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House Majority Leader Jon Burns discusses healthcare, Medicaid
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Recognizing that access to quality healthcare remains an issue in many parts of Georgia, the General Assembly worked hard this session to deliver policy solutions for our citizens. 

This week’s article will continue my discussion of healthcare legislation passed by the General Assembly during the 2017 legislative session.

Early in the session, the General Assembly reauthorized the Hospital Payment Provider Agreement, known as the “Provider Fee.”

This action enables the state to draw down approximately $400 million in federal matching funds for our state’s Medicaid program.

As such, this important measure will help support our Medicaid population – children, pregnant women, and people who are aging, blind and/or disabled - and the hospitals who serve them.

In addition, the two appropriations acts we passed prioritized increasing access to quality, healthcare treatment for Georgians, particularly those Georgians in rural and underserved areas. 

For instance, in the Amended Budget for FY ’17 (House Bill 43), the General Assembly appropriated:

•        $500,000 for two new Federally Qualified Health Centers (FQHCs) in Jackson and Jenkins Counties;

•        $387,407 for a new add-on payment for newborn delivery in rural counties;

•        $219,684 for an emergency medicine residency program at Memorial Health University Medical Center;

•        An additional $100,000 for the Georgia South Family Medicine Rural Residency Training Program; and

•        Additional funding to maintain the rural dentistry loan program and to support OB/GYN physicians who want to return to practice in underserved areas. 

In the General Appropriations Act for Fiscal Year 2018 (House Bill 44), the General Assembly appropriated  funds to create 97 new residency slots in primary care medicine, 20 OB/GYN residency slots (including four residency slots at Memorial University Medical Center), and a new psychiatry residency program at Gateway Behavioral Health in partnership with Memorial University Medical Center.

The proposed budget for FY ’18 also provides:

•        $300,000 to expand loan repayment programs for physician assistants, advanced practice registered nurses and dentists practicing in rural and underserved areas;

•        $595,653 for a $500 add-on payment for newborn deliveries in rural counties; and

•        $4.1 million to study early diagnosis of Alzheimer’s. 

Gov. Deal has signed House Bill 43, the Amended Budget, into law.

The general appropriations measure, House Bill 44, was passed by both the House and Senate and awaits action by the Governor.

In addition to these budget priorities, the General Assembly passed a number of general bills this session aimed at increasing access to quality healthcare treatment for Georgians. These measures will be discussed in this and subsequent articles.

•        Senate Bill 180, which amends the tax credit program for donations to rural hospital organizations.  This bill increases the amount of the tax credit allowed from 70 to 90% of the donation made.  This bill also flattens the tax credit cap at $60 million for 2017, 2018 and 2019.  It is my hope these modifications will encourage more participation in the program and, consequently, more financial support for rural hospital organizations across the state.

•        Senate Bill 14 sets forth a mechanism to provide additional support to rural hospitals. Under this bill, rural hospital organizations can apply for state funding grants, which would be capped at $4 million per grant per calendar year. These grants would be awarded for infrastructure development, strategic planning, nontraditional health care delivery systems and the establishment of 24-hour emergency room services open to the public.

If I can be of service to you or your family, please do not hesitate to call (404.656.5052), email (Jon.Burns@house.ga.gov) or engage on Facebook.

In Effingham County, Progress Starts With a Plan
Guest Editorial by Susan Kraut, President/CEO of Effingham County Chamber of Commerce
Susan Kraut column
A sold-out crowd of more than 150 business and community leaders gathered at Effingham’s New Ebenezer Retreat Center Sept. 24 for the Chamber of Commerce’s annual State of the County Luncheon, hearing updates on economic growth, education, and infrastructure across Effingham County. (Submitted photo)

At last Wednesday’s sold-out State of the County luncheon, more than 150 business and community leaders heard a message that resonated throughout the program: We have a plan, and we’re sticking to it.

Effingham County City Manager Tim Callanan opened his remarks with that thought. It was simple, but powerful. In an era when news feeds churn with controversy and change, it served as a reminder that behind the scenes, steady planning is happening – and those plans are beginning to bear fruit.

Businesses and residents often express frustration about roads, zoning, parks, schools or economic development, feeling that growth is outpacing action. The truth, as Callanan underscored, is that many of those actions are already underway, rooted in master plans that cover everything from transportation and stormwater to parks, communications and public safety.

The challenge is that plans only matter if people know they exist. Too often, businesses and citizens forget these plans are in place, don’t know where to find them or don’t realize how to weigh in at the right moments. When that happens, the community loses the chance to shape its own future and to express the value of those plans – why they matter and why they’re worth supporting.

Planning delivers progress

Last week’s luncheon highlighted how “plans” translate into progress. Mayor Kevin Exley shared Rincon’s ranking as one of Georgia’s safest cities and the city’s launch of the Citizen Central app – a small but meaningful step toward accessible local government. Springfield’s new city manager, Lauren Eargle, outlined a capital improvement plan that includes sidewalks, drainage and playgrounds, along with the less glamorous but vital work of a $35 million wastewater plant upgrade. Guyton’s city manager, Bill Lindsey, discussed contracting with planning consultants, winning grants for sidewalks, and reinvesting in Bazemore Park and downtown revitalization. These aren’t random acts; they’re evidence of intentional planning.

The school district provided another example when Superintendent Yancy Ford noted that Effingham now serves nearly 14,500 students speaking 33 languages. That diversity is an asset – but it also requires careful, proactive investment to maintain the high standards families expect. His most powerful point concerned ESPLOST, the 1-cent Education Special Purpose Local Option Sales Tax. Thanks to community support over the years, ESPLOST has built classrooms, purchased buses, enhanced safety measures, provided Chromebooks to all students, added security cameras and access-control systems, created inclusive playgrounds and athletic facilities open to the community, supported hands-on learning spaces like Honey Ridge, and established the College & Career Academy – a facility credited by Ford as helping lift the district’s graduation rate above 90% and expanding career pathways for a rapidly diversifying student body. And it has done so without incurring long-term debt.

Why ESPLOST matters

Among these examples of planning, none is clearer than ESPLOST — a long-term, voter-approved blueprint for funding education, renewed every five years to stay ahead of growth. The November ballot will again include the ESPLOST renewal, giving voters the opportunity to continue this proven approach to funding school facilities, technology, safety, transportation, inclusive playgrounds and community-accessible athletic fields. Renewing ESPLOST does not create a new tax; it simply extends the existing 1-cent sales tax, allowing residents, visitors and businesses to contribute to improvements that benefit every student. Without it, many of the projects parents and community members count on – such as new buses, safer schools, modern classrooms, career pathways and accessible playgrounds – would stall or require long-term debt.

Renewing ESPLOST is about more than bricks and mortar. It is not a reactionary measure but part of an intentional, ongoing plan to manage growth and maintain education – reinforcing the theme that plans become progress. As the district’s population becomes increasingly diverse and enrollment continues to rise, sustained ESPLOST funding is crucial to scaling programs, expanding facilities and maintaining the high graduation rates and opportunities that families expect. It is about protecting Effingham County’s tradition of educational excellence, maintaining property values and ensuring the workforce being prepared in our schools is ready to meet the needs of local employers. It is an investment in students, families and the future of our communities.

A call to the community

Effingham County is growing. Growth brings challenges, but it also brings opportunities. As the luncheon demonstrated, leaders at every level are working to guide that growth thoughtfully. The next step belongs to business owners, parents and neighbors – to lean in, stay informed and participate.

When hearing about a master plan, a referendum or a public meeting, don’t assume it is someone else’s job. Look up the plan, attend the forum, ask questions and cast a vote. That is how plans become progress – and how a yes vote on ESPLOST reaffirms and continues the community’s long-term plan for educational excellence, reinvesting in Effingham County’s future.