaid relief that was recommended by the House Select Committee on Health Care while setting the stage for a discussion on a permanent relief strategy.

It is being made abundantly clear to us that any solution that permanently relieves counties of our Medicaid services costs is going to involve some sort of swap – either an exchange of revenues or responsibilities. The turnout for County Assembly Day – and the continued lobbying efforts of county officials – will help improve our leverage in any deal that helps us achieve a permanent solution.