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The Red Line

The Beginning of the End of a Medicaid Scam

The One Big Beautiful Bill is now law. It spells the beginning of the end for an abusive Medicaid financing scheme that states, including Connecticut, have used to siphon money from the federal Treasury, supposedly for health coverage for the poor.

August 30, 2025

How does it work? State governments tax providers—mainly hospitals—but return much of the money right back to the hospitals, labeling it a “supplemental payment.” With this label, the returning money triggers a federal matching payment.

The federal matching funds have financed both Medicaid’s explosive growth and state spending unrelated to the program.

August 31, 2025

Connecticut used federal funds from provider taxes to close its enormous state budget deficit in 2017. Connecticut has continued to rely heavily on the gimmick.

Connecticut has continued to rely heavily on the gimmick.

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MAGA Is a Plan, Not Just a Slogan.

Thursday, August 7th is now tariff day, postponed recently from August 1st and originally from Liberation Day in April. Despite delayed execution, tariffs, in combination with the One Big Beautiful Bill, are central to Making American Great Again. Some may be surprised that MAGA is a plan, not just a slogan.

August 2, 2025

Last month’s Monthly Treasury Statement showed tariff revenue running already at annual rate of $324 billion, or $3.2 trillion over the next decade. In early June, the Congressional Budget Office scored Trump’s emerging tariff regime at $3.0 trillion over the decade. President Trump has just struck a trade agreement with the European Union. These admittedly preliminary results and estimates reflect revenue that offsets almost completely the $3.4 trillion increase in deficits and debt that the CBO ascribes to the OBBB.

August 6, 2025

In pure dollar terms, this should calm deficit hawks.

With the OBBB rewarding income generation and tariffs penalizing consumption, the combo is revolutionary in modern times.

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Will Unions Grab Money from Medicaid Beneficiaries?

Who are Connecticut’s neediest, Medicaid beneficiaries or state employees?

July 25, 2025

According to fearmongering State Democrats, the shift of Medicaid spending from Uncle Sam back to the states will overburden the State with many additional hundreds of millions of annual state spending. If so, where will the state find hundreds of millions for simultaneous raises for state employees?

State labor unions want to grab their money before that conflict becomes apparent.

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The House and Senate Clamp Down on an Expensive Medicaid Loophole

The “one big beautiful bill” is poised to clean up a financing scheme that lets states abuse the Medicaid program for extra money.

June 23, 2025

Forty-nine states use so-called healthcare provider taxes to siphon money from the federal Treasury, supposedly to fund health coverage for the poor.

State governments tax providers—mainly hospitals—but return much of the money right back to the hospitals, labeling it a “supplemental payment.” Under this label, the returning money triggers a federal matching payment.

June 26, 2025

The federal matching funds have financed both Medicaid’s explosive growth and state spending unrelated to the program. Connecticut used federal funds from provider taxes to close its enormous state budget deficit in 2017. The state continues to rely heavily on the gimmick.

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CT State Pensions Higher Than Last Salary

Some public sector union abuses are not only alive and well, but more egregious than ever.

June 10, 2025

In Connecticut, state employees are retiring with pension benefits higher than their last salary. How? It's a classic scheme known as "spiking."

Tens of thousands of Connecticut state employees enjoy the unlimited right to spike overtime —— that is, to work enormous hours of overtime just before retirement for the sole purpose of boosting the pensions calculation, which includes overtime pay in immediate pre-retirement years.

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States Are Using Medicaid as a Slush Fund

Senator Ron Johnson and others gave the One Big Beautiful Bill a cold reception when it arrived in the Senate, warning that the bill will balloon deficits and debt, which are already ginormous. Jamie Dimon, J.P. Morgan Chase CEO predicted a crisis – not if, but as soon as six months from now.

There’s no greater contributor to the recent rapid growth in deficits and debt than Medicaid under the Democrats, and, thus, no more appropriate GOP target financially and politically.

Medicaid’s explosive growth results both from recently expanded enrollment and from long-running problems in the Medicaid provider tax scheme that forty-nine states employ.

The Bill controls enrollment somewhat by imposing work requirements on able-bodied single childless adults. Yet, House Republicans punted on the Medicaid provider tax scheme, which a 2018 Senate report called a “shell game.”

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The “Surpluses” Are Not Surpluses

Last week, the media reported that the state is running huge “surpluses.” Yet, Democrats say state programs are being severely squeezed; they want to bust the “fiscal guardrails” and spend more. Republicans say the state is deep in debt, and in danger of falling even deeper; they want to preserve the guardrails.

May 7, 2025

The public is confused. If there are surpluses, why is program spending being squeezed? If there are surpluses, why is debt growing?

The confusion persists because the elephant in the room is seldom discussed....

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The Officers in Blue are 100% Red

Connecticut Senate and House Republicans have proposed a two-year wage freeze for state employees. No surprise. State employees under Governor Lamont have received six consecutive annual pay hikes that have elevated their pay by 33%, a whopping amount not seen in the private sector.

The first test of Republican resolve will come this week when a vote on a proposed wage increase in the fourth “open” year of a very generous contract for state police is expected to be called for a vote.

This vote is an obvious trap, with Democrats suggesting that a vote against the contract is a vote against law and order.

The trap is part of a strategy to maneuver the GOP into approving a robust pay raise for state police in order to justify an equal increase for the rest of state employees.  

That’s the financial dimension. Now to the political dimension. In 2020, virtually every police union in the country at every level endorsed Republican candidates.

Nothing has happened in Connecticut to change that extremely strong sentiment.

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To Approve or “Reject” The New State Labor Contract

Gov. Lamont is about to submit a new state employee contract to the General Assembly for legislators’ approval. The current wage agreement expires in less than three months.

Yet, with union-friendly Democrats holding supermajorities in both the Senate and the House, approval is a virtual certainty, why waste time on this? Because even free-spending Democrats may not want to go on record approving the largesse that Lamont has ladled out to unionized state employees and seems poised to ladle out again. Herein lies the suspense in this story.

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