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The McClatchy Co.

Local News Thursday, May 29, 2003

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Medicaid funding comes up short in Senate cigarette tax struggle
Division over different proposals leaves program underfunded

By Karen Addy Herald Columbia Bureau
(Published May 27‚ 2003)

COLUMBIA -- State senators say that while a proposed cigarette tax to fund Medicaid shortfalls is not dead, it is on life support.

Without it, thousands of the state's most vulnerable citizens probably will lose Medicaid coverage, despite a $130 million infusion of federal money for the state announced Friday as part of President Bush's tax cut plan.

Senators sent a spartan $5 billion budget back to the House Thursday night without passing the 53-cents-per-pack increase. The budget also is $330 million short of the amount needed to fully fund K-12 public education.

Republicans unsuccessfully tried to use the cigarette tax proposal as a bargaining chip in an effort to pass Gov. Mark Sanford's plan to lower the state income tax. Democrats unsuccessfully tried to use it earlier in the debate as a bargaining chip for education funding.

Sanford wants to lower the income tax from seven to five percent. He has stated that he will not support a cigarette tax increase without passage of the plan or something similar.

The cigarette tax would generate an estimated $170 million annually and draw about $400 million in matching federal funds to the state. When fully implemented, the income tax decrease would deplete the state general fund of an estimated $755 million annually.

"You do the math," said Sen. Tom Moore, D-Clearwater, adding that the wealthiest 5 percent of state residents would benefit most from the governor's tax cut.

Republicans pointed out that the governor's plan would not kick in until the economy rebounds, and they claim that freeing up tax dollars will stimulate the economy. But despite last minute efforts to modify the proposal slightly to make it more palatable to Democrats, no compromise could be reached. Moore said it didn't help that Sanford was at a yacht race in Bermuda and was not present to work with senators on details.

Consequences

The consensus among economists and business leaders is that underfunding Medicaid will cost the state much more than $171 million in the long run. Some Republicans had said they would support a stand-alone cigarette tax for this reason. Others expressed compassion for Medicaid clients.

"What can be worse than to be sick or to have a child who is sick and not be able to get health coverage?" Sen. Greg Gregory, R-Lancaster, asked senators. "The next election pales in comparison to the enormity of this decision."

But most Republicans feared that without the governor's muscle, the senate could never overcome resistance to the cigarette tax increase from the S.C. House.

"I talked to the House leaders," said Senate Pres Pro-Tem Glenn McConnell, R-Charleston. "The cigarette tax wasn't going anywhere without the income-tax plan."

At three different points in the debate, Sen. Scott Richard-son, R-Hilton Head, proposed a compromise plan that would have raised the sales tax by one penny for six months to generate $240 million for education; imposed the cigarette tax; and lowered the state income tax by two percent. Of all the revenue generating plans proposed, it seemed to stand the best chance of passage.

But in the end, as Democrats and Republicans struggled to find common ground on the income tax portion of Richard-son's plan, about half a dozen Republicans threatened to filibuster the sales tax component.

Democrats said the Senate budget places counties and school districts in a terrible bind.

"The Aiken school board is going to raise the largest property tax increase in history because of what we're doing here," Moore told senators.

Contact Karen Addy at (803) 256-8300 or mailto:kaddy@heraldonline.com

 

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