Author: @SoDakCampaigns

Apparently there’s a war over Hospitals – specifically community Hospitals being waged in Congress right now.  H.R. 976 and H.R. 2513 are currently being floated, which would significantly modify current law with respect to self-referrals to physician-owned hospitals.

Under most laws and regulations in our health care system, physician self-referral is banned, but physician owners were using an exception (known commonly as the “whole hospital” exception), to get around these conflict of interest rules. The issue of self-referral to physician-owned hospitals, and the inherent conflict of interest it presents, is not a new issue.

These arrangements have been the subject of numerous bipartisan congressional hearings and analyses by independent and government researchers. In fact, the issue was first addressed by a statutory moratorium passed by Republican majorities, and enacted by President Bush, first in the Medicare Modernization Act of 2003 and then in the Deficit Reduction Act of 2005.

The data gathered over the last decade clearly showed that self-referral was creating an unlevel playing field, and threatened patient safety, as well as the health care safety net provided by full-service community hospitals, such as those found in many communities across the state.

These measures could potentially put hospitals in towns like Vermillion, Gettysburg, or Mobridge out of business, simply because it could break the back of the larger hospitals that own them.

In 2010, Congress passed a permanent but prospective ban on self-referral to physician-owned hospitals, providing grandfathered status for those existing hospitals with physician ownership or investment and a Medicare provider agreement in place as of December 31, 2010. Current law represents a compromise, which protects current physician ownership of hospital arrangements and allows these arrangements to grow where needed.

But now, opponents of this provision are seeking to repeal or amend this policy, despite the US Chamber of Commerce taking a strong position against the bills:

US Chamber 141121 Self-Referral Reid McConnell Boehner Pelosi

What do you think? Should physician owned hospitals be able to self-refer and cherry-pick patients? Or does that create an un-level playing field?

I’ve been pinging the campaigns over the FEC Reports that are due today. And while they’re still figuring up the rest, they were able to tell me that Senator Thune currently has 11.2 Million cash on hand for his upcoming election battle.

That’s an increase of $300,000 cash on hand over his last report of 10.9 million COH, but Thune is also running a campaign office at this point, so there is a slight drain on his finances as he’s accruing cash for a battle which increasingly looks as if it may never happen.

Here’s some nice props from Buzzfeed for our State’s Capital City. The popular website is featuring cities that made it on the list of locations in Monopoly’s “Here and Now” edition.

Bonus – it even slips a mention of the Cattleman’s Club in (the standard by which all state steakhouses are judged):

Read it all here.

I heard a rumor today that there’s talk that Paula Hawks may possibly be resigning from the State Legislature to free herself up for campaigning. Consider it no more than a wild rumor at this point.

I’m trying to pin it down a bit further.  But it would make sense, and there is precedent.

It was suggested to Larry Diedrich to get out when he became a candidate, otherwise your time and your votes get to be a problem with campaigning. $6000 or so for a session is a pittance compared to what you need to be raising if you’re a serious candidate.  You should be doing that or more at each event.

If you look at the headaches that Stace Nelson went through while serving in the legislature and running as a candidate for the US Senate, it illustrates the disadvantages that can pop up for a candidate at a moment’s notice. And there’s little doubt there would be some things directly brought up for a vote that Hawks would prefer to not be on the record over in the next session.

So, if the rumor bears out to be true, I wouldn’t be shocked.  But as I said, it’s still just a passing rumor at this point.

*UPDATE*   –  I did hear from a member that she is not, so the rumor could be just chatter. There’s lots of that that goes on. But, it’s worth keeping an eye on.

Tomorrow – October 15th – fundraising reports for the third quarter are due for federal candidates to be sent in to the Federal Election’s Commission (the FEC). And the world will know if Paula Hawks is a nominally serious candidate, or if her fundraising total will be more like a re-run of Corinna Robinson’s effort. Like Corinna 2.0, or as we might call her “Corinna Light”

I bring it up, because I got a preview this morning of what Kristi Noem is going to report.  What am I hearing? I’m hearing that Congresswoman Kristi Noem continues her solid, steady pace and is building an intimidating war chest.

Although intimidating might not be strong enough an adjective. Bone-crushing? Campaign-ending-for -Hawks?

I’m told that Noem raised $260,000 for July, August & September, giving her an incredible $1,345,000 cash on hand.  (Take that, Paula Hawks!)

The $260k raised includes $50,000 that was raised at a Sioux Falls fundraiser in August with Congressman Paul Ryan who is Kristi’s committee chairman on the ways and means committee, and quite possibly the next speaker of the House.

There’s no indication that Kristi is slowing down, or taking things for granted.

On the opposite hand, this is the time when Hawks should be able to show what she was able to collect from friends, family, and the Democrat faithful as she gears up for running a campaign.  A bad showing here is going to set the pace for the rest of the campaign cycle.

Should Hawks come up short…  well, let’s just say it’s not going to reflect well on her ability to convince others that she could be in Congress, or that she’s worth investing in as a candidate.

Rounds Calls on VA Secretary to Hold Benefits Bureaucrats Accountable for ‘Shockingly Unethical’ Misuse of Funds

“Now more than ever, VA needs leaders committed to changing the culture and old way of doing business.”

WASHINGTON – U.S. Senator Mike Rounds (R-S.D.), along with other members of the Senate Veterans’ Affairs Committee, today called on the Department of Veterans Affairs (VA) Secretary Robert McDonald to hold accountable senior bureaucrats who participated in a “shockingly unethical” scheme at the Veterans Benefits Administration to increase pay for high-level employees by transferring them to other positions within the administration.

According to a VA Office of Inspector General investigation requested by the committee, the Veterans Benefits Administration, or VBA, spent nearly $2 million over the past three years to transfer 22 VBA employees to different positions, using the transfers as justification for increasing their pay and offering exorbitant relocation incentives. In one case, a VBA bureaucrat used her authority to create a position for herself that required less responsibilities and the VA paid $274,000 in relocation expenses in addition to retaining her previous salary.

Under Secretary for Benefits Allison Hickey was aware of the scheme and allowed it to continue under her watch.

In a letter to McDonald, the committee members called on the secretary to hold all the senior-level bureaucrats involved accountable, noting that “there is no indication that these transfers were in any way based on merit or intended to serve the best interests of veterans.”

“Now more than ever, VA needs leaders committed to changing the culture and old way of doing business,” wrote the senators. “During your confirmation hearing, you told this Committee that ‘those employees that have violated the trust of the Department and of veterans must, and will be, held accountable.’ More recently, at a field hearing in Gainesville, Georgia, you testified that you have the tools you need to do just that.  So, we call on you now to live up to your commitment and to hold accountable those who orchestrated, participated in, or benefitted from the unethical practices outlined in this report, including but not limited to the Under Secretary for Benefits.”

In addition, the committee members asked that the secretary review all pending relocation efforts for senior level employees and provide a plan for reforming the approval and reimbursement of relocation expenses at the VA.

The letter was signed by U.S Senators Johnny Isakson (R-Ga.) and Richard Blumenthal (D-Conn.), chairman and ranking member of the Senate Veterans’ Affairs Committee, respectively, Dean Heller (R-Nev.), and committee members Mike Rounds (R-S.D.), Jerry Moran, (R-Kan.), John Boozman, (R-Ark.), Bill Cassidy, (R-La.), Thom Tillis, (R-N.C.), Dan Sullivan, (R-Alaska), Patty Murray, (D-Wash.), Sherrod Brown, (D-Ohio), Jon Tester, (D-Mont.), and Mazie Hirono, (D-Hawaii).

Full text of the letter appears below. A PDF of the signed letter is available here.

The Honorable Robert A. McDonald
Secretary of Veterans Affairs|
U.S. Department of Veterans Affairs
810 Vermont Ave., N.W.
Washington, D.C. 20420

Dear Secretary McDonald:

As Members of the Senate Committee on Veterans’ Affairs, we ask that you take urgent and immediate actions regarding the shockingly unethical practices described in the September 28, 2015, report from the Department of Veterans Affairs (VA) Office of Inspector General, entitled “Administrative Investigation: Inappropriate Use of Position and Misuse of Relocation Program and Incentives” at the Veterans Benefits Administration (VBA).  Our Committee confirmed your nomination to fundamentally overhaul and reform this struggling agency, after VA faced a moment of crisis that resulted from failed leadership and a culture that in some cases led VA leaders and employees to act contrary to their core mission to serve veterans.  But, unfortunately, it is clear from this report that your well-intentioned and meaningful efforts to change the culture at VA have not yet taken hold.

As you are aware, the report outlines an orchestrated scheme – carried out by numerous senior executives at VBA – to skirt salary and bonus limitations for senior VBA leaders by unnecessarily relocating executives and using those moves to justify increases in their pay and relocation benefits.  In fact, VBA spent nearly $2 million on transferring 22 VBA leaders across the country over the past three years and offering generous pay increases and relocation perks to the relocating officials. There is no indication that these transfers were in any way based on merit or intended to serve the best interests of veterans. In fact, one VBA official confirmed that this was simply an effort to “get around pay freezes and bans on performance bonuses” for senior VBA leaders and the Under Secretary for Benefits, Allison Hickey, admitted that this scheme was an effort to make the pay of these VBA officials “more even” or to achieve “level-setting pay.”

In addition to that broader scheme, the Inspector General found that Ms. Diana Rubens used her position of authority within VBA to create a vacancy in Philadelphia that she later volunteered to fill.  This new position brought much less responsibility than her prior position, yet she retained the same Senior Executive Service pay, and VA paid a total of $274,000 for relocation expenses.  The Inspector General also found that Ms. Kimberly Graves created a vacancy in St. Paul – in part by forcing the transfer of the VA regional office Director to another city – so that she could then fill that vacancy.  This position change also resulted in fewer responsibilities, but she too maintained the same level of pay.  The Inspector General concluded that these officials inappropriately used their positions of authority for personal and financial benefit.  In addition, it is clear from the report that Ms. Hickey and her leadership team were aware of, assisted with, and authorized these actions.

Now more than ever, VA needs leaders committed to changing the culture and old way of doing business.  During your confirmation hearing, you told this Committee that “those employees that have violated the trust of the Department and of veterans must, and will be, held accountable.”  More recently, at a field hearing in Gainesville, Georgia, you testified that you have the tools you need to do just that.  So, we call on you now to live up to your commitment and to hold accountable those who orchestrated, participated in, or benefitted from the unethical practices outlined in this report, including but not limited to the Under Secretary for Benefits.

Moreover, we ask that you:

(1)   review all pending relocation efforts for Senior Executive Service employees to ensure staffing and salary adjustments would be in the best interests of veterans rather than VA officials

(2)   provide documentation of any actions you are taking to stop the practice of inappropriate relocations

(3)   provide a plan for reforming the approval and reimbursement of relocation expenses, including reforms to the Appraised Value Option program

(4)   identify any Office of Personnel Management requirements that might restrict your ability to lower compensation for Senior Executive Service employees who are transferred to match the requirements of their position and

(5)   update this Committee on steps you are taking to fill vacant and “acting” Senior Executive positions.

Given the seriousness of the issues identified in the Inspector General’s report, we would ask that you provide a response to this letter no later than October 23, 2015.  We thank you for your dedicated service on behalf of veterans across the nation and look forward to continuing to work with you to restore the integrity of the institution created to meet their needs.

Sincerely,

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If you haven’t reached your BS quota today, it soon will be overflowing after you’ve read the latest fundraising appeal from Chad Haber, who is apparently trying to raise $100,000 for Annette’s appeal to the Supreme Court.

Annette Bosworth Legal Defense Fund Letter 9/15

“The smell of danger lurked in the air from the first day of jury selection. The extremes to which the State went to collude against my wife left me speechless…. But the state had what they wanted– a jury trial in the backyard of the corrupt Attorney General, Marty Jackley as well as the home town for Senator Mike Rounds.”

The letter is so overly dramatic, I’ve seen less ham at a Catholic funeral!  Seriously. It’s such a ridiculous distortion as well as being full of complete and utter BS, I’m not sure how someone could actually put it on paper.

But, then again, I forget who we’re talking about.

Chad will soon have his own day in court.  And he’ll have an opportunity to figure out which version of the truth the jury will believe.

Over at the official facebook page for the South Dakotans Against Prohibition – the ballot measure being promoted to decriminalize small amounts of marijuana – there seem to be some mixed signals as to whether the ballot measure is throwing in the towel for this election.

As they seem to be communicating, the backers of the measure seem to have no more to give:

Ballot measures are not for the faint of heart, and this might be the first indication that we may not have the full 13 measures on the ballot that have been or are currently circulating.

In South Dakota, It’s “Native American Day”
By Sen. John Thune

In 1990, South Dakota Governor George Mickelson sought to reconcile some of the challenges faced between the Native and non-Native American citizens in South Dakota. One of his first steps toward this reconciliation was to change the federally recognized Columbus Day holiday to Native American Day in South Dakota. In the 25 years since the change was made, South Dakota has recognized and celebrated Native American Day as a day of tribute to the discovery of this great land and also to reflect on the rich traditions and culture of our state’s Lakota, Dakota, and Nakota people.

Celebrating Native American Day reminds us that Christopher Columbus not only encountered a new land, but also a new population of people living on this land – strong people with their own language and way of life. Our state and nation have learned and benefited much from our tribal citizens. For example, Native Americans introduced foods that we still enjoy today, like popcorn, corn, wild rice, pumpkins, jerky, and turnips, just to name a few.

Powwows, like the He Sapa Wacipi Na’Oskate, or Black Hills Powwow, in Rapid City, are one of the best ways people can learn about and experience the talents, crafts, and foods our nation’s first cultures have to offer. Being able to see traditions and values handed down from generation to generation is truly a humbling and enriching experience.

We need to continue our celebration of this important culture and ensure that citizens throughout South Dakota and the United States are able to experience and understand it firsthand, which is why I introduced the Native American Tourism and Improving Visitor Experience (NATIVE) Act in the Senate. The NATIVE Act will better integrate Native American tourism into federal tourism efforts to expand tourism opportunities for tribal communities to share their culture with travelers. I am pleased that the Senate Committee on Indian Affairs passed this legislation and look forward to its final passage in the Senate.

As South Dakotans recognize Native American Day, we are once again reminded that there is much to celebrate. This is a day to reflect on past, present, and future relationships and learn from those who have given so much to make this country great.

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Support Our Troops
By Senator Mike Rounds

As the United States continues to face grave threats at home and abroad, it is as important as ever to make sure our armed forces have our full support. Between the rise of ISIS and Hezbollah and the alliance between Russia and Bashar al-Assad in Syria, the U.S. military must be prepared to address multiple threats throughout the world. I was pleased that the Senate, with strong bipartisan support, recently passed the final version of the National Defense Authorization Act, commonly referred to as the NDAA. The NDAA will help our military to adequately address these growing threats.

The NDAA is an important reauthorization measure that contains policies to support our wounded warriors, our troops and their families. It sets priorities for national defense and provides our military with the tools needed to combat our enemies around the globe. Also included in this year’s NDAA are provisions to make certain our military maintains its technological edge. And we achieved all this while trimming the Pentagon’s budget and reducing unnecessary bureaucracy so we can focus defense dollars on our troops.

As a member of the Senate Armed Services and Veterans’ Affairs Committees, providing our military and veterans with the tools they need and services they’ve been promised are top priorities of mine. I am pleased that four provisions I offered to the NDAA were included in the final package. These include amendments to help develop the Air Force’s new long-range strike bomber, improve the Pentagon workforce that develops new weapons and help states and local units of government if they are targets of cyber-attacks. The NDAA also included my provision to streamline Tricare services for members of our armed forces, military retirees and their families.

The defense of our country should not be a partisan issue, but unfortunately President Obama has threatened to veto the NDAA when it arrives on his desk for reasons completely unrelated to national defense. Because the President wants to spend more money on agencies such as the IRS and EPA, agencies known to waste our tax dollars, the NDAA – which has passed annually with strong bipartisan support for more than 50 consecutive years – is in jeopardy.  The brave men and women in uniform put themselves in harm’s way to protect our freedoms and keep us safe deserve better. Their mission shouldn’t be held hostage by political theater.

Throughout all the policy discussions and funding debates on Capitol Hill, we must remember and prioritize the men and women who volunteer to take on the great responsibility of defending our homeland. These service members are our family members, our friends and our neighbors. They bravely sacrifice everything so we can continue to go about our lives safely and freely. Adequate support from the federal government is the least we can do to repay them for their service. The NDAA does just that.

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