The State Health Department wants to ax the public assistance appeals board

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Montana health officials are asking state lawmakers to eliminate a board that hears appeals from people they believe have been wrongly denied public assistance benefits.

Since 2016, the Public Assistance Board has heard fewer than 20 cases a year, and very few of those are overturned, but preparing for those appeals and board meetings takes time from state Department of Public Health and Human Services staff and attorneys, according to the department’s proposal.

Eliminating the appeals board would help disapproved public assistance applicants appeal their cases directly to a district court, Health Department Director Charlie Bratton told lawmakers. Currently, rejected applicants can take their case to court after the board hears an appeal, although very few board members do.

“I want to be very clear, we are not looking to eliminate the appeals process with this proposal. Rather, we are streamlining the process and eliminating what we see as an unnecessary and underutilized step,” Breton said.

The plan to eliminate the Public Assistance Board is one of 14 bills the state Department of Public Health and Human Services has asked lawmakers to prepare for the January session. The proposal comes as part of a review of state agencies under Republican Gov. Greg Gianforte’s Red Tape Relief Task Force to improve efficiency and eliminate outdated or unnecessary regulations.

A three-person Public Assistance Board oversees appeals by the Health Department’s Office of Administrative Hearings in nine programs: Temporary Assistance for Needy Families, Financial Assistance for Low-Income Families with Children. Supplemental Nutrition Assistance Program, formerly known as food stamps; Medicaid, a federal-state program that pays for health care for low-income people; Developmental Disabilities Services; Low Income Energy Assistance Program; Weather Assistance Program; refugee assistance; mental health services; and Healthy Montana Kids, which is the state’s children’s health insurance program.

The proposal to remove the board came as a surprise to at least one of its members, who learned from KN. “I haven’t heard anything from the department,” said Billings resident Sharon Bonogofsky-Parker in Janfort, March 2021.

Bonogofsky-Parker said the board meets monthly. She recalled one case during her tenure where the board returned benefits to a disabled military veteran because of someone else’s falsified documentation.

But Bonogofsky-Parker estimates the board sides with the department’s decisions 90% of the time because most cases involve applicants who don’t understand or follow the programs’ rules, have changed income levels or have other obvious disqualifications.

The board provides services by hearing appeals that obstruct the court system, she said. “Generally, these cases are very benign,” Bonogofsky-Parker said. “The board is useful in keeping many of these cases out of court.”

His view contrasted with Brereton’s, which described applicants’ complaints as a benefit of the proposed change.

District courts charge $120 to initiate such a process, according to the Lewis and Clark County District Court Clerk’s Office. That creates obstacles for people trying to prove they qualify for public assistance. In contrast, appeals to the Board of Public Assistance are independent.

State Health Department spokesman John Ebelt said low-income people can fill out a form to request a court fee waiver. “This issue has been considered in the conceptual stages of the bill,” he said.

Bonogofsky-Parker said she has no plans to challenge the department’s proposal, although the board may act as a buffer against frivolous court cases. The other two board members, Gianforte appointee Danielle Shine and former Democratic Gov. Steve Bullock’s Carolyn Pease-Lopez, did not respond to phone or email messages.

The Subcommittee on Children, Families, Health, and Human Services will prepare the bill for consideration by the Legislature throughout the 2023 session.

KHN (Kaiser Health News) is a national news division that produces in-depth journalism on health issues. Along with policy analysis and sounding, KHN is one of the three main work programs within the KFF (Kaiser Family Foundation). KFF is a non-profit organization that provides information to the nation on health issues. To read the story as originally published Click here.

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