Former state official and foster parent Mike Dudgeon tells lawmakers about problems he faced navigating the state’s foster-care insurance plan.
ATLANTA – A legislative hearing about the “hoteling” of foster children in Georgia zeroed in the problems children in state custody face in getting health care.
So far this fiscal year, more than 400 children have spent the night in hotels or state offices because appropriate placements could not be found for them, Audrey Brannen, a complex care coordinator at the Georgia Division of Family and Children Services (DFCS) told lawmakers Wednesday.
The reasons behind the hoteling problem are complex, but one major contributor is lack of access to appropriate health care, Brannen said during the joint hearing convened by the state Senate’s newly created Children and Families Committee and the Senate Health and Human Services Committee.
“We are here to protect children from their caregivers who may be maltreating them,” she said. “We cannot do that when so many of our resources, both staff and financial, are trying to plug the holes in our health-care system. It’s like using your index finger to stop the leak on the Titanic.”
Care coordination services for foster children are often lacking, Statesboro pediatrician Dr. Michelle Zeanah told lawmakers. She said she has a hard time getting information about a child’s needs and treatment history from Amerigroup, the state’s contracted insurance plan for children in foster care.
Another problem is that many children who end up in hotels have autism, but there aren’t enough clinicians to diagnose and treat autism in Georgia and reimbursement rates for autism evaluation are too low. This leads to long waits for diagnoses and care, Zeanah said.
“If we reimbursed providers that are serving children who are in foster care at a higher rate, then providers would be highly motivated to serve those children,” she said.
Zeanah also questioned whether contracting with a private insurance company really helps Georgia children and youth in foster care. Amerigroup is owned by Elevance, formerly known as Anthem, a large, for-profit company.
“The goal of managed care is cost savings,” Zeanah said. “Why can’t foster children be started with the goal of creating access instead of the goal of reducing cost?”
Mike Dudgeon, a foster-care parent and a former policy director in the lieutenant governor’s office, echoed that call. He suggested returning health care of foster children to the older “fee-for-service” model, where the state pays directly for medical services, or putting foster children on the State Health Benefit Plan, which insures teachers and other state employees.
“If it’s good enough for our employees, it should be good enough for our foster kids,” said Dudgeon, also a former state representative from Forsyth County.
Dudgeon noted that he and his wife sometimes paid for health-care services for children they were fostering out of their own pockets because they could not find a provider that accepted the Amerigroup plan.
He said he had trouble getting data about the insurer’s financials and performance when he worked in state government.
“We were stonewalled for months and months and months … and this is with the weight of the lieutenant governor’s office and the weight of the Senate Budget Office behind it,” Dudgeon said. “All I can tell you, there’s a lot of smoke there that this money is not being appropriately spent. … We need rabid transparency.”
The problems around accessing health care for foster children have spurred DFCS to establish a special legal team dedicated to appealing insurance denials.
“Every day, my office will review all medical treatment denials, and we will file appeals if we determine that such treatment is medically necessary for the child or the youth,” said Brian Pettersson, the lawyer who leads the new team.
“Not only is the current system detrimental to the health-care needs of the foster children, but the current system does not benefit the citizens of the state of Georgia. … It increases [the Georgia Department of Human Services’] overall expenses that are used to expand and fill the gaps in coverages that taxpayers already paid for.”
Representatives from Amerigroup, the insurance plan under fire, also testified.
“We’ve been doing this since 2014,” Amerigroup President Mel Lindsey said. “I’ve never made a decision about how to treat anyone, particularly a foster-care kid, that was related to cost. And I never will.”
Lindsey and other officials from Amerigroup said they want to improve the care they deliver, but there are some factors they cannot control, such as shortages of treatment facilities in Georgia.
“We know there are opportunities for improvement in the system of care and certainly what we do as well,” Lindsay said. “We are deeply committed to working … to improve the way we serve.”
“One thing that we have accomplished today is to raise awareness and to make sure that everybody understands this is a front-burner issue,” added Sen. Kay Kirkpatrick, R- Marietta, who chairs the Children and Families Committee. “These kids didn’t ask for this and they should be going to the front of the line, however we can get them there.”
This story is available through a news partnership with Capitol Beat News Service, a project of the Georgia Press Educational Foundation.
Gov. Brian Kemp signed several bills Monday to lower the age requirement for Georgia parents to adopt children from 25 to 21, create tuition waivers for foster kids to attend in-state universities and bolster legal protections for adopted children against abuse.
The six-bill package marked the latest move by Kemp and his allies in the General Assembly to cut red tape for Georgia families who wish to adopt children and help give older foster kids a leg up as they enter the working world.
During a bill-signing ceremony, Kemp highlighted improvements Georgia’s foster-care system has seen in recent years through an increase in adoptions that have reduced the number of foster kids in state care from about 15,000 children in March 2018 to roughly 12,000 as of this past January.
“By making it more affordable to adopt, reducing bureaucratic red tape and championing the safety of children across our state, we can ensure that Georgia’s children are placed in those homes in a secure and safer future for generations to come,” Kemp said Monday.
Legislative leaders including Lt. Gov. Geoff Duncan backed legislation to lower the age for parents to adopt children to 21 and allow foster and homeless children to obtain tuition waivers from the University System of Georgia and the Technical College System of Georgia.
Kemp also signed legislation Monday to add more training for juvenile court officers, expand rules for parents under court-ordered alternatives care and require officials to report on a range of child-abuse treatment including abandonment, neglect, emotional abuse and exposure to chronic alcohol or drug use.
Additionally, Kemp signed bills to allow judges to issue arrest warrants for state foster-care workers, give courts more data on children in foster care and include a former foster child and current or former foster parents on the state Child Advocate Advisory Committee tasked with evaluating Georgia’s child-protective services.
Former state Rep. Burt Reeves, R-Marietta, one of Kemp’s floor leaders in the General Assembly who has pushed for adoption and foster-care legislation since 2015, said the newly signed bills add to other recent measures aimed at overhauling the foster-care system.
“Lives are being changed,” said Reeves, who resigned his seat in the state House of Representatives recently to take a job at Georgia Tech. “Forever homes are being created for children who have had the roughest and the most difficult pathway imaginable, and families are growing.”
Kemp signed separate legislation last month sponsored by Reeves to boost the annual tax credit for new foster parents from $2,000 to $6,000 annually for the first five years after adoption. He also signed a bill last year that prohibits foster parents from engaging in improper sexual behavior with children in their care, closing a loophole in state law.
Georgia lawmakers who joined Reeves in sponsoring the bills Kemp signed Monday included Sens. Chuck Payne, R-Dalton; Brian Strickland, R-McDonough; and Bo Hatchett, R-Cornelia; and Reps. Kasey Carpenter, R-Dalton; and Katie Dempsey, R-Rome.
Gov. Brian Kemp signed two bills Monday that will hand Georgians a slight income-tax cut and let foster parents tap into a larger tax credit when adopting children.
The governor, who has helmed the state’s response to the COVID-19 pandemic for a year now, called the two tax measures a boon for struggling Georgians and foster parents that looked financially “unthinkable” last March as the virus spread.
“As we return to normal here in the Peach State and look to fully restore our economy, it is critical that Georgians keep as much of their hard-earned money as possible to revive small businesses and industries still struggling under the weight of [COVID-19],” Kemp said at a bill-signing ceremony.
The tax-cut bill, sponsored by Georgia Rep. Shaw Blackmon, R-Bonaire, allows Georgians to pay less income tax starting July 1 amid a rebound of the state economy during the pandemic.
The state’s standard deduction for married couples who file joint returns will increase by $1,100. Single taxpayers can deduct an extra $800, while Georgians ages 65 and older can deduct another $1,300. Married couples filing separately will be able to deduct an additional $550.
House Speaker David Ralston, R-Blue Ridge, who has pushed to continue cutting taxes after Georgia lowered its income-tax rate from 6% to 5.75% in 2019, said Monday the latest cut aims to benefit primarily lower- to middle-income families across the state.
“Today marks another chapter in Georgia’s continuing commitment to provide sustainable, meaningful tax relief to Georgians to let them keep more of their hard-earned money,” Ralston said.
Since the aid package bars states from lowering taxes while using the emergency aid money, Georgia could stand to lose nearly $200 million over the next two years by putting the income-tax cut into effect, according to Danny Kanso, senior policy analyst with the nonprofit Georgia Budget and Policy Institute.
The tax cut passed last week out of the state Senate by 35-15 vote with nearly all Democratic lawmakers voting against it due to concerns over the federal COVID-19 aid restrictions.
Top state Republicans including Kemp and Ralston have slammed the Biden administration over the aid package’s tax-cut penalties as well as its funding formula, which they argue benefits larger Democratic-run states like New York and California at the expense of Georgia.
However, Ralston on Monday said U.S. Treasury Secretary Janet Yellen had signaled the federal officials “will dramatically curtail” the tax-cut restrictions in the relief package amid pushback from Republican leaders in several states.
Reeves’ measure will boost the annual tax credit for new foster parents from $2,000 to $6,000 annually for the first five years after adoption, then drop back to $2,000 per year. The credit will end when the foster child turns 18.
Clearing hurdles for foster care in Georgia has been a legislative priority for many state leaders including Kemp and Lt. Gov. Geoff Duncan, who on Monday called the increased tax credit a “real and substantial” incentive for families to adopt some of the state’s most vulnerable children.
“It’s going to remove barriers and hurdles for families that are just sitting on the precipice of being able to make the decision to bring on those kids,” Duncan said.
The number of Georgia children in foster care has declined over the past three years but remains high, according to state Division of Family and Children Services data. The state currently has about 11,200 children in foster care, down from 15,000 in March 2018.
State lawmakers passed a tax credit increase Thursday for foster parents in Georgia to incentivize more adoptions, advancing a key plank in Gov. Brian Kemp’s legislative priorities this year.
The tax-credit bill, sponsored by Rep. Bert Reeves, R-Marietta, would boost the annual tax credit for new foster parents from $2,000 to $6,000 annually for the first five years after adoption, then drop back to $2,000 per year. The credit would end when the foster child turns 18.
Sen. Bo Hatchett, who carried Reeves’ bill in the Senate and is one of the governor’s floor leaders, said the credit increase aims to encourage more adoptions in Georgia.
“This bill saves the state money, and at the same time this bill offers much-needed support to those families who open their hearts and their homes to children,” Hatchett, R-Cornelia, said from the Senate floor on Thursday.
Hatchett’s bill passed unanimously in the Senate after also passing unanimously in the House earlier this month, and now heads to Kemp’s desk for his signature.
The number of Georgia children in foster care has declined over the past three years but remains high, according to state Division of Family and Children Services data. The state currently has about 11,200 children in foster care, down from 15,000 in March 2018.
Kemp has made foster care a legislative priority for his administration along with cracking down on human trafficking and gang activities.
Along with Hatchett’s measure, Kemp has backed other bills currently moving through the legislature, including one that would lower the minimum age adults are allowed to adopt children from 25 to 21.
A third bill would add more training for juvenile court officers, expand rules for parents under court-ordered alternatives care and require officials to report on a range of child-abuse treatment including abandonment, neglect, emotional abuse and exposure to chronic alcohol or drug use.
Those measures follow Kemp’s signing of a bill last year that prohibits foster parents from engaging in improper sexual behavior with children in their care, closing a loophole in current state law.
Gov. Brian Kemp has rolled out his administration’s bill package for foster care and adoption in Georgia that would boost tax credits for foster parents and tighten reporting requirements on child abuse.
The bills would revive Kemp’s push to raise the tax credit for foster parents from $2,000 to $6,000 and lower the minimum age adults are allowed to adopt children from 25 to 21. Those proposals were shelved when the COVID-19 pandemic interrupted last year’s legislative session.
A third bill would add more training for juvenile court officers, expand rules for parents under court-ordered alternatives care and require officials to report on a range of child-abuse treatment including abandonment, neglect, emotional abuse and exposure to chronic alcohol or drug use.
The number of Georgia children in foster care has declined over the past three years but remains high, according to state Division of Children and Family Services data. The state currently has about 11,200 children in foster care, down from 15,000 in March 2018.
Kemp has made foster care a legislative priority for his administration along with cracking down on human trafficking and gang activities.
“The most fundamental need for any child is a safe, loving home,” Kemp said Thursday in a statement.
“By making it more affordable to adopt, reducing bureaucratic red tape that stands in the way of loved ones adopting kids, and championing the safety of children across our state, we can ensure Georgia’s children are placed in those homes and secure a safer, brighter future for generations to come.”
The three bills are being sponsored by state Rep. Bert Reeves, R-Marietta, and state Sen. Bo Hatchett, R-Cornelia, both of whom Kemp appointed as floor leaders in their respective chambers.
The measures follow Kemp’s signing of a bill last year that prohibits foster parents from engaging in improper sexual behavior with children in their care, closing a loophole in current state law.
