76th Annual  Meeting
The U.S. Conference of Mayors
76th Annual Meeting
June 20-24, 2008



WHEREAS, the Administration has issued regulations restricting and in some instances eliminating Medicaid payments for Public Providers, Graduate Medical Education, School Nurses and services for Individuals with Disabilities; and

WHEREAS, these rules go way too far and will end up hurting patients and the very system that serves them by making drastic cuts in critical safety net funding; and

WHEREAS, these rules would eliminate sources of revenue for safety net providers and, after decades of supporting graduate medical education through the Medicaid program, would eliminate such support even when residents are treating Medicaid-eligible patients; and

WHEREAS, the Medicaid program must continue to participate in physician training because we need more not less physicians in both urban and rural areas in the future; and

WHEREAS, these rules would eliminate a long-standing policy of Medicaid reimbursement for administrative activities and transportation for school-based health services traditionally provided by school nurses; and

WHEREAS, these rules would eliminate Medicaid support rehabilitative services, which are entwined with rehabilitative services for individuals with disabilities; and

WHEREAS, these rules would eliminate Medicaid reimbursement for certain targeted case management services that benefit low-income recipients; and

WHEREAS, health care is a critical issue facing many Americans and we must enhance access to good health care, including preventive health care, not diminish it; and

WHEREAS, rules have been estimated to cost in excess of $20 billion over 5 years to State and local governments at a time when the economy is already straining city budgets; and

NOW, THEREFORE, BE IT RESOLVED that the United States Conference of Mayors opposes the Centers for Medicare and Medicaid Services rules placing severe restrictions on the ability of state and local governments to finance the Medicaid program; and

BE IT FURTHER RESOLVED that the United States Conference of Mayors supports moratoria on regulations and calls for the Administration to rescind such regulations.