State Senate Considers Cuts To HIV Treatment For Poor
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AUSTIN (AP) – A Texas Senate subcommittee approved a proposal Thursday that would cut a program that supplies HIV drugs to 14,000 poor people, even after adding billions of dollars for health and human services.
Lawmakers voted to spend an additional $4.5 billion on state-supplied health services, but the HIV program was not a top priority. Where the state would find the additional funding was also not addressed.
Texas is facing a $24 billion budget shortfall to maintain current services.
The chair of the finance subcommittee, state Sen. Jane Nelson, told budget writers to put their priorities into three categories, with priority one being the most important.
“In light of our current fiscal constraints, what you have before you today are the recommendations to our full finance committee to add $4.5 billion of priority one items,” Nelson explained.
But when the HIV drug program showed up as a priority two item, Democratic State Sen. Judith Zaffirini asked the Department of State Health Services commissioner, Dr. David Lakey, what would happen if the patients did not get their medication.
He replied: “The natural progression, without any medications, would be that they die.”
“And this is in priority two, which is really a wish list?” Zaffirini asked. “It is my belief that when we vote on a priority like this we are basically making a decision regarding who lives and who dies.”
Nelson had Lakey explain that one-time-only funding from the federal government paid for the $19.2 million program in the last budget cycle, and now that funding is gone. The program currently provides $6,700 worth of HIV drugs to 14,000 people who don’t have insurance and make less than $30,000 a year, Lakey said.
“I simply cannot vote for this proposal. I believe it is wise to add $4.5 billion, but that is not enough,” Zaffirini said. “And I doubt items in priority two will be funded at this time.”
Even Republicans who voted to recommend the bill to the full Senate Finance Committee said they didn’t like the proposal.
“It’s going to be real hard for me to support the budget out of full committee if we only put the $4.5 billion back,” state Sen. Kevin Eltife, R-Tyler. “There are too many Texans that need our help that will be hurt if we only do the $4.5 billion.”
Also Thursday, the non-partisan Legislative Budget Board released data that showed the state would lose 335,000 jobs if the current budget proposal in the House became law. The board said the budget would eliminate 188,787 state jobs by the end of 2013 and private companies would eliminate 146,457 jobs under the current House budget proposal.
“The voters did not elect us to eliminate hundreds of thousands of jobs,” state Rep. Mike Villarreal, D-San Antonio, said in a statement. “We can’t grow the Texas economy with a budget that destroys jobs, hurts neighborhood schools, and makes college more expensive.”
Both houses of the Legislature are drafting separate versions of the budget, and each cuts spending in different ways. Once each chamber passes a version, lawmakers will meet in a conference committee to come up with a final draft. The current House version calls for no new revenues and avoids spending the $6 billion balance remaining in the state’s Rainy Day Fund. The Senate is looking for $5 billion in new revenues and appears ready to tap the fund.
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