Indicted Correctional Officers Were Low Paid

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Thirteen Maryland correctional officers indicted last month in a corruption case that has outraged legislators and the public were getting paid between $28,000 and $47,000 in 2012, according to salary figures from the comptroller’s office.

The 13 officers were indicted by a federal grand jury for allegedly helping members of the Black Guerilla Family gang smuggle in drugs, cell phones and other contraband. Four of the correctional officers also had babies fathered by the inmate gang leader.

Jeff Pittman, communications director for the employee union that represents correctional officers — the American Federation of State, County and Municipal Employees (AFSCME) — said that the union doesn’t believe higher salaries will prevent corruption.

“The vast majority are doing [the job] at the current salary level,” Pittman said. “I don’t think offering someone more money makes them more honest.”

Starting pay for correctional officers is $36,414

The starting salary for correctional officers is $36,414, with $44,796 as the mid-point for an experienced correctional officer.

The four indicted correctional officers with the lowest pay had base salaries of $37,977 in 2012, according to the comptroller’s state payroll database. The full list is at the bottom of the story.

In terms of actual payment from the state, 27-year-old Antonia Allison was the lowest paid at $28,238. The difference between salary level and gross payment is not explained in salary records from the comptroller’s office, but it is likely due to employees taking leave or working reduced hours.

On the higher end, 26-year-old Ebonee Braswell made $47,035, including $7,020 in overtime.

All thirteen guards were considered full-time in 2012, according to Mark Vernareli, spokesman for lthe Maryland Department of Public Safety and Correctional Services. The indicted officers were suspended without pay April 23.

“Ninety-nine percent of our correctional officers do their jobs with integrity, honor, and ethics at the current salary levels,” Vernarelli stated in an e-mail.

Attracting better officers

The indictments have caused state leaders to question how they can attract better correctional officer candidates and crack down on bad behavior.

According to Vernarelli, about four out of five applicants for correctional officer positions in Baltimore last year (83%) did not pass background investigations. The rejection rate is high in other regions of the state, as well.

AFSCME Maryland has called for better training, higher staffing levels, and careful hiring as potential solutions to the problem not related to salaries.

“Fair pay and fair benefits will help attract the best employees, but in this it’s about finding people of integrity to fill these important roles,” Pittman said.

In the first part of the series which ran Tuesday, MarylandReporter.com found almost 5,700 state workers made $100,000 or more.
Pay records in 2012 for indicted correctional officers:

Name, Age, City, Annual Salary, Actual Payment Including Overtime

Antonia Allison, 27, of Baltimore; salary $40,814, $28,239

Ebonee Braswell, 26, of Baltimore; $41,567, $47,035

Chania Brooks, 27, of Baltimore; $41,567, $38,486

Kimberly Dennis, 26, of Baltimore; $41,567, $45,232

Jasmin Jones, a/k/a J.J., 24, of Baltimore; $39,365, $38,014

Taryn Kirkland, 23, of Baltimore; $37,977, $39,488

Katrina LaPrade, a/k/a Katrina Lyons, 31, of Baltimore; $37,977, $36,161

Tiffany Linder, 27, of Baltimore;$37,977, $40,311.80

Vivian Matthews, 25, of Essex; $40,814, $40,242

Jennifer Owens, a/k/a O and J.O., 31, of Randallstown; $39,365, $37,843

Adrena Rice, 25, of Baltimore; $39,365, $35,222

Katera Stevenson, a/k/a KK, 24, of Baltimore; $37,977, $43,533

Jasmine Thornton, a/k/a J.T., 26, of Glen Burnie, $39,365, $40,404

Read more: http://marylandreporter.com/2013/05/14/indicted-correctional-officers-were-low-paid/#ixzz2TMmQjajQ
Under Creative Commons License: Attribution

Second in a series on state salaries that began Tuesday.

By Meg Tully

Meg@MarylandReporter.com

Almost 5,700 State Employees Make $100,000 or More

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Maryland Reporter’s third annual report on state salaries found that 5,663 state employees pulled in $100,000 or greater in 2012 –about 6% of total state employees. Three out of four of these six-figure salaries are earned by people working for state colleges and universities — more than 10% of the full-time employees — led by three million-dollar coaches.

1.

This total is slightly higher than last year’s number, when 5,552 people — about 6% of state work force — made $100,000 or more, but 500 more than calendar 2010 when furloughs reduced all state salaries. The state employed close to 94,828 total full-time employees in 2012, according to budget documents (pages 144-146) including figures for higher education, non-budgeted agencies and contractual employees.

2. Mark Turgeon, Head Men’s Basketball Coach, University of Maryland, $2,001,149

The median household income in Maryland was $72,419, according to the U.S. Census Bureau, meaning half of Maryland homes make less than that amount.

Here is the complete list of state employees making more than $100,000 per year.

3. Brenda Frese, Head Women’s Basketball Coach, University of Maryland, $984,637

Market drives salaries

Public policy experts on both sides of the political spectrum said that Maryland’s salaries seem to be in line with with the marketplace.

Christopher Summers, president of the Maryland Public Policy Institute, a free-market oriented think tank, said that salaries should be considered within the market for those jobs.

“It’s good that we have transparency of public employee compensation,” Summers said. “(But) I think when you look at the overall compensation packages, it would be very comparable if these same individuals were to hold the same positions of responsibility in the private sector.”

4. E. Albert Reece, M.D., PhD, MBA, Vice President for Medical Affairs, & Dean, University of Maryland School of Medicine, $ 796,183

Particularly medical doctors, who earned some of the highest wages in the university system and non-education state government offices in 2012, could probably earn higher wages in the private sector, he said.

MarylandReporter.com’s analysis of 2012 payroll data provided by the Maryland Comptroller’s Office found that 5,663 employees paid by the state made more than $100,000. The data includes contractors and hourly workers. Some Department of Public Safety and Corrections who made more than $100,000 were excluded from the list because of an accounting change mid-way through the year as the department reorganized.

5. Bartley Griffith, M.D., Chief of Cardiac Surgery at the University of Maryland School of Medicine $ 792,336

About three-fourths of earners making $100,000 or more are employed by Maryland’s public universities and colleges. University employees dominate the highest paid echelons of state employees, with non-university employees only coming into the rankings after 269 university employees.

The judiciary, the health department, the state police and the transportation department have the most $100,000-plus workers of non-university state departments.

Universities lead salaries, top earner makes more than $2 million

6. Jay A. Perman, M.D., President, University of Maryland, Baltimore $657,542

At the top of the list of highest paid employees are three coaches at University of Maryland, College Park – Head Football Coach Randy Edsall earned $2,011,720, Head Men’s Basketball Coach Mark Turgeon earned $2,001,149 and Head Women’s Basketball Coach, Brenda Frese earned $984,637.

Rounding out the top 10 paid are higher-ups at the University of Maryland School of Medicine and University of Maryland, Baltimore. Many of those are doctors whose private practice patients go through the university system.

7

“Fully two-thirds of those salaries come from private non-taxpayer sources,” said Mike Lurie, a spokesman for the University System of Maryland. “Technically these private practice physicians are de facto members of the professor faculty at the University School of Medicine, but the salary that you see listed is not paid by the state — about one third of that number is.”

The payroll database maintained by the comptroller’s office does not distinguish sources of funding for salaries. Especially in the universities, there are other sources of income that help offset salaries – whether it is research grants brought in by faculty, endowed chairs funded through donation, private patient payments or sports media deals.

8. Vincent Pellegrini, Jr., M.D., Chair, Department of Orthopaedics at the University of Maryland School of Medicine, $612,650

For some employees, there is a big difference between their annual salary and the amount the state actually paid them. For instance, Edsall’s salary is listed as $400,000 but the football coach was paid more than $2 million.

The state’s database for gross payments includes salaries plus bonuses, annual leave payouts, overtime, payments for working late shifts, Social Security and Medicare taxes, and any increases in pay for temporarily performing increased duties.

9. James S. Gammie, M.D., Director, Center for Heart Valve Disease at the University of Maryland School of Medicine, $609,783

Six-figure employees in the minority

Most state employees do not make six-figure salaries and are hard-working people who have endured furlough days and pay freezes in the recent years, said Jeff Pittman, communications director for the state employee union American Federation of State, County and Municipal Employees (AFSCME Maryland) . Most employees in the union are not in the six-figure pay range and take note of higher government salaries.

10. Scott E. Strome, MD, Chair, Department of Otorhinolaryngology-Head and Neck Surgery at the University of Maryland School of Medicine $604,518

“For state employees, non-teachers, the average is around $41,000 a year, so they definitely look at these and it raises their eyebrows,” Pittman said.

Psychiatrists make Top 10 list for non-university employees (See list below)

In state government outside the university system, Department of Health and Mental Hygiene employee Dr. Linda De Hoyos made the most of all employees. De Hoyos, clinical/medical director at the Thomas B. Finan Hospital Center in Cumberland, is paid $118 an hour and earned $263,326 in 2012.

Dori Henry, a spokeswoman at DHMH, said there is a shortage of psychiatrists nationally and in Maryland. Psychiatric hospitals in particular require round the clock physician presence, and the department has a variety of contracts to attract physicians instead of relying solely on salaried doctors, she said.

For instance, some physicians work only “on call” while others have regular hours. Other physicians work at several different institutions and prefer to be contract employees, she said.

“In the rural areas, recruitment of psychiatrists is particularly difficult, so special payment contracts are sometimes used to attract psychiatrists for higher pay but no benefits,” Henry said.

That is the case at the Finan Hospital, where De Hoyos oversees clinical and medical staff, as well as a 22-bed unit. Two other psychiatrists, Dr. Taiwo Okusami and Dr. Sherri Passarell, from DHMH who are in the top five non-university state employees both oversee 22-bed

units at the hospital. Although they are hourly employees, DHMH does not offer them additional overtime compensation, Henry said.

The health department employed 258 people who made more than $100,000 in 2012. The university system employed about 4,170 people who make more than $100,000. Judiciary employed 335, Department of State Police 166 and Department of Transportation 150.

Expert: high-wage employees not over compensated

Neil Bergsman, director of the Maryland Budget & Tax Institute often aligned with progressive advocates, said that state government employees are not over compensated.

“You look at your top 10 list outside of higher education and you can see that most of them are in very specialized positions where if you want capable professionals you have to pay them market rates — people running ports and airports and investment operations,” Bergsman said.

The Department of Budget and Management performed a compensation study in 2008 (and part 2) that compared state employee salaries

with salaries paid by the federal government, counties and neighboring jurisdictions. The study found that

Maryland government employee salaries were about five percent behind market rate in salaries, and comparable to market rate with benefits included, he said.

In the years since 2008, state leaders grappling with the recession implemented furlough days and cut back on expected salary increases, so the study is relatively current, he said.

And Bergsman pointed out not all six-figure jobs are simple desk jobs.

“Just recently the warden positions have edged up to hundred thousand territory,” Bergsman said. “I cannot think of a more stressful, a more responsible job where the consequences of screwing up are worse that pays as little as a hundred thousand or so. It’s astonishing to me that prison wardens do that job for that money.”
Top 10 Paid Non-University Employees

1. Linda De Hoyos, M.D., Clinical/Medical Director of the Thomas B. Finan Hospital Center, Department of Health and Mental Hygiene $263,326

2. Taiwo Okusami, M.D., Psychiatrist/Unit Director, Department of Health and Mental Hygiene $261,771

3. Paul Weidefeld, Executive Director of the Maryland Aviation Administration, Department of

Transportation $260,858

4. James White, Executive Director of the Maryland Port Administration, Department of Transportation $257,734

5. Sherri Passarell, M.D., Psychiatrist/Unit Director, Department of Health and Mental Hygiene $255, 669

6. Michael Frenz, Executive Director, Maryland Stadium Authority $249,332

7. Ann Moye, Chief Investment Officer, State Retirement Agency $245,365

8. Kelley Phillips, M.D., psychiatrist and acting clinical director, Department of Health and Mental Hygiene, Eastern Shore Hospital Center $241,042

9. Robert Bass Maryland, Executive Director, Institute for Emergency Medical Services Systems $238,852

10. David Fowler, M.D. Chief Medical Examiner, Department of Health and Mental Hygiene $227,088

By Meg Tully

Meg@MarylandReporter.com

Towson University President Found Guilty in Absentia

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 Towson University President Maravene Loeschke was found guilty in absentia at an Annapolis show trial Wednesday, with Comptroller Peter Franchot as chief prosecutor and hanging judge.

“She should resign,” Franchot said after 90 minutes of testimony for which neither Loeschke nor the university provided any defense.

The charges warranting dismissal were that Loeschke unfairly shut down the baseball and soccer teams through a closed process and lied about why she did it. Then she announced the decision at a hastily called closed meeting accompanied by campus police.

Loeschke doesn’t show up, but accusers do

Loeschke was originally supposed to appear of Wednesday’s meeting of the Board of Public Works to explain her decision. But as reported by Bryan Sears in Towson Patch.com, she decided not to attend because the governor and the legislature had worked out a temporary solution, sending $300,000 to the university system to help deal with the problem of funding collegiate sports. The decision not to attend was probably another political misstep on Loeschke’s part.

Dozens of Towson baseball and soccer supporters had already prepared to testify at the regular board meeting, and almost all were critical of Loeschke, egged on by Franchot, who questioned her veracity and ability.

Like Franchot, Gov. Martin O’Malley had initially been critical of Loeschke and then came up with some money to solve the problem. He then sat disengaged through most of the meeting he chairs, allowing Franchot to question the witnesses, and testify himself about the importance of college athletics, how much parents sacrifice, how badly the athletes were treated, and so on.

Kopp brings good sense into play

While the boys on the board were into this sports riff, the third member, State Treasurer Nancy Kopp, brought her usual even-handed good sense into play at the end.

“This is not an item before the Board of Public Works,” Kopp said after Franchot had rendered his verdict and sentence. “I obviously do not think this is the place for this item.”

“Where it should be … is before the Board of Regents” of the university system, Kopp said, the people appointed by the governor to run the four-year colleges and universities. It is they who appoint the university presidents and set the policy for the entire system.If there was to be a “trial” for Loeschke, it should have been conducted by the regents.

“I do wish the university had been represented,” Kopp said, and even Franchot agreed to that, though he might have used Loescke’s appearance to give her another tongue-lashing. (He was very dissatisfied after meeting with her in private several weeks ago.)

Actions and treatment of Loeschke and Loh in sharp contrast

At the end, O’Malley took back control of the meeting hijacked by Franchot, said he hoped the university system would come up with a policy. “Our desire is to have a clear policy here,” O’Malley said.

Loeschke has certainly made some missteps in the decision and then the announcement. In a similar situation, Wallace Loh, president of the University of Maryland College Park, handled the shuttering of eight different sports teams with a more open process, including a commission report and a press conference. Once the decision had been announced in a very open way, he even gave the teams the possibility of a financial reprieve to raise money, unrealistic as that may have been.

But in that move and his move to the Big Ten, no powerful state official was calling for his head the way the comptroller did for Loeschke.

Franchot has seriously undermined Loeschke’s authority and ability to govern a major state institution, one that supplies thousands of the state’s teachers and other members of its workforce. And all this happened over the fate of two amateur collegiate sports programs, however worthy they might be.

–Len Lazarick

Len@MarylandReporter.com

Attorneys General Team Up With Facebook to Protect Privacy

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Led by Maryland Attorney General Doug Gansler, the National Association of Attorney Generals (NAAG) has teamed up with Facebook to improve social media security with the launch of a new consumer education program. Issues of social media privacy were featured at a NAAG cybersecurity summit this week, alongside the topics of financial hacking and government infrastructure.

“Just as we must address bullying, harmful content and other dangers in our schools and in our neighborhoods, we must address them online,” said Gansler, president of NAAG, on April 15 during the introduction of the summit.

Facebook a focal point

Facebook has been a focal point for Gansler, who is spearheading the NAAG-Facebook partnership and advocating for better distribution of privacy information to teens. The summit took place at the Gaylord National Resort and Conference Center in National Harbor on the Potomac River..

“The problem is there are ever-changing privacy policies and privacy protections, and the kids aren’t always aware of the changes — and certainly parents aren’t always aware of the changes,” explained Gansler. “And a lot of times, the things people post on Facebook can affect what colleges they get in to, what kind of scholarships they get, and even their careers.”

With this concern in mind, Facebook and NAAG came to an agreement that will help attorney generals provide information on privacy and social media safety. The public service announcements will be posted on Facebook in place of advertisements and will be distributed by attorneys general on a state level, directing parents and teenagers to a “privacy policy kit.”

Representatives of Facebook said they were excited to be working with NAAG to improve its users’ understanding of privacy and Internet safety. They see it as an opportunity to build user-trust and improve the social community, they said.

“We understand that if people don’t trust our service, then they’re not going to share information with one another,” said Erin Egan, chief privacy officer at Facebook. “And if they don’t share information, then we’re not going to fulfill our mission of connecting the world.”

Critic blames data arms race among Internet giants

On the same panel with Egan was Jim Steyer, CEO of Common Sense Media and an outspoken critic of Facebook. Steyer agreed that the partnership between NAAG and Facebook was good for corporate accountability and consumer education, but he said he strongly believes that Facebook’s decisions are driven by its business model.

“What we have right now is a data arms race going on between some of the larger media companies in the country,” said Steyer, referring to Facebook and its competitors. “When you have a data arms race that is core to the national economy and the business models of those companies, you’re going to have enormous issues around privacy, particularly as it relates to kids and teens.”

Egan assured the audience that Facebook views teen safety as a priority, detailed some of the technical measures they take to protect teens, and explained that various teams are dedicated to moderating content and developing privacy policies.

“There’s nothing more important than kids and teens on our site,” said Egan. “We want to make sure that the Internet is an appropriate place for teens.”

Steyer said that he felt that the attorney generals had the power to make the web a safer place for kids, but called for the government to hold the industry more accountable for providing technological solutions for teens and parents.

“What we have in Silicon Valley is a lot of twenty-somethings who don’t have kids, who are trying to create the coolest things for teens as possible. They aren’t thinking about kids’ safety,” said Steyer. “The sooner that Mark Zuckerburg has kids, the better it will be for the rest of us.”

 

By Becca Heller

Becca@MarylandReporter.com

Transportation Lockbox Sent to Voters, Won’t Be Guarded Well GOP Says

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Voters next year will be asked to approve a constitutional amendment creating a  “lockbox” to prevent raids on the Transportation Trust Fund for other purposes, but Republican opponents said the measure was a sham that would provide little protection.

 Sponsored by Senate President Mike Miller as a companion to an increase in the gasoline tax, the measure, SB829, provides that money can only be taken out of the Transportation Trust Fund after a three-fifths vote of both houses of the Maryland General Assembly once the governor has declared a state of “fiscal emergency.”

Money from the gas tax, vehicle sales tax and vehicle registration fees flow into the trust fund. Over the past decade, billions have been taken out of the trust fund for other programs to help balance the budget. All but $1.1 billion in highway user revenues has been repaid.

Miller and Democratic leaders believe that the “lockbox” would reassure Maryland citizens that transportation revenues are going only for roads and mass transit.

Republicans question security of lockbox

But House Minority Leader Tony O’Donnell objected, “Every time we raid the Transportation Trust Fund, it meets the three-fifths vote” in both houses.

 The problem with the lockbox provision is that it did not define “a fiscal emergency,” Republicans said. They offered several amendments that would make it apply only after an invasion, natural disaster or other such catastrophe, not just a prolonged economic recession.

 Del. Susan Krebs, R-Carroll, offered a substitute constitutional amendment also spelling out that the any money taken out of the trust fund would have to be repaid over five years.

 The Democratic proposal “does not give any type of real lockbox on the trust fund,” Krebs said.

Measure will be before the voters November 2014

 All Republican amendments were rejected by wide margins. The constitutional amendment, which also requires a three-fifths vote, passed the House 106-32 and it passed the Senate 40-7 Monday night in the final hours of the Maryland General Assembly’s legislative session.

 As a change to the state constitution, it does not need the signature of the governor, but goes directly to the voters for their approval in the November 2014 election.

April 09, 2013 at 7:46 am

By Len Lazarick

Len@MarylandReporter.com

Original story>

Two Year Delay on Rain Tax Fails, Homeowners Assessed This July

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An attempt to delay implementation of stormwater clean-up fees that will cost Maryland property owners millions come July failed in the legislature’s final day. The delay died after it was attached to a bill exempting nonprofits and government agencies from the fees known by critics as “the rain tax.”

The amendment to delay the fees for two years was sponsored by Sen. Edward Kasemeyer, D-Howard, who said the timing was not right for an increase in government fees, even though he supported the principle that governments should invest in environmental clean-up.

The House of Delegates committee refused to bring this revision of the bill to the floor for a vote, and the end result is water clean-up fees will be charged to every commercial and residential property owner without exception.

Fees will be calculated based on square footage of buildings, pavement

These fees will be calculated based on the square footage of impervious surfaces on a property. The rationale is that roofs, driveways and parking lots create more potential for drainage problems and water contamination.  Local jurisdictions are supposed to determine how much to charge per square foot, but in general, the size of the fee would depend on the size of the buildings and paved surfaces on a property.

Environmentalists say that the policy is necessary to raise money for the cleanup of the Chesapeake Bay and to support the state’s efforts to meet federal environmental standards before 2017, the national deadline for compliance with the Clean Water Act.

However, critics of the fees say that they impose an undue financial burden on Marylanders at a time when the state is still struggling to recover from the recession.  They argue that it is unreasonable to expect cash-strapped citizens to pay these fees when they also have to pay more gas taxes, payroll taxes, and income taxes.

‘Rain tax’ debated in Senate

Calling it a “rain tax,” Senate Minority Leader E.J. Pipkin, R-Cecil, told his fellow senators said that it was ironic that the environmental groups who championed the fees did not want to pay them.

Pipkin said that “the irony of ironies” was that these groups were not willing to pay for better water quality even though they were the ones pushing the state towards that goal.  He said that the groups’ stance was particularly galling, since much of the money raised through stormwater fees would benefit them by subsidizing conservation projects.

Sen. Paul Pinsky, D-Prince George’s, defended the fees, arguing that citizens had a year of advance notice and that this was plenty of time to prepare to pay the money necessary to meet federal mandates.  He said that the state had an obligation to protect its waterways and that it was not unreasonable to ask citizens to pay the costs of environmental clean-up.

Kasemeyer argued it was hard to justify adding another expense to Marylanders’ budgets immediately  after enacting a gas tax hike.  At a certain point, he said, the impact on people outweighs the impact on the environment, and it is unreasonable to expect people to sacrifice so much for the sake of conservation.

Sen. Delores Kelley, D-Baltimore Co., said that she objected to the fees in spite of  her conviction that it is vital to protect the Chesapeake Bay, because she feared causing economic hardship.

“We need to save the planet,” she said, “but people can only do so much at one time.”

Fees will help with Chesapeake Bay cleanup

Montgomery County Democrat Sen. Richard Madaleno said that the state could not avoid paying the expense of water cleanup, since the Environmental Protection Agency has set a firm deadline for completion of the project in 2017  and will not budge.  He argued that it was silly for legislators to delay the imposition of the fees required to meet that goal since citizens would ultimately have to pay the same amount of money regardless.

“When I look at this amendment, I’m reminded of the saying, ‘You can pay me now, or you can pay me later,’” Madaleno said.

Original Story>

 

Mental Health Advocates Outraged By Lack of State Funding For Psychiatric Care, Cuts In Governor’s Budget

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By Ilana Kowarski

Ilana@MarylandReporter.com

Lack of psychiatric hospital beds is one of the problems identified by mental health advocates (Photo by StudioTempura/Flickr)

Lack of psychiatric hospital beds is one of the problems identified by mental health advocates (Photo by StudioTempura/Flickr)

There has been a great deal of partisan bickering in the debate over gun control. But the one thing Democrats and Republicans tend to agree on is the need to improve the mental health system, so that potential mass shooters are treated before their violent fantasies become a reality.

Maryland’s new gun control laws prohibit gun purchases by those who have been involuntarily committed by a judge or those who were voluntarily committed for over 30 days.

Mentally ill Marylanders have cried foul, saying that they have become the scapegoat for a national tragedy.  They say that they are not getting the help they need from the state, and that they have been neglected by politicians who claim to care about their well-being.

Mental health providers concur, arguing that the state’s psychiatric services are woefully underfunded and that the General Assembly has done little to address this problem. They were particularly shocked that the governor revoked some funding for mental health in his supplemental budget this week.

“It’s like the mental health part of the state budget is the red-headed stepchild.  We get the scraps that fall to the floor, if there are any,” said Denise Camp, an outreach coordinator for On Our Own of Maryland who became an advocate for the mentally ill after a lifetime of struggling with depression and suicidal compulsions.  “I’m not a psychiatrist, but psychiatrists have helped me, and when they get shafted, I get upset.”

Proposals for more funding unlikely to pass

Sen. Richard Madaleno, D-Montgomery, and Del. Sandy Rosenberg, D-Baltimore City, each proposed bills that would provide $40 million of additional mental health funding, but those proposals have gotten no traction in either house.

The Department of Budget and Management opposes this legislation, arguing that an overhaul of the mental health system is too expensive for the state to pursue at this time. Kim Burton, a director at the Mental Health Association, said that the needs of Maryland’s mentally ill are too great to ignore.

“There really isn’t a question about what is needed to make our mental health system more proactive, effective, comprehensive and just,” Burton wrote. “What we don’t have – and couldn’t get this session – is the commitment of our state’s leaders to the high cost of implementing the recommendations.”

Burton also objected to legislators’ rhetoric about the mentally ill during the gun debate. She argued that this rhetoric would increase the stigma of psychiatric disorders and make it harder for the mentally ill to acknowledge their disease and seek treatment.

“Though there is no data to support that people with mental illness are more dangerous than the general public, our legislature has moved forward with highly discriminatory and misguided amendments to the gun legislation which unfairly targets individuals with mental illness even if they pose no threat to public safety,” she wrote.

Surprise cut in governor’s supplemental budget despite rise in patients

Screen Shot 2013-04-08 at 2.10.29 PMResentment among Maryland mental health advocates has been festering for years as the state has progressively reduced the number of subsidized psychiatric care beds and repeatedly dipped into the Mental Hygiene Administration’s coffers to compensate for shortfalls in the general fund.

Psychiatrists and their patients are now protesting, and some claim that they have reached their breaking point, since Gov. Martin O’Malley revoked the Mental Hygiene Administration’s $7.2 million surplus for this fiscal year.

The surplus was in the state’s Medicaid payments for mental health, but advocates said they could have used it to pay for community psychiatric clinics.

O’Malley’s decision was announced in his supplemental budget this week, a move that shocked mental health advocates.

“Nobody in the advocacy community had any hint that this was coming,” said Herb Cromwell, the executive director of the Community Behavioral Health Association.

The governor did deliver a $5 million increase in the 2014 appropriation for mental health, but these increases were outweighed by budget cuts in the current fiscal year.

Budget surpluses revert to general fund

Karen Black, spokesman for the Department of Health and Mental Hygiene, defended the governor’s financial choices, explaining that the state routinely returned the agency’s budget surpluses to the general fund.

The surplus was a result of the agency overestimating the cost of providing services to Medicaid recipients.  Since the estimate was high, she stated, the surplus was returned, but if it had been low, then the governor would have appropriated more money to meet the need.

“The governor included an additional investment of $5 million for mental health services in his supplemental budget, above what is required to be provided to Medicaid recipients,” Black stated. “These dollars will fund crisis services, mental health first aid training, and creating a center of excellence for serious mental illness.”

Maryland’s mental health providers say that they are grateful for the additional state funding in 2014, but that the governor’s cut to the Mental Hygiene Administration’s 2013 budget comes at a particularly bad time, since they have experienced a 50% increase in referrals during the Great Recession.

Studies consistently show that depression and suicide rates spike during times of economic hardship. A 2011 survey from the National Alliance for Mental Illness revealed that 13% of America’s unemployed have contemplated suicide.

Mental health providers object

When mental health providers realized that they would not be getting the money they were counting on, they sent letters of protest to O’Malley.

In his letter, Cromwell stated that the funds would have gone directly to outpatient mental health clinics that provide treatment and medication for 140,000 children and adults using the public mental health system.

“To have it taken away at the last minute is stunning,” Cromwell stated.  “Community providers continue to do everything they are asked to do and more, including serving 50,000 additional customers in the last six years because of increased demand brought on by the Great Recession.  They have done so at a lower per capita cost than was the case in 2004.  And this is the thanks they get.”

Some of the Mental Hygiene Administration’s budget surplus had been allocated to health care providers by the General Assembly before the governor returned the surplus to the general fund.

$2.1 million was earmarked to raise psychiatrists pay. They have consistently received lower reimbursement rates than other physicians in the state, despite a 2010 parity law mandating that they receive comparable compensation.

The General Assembly had allowed for the other $5.1 million to be used to fund community psychiatric clinics, but those plans are nixed by the governor’s supplemental budget.

Hospitals lack psychiatric beds

Screen Shot 2013-04-08 at 2.10.21 PMThose on the front lines of the mental health care system say that state funding is inadequate.  Dr.  Steve Daviss, chairman of psychiatry at the Baltimore-Washington Medical Center, said that his hospital does not have enough mental health care beds and that this is partly because the state provides less money for psychiatric services than for other kinds of medical care.

The General Assembly has reduced funding for inpatient psychiatric care beds for several years, and recently eliminated all remaining funding for psychiatric care beds in private hospitals, striking $1.25 million from the 2014 budget.

Legislative analyst Simon Powell argued that this cost-saving measure was appropriate.  Hospitals will eventually be reimbursed for uncompensated psychiatric care through higher rates enacted by the state and paid by insured health consumers, making up for those who are unable to pay for their own psychiatric treatment, Powell said.

However, he argued that psychiatric reimbursement rates should be higher than they are now, since there is substantial unmet need in the state’s mental health care sector and hospitals have little financial incentive to provide mental health services.

Daviss said that there is a severe, statewide shortage in the number of inpatient psychiatric beds. The result, he says, is that psychiatric patients wait for hours — sometimes days — for inpatient care after arriving in emergency rooms, even when they are in desperate need of medical attention.

“There are times when every single psychiatric bed in the state is full,” he said.  “It’s like going to a popular restaurant, seeing long lines, and waiting for someone to leave so you can move in.  If there’s no beds, there’s no beds, whether you have insurance or not.”

Doctor: delayed treatment puts patients on verge of suicide

Daviss said that psychiatric patients also had difficulty getting outpatient appointments and other support services. He attributed this in part to a lack of state financing and in part to a lack of regulation ensuring that insurance providers gave clients a sufficient number of in-network psychiatrists.

He also argued that the disparity between the state’s psychiatric reimbursement rates and other medical care rates made hospitals less willing to provide mental health care, since they are unlikely to make a profit.

Due to these factors, Daviss believes that the state’s mentally ill population often stays in the shadows until they can no longer cope with their disease, and he says that he has witnessed the cost of delayed psychiatric treatment.

“People go a lot longer before getting treatment – they go until they just can’t function anymore or until they are forced to get help,” he said.  “Many of my patients are people at the end of their rope, and they are ready to kill themselves. They say, ‘I can’t get the help I need.’”

Daviss said that he knows that quality support services can make a difference because of one of his patients, who attempted suicide twice last year but began the road to recovery after the hospital connected her with outpatient counseling. “Before she did not have hope, and now she does,” Daviss said.

Read more: http://marylandreporter.com/2013/04/05/mental-health-advocates-outraged-by-lack-of-state-funding-for-psychiatric-care-cuts-in-governors-budget/#ixzz2PteBxbjV
Under Creative Commons License: Attribution

Gun Control Debate Reveals Cultural Divide

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The debate and vote on a sweeping new gun control measure that establishes a stringent licensing regime for handguns reflected a sharp split between two different cultures in Maryland. One shuns guns as instruments of violence and the other embraces them as essential to freedom and safety.

(Continue reading here)

Tax Credit For Maryland Film Production Rises to $25 Million

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By Becca Heller

Screen Shot 2013-04-03 at 11.40.30 AMAn emergency bill expanding existing tax credits for film and TV production from $7.5 million to $25 million passed in the House of Delegates Tuesday , 108 votes to 31. The bill, SB183, which passed passed the Senate unanimously and now heads to the governor’s desk, sparked debate on the House floor as several Republican delegates expressed staunch opposition to the initiative.

“This bill provides $25 million to companies who are located outside of the state so they can film in the state,” said Del. Mark Fisher, R-Calvert. “This is on top of the 2012 raising taxes on thousand-naires and what looks like raising gas taxes this year as well. Using taxpayer money — that’s 25 million dollars worth for folks who aren’t even located in Maryland.”

Delegates in support of the bill asserted that the increased tax credits would revive Maryland’s stalled film industry and generate revenue for businesses in the state, and cited past productions that successfully came out of the state. Recent productions filmed in Maryland include Kevin Spacey’s “House of Cards,” “VEEP” with Julia Louis-Dreyfus and “Game Change” with Julianne Moore.

“There’s probably not many programs that have a demonstrated success rate like this one does,” said Del. Veronica Turner, D-Prince George’s. “The question is not whether or not Maryland benefits from this bill, the question is do we want to compete with other parts of the country to win film to our state.”

Opponents expressed doubt that this bill would stimulate the economy as supporters of the bill suggest.

“We’re doing this to help the small businesses in the state, and yet, in plain print on the fiscal note, it says that it will have very little impact on the small businesses of the state,” said Del. Herb McMillan, R-Anne Arundel. “Note to self: check fiscal notes before beginning a debate.”

Ending the discussion following the vote, one opponent of the bill went so far as to jokingly suggest that the bill might be part of the governor’s plan to gain celebrity allies for a future presidential campaign.

“I’m thinking to myself: I’m confused. Who benefits from this? Who would need friends in California?” Del. Pat Mcdonough said, pausing as members of the body chuckled knowingly. “Who would need to make Michael Moore and George Clooney happy? Who would need an emergency bill to get them on his side as quickly as possible? I have no idea…but his first initial is M!”

Read more: http://marylandreporter.com/2013/04/03/tax-credit-for-maryland-film-production-rises-to-25-million/#ixzz2PPoGfv00
Under Creative Commons License: Attribution