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Spencer Chretien

Taxes

Seattle Soda Tax Not Doing Too Well

January 12, 2018 Spencer Chretien

While the rest of us were popping champagne to celebrate the arrival of 2018, Seattle greeted the New Year with a 1.75 cent per ounce tax on sweetened beverages.  It was needed, former Mayor Ed Murray once said, for a host of noble reasons: to reduce sugar consumption; to raise revenue for important projects like […]

State Issues

Up In Smoke: What Happened to the Tobacco Master Settlement Agreement Money?

December 13, 2017 Spencer Chretien

In November 1998, forty-six US states, along with the District of Columbia and five US territories, and the major tobacco companies entered into a contract of an extraordinary nature.  (The other four states, Florida, Minnesota, Mississippi, and Texas, had entered similar agreements on their own beginning the year before.)  The agreement, known as the Master […]

General Waste, State Issues

Virginia Continues Move to Left

November 15, 2017 Spencer Chretien

On November 7, 2017, Virginians elevated Lieutenant Governor Ralph Northam (D) to the governorship.  Democrats also won the other two statewide elected offices and, surprising most forecasters, picked up at least 15 seats in the Virginia House of Delegates, bringing their total to 49 out of 100 seats, with three recounts likely taking place in […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Trump Administration to Allow States to Establish Work Requirements for Medicaid

November 14, 2017 Spencer Chretien

Since its establishment in 1965, the federal government and the states have jointly administered Medicaid.  The program’s characteristics and logistics vary from state to state, and there is always some give-and-take between the states and the feds.  States want more flexibility; the federal government wants to make sure states are complying with the law.  One […]

Budget

Connecticut and Pennsylvania Pass Budgets

November 7, 2017 Spencer Chretien

As we finish our Halloween candy and start preparing for Thanksgiving, each of the fifty states has now passed its required budget.  As forty-nine of the fifty states require a balanced budget, which means the politicians can’t always resort to gimmicks and kick the can down the road like they do in Washington, D.C., the […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Maine’s Fiscal Future Tied to Medicaid Expansion

November 6, 2017 Spencer Chretien

On November 7, 2017, Mainers will head to the polls to vote on four ballot measures, including Question 2, which would expand Medicaid in the state to cover able-bodied adults without children whose income is equal to or less than 138 percent of the federal poverty line.  In an off-year election, not many will vote; […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager, Taxes

Cook County Soda Tax Repealed After Only Two Months in Effect

October 19, 2017 Spencer Chretien

When politicians decide to tax something new, taxpayers rarely see the end of it.  This adage is especially true of so-called “sin taxes,” levies on products like alcohol, tobacco, and, increasingly, soda.  Those in government always appreciate more money, and politicians like beating up on unpopular industries.  It’s a two-pronged argument:  you shouldn’t be buying […]

Budget, Taxes

Connecticut Legislature Passes a Bipartisan Budget Plan

September 20, 2017 Spencer Chretien

Faced with a budget deficit of $3.5 billion over the next two years, and three months overdue on a budget for fiscal years 2018 and 2019, Connecticut lawmakers face a difficult situation and must make tough choices.  In 2011 and 2015, the legislature tried to solve the state’s fiscal woes by passing big tax increases.  […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Liberal States Are Trying to Prop Up Obamacare

September 20, 2017 Spencer Chretien

As Washington struggles with what may be its final chance to repeal Obamacare, the law’s problems in the states continue.  One major problem that has plagued Obamacare for years is that not enough young and healthy people are signing up for health insurance coverage.  The Obama administration, to coax more Americans into signing up, attempted […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Eligibility Check Reveals Massive Medicaid Problems in Oregon

September 20, 2017 Spencer Chretien

Oregon attracted national ridicule in 2013 and 2014 as its state-run online Obamacare exchange, Cover Oregon, epically failed to sign up even one person for coverage, despite a federal grant of $303 million.  The fiasco was so colossal that the state gave up completely and had the federal government take over its enrollment for the […]

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