(June 4, 2018) Catherine Read interviews Delegate Patrick Hope (D-47) of Arlington to discuss the recent passage of the Medicaid Expansion in the Virginia General Assembly, as part of the biennial budget signed by Gov. Ralph Northam. Del. Hope currently sits on the the General Laws, Courts of Justice and Health and Welfare Committees in the House of Delegates, where he is able to lend his professional expertise from his career as a healthcare attorney. Del. Hope also serves on the Joint Commission on Healthcare and the Deeds Commission, which has been tasked with studying and making recommendations on improvements to Virginia’s mental health care delivery system.
Del. Hope was elected to office in 2009, one year before the Affordable Care Act, otherwise known as Obamacare, was passed into law. Under the ACA, Washington allows states to open their rolls to people with income up to 138% of the federal poverty level, which is $16,750 for an individual and $28,700 for a family of three. The federal government agrees to pay 90% of the cost of expanding the rolls, totaling approximately $2 billion a year. These are dollars that Virginians have been paying with their federal taxes that will now be returning home. Baked into this year’s proposed budget is a tax on hospitals in Virginia, which is designed to cover the 10% cost that the state will be responsible for.
Since the adoption of the ACA in 2010, Hope has advocated for expanding Medicaid, and bringing these federal tax dollars back to the commonwealth for individuals who fall in the “gap”. This gap exists because as the program works today, Medicaid in Virginia has a very low-income threshold for eligibility – $6900 for a family of three, $9700 for a disabled individual, and able-bodied childless adults are not eligible at all, no matter how poor they are. Therefore, insurance on the ACA marketplace was not accessible to the 300,00+ working poor citizens of Virginia.
Effective January 1, 2019 this will all change. The influx of federal dollars to provide healthcare to those in need will free up money in the biennial state budget to invest in other important initiatives. Teachers will receive a 3% pay raise, all judgeships will be fully funded (and 30 judgeships will be added to cover increase caseloads), and state employees will get a 2% pay raise. Money will also be allocated to improve mental health services, as well as addiction and substance abuse programs throughout the state. Del. Hope points out that these are important investments in our safety net and our future.
The adoption of Medicaid expansion will also be a big boost to the state’s economy. By bringing 300,000+ residents onto the healthcare rolls, we will need to find healthcare “homes” for all of the new patients. More doctors, nurses, support and administrative staff will be needed to accommodate the increase in patients. These will be new, well paying and sustainable jobs that will help drive the economy forward.
In order to bring Republicans on board with adopting Medicaid expansion, there are several provisions that were incorporated into the new law. Work requirements will be imposed on all able-bodied adults age 18-55, to ensure that nobody is getting a benefit without putting effort into finding or training for work. The program is called the Training, Education, Employment and Opportunity Program (TEEOP), and will have to seek approval by the Trump Administration before it can be implemented. Del. Hope praised the bipartisan work in the House of Delegates, who included Medicaid expansion in their original proposed budget, along with the hard work and brave efforts of Sens. Emmett Hangar (Hanover), Frank Wagner (Virginia Beach ) , Jill Holtzman Vogel (Faquier) and A. Benton Chafin, Jr. (Russell) who propelled the Senate to move the budget forward with Medicaid expansion included. There will be much work to be done to get the program off the ground, but passage of the budget was the first step of the process.
(March 2018) “I am not the child my father raised. But he is the father who raised her.”
Restorative Justice is a philosophy of dealing with misdeamors and minor crimes by examining the situation through a different lens. Where traditional justice does an investigation then punishes the responsible party exactly according to the law. Restorative Justice examines individual harm, who and how were they harmed, then bringing them together with the one who did the harming. In school, they use it for all forms of conflict, using it to prevent the escalation of situations. They also use it to respond, letting those who were harmed talk about what they experienced and what exactly it meant to them. It brings offenders face-to-face with the realities of what they did. It creates a conversation which can be very difficult to have, especially for children. All of that is with the ultimate goal of repairing the harm and making the situation right and prevent the situation from occurring again.
By cooperating with each other FCPS and NVMS have, with the aid of the Fairfax police, the county juvenile court and the county Neighborhood and Community Services office, expanded Restorative Justice programs for police referral. Over time law enforcement officials have become more excited at being able to refer offenders to the program and out of juvenile court, allowing minors to avoid tarnishing their records, provided they participate in good faith. Initiating a Restorative Justice case is far simpler than going through the criminal system. Generally two 30 minute meetings are needed, each party involved, the victim and the offender, individually, followed by a longer group session involving everyone, including the police, victim and perpetuator, which answers three questions, what happened, who was impacted and how, and what should happen. The victim starts with laying out what they think should be done. At the end of the process there is a written agreement, reached between the offenders and the victims, where the perpetrator agrees to restitution ranging from apologies, to payment, to community service as well as agreeing to not reoffend. After the meeting is over the Restorative Justice Mediators keep a copy of the agreement and make sure that the perpetrator has followed through on what they agreed to. If the perpetrator fails to do what they agreed to then the case is sent to juvenile court. Restorative Justice is an entirely voluntary process one which a student or parent can chose to forgo, but data has shown that restorative justice tends to lead to better outcomes, even though it can not be applied to every situation.
ding schools with high poverty rates will be offered laptops which they can take home and use, then return at the end of the school year. FCPS have also recently put their
(Oct 2017) I read Chip and Dan Heath’s first book, 
(Sept. 2017) The aspirational class members make decisions and establish norms that have far more pernicious outcomes for society than did previous leisure-class consumerism. Rather than buying silver spoons and going on long holidays, their investments in education, health, retirement, and parenting ensure the reproduction of status (and often wealth too) for their offspring in a way that no material good can. Through this reproduction of cultural capital and its trappings we see the emergence of what Charles Murray has called the “New Upper Class” and “New Lower Class,” which is not simply an economic divide, but is also a deep cultural divide that has never existed with such distinction as it does today.
(Aug 2017) Maybe a record of someone’s private thoughts is worthless anywhere. Certainly in jail — contraband is worth more. But I wondered if it was especially worthless in the Delta, where a calm place to read was hard to come by; where there wasn’t a bookstore for a hundred miles and families couldn’t afford a book, anyhow; and where a teacher once burst into my classroom to scold me for having the kids write about the death of a classmate, not wanting them to feel sympathy for him.
This book is about finding a way forward through reconciliation. Kristen Green writes a compelling book about a tragic and terrible part of Virginia’s history. There are many Virginians who don’t know the story of what happened in Prince Edward County or that plaintiffs from Moton High School were part of the Brown v. Board of Education case decided by the Supreme Court in 1954 that declared school segregation to be unconstitutional.
I wouldn’t have believed this young man of 31 could have such wisdom to impart to the world. But he does. It’s a book for this time we live in, for this contentious political atmosphere, for this generation struggling to find their path forward into the future.