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Rising Health Care Costs Drive Local Governments to Shift Strategies 6,250 subscribers www.TML1.org Volume 65, Number 19 Dec. 15, 2014 Senate, House Caucuses elect leadership positions BY CAROLE GRAVES TML Communications Director Senate and House caucuses met over the past several weeks to elect leadership positions for the 109th TML District Meetings Tennessee General Assembly. Ron Ramsey of Blountville was District 1: Jan. 20 Johnson City elected without opposition as the District 2: Jan. 21 Maryville Senate’s Republican caucus’ choice to serve as Senate Speaker and Lt. District 3: Jan. 22 Cleveland Governor. District 4: Jan. 27 Sparta With a 28-5 Republican majority in the Senate, Ramsey is comfortably Districts 5 & 6: Jan. 26 Murfreesboro assured a fifth term as Speaker when Districts 7 & 8: Jan. 30 Medina the full Senate votes on the top post Ron Ramsey Beth Harwell in January. Other Senate GOP elections include Mark Norris of Collierville Our holiday wish: to his fifth term as majority leader; and Bill Ketron of Murfreesboro to Pass Marketplace Fairness now! his third term as caucus chairman. In GOP House Caucus elections, Americans have already spent and pass marketplace fairness legis- Beth Harwell of Nashville was nom- billions of dollars online during lation. Marketplace fairness would inated House Speaker, fending off a the first days of this year’s holiday level the playing field for our local challenge from Rep. Rick Womick, shopping season. In fact, online brick and mortar retailers. It would of Rockvale, by a 57-15 margin. The shoppers spent more this year on also mean an additional $23 billion full house will vote on the position “Black Friday,” the traditional start to invest in our communities – in when the Tennessee legislature con- to holiday shopping, than ever be- health centers, infrastructure, police venes Jan. 13. Assuming that Har- fore. However, most shoppers will and fire protection, and more. well is re-elected, she will begin her not pay the sales tax owed on those Don’t let another holiday shop- third term as House Speaker. purchases because of the loophole ping season go by without mar- Gerald McCormick of Chatta- Mark Norris Gerald McCormick exempting online sellers from col- ketplace fairness. Send Congress a nooga, was re-elected to his third lecting sales tax. message now and call for immediate term as House Majority Leader; Now is the time for Congress to passage of marketplace fairness leg- Rep. Glen Casada, of Franklin, was close the online sales tax loophole islation. re-elected to his second term as House Republican Caucus Chair- Rep. Phil Roe http://roe.house.gov/contact/ man. Rep. John J. Duncan, Jr. https://duncan.house.gov/contact-me/email-me Earlier this month, Senate Rep. Chuck Fleischmann https://fleischmann.house.gov/contact-me/email-me Democrats elected freshman Sen. Rep. Scott DesJarlais http://desjarlais.house.gov/contact/ Lee Harris of Memphis to the post Rep. Jim Cooper https://cooper.house.gov/contact/email-me of Senate Minority Leader, and Sen. Rep. Diane Black https://black.house.gov/contact-me/email-me Jeff Yarbro, also a freshman, as Sen- Rep. Marsha Blackburn https://blackburn.house.gov/contactform/default.aspx ate Democratic Caucus Chairman. Rep. Stephen Fincher https://fincher.house.gov/contact/email-me In the House, Rep. Craig Rep. Steve Cohen https://cohen.house.gov/contact-me/email-me Fitzhugh was elected to his third term as House Democratic Leader. House Democrats added the Bill Ketron Rising health care costs position of Leader Pro-Tempore to Glen Casada drive local governments to shift strategies Although health care costs has saved $4 for every $1 invested have slowed recently, rising costs in chronic disease management. over the last decade have prompted • Corpus Christi, Texas, reduced many local governments to make health care costs by $1.84 million changes to their plans and strategies, by conducting a dependent eligibil- according to a new nationwide sur- ity audit and establishing an on-site vey released by the Center for State wellness clinic. and Local Government Excellence • Greater access to comprehen- Lee Harris Jeff Yarbro Craig Fitzhugh in partnership with The University sive medical care and related sup- of Tennessee Institute for Public port services for offenders resulted their leadership team. The position the Caucus Chairman at meetings Armstrong was elected to that post. Service. in lower reincarceration rates and will serve alongside House Demo- with the Administration and House Rep. Mike Stewart, was elected The top cost drivers of local total inmate population in Hampden cratic Leader and will stand in for Republican Leadership. Rep. Joe Caucus Chairman. government health care increases County, Mass. cited by survey respondents were: • Diverting offenders with ex- 1. increased claim costs treme behavior problems into mental (64 percent) health services opened up capacity at 2. prescription drugs (57 percent) the Buncombe County, N. C. Deten- Knoxville establishes $500,000 fund to help 3. an aging workforce (46 percent) tion Facility, making it possible to 4. insurance company price in- rent the facility to crowded commu- citizens revitalize their historic properties creases (45 percent) and nity jails and to generate $1,038,717 BY VICTORIA SOUTH 5. federal health care policy in new revenue. TML Communications Coordinator (45 percent). Local governments report that providing easy access to health ser- Two years ago, historic home- “Local Government Strategies vices at work sites not only supports owners, Knoxville Mayor Madeline to Address Rising Health Care Costs” employee wellness, but also reduces Rogero and her husband Gene Mo- describes the findings from a national employee absenteeism and health naco, found themselves removing survey conducted by the Center for care costs. With the percentage of vinyl siding from their rental house State and Local Government Excel- employee compensation that goes to built in the early 1900’s, to replace it lence (slge.org) and the International health benefits rising over the past 10 with wood. The step was phase four Public Management Association for years, many local governments have of what had become a nightmare Human Resources (ipma-hr.org). made significant changes to their “reno” project the pair had started Two hundred fifty-two IPMA-HR health benefits. several years earlier—when Mona- members took part in the survey, “Local government programs that co discovered he had to jack up and which was conducted in August 2014 contain costs and improve employee stabilize the entire foundation before at the request of the UT Institute for health are among the most important initiating any repairs on the home. Public Service (IPS). strategies,” noted Elizabeth Kellar, “When renovating older homes, Fifty-seven percent of respon- president/CEO, Center for State you are guaranteed to have some big dents increased cost sharing of and Local Government Excellence. surprises and to spend more money premiums paid by employees and “Wellness and disease management than anticipated, but it’s worth it in nearly half of respondents reported programs are offered by a majority the end to have the quality and char- that their local governments changed of local governments and are valued acter that you get from an historic the way health insurance is provided. by employees.” property,” said Rogero. Nineteen percent of those reporting The UT Institute for Public Ser- Having lived in older homes changes shifted employees to a This house is a prime example of the type of property that may benefit vice is in the early stages of planning most of her adult life— the city’s from Knoxville’s new Historic Preservation Fund. Facilitated through the high-deductible plan with a health a forum, to be held in East Tennessee, first female mayor currently resides savings account and 14 percent city’s existing Blighted Property Redevelopment Program, at the end of to discuss this study. in a house built in the early 1920s, rehabilitation, this home was sold and the city repaid by the developer. established a health reimbursement Download Local Government and admittedly, says she has stripped arrangement. Strategies to Address Rising Health paint off woodwork in old homes from; and they lend unique character sewers, your roads, you have your The report includes six case Care Costs at http://www.ips.ten- more than she cares to remember. It’s to our neighborhoods and commer- sidewalks…go back in to where studies describing how local gov- nessee.edu/content/health-care- her way of life, preserving the past cial districts that is irreplaceable.” we’ve already put a lot of time and ernments have produced savings in costs-drive-local-governments-shift- toward a more economically vibrant In a 2013 interview with Smart energy and resources the past and their health benefit costs. strategies. Access all the Center’s future, as Rogero strives to redirect Growth America, Rogero notes what repurpose that, rebuild that,” she • Disease management pro- workforce research at http://slge.org/ development toward the city’s his- she feels Smart growth is all about— said. grams, on-site clinics, dependent research/workforce toric core and older neighborhoods. reinvesting where investment has Now, with the city council’s eligibility audits, and regular review For more information: Amber “Historic properties are vital to occurred in the past. blessing, Rogero has set aside and rebidding of health care vendor Snowden, [email protected], 202- our civic identity,” she said “They “Rather than going out to green- $500,000 in Knoxville’s 2014-2015 contracts have achieved significant 682-6102 link us with our cultural past; remind fields or properties like that, come operating budget to help bring his- savings. Asheville, N.C., reports it us of who we are and where we came back in where you already have your See HISTORIC FUNDS on Page 6 www.TML1.org 2-TENNESSEE TOWN & CITY/DECEMBER 15, 2014 Greeneville’s new garbage Hills, MI and Dublin, OH locations.
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