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December
Keaveny Connection
Contact: Stacy Morse
(573) 751-3599

Special Session Update

Health Insurance Sign-up Information

Missouri Should Expand Medicaid

Missouri's Tobacco Quitline

Wood Duck Banding at B.K. Leach Conservation Area

ElderLink St. Louis

Free Chamber Concerts Feature St. Louis Symphony Musicians

Special Session Update

Governor Nixon announced a special session asking lawmakers to expand certain economic development programs in order to compete with a handful of other states for aerospace manufacturing projects.  The Boeing project is expected to create a significant amount of jobs and provide a large capital investment for our state.

The governor is asking lawmakers to enact legislation that would authorize large-scale aerospace projects to be funded under the Missouri Works Program, Missouri Business Use Incentives for Large-Scale Development Act (BUILD), Missouri Works Training Program, and the Real Property Tax Increment Allocation Redevelopment Act. There would be a $150 million funding cap, annually, should we pass the legislation through both chambers. I support expanding tax credits to lure Boeing to Missouri.

Health Insurance Sign-up Information
If you enroll Your Coverage Starts
By Dec. 23, 2013 Jan. 1, 2014
Dec. 23 - Jan. 15 Feb. 1
Jan. 16 - Feb. 15 March 1
Feb. 16 - March 15 April 1
March 16 - March 31 May 1

With the federal Health Insurance Marketplace now up and running, Missourians have the opportunity to become part of the growing population of Americans who have affordable, quality health care coverage within their reach. This marketplace, made available by the Affordable Care Act (ACA), allows Missourians to compare health care options using side-by-side information regarding price, quality and benefits for each health plan under consideration.

To sign-up visit www.healthcare.gov. Users will then create an account, fill out the application, compare plans and get coverage. The website is shutdown for repairs from 1-5 a.m. daily, until the repairs have been completed.

Enroll by Dec. 23, to be covered by Jan. 1, 2014.

Enroll by March 31, to avoid penalty.

Penalty for not having insurance is $95 a year or 1 percent of household income. There will be a new box on your W-2 tax form to verify health insurance.

Fill out an application at www.healthcare.gov to see if you qualify for a discount or tax credit.

There are several ways to learn more about the ACA or the federal Health Insurance Marketplace:

  • Visit www.healthcare.gov for live chat assistance.
  • Call the Marketplace Call Center: 1-800-318-2596, it is open 24/7.
  • Visit www.covermissouri.org.
  • Call 211 for local social services assistance to find a federally qualified health center that will provide in-person assistance to fill out forms and find a certified navigator.
  • Download a paper application that can be printed and mailed. (If choosing this option, please utilize the guidance of live chat or phone or local navigator to ensure accuracy).

There are no fees to use the marketplace and no one should solicit health coverage to you. Report fraud to the Missouri Attorney General’s office, by calling 1-800-392-8222.

Here is a checklist of information you will need when you sign up:

  • Social Security Numbers (or document numbers for legal immigrants)
  • Employer and income information for every member of your household who needs coverage (for example, from pay stubs or W-2 forms—Wage and Tax Statements)
  • Policy numbers for any current health insurance plans covering members of your household
  • Completed Employer Coverage Tool for every job-based plan you or someone in your household is eligible. (You’ll need to fill out this form even for coverage you’re eligible for but don’t enroll in.)  Visit www.healthcare.gov to view this form.

The federal government has already announced that the timelines for enrollment for 2015 coverage will be pushed back one month, to allow consumers more tim,e to compare the plans. Enrollment will continue through Jan. 15, 2015.

For  information on health care seminars in the St. Louis area go to: http://covermissouri.org/tools/events/events.php To learn more about the ACA or the federal Health Insurance Marketplace, visit www.healthcare.gov or call 1-800-318-2596.

Missouri Should Expand Medicaid

The Senate Interim Committee on Medicaid Transformation and Reform voted not to include Medicaid expansion as one of the formal recommendations in its report. This decision by the majority party serving on the committee was made despite what most witnesses who testified before the committee recommended: Missouri should lower the income eligibility for Medicaid in order to receive matching federal funds and increase health care access to the neediest Missourians.

Currently, citizens can earn only up to 18 percent of the federal poverty level to be eligible for Medicaid, or MO HealthNet. This is far too low of an income threshold in order to have healthy families in Missouri. The General Assembly should consider waiver options for expansion to 133 percent of the federal poverty level, allowing Missouri to accept the federal money promised with Medicaid expansion.

The Kaiser Commission released a new survey stating states not expanding Medicaid income limits are expecting a larger increase in their state budget portions dedicated to Medicaid. The commission also indicated that state spending growth will be lower for 25 states that are moving forward with the Medicaid expansion (4.4 percent) compared to the remaining states (6.1 percent).

The committee has until Dec. 15 to issue its final report with its recommendations to the General Assembly for legislative action.

I am disappointed in the committee’s failure to include expert testimony in the recommendations to the Senate and its failure to present a fiscal analysis of the benefits of Medicaid expansion in the report. The 15 recommendations in the report are insignificant considering the short window of opportunity that states have to receive federal money that Missouri will do without.

For more about the committee go to www.senate.mo.gov/medicaidtransformation.

Missouri's Tobacco Quitline

Call. It's free. It works. Call or register at www.quitnow.net/missouri.
The Missouri Tobacco Quitline can help citizens in our state by offering telephone and online counseling along with resource materials to assist individuals who want to quit smoking or using other tobacco products.

The Quitline is free to anyone in Missouri; both the toll-free number and the website (www.quitnow.net/missouri) will register you in the program that pairs citizens with trained coaches who will help plan your road to a tobacco-free life, as well as other resources, like nicotine replacement therapy.

The Quitline can assist:
  • Tobacco users in any stage of readiness to quit
  • Pregnant smokers
  • Smokeless tobacco users
  • Former smokers seeking to prevent a relapse
  • Health care providers wanting assistance with patient treatment
Registration is open and coaching services are available 24 hours a day, seven days a week. Friends and family members wanting to help their loved ones quit can also get written materials that will help them talk about quitting tobacco use.
Wood Duck Banding at B.K. Leach Conservation Area
duck
As the sun slowly rose over the Mississippi River, we banded a total 140 wood ducks.
I recently had the opportunity to help the Missouri Department of Conservation (MDC) band wood ducks at the B.K. Leach Conservation Area in Lincoln County. The adventure started bright and early at 4:00 a.m. The banding program is directed toward "local" wood ducks to obtain management information specific to wood ducks from Missouri and around the nation.

Department staff used a cannon net to capture the ducks. Each bird was carefully fitted with a metal leg band before it was released. The leg bands contain an identification number and a toll-free telephone number. When a hunter takes a banded duck during our state's specified hunting season for this waterfowl (the season is staggered between zones, with the northern zone of the state operating earlier than the middle and southern zones), they may simply call the U.S. Fish and Wildlife Service to report the duck's identification number.

The information is gathered annually to draw a flight line showing when and where ducks were banded and harvested. Information from the monitoring program helps MDC manage this species for future generations of bird watchers and hunters.

B.K. Leach Conservation Area contains a wide variety of wetland habitats, ranging from early successional marshes to deep backwater sloughs. The wetlands are managed to provide food for migrating waterfowl, while also providing habitat for resident marsh birds and other wetland-dependent wildlife. The conservation area is a popular bird-watching and hunting designation. I encourage you to visit this incredible conservation area.
ElderLink St. Louis
ElderLink St. Louis is currently accepting applications. For more information, call (314) 812-9300.

While medical advancements are making it possible for senior citizens to stay in their homes longer, there may come a time when an older adult simply needs help with day-to-day tasks.

ElderLink, a resource center for Jewish seniors in St. Louis currently has openings for services in their agency. They can also provide more basic in home assistance in the form of meal preparation, laundry services, housekeeping, and more.

The agency offers a wide range of services, that include:

  • Respite care
  • Aging at home
  • End of life services
  • Some financial assistance is available
  • Planning and preparation for in-home care
  • Guidance for choosing an in-home care plan or skilled facility
  • Safety and legal resources
  • Medical and mental health resources
  • Continuing education, socialization, recreation resources, and ideas

The Jewish Family & Children's Service in-home service/homemaker program no longer has a waiting list. 
The program can provide up to 15 hours of assistance per week for older adults who need help with personal care, meal preparation, transportation, light housekeeping, and more. Fees are determined on a sliding fee scale based upon income. The program is ideal for older adults or adults with special needs who are not eligible for benefits under the Medicaid program, yet, cannot afford the cost of a homemaker through a private agency. 

ElderLink St. Louis is a project of the Senior Service Integration Commission of the Jewish Federation of St. Louis and administered by Jewish Family & Children's Service. ElderLink can be reached online at www.elderlinkstlouis.org or by calling (314) 812-9300.

Free Chamber Concerts Feature St. Louis Symphony Musicians
The St. Louis Symphony has free chamber concerts scheduled through next year.

Musicians from the St. Louis Symphony are taking part in a series of free chamber concerts with events schedule through next year.

Each concert is scheduled to last about one hour and is open to the public. Seating is first-come, first-served basis for the casual dress performances.

These are the upcoming concerts:

Dec. 9, 2013, 7:30 p.m.
Symphony in Your College - Washington University
560 Music Center
University City, MO
STL Symphony musicians Shawn Weil, violin, and Bjorn Ranheim, cello, collaborate with the WUSTL Orchestra conducted by Steven Jarvi in performance of the Brahms Double Concerto. 

Dec. 12, 2013, 2 p.m.
SymphonyCares for Seniors
St. Agnes Home
10341 Manchester
Kirkwood, MO
The Trombones of the STL Symphony – Timothy Myers, Paul Jenkins, Jonathan Reycraft and Gerard Pagano – return to St. Agnes Home with great holiday tunes and fun stories.

Dec. 17, 2013, 7 p.m.
Symphony in Your Neighborhood
Symphony Tuesdays in Tower Grove Park
Inside the Piper Palm House
4256 Magnolia Ave.
St. Louis, MO
Perfect for the holidays, join the STL Symphony Horn Quartet – Roger Kaza, Thomas Jöstlein, Anna Spina and Julia Erdmann – in a program of holiday and classical music arranged for four horns.

Jan. 17, 2014, 7 p.m.
Symphony Where You Worship
St. Francis Xavier (College) Church
3628 Lindell Blvd.
St. Louis, MO

Jan. 23, 2014, 6 p.m.
Powell Hall - Announcement of 2014 Season
718 N. Grand Blvd.
St. Louis, MO
With David Robertson, Fred Bronstein, and a special SymphonyCares performance by Angie Smart and Claire Wedemeyer.

For more information about the St. Louis Symphony visit its website www.stlsymphony.org.