Ed Martin, Republican candidate for Attorney General of Missouri, and his wife, Carol, voted in south St. Louis city this morning. After voting, Martin, took a couple of questions. First, he explained the role of Attorney General. Next he provided details for his election night watch party at the Drury Inn on Hampton near 44.
Here are some photos from Ed Martin's visit to the polls this morning:
Ed Martin, Republican candidate for Attorney General of Missouri, talks about 2nd Amendment issues and endorsements ahead of Tuesday's election. Martin's opponent, Chris Koster, was endorsed by the NRA despite the fact that both Martin and Koster received the same "A" rating from the group. When two candidates earn the same rating, the NRA has a policy of endorsing the incumbent.
Gun Owners of America Political Victory Fund is proud to endorse Ed Martin for Attorney General.
Ed Martin is a strong supporter of the Second Amendment who is dedicated to protecting the rights of Missouri’s gun owners.
As state Attorney General, Ed will stand against unconstitutional intrusions of the federal government. He understands that the U.S Constitution is a check federal power—not a grant of unlimited authority.
Tuesday evening, there was a "debate" between Republican candidate for governor Dave Spence and incumbent Democrat, Gov. Jay Nixon, at Greater Bethlehem Baptist Church in north St. Louis. Nixon didn't show up. Spence was there with his campaign message and to take questions from the predominantly black audience. I will post video of his remarks later.
A couple of Spence's supporters spoke Tuesday evening including Stephanie Patton who is featured in the video at the top of this post. Stephanie recently appeared in a Dave Spence TV ad. I've covered her story on this blog:
In the ad, an African-American woman who used to own an adult day care business tells how a state worker berated her and hurled a racial epithet at her during an inspection. One problem: Mr. Spence’s opponent, Gov. Jay Nixon, wasn’t even governor when the alleged incident, outlined in a lawsuit, even occurred.
One of the most salacious aspects of Stephanie's story was the October 2008 inspection in which DHSS inspector, Cassie Blum, hit Patton and called her the n-word; however, those actions alone did not lead to the closure of Patton's business. They do beg the question: why does Cassie Blum still have a job?
The Court of Appeals for the Western District noted in their September 25th, 2012, opinion that DSS dragged their feet communicating with Stephanie [emphasis added]:
As a result of Peace of Mind's failure to maintain a medical model license, DSS terminated Peace of Mind's participation in the MO HealthNet program effective on the close of business of December 20, 2008, and stopped making payments to Peace of Mind. DSS informed Patton of its decision in a letter dated February 2, 2009.
The state of Missouri cut off Stephanie's funding and waited a month and a half to tell her. She had expenses for client care, rent, payroll, utilities, but was not compensated. The trial, circuit, and appeals courts all found that she was due $45,340, yet she has still not been reimbursed.
Stephanie tried to re-open her adult day care business in April of 2009. She incurred some expenses, but then the state refused to let her bill for clients. The simple fact is that Missouri's bureaucracy prevented her from working.
Since the 2008 inspection with Blum, Stephanie has lost her business, her car, her home, and suffered immeasurable emotional anguish, but the Governor refuses to meet with her. The courts have ruled, so why won't the state make Stephanie whole?
Update: Stephanie's story still hurts when she re-tells it as can be seen in the video above. When I spoke with her Wednesday, she commented that she didn't think she could get through the second part of her story, so she didn't even bring it up Tuesday night.
That part begins in January of 2011 just a couple months after the Administrative Hearing Court (AHC) had ruled in her favor in October of 2010. Stephanie knew her AHC case would have to wind its way through the appeals process, but she did not anticipate criminal charges from Attorney General Chris Koster.
Nonetheless, the criminal complaint had numerous side-effects. First, a warrant was issued for Stephanie's arrest, so she had to make bail and spend a few hours in jail. She couldn't find work even at a dry cleaners or convenience store because there was a criminal charge of theft against her. She had a few months of stress, to say nothing of the emotional toll, as a result of the criminal charge.
And, even after the charges were dropped, Stephanie was still marked in DHSS/DSS's computer systems. When she interviewed for jobs in the healthcare industry and, despite her record of having run an adult day care facility for eighteen years, she would be turned down because the computer system said she was ineligible for work in the healthcare field. Missouri's AG and the DHSS/DSS bureaucracy had made it illegal for her to work.
Stephanie was the collateral damage of a frivolous and, I believe, vindictive prosecution initiated by AG Chris Koster.
Throughout all of that, Stephanie tried to arrange a meeting with Gov. Nixon. With an out-of-control Attorney General, who else could she appeal to? All she wanted to do was petition the government for a redress of grievances, but Nixon's office repeatedly stonewalled and re-buffed her.
Stephanie Patton is one reason why you should vote against both Nixon and Koster next Tuesday. Dave Spence and Ed Martin simply have to be better.
The Attorney General's office (AGO) retained the right to reject proposals for contingency fee contracts even though state law does not include any provision for doing so once the Office of Administration (OA) has taken over the bid process. The Attorney General also accepted campaign contributions from law firms that submitted proposals. The AGO should not retain the power to reject responses or solicit new responses for contingency fee contracts after it requests the OA to handle the procurement process.
Schweich’s audit caught Koster red-handed accepting over $170,000 in campaign contributions from law firms actively bidding on state contracts – a situation Auditor Schweich definitively called “a conflict of interest.” Now, Koster’s own campaign finance reports and official government documents show he received almost $750,000 in campaign contributions since the 2008 election cycle from law firms that replied to Requests for Proposal (RFP’s).
During the 2008 election cycle, Koster received more than $260,000 in campaign contributions from firms who later bid on contracts from his office. Since 2008, Koster has received nearly $475,000 in contributions for a total of nearly $750,000. These large donations routinely come from some of the largest law firms in Missouri, including Humphrey, Farrington & McClain, Hershewe Law Firm, Strong, Garner, Bauer PC, and Langdon & Emison – all of which have received payment from the state during Koster’s time in office.
...DHSS's actions were the result of a racially discriminatory animus and that DHSS's actions deprived Patton of due process and equal protection of the laws, in violation of U.S. Const. amend. 5, 14 and 15, and Mo. Const. art. I, §§ 2 and 10.
The state appealed again and on August 8th, 2012, Judges Karen King Mitchell, Victor C. Howard, and Cynthia L. Martin of the Missouri Court of Appeals, Western District, heard the case. Harvey Tettlebaum of the law firm Husch Blackwell represented Patton at the appeals court hearing.
I attended the August 8th hearing and drew the sketches displayed here.
The Western District Court of Appeals handed down their ruling this past Tuesday (embedded below). In part they ruled:
We seriously question whether Patton raised her constitutional claim at the "first available opportunity." The complaints Patton filed with the DHSS did not include allegations -- either explicit or implied -- of DHSS acting with a discriminatory animus toward Patton. In fact, there is no evidence in the record as a whole that Patton ever registered a complaint or concern with DHSS that Blum had called her a racial epithet and illiterate. In contrast, the record as a whole leads to the inescapable conclusion that the first time this complaint was registered was during Patton's testimony. This does not appear to comport with the obligation to raise a constitutional claim at the first available opportunity.
However, we are not persuaded that the Departments preserved an objection to Patton's late assertion of a constitutional claim. The Departments did not object to Patton's testimony as untimely. Instead, the Departments took the position at hearing that the AHC did not have "jurisdiction" to decide the constitutional issue being raised by Patton.17See
transcript at 169 ("[D]iscrimination is not something that, or constitutional issues are not something that this Commission has the jurisdiction over, and case law sets forth that the first notice to raise constitutional issues would be at the circuit court level,not at this level. And so by not testifying here they're not waiving their first availability to introduce evidence. The factual record would be made on the circuit court level where the court has jurisdiction over it."). This objection suggested that Patton was required to wait to assert her constitutional claim -- a position in inherent conflict with the position taken by the Departments on appeal. [emphasis added]
In other words, the state argued "Heads--I win. Tails--you lose." Judges Mitchell, Howard, and Martin should be commended for calling the the state out on this. However, that Chris Koster's attorney would stoop so low to make contradictory arguments underscores the importance of replacing Koster with Ed Martin in November to restore a sense of justice to the Attorney General's office.
The ruling continues:
We need not determine whether Patton's testimony was sufficient to raise and preserve a constitutional claim or whether the AHC acted
sua sponte
in addressing the constitutional claim because we find in any event that the AHC's conclusion that DHSS acted with discriminatory racial animus toward Patton was legally erroneous.
The AHC concluded that DHSS,
as an agency, acted with a racially discriminatory animus toward Patton. The only evidence in the record to support this legal conclusion was the testimony by Patton that a single DHSS employee, Blum, directed a deplorable racial epithet toward Patton and called her illiterate. There was no evidence presented at trial that Blum's statements could be legally attributed to DHSS as a whole or that DHSS was even aware that the comments were made. Evidence that a single agency employee made a racial remark to Patton is insufficient as a matter of law to support a conclusion that the entire agency thereafter acted in its handling of Patton with racial animus.
See
James v. City of Jennings
, 735 S.W.2d 188, 191 (Mo. App. E.D.1987). Even if the single (and wholly unacceptable) comment by Blum could be legally attributed to DHSS, standing alone that comment does not rise to the level of a constitutional violation in the absence of other evidence connecting the comment to subsequent agency action.
DeWalt v. Carter
, 224 F.3d 607, 612 (7th Cir. 2000) ("The use of racially derogatory language, while unprofessional and deplorable, does not violate the [U.S.] Constitution.");
Blades v. Schuetzle
, 302 F.3d 801, 805 (8th Cir. 2002) ("[W]e believe that the use of racially derogatory language, unless it is pervasive or severe enough to amount to racial harassment, will not by itself violate the fourteenth amendment."). The AHC erred in finding otherwise.
The Departments do not argue that the AHC's error in finding that the DHSS acted with racially discriminatory animus requires reversal of all other conclusions reached by the AHC affecting DHSS. And in any event, as we have already discussed, the AHC's conclusion claimed to be erroneous in the Departments' fifth points relied on is defensible, independent of the AHC's finding on Patton's constitutional claim. Thus, although we agree with that the AHC committed legal error in finding that DHSS acted with racial animus toward Patton thus violating her constitutional rights, that conclusion was harmless. [emphasis added]
I had to laugh at that last bit. Surely Judges Mitchell, Howard, and Martin know full well that had they sustained Judge Chapel's finding that DHSS acted with racially discriminatory animus the budgetary damage from the resulting civil rights lawsuit would cause plenty of harm. Maybe they were being ironic.
I can understand why the judges do not feel that the evidence proves the culpability of DHSS; however, I think their conclusion rests on the assumption that this is an isolated incident. If a civil rights suit is brought against the state--as I believe it should be--we will see whether that assumption is correct.
The actions of Missouri's regulatory agencies had a devastating effect on Patton. Her business was shutdown. Her car was repossessed. Her home was foreclosed on. And so much more.
Yeah. There's still racism in America. It's in our government.
Patton is a modern day civil rights hero.
But there's also a problem with out of control regulations and bureaucracies. Because regulations weigh more heavily on small businesses like Patton's; because regulations can and do destroy small businesses, it is no wonder that we live in a world dominated by large corporations. It's only the large crony capitalist companies that can weather a hostile regulatory environment.
The Missouri attorney general’s office will not appeal a Cole County judge’s ruling this week that removed one of Secretary of State Robin Carnahan’s ballot summaries from the November ballot.
Judge Dan Green on Tuesday sided with Lt. Gov. Peter Kinder and other Republican officials, who said Carnahan’s summary for a measure that deals with the creation of a state-based health insurance exchange was not “fair and sufficient,” as required by law.
The original ballot language for Proposition E was a travesty of partisanship concocted by Missouri's leftist Secretary of State Robin Carnahan and approved and defended by liberal Democrat Attorney General Chris Koster. Here's the ballot summary language that the court threw out at the end of August:
"Shall Missouri law be amended to deny individuals, families, and small businesses the ability to access affordable health care plans through a state-based health benefit exchange unless authorized by statute, initiative or referendum or through an exchange operated by the federal government as required by the federal health care act?”
Here's the court approved ballot summary that will replace it:
"Shall Missouri law be amended to prohibit the governor or any state agency from establishing or operating state-based health insurance exchanges unless authorized by a vote of the people or by the Legislature?"
Interestingly, Koster seems to abandon Carnahan after Judge Green's decision as reported by the P-D:
On his decision not to appeal, Koster, also a Democrat, said Greene’s summary more accurately reflects the Legislature's intent.
"My job is to call balls and strikes in an impartial manner," he said. "The argument is over.”
Koster’s office is responsible for representing the state in lawsuits and defended Carnahan and the ballot summary in court. The attorney general declined to appeal the judge’s ruling, although the secretary of state’s office wanted to do so.
Martin said Tuesday that Koster should have said Carnahan’s ballot summary was misleading. The attorney general’s office is responsible for approving the legal content and form of ballot summaries prepared by the secretary of state’s office.
Martin criticized the handling of the ballot summary and court challenge, charging that Koster “signed off on ballot language that was inappropriate, not clear and should never have been allowed to be presented.”
Had Koster returned Carnahan's blatantly biased language to the Secretary of State's office for revision instead of approving it, Missouri would have avoided the court costs of defending Carnahan's partisanship.
Hobbits Source Blog also provides a ten year comparative analysis of the advertising expenditures of the Attorney General's office. That research makes clear that the 2012 expenditures by Koster are out of line with the historical pattern. In particular, of the $483,801 that the AG's office has spent on advertising in the past ten years, 24% of that--$115,444--came in fiscal 2012.
It's time to replace Koster with someone who will reform the AG's office. Republican Ed Martin is promising to do just that.
Ed Martin explains that a farmer in Southwest Missouri was targeted by the Missouri Department of Agriculture and Missouri Attorney General Chris Koster for regulatory violations. Martin contends that this regulatory overreach costs Missouri and is a distraction when there are greater issues facing the state like healthcare and jobs.
Koster's overreach also drew a rebuke from The Cavalry Group. In an email sent to its subscribers earlier this week, The Cavalry Group wrote in part:
Attorney General Chris Koster must go!
In a campaign message distributed today,
Attorney General, Chris Koster refers to Missouri
as the "puppy mill capital of the nation."
....
It should come as no surprise that HSUS has praised
Attorney General, Chris Koster for his support on a number of HSUS-driven issues!...
Earlier this week I spoke with Republican Ed Martin about his campaign for Attorney General of Missouri and he told me that he recently unveiled his first campaign commercial which would be airing in key markets around the state. Martin is running to bring much needed reform to Missouri's AG office. If he prevails in the August 7th Republican primary, Martin will face Democrat Chris Koster in November.
On Monday, July 10th, Republican candidate for Missouri Secretary of State Shane Schoeller and fellow Republican candidate for Missouri Attorney General, Ed Martin, held a public press conference to talk about the steps they would take to ensure fair ballot language for state-wide Initiative Petitions and Referendums. Their press conference was precipitate by language handed down by Missouri Secretary of State Robin Carnahan and approved by Attorney General Chris Koster. That language distorts the intent of a November ballot measure. The ballot measure is designed to prevent the governor and state agencies from implementing healthcare exchanges in Missouri without the approval of the General Assembly; however, Carnahan wrote language that Koster approved which erroneously suggests that families would be denied affordable health care.
Schoeller, who is a state representative in Missouri's General Assembly, has crafted legislation that would ensure that a bi-partisan panel of Missouri citizens would participate in crafting future ballot language. Schoeller has also asked Speaker of the Missouri House, Steve Tilley, to setup an interim committee to look into this issue.
Missouri Attorney General Chris Koster's (D) fire engine broke down midway through the Webster Groves 4th of July parade. With the engine out of commission, the rest of the parade was halted until the AG's busted ride was pushed to the side. Is this a harbinger of things to come for the campaign?
Hobbits Source Blog found an interesting donation to Missouri's Democrat Attorney General Chris Koster. In Chris Koster's Mystery Committee, Hobbits notes:
Koster for Leadership, a Missouri committee, contains just one transaction in the amount of $23,254.25 with no assigned (MEC) Committee ID#. Problem is who was the donor? Why is it that no committee ID# exists under (MEC)?
On January 2nd, 2007, Koster for Leadership gave $23,254.25 to Missourians for Koster. That's interesting because at that time, Chris Koster was a Republican, and InfluenceExplorer shows that as a Democrat donation:
In August of 2007, Chris Koster left the Republican party to run as a Democrat for AG.
Is InfluenceExplorer reporting the current party of the recipient of the donation, the party of the recipient at the time of the donation, the party affiliation of the campaign committee, or what?
There's also the lack of transparency with this "mystery committee". Because there does not appear to be a record of it at the MEC website, there's no way to figure out who donated to this committee. Knowing who the donors were would provide insight about the political leanings of Koster for Leadership. That would tell us whether or not Republican money later fueled Koster's Democrat campaign or whether Koster received Democrat money before abandoning the Republican party. There's something not right here.
The Attorney General's office (AGO) retained the right to reject proposals for contingency fee contracts even though state law does not include any provision for doing so once the Office of Administration (OA) has taken over the bid process. The Attorney General also accepted campaign contributions from law firms that submitted proposals. The AGO should not retain the power to reject responses or solicit new responses for contingency fee contracts after it requests the OA to handle the procurement process.
Ed Martin is a Republican candidate for Missouri Attorney General. On Monday, 7/2/12, he held a conference call to announce the steps that he plans to take to reform the AG's office if elected to replace Koster. Martin emphasized the need for transparency and accountability.
The video above is a recording of that conference call.
With Ed Martin ramping up his campaign for Attorney General, he's created the website ObamasLawyer.com to take on Democrat AG Chris Koster. The video above features Koster claiming there would be no impact if the state setup healthcare exchanges in direct opposition to the 71% of Missourians who voted for Prop C in 2010. From ObamasLawyer.com:
Any lawyer can make an argument that down is up, that blue is red and that the Cubs are really the greatest baseball team in history, and not the Cardinals. That’s why people get fed up with lawyers, and that’s the problem with Chris Koster’s argument. It flies in the face of a common-sense regular-guy understanding of the Health Car Freedom Act.
liberal attorneys, but the simple meaning of Prop C is clear in the minds of Missourians.
The people of Missouri said loud and clear “No Obamacare”. Building the infrastructure of Obamacare is wrong because it clearly controverts the plainly understood will of the people. Koster’s contorted reasoning may impress Obama’s cronies, and he may even convince some fellow liberal attorneys, but the simple meaning of Prop C is clear in the minds of Missourians.
By now, the SweetO plant on the edge of town was supposed to be up and running. It was supposed to be pumping out high-grade artificial sweetener by the truckload, paying nearly 200 people making $17.50 an hour, and serving as Exhibit A of how foreign — Chinese — investment could bring new life deep into the Missouri heartland.
Instead, the half-built plant sits idle, and the city could be on the hook for $39 million of the company's bad debt.
"At a time when too many American companies are shuttering their plants and moving jobs overseas, we are thrilled to have a global company creating hundreds of good manufacturing jobs right here in Missouri," Gov. Nixon said. "These jobs will be a significant boost to Missouri's economy and our manufacturing sector, and they're another positive sign that our economy is beginning to move forward. I am pleased that my administration was able to provide a competitive package of strategic economic incentives to help bring these jobs to Missouri."
Obviously, the absence of those jobs combined with an additional $39 million of debt will sadly extend the economic woes of Moberly. Missouri's state-level leadership needs to re-evaluate their economic principals, because they are making the same mistakes that cargo cult Keynesians at the Federal level are making. They are committing the fatal conceit which Hayek illuminated in this quote: "The curious task of economics is to demonstrate to men how little they really know about what they imagine they can design."
“Substantial concerns have arisen regarding the entity known as Mamtek International Ltd. and its proposed construction and operation of a manufacturing facility in Missouri,” Koster said. “The Attorney General’s Office is assisting Prosecuting Attorney Mike Fusselman and the Randolph County Prosecuting Attorney’s Office in reviewing this matter to determine whether any violations of Missouri civil or criminal laws have occurred. Our review of this matter will begin immediately.”
...Nixon’s administration screwed the pooch so poorly with this China deal, can we really trust that he knows what he’s talking about when it comes to the China Hub project in St. Louis?
The stress of these deals is weighing on Nixon too. He appeared to lose it when talking with reporters last week:
Mamtek US Inc. highlighted a little-known U.S. visa program as an added enticement to lure Chinese investors for the failed effort to build a taxpayer-subsidized artificial sweetener factory in Moberly.
On a Chinese-language investor website, Mamtek sought 15 people willing to put $500,000 each into the project. In return, investors would receive an EB-5 visa from the U.S. Citizenship and Immigration Service, good for bringing themselves and their entire immediate family — up to three generations — to the United States.
I think the US (and Missouri) should provide incentives for international entrepreneurs with proven records of success to come to this country. That's one realization of the American dream. The problem with Mamtek, is that it looks a bit too much like it was nothing, but a front for the Mamtek Regional Center. The Mamtek Regional Center is listed on the U.S. Citizenship and Immigration Services website as Missouri's only "Immigrant Investor Regional Center" (here's a screen grab):
Koster has told Missourinet affiliate KWIX that he expects to make a decision in the next few weeks about whether Missouri should join the legal challenge of the health care law.
Campaign Requests Action by Koster, Carnahan Over Election Irregularities “Robin Carnahan must answer why she failed to maintain database and Koster must investigate St. Louis Election Board misconduct”
St. Louis - In November, Missourians faced unexpected trouble and questionable conduct by election officials. Secretary of State Robin Carnahan’s statewide voter database failed for most of election day resulting in election day chaos that forced some voters to cast ballots provisionally or being turned away from the polls. In addition, an election official with the City of St. Louis has now admitted to conduct that appears to violate state and local law.
“Citizens place their trust in election official like Secretary of State Robin Carnahan and Election Board Chair Eileen McCann and, then these official violate that trust, the integrity of our democracy is threatened” said Ed Martin. “We need a full investigation and a frank explanation of what went wrong and why so we can begin to rebuild the trust. Democracy needs it and Missourians deserve it.”
This past Friday, Judge Rod Chapel issued his opinion in the case of Peace of Mind Adult Day Care Center vs. Department of Social Services (DSS), MO HealthNet Division, and Department of Health and Senior Services (DHSS). His ruling excoriates those three bureaucracies for institutional racism. His full opinion is below.
Stephanie Patton, an African-American woman, opened Peace of Mind Adult Day Care in 1993. It was the first adult day care in the Show Me State to specifically cater to African-Americans. Most of Stephanie's clients are poor, so much of her funding came from Medicaid. She was driven out of business in 2009 by the combined forces of DSS, HealthNet, and DHSS. This entrepreneur employed ten people and the DHSS shut her down in the middle of a recession.
I spoke with Stephanie Saturday evening about the past two years.
In October of 2008, DHSS inspectors Cassie Blum and Sharon Buckner conducted a surprise inspection of Peace of Mind. During the inspection Blum asked Stephanie not to accompany them. The procedure during inspections is for someone from the day care facility to accompany the inspector(s). Blum asked Stephanie to not accompany them, but Stephanie insisted. The disagreement devolved from there. Blum called Stephanie the n-word, struck Stephanie, and ultimately called the police on her. When Stephanie asked one of the responding officers why Blum had been so out of line, he told her that he didn't know and added that it "seemed like [Blum] was out to get you."
Judge Chapel agreed. Here's what he wrote [emphasis added]:
Patton testified that Blum called her a "nigger" and said she was illiterate during the October 16, 2008 inspection. We consider this as a claim that DHSS's actions were the result of a racially discriminatory animus and that DHSS's actions deprived Patton of due process and equal protection of the laws, in violation of U.S. Const. amend. 5, 14 and 15, and Mo. Const. art. I, §§ 2 and 10.
The rest of Chapel's ruling reads like a 2x4 to the head, but we first have to return to Stephanie to understand the ramifications that her run-in with Blum would have.
Peace of Mind was operating on Olive in University City. Stephanie had moved her family out to Chesterfield a few years earlier. Her run-in with DHSS was about to get worse. In December of 2008, inspectors Niekamp and Shelly Williamson arrived for another surprise inspection. In their report, the inspectors noted that Peace of Mind did not have a nurse on duty; however, two nurses were present and on duty during the inspection. Apparently, the inspectors never asked if there were any nurses on duty.
License issues quickly ensued for Stephanie and Peace of Mind Day Care as a result of the false report. The net result of those licensing issues was that Peace of Mind was unable to get Medicaid funding.
By April of 2009 Peace of Mind was out of business. In June of 2009 Stephanie was trying to sell her house to raise money to pay a lawyer. She was worrying that she wouldn't have money to feed her children. One day, while showing the house to a potential buyer, two lawyers from MO Attorney General Chris Koster's office arrived at her residence. They gave her a large folder of documents and told her, in front of the potential buyer, that they were charging her with half a million dollars of Medicaid fraud ($487,462.08 to be exact).
This was devastating. Stephanie's home went into foreclosure, she had to sell her car, and she suffered severe depression. As Judge Chapel notes:
At the time of the hearing, [Stephanie] was emotionally distraught, but otherwise was able to testify.
While discussing the trial with Stephanie, I learned that the court reporter was so moved by what she heard that she too was crying during the testimony. The collapse of the business and with it Stephanie's life was precipitated by the false report that there wasn't a nurse on duty. As Judge Chapel notes [emphasis added]:
We have found that Peace of Mind had a nurse on duty at all times. There is not a basis for sanctions under Regulation 13 CSR 70-3.030(3)(A) 12.
DSS argues that Peace of Mind failed to maintain a license, as required for participation in the MO HealthNet program. DHSS granted a provisional license for a social model to Peace of Mind for a limited time. We have found that Peace of Mind had a nurse on duty; thus, there was no reason not to continue Peace of Mind's license as a medical model. We find no basis for sanctions under Regulation 13 CSR 70-3.030(3)(A)13 for failure to meet program requirements, such as licensure.
The judge also ruled that because Stephanie did not have any prior sanctions from DHSS, going after her for $487,462.08 of Medicaid fraud was not justified. He noted that DHSS never required provider education or other available remedies. With 15+ years of service, they decided to throw the book at her. From the ruling:
We also conclude that the sanction of termination of Peace of Mind's status as a MO
HealthNet provider was not warranted. There has been no allegation or showing that Peace of
Mind provided substandard services, committed any fraud, or failed to perform any service for
which she received payment.
...
We conclude that Peace of Mind is not subject to MO HealthNet sanctions.
As Peace of Mind was dealing with licensing issues in late 2008 and early 2009, they were still caring for patients. However, their Medicaid claims to the tune of $45,340 were denied. Without revenue to pay her operating costs, Stephanie had no choice but to wind down her business. The closing summary of ruling provides:
[Stephanie] is entitled to payment of$45,340 for services rendered from December 20, 2008,
through February 20, 2009.
During her ordeal, Stephanie reached out to leaders in Jefferson City, MO. She said that the Missouri Legislative Black Caucus was unresponsive. Jay Nixon did not return her calls. Margaret Donnelly Director of DHSS was unresponsive. Interestingly, Donnelly represented Stephanie before Stephanie moved to Chesterfield. Cole McNary, her current state rep, took the time to hear her story, was instrumental in setting up meetings, and sent a supportive letter to Judge Chapel.
Stephanie also reached out for support to friends and family. One of those friends is Jacque Ehrlich (the Missouri state chairmom for AsAMom.org). Jacque provided both moral and professional support including testifying on Stephanie's behalf. Stephanie was never able to raise money for a lawyer. As a paralegal, Jacque was able to provide some advice; however, Stephanie represented herself in court. She took on the system and their lawyers and with God's help she prevailed. While talking about her ordeal, the most poignant moment was when she told me: "I thank God for this affliction."
Tea Party Conservative who began blogging at http://RebootCongress.NET when TARP passed. Email me: contact@RebootCongress.net. Help support my work: Donate Bitcoins