Restructuring DHHS in North Carolina

This year North Carolina’s Department of Health and Human Services has remained under the spotlight of the General Assembly, as well as the residents of the state. DHHS has faced many issues over the last year; ranging from potential sanctions from the federal government due to backlogs with the food stamp program to legislators questioning the ability of the leadership of the agency. Now DHHS Secretary Dr. Aldona Wos is preparing to face the joint oversight committee to discuss multiple issues regarding the status of the agency. The most serious topics of discussion are things such as: updates on restructuring of DHHS, costly contracts for consultants, ongoing issues with the NC Fast (food stamp program), reviewing fiscal performance for 2013-2014, and reviewing the overall budget for Medicaid.

Both Democrats and Republicans share some of the same concerns when it comes to DHHS. While other concerns are split between the two parties. Democrats seem to have their sights set on obtaining answers to the inability of DHHS to completely resolve the backlog with the NC Fast and NC Tracks applications and their ongoing software issues. The Republican leaders are more concerned with the lack of predictability regarding Medicaid costs for the state and they are also proposing privatizing Medicaid. The oversight committee will also be looking into the accuracy of fiscal data that has been presented previously and recently regarding whether or not DHHS ended fiscal year 2013-2014 with a surplus or not. Secretary Wos recently informed legislators with reports stating that the Medicaid program had a surplus of $63 million. However in April, the CFO of DHHS projected a shortfall in the ballpark of $120-140 million for the same fiscal year. Which leaves many legislators questioning how Secretary Wos obtained her figures and whether or not the data they are provided is accurate or not. http://goo.gl/ZELxw7

Some Republicans have suggested that the state’s Medicaid program no longer remain under the control of DHHS. In addition to removing Medicaid from DHHS’ control, there have also been suggestions that a new state governed agency be created to provide oversight for Medicaid. Secretary Wos disagrees with the suggestion to remove Medicaid from DHHS. Her rationale is that removing the Medicaid program from DHHS would undermine plans to restructure the entire agency, which would be the first major overhaul of DHHS since the late 70’s. Under the Secretary’s restructuring plans, DHHS would create five separate divisions that would create an agency that can better serve the residents of North Carolina. http://goo.gl/bSr318

There seems to be concerns across the board regarding many aspects of what is going on with DHHS. Hopefully in the upcoming hearings and meetings held by the joint oversight committee there will be some clarification on many of the issues that surround DHHS. Whatever happens Secretary Wos should be prepared to not only answer the many questions and concerns of the committee members, but also be prepared to provide data/evidence to support what she is reporting. Otherwise concerns about DHHS will continue to linger in the minds of committee members and the residents of North Carolina.