Tag: Senate Bill 106 (2023)

Transitional ‘benefit cliff’ legislation would help more Missourians take raises, drop state assistance

      A plan that would allow Missourians who are on certain state financial assistance programs to gradually get off of them without falling off a so-called “benefits cliff” is one of the things awaiting action from Governor Mike Parson (R). 

Representative ALex

      That “cliff” is what policy makers call situations when a person accepts a salary increase that puts them over the income limits for programs like the Supplemental Nutrition Assistance Program (SNAP) or Temporary Assistance for Needy Families (TANF), and what that person then loses in benefits is more than the amount their pay would increase.  The result is that often, Missourians on benefits programs are forced to reject promotions and raises, for their own good and that of their families.

      The House passed last month a proposed transitional program that would let people get off of state programs incrementally as their income increases. 

      “Our social safety net system, our welfare system in the State of Missouri, isn’t working.  It’s designed in such a way that it really does trap people in poverty and discourages people from trying to get out,” said Springfield Republican Alex Riley, the House sponsor of that legislation.  “My goal with the benefits cliff bill was to create a pathway where our welfare system really does what its intended to do, and that’s to serve as a hand up to people to help pull them out of these tough situations that they’re in, and not to serve as an anchor that keeps them in poverty forever and then results in this generational cycle of poverty that unfortunately far too many in our state are in.”

      The legislation would apply to SNAP and TANF, and expand and make permanent existing transitional benefits for the child care subsidy program.  Benefits to a participant would be reduced relative to their increases in pay until they are making twice the federal poverty rate. 

      Representative Keri Ingle (D-Lee’s Summit), whose background is in social work, said most Missourians, even if they haven’t been on these programs, could understand having to make the decisions some have had to make, to turn down pay increases.

      “I don’t think it’s hard for most people to imagine, in this economy, but, you absolutely wouldn’t want to be in a situation where you had to cut your income,” said Ingle.  “One of the great things about this bill is that it allows people to slowly ween off the system.  It allows them to be in situations where it doesn’t adversely affect their income to accept a higher paying job, or to have a higher income, to accept a raise, and still have some of those benefits until they can kind of slowly ween off of them and be self-sufficient.  We’re really empowering working folks within our state with families to come off the system but to do it in a way that they’re still having all their needs met.”

Representative Keri Ingle (Photo: Tim Bommel, Missouri House Communications)

      Riley said there’s nothing in Missouri’s various policies and statutes that does what this would do.

      “There are some minor benefits cliffs provisions in place for, I think, food stamps, but it hasn’t really worked, so this is a bigger bite at the apple that will, hopefully, do a better job of actually resolving that issue,” said Riley.  “Once this has been implemented and is in effect for a few years I expect we’re going to start to see large numbers of people coming off the rolls over time and then once we get a really good opportunity to see how this has played out over time, we’ll have an opportunity to make adjustments if we need to, but hopefully we won’t have to.”

      He said the legislation might have to be revisited over time for factors like inflation. 

      In the end, the legislation received broad bipartisan support.  It is a proposal that had been around for several years, sponsored by members of both parties.  Even so, Riley said such issues can present a narrow path to success.

      “It’s hard to do any sort of welfare reform in a bipartisan way but this was a way that we could do that.  You had Democrats that were okay with this type of reform, you had Republicans of all shapes and sizes, from your conservative wing, your Libertarian wing, your more moderate wing, that recognized that this is a structure that makes sense and will benefit the state as a whole for a long time to come.”

      He said giving people a way to get off of state benefits is good for them, good for state agencies, and good for the state’s budget.

      “It’s good for the individuals because they’re starting to work their way out of poverty, they’re becoming more self-sufficient, which is good for the state when you have more people working and getting off of benefits.  It’s going to ultimately result, over time, in the state having to spend fewer dollars on folks on benefits and it will result in fewer people, ultimately, on benefits, over time.”

      Ingle said most people who are getting state help don’t want to do so for any longer than is necessary, and they will appreciate this program.

      “I think it’s a common misconception that people want to stay on the system, or people don’t want to be self-sufficient … but people have to be able to pay their bills and to feed their children, and so at the end of the day it’s just a common sense solution to that problem.”

      Riley said, “My excitement and focus with being able to get this done this year was really to create a pathway for people who are on state benefits but don’t want to be on those, who want to be self-sufficient, who want to work and start to get out of these tough economic situations, a way to do so, and I think we accomplished that with this bill.”

      The language passed as part of Senate Bill 106 and Senate Bills 45 & 90, broad bills dealing with various public health issues.  Governor Parson could sign either or both of those bills into law, veto them, or allow them to become law without his action. If this proposal becomes law it would become effective on August 28.

Extension of postpartum coverage for low-income mothers expected to save lives, awaits governor’s action

      One of the measures the Missouri legislature approved before its session ended last week could save and improve the lives of mothers and their infants, and get the state out of the basement in state rankings for infant and maternal mortality.

Representative Melanie Stinnett (Photo: Tim Bommel, Missouri House Communications)

      Amendments added to two bills, Senate Bill 106 and Senate Bill 45, would extend MO HealthNet or Show-Me Healthy Babies coverage for low-income pregnant women to a full year after the end of their pregnancy.  Currently that coverage stops after 60 days. 

      At the beginning of the legislative session a bipartisan group of six House members had filed that proposal, with several more having co-sponsored it. 

      “It takes a team of people that really care about legislation to move it and I’m just proud to be a part of that team,” said Representative Melanie Stinnett (R-Springfield), one of those sponsors. 

      “I think it makes a big difference for women who are looking at what life looks like after birth and how they can take care of themselves well and make sure that their family is healthy also.  It really is going to impact children, also.  I spoke when I testified in the House hearing about how important that first year of life is for a child, and if that mom’s getting healthcare she can ask those important questions about those things that are impacting her child, as well, so I think there are a wide variety of impacts that we’re going to see for families.”

      It was the fourth time Representative LaKeySha Bosley (D-St. Louis) had brought the idea forward, and she said she was ecstatic to see one of “her babies” reach the governor’s desk, and for it to have been part of a truly bipartisan effort.

Representative LaKeySha Bosley (Photo: Tim Bommel, Missouri House Communications)

      “Everybody was just excited about actually doing something around postpartum that could really make a difference,” said Bosley.

      Legislators heard time and time again that a reason to pass this legislation is that Missouri is one of the lowest ranked states in terms of maternal and infant mortality.  Representative Patty Lewis’ (D-Kansas City) background includes more than 20 years in nursing.  She said this extension will make a huge difference for low-income Missouri mothers, and thereby help Missouri improve that ranking.

      “Currently an average of 60 Missouri women die within one year of being pregnant … seventy-five percent of these deaths are preventable, so extending the coverage from 60 days to one year will absolutely address our maternal mortality rate in this state.”

      Many Republicans point out that the measure is also fiscally conservative.  By improving outcomes for mothers, and thereby for their infants, many of them will require less state assistance and will make fewer emergency room visits.

      Sedalia Republican Brad Pollitt said, “I didn’t vote for expanded Medicaid but this isn’t an expansion, this is just an extension for a select few who kind of fall through the cracks.  I was glad that we were able to give them the opportunity to have this coverage to cut down on the number of deaths, not only in the mothers but also the babies.”

Representative Patty Lewis (Photo: Tim Bommel, Missouri House Communications)

He adds, “I’m pleased that we had a bipartisan, pro-life bill that we could come to an agreement on and pass and get it to the governor’s desk.”

      Democrats say the bill was especially important in the wake of last year’s U.S. Supreme Court decision that triggered a law banning most abortions in Missouri. 

      “We need to give [women] access to the services and the care that they need in order to stay healthy in order to raise those babies,” said Bosley.

      She noted that some groups in Missouri are impacted more greatly by infant and maternal mortality than others. 

      “As an African American woman I am three times more likely to die during childbirth in the State of Missouri and throughout this country, so to be able to give women who look like me and poor women across this state an opportunity to be able to have lifesaving [healthcare], like we’re actually changing lives, that was the purpose of us being sent here.”

      Bosley said this additional coverage for mothers and infants impacts an entire family.  People often don’t think about what a partner goes through when a mother or infant are sick.

Brad Pollitt
(Photo: Tim Bommel, Missouri House Communications)

      “From a partner’s perspective, who doesn’t know how to identify the signs of when someone is going through a postpartum, maybe postpartum depression, this also gives them the ability to learn and to advocate on behalf of their partner – behalf of the mom and baby, so not only are we saving mommy and baby’s lives, we also are saving relationships and families and building a cohort around how we can do that for mommy, baby, and papa.”

      Each of these lawmakers spoke to House Communications through huge smiles as they talked about getting this legislation to the governor. 

      Said Lewis, “One of the main reasons I ran for office is because I believed I could save more lives on a macro level through policy, and this particular bill is something that will truly save lives.”

Pollitt added, “It’s a good thing.  It’s something we should do.  I think it’s a common sense approach.”

This provision would become law immediately upon SB 106 or SB 45 becoming law. Those bills are now awaiting action by Governor Mike Parson (R), who could choose to either sign them into law, allow them to become law without his action, or veto them.