A 2023 study from the University of Nebraska Medical Center concluded the number of Nebraskans with a mental health or substance abuse disorder has probably increased over the pre-pandemic level of 20%. It also observed 88 of Nebraska's 93 counties have a shortage of behavioral health professionals.
Nonetheless, the state budget now awaiting Gov. Jim Pillen's signature cuts $15 million from the Division of Behavioral Health's funding for the state's six Behavioral Health Regions, which distribute those funds to providers. Many advocates believe the cut is based on an incorrect conclusion.
Annette Dubas, executive director of the Nebraska Association of Behavioral Health Organizations, said because $15 million remained in the budget for the Regions, it was concluded the money was not needed. In fact, she said much of it was for projects and proposals awaiting Department of Health and Human Services approval.
"The problem is not that it's not needed; there's a problem with getting it out the door and into services quickly," Dubas explained. "Because we know the demand is there. And if it's not being spent, let's figure out why. That's what we want the governor to sit down and talk to us about, so we can figure out where the holdups are."
The $15 million will be shifted to the Lincoln Regional Center for hiring nurses and other staff. Dubas questioned how realistic it is for the center to spend this amount of money on staffing, especially when the state is facing a nursing shortage of more than 5,000 by 2025. She also questioned what will happen to any money left unspent.
Dubas stressed the Division of Behavioral Health is not the only agency losing money through this budget process.
"This administration has gone into a lot of different funds, cash funds, etc., and kind of swept out money that they perceive is not being used or is not being spent, to use to help with their property tax relief," Dubas asserted.
The Pillen administration is paying Epiphany Associates from Utah $2.5 million annually for up to four years, to find savings of up to 25% across state agency budgets.
Chase Francl, CEO of the Mid-Plains Center for Behavioral Health, which receives about 40% of its funding from Region III, said cutting programs that save the state money cannot be considered cutting "waste."
"Mental health and substance use treatment really is a prevention service," Francl contended. "If we can get this right, then people are going back to work and maybe aren't ending up in corrections. And you start restricting here, you usually are just going to be creating a greater need for more costly services down the road."
Mid-Plains served 3,200 people in Grand Island, Kearney and Lincoln last year. Francl added they currently have about 60 people on a waitlist for therapy services.
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A package of New York bills could boost public services and create a fairer tax system.
The Invest in Our New York Act aims to get corporations and the state's ultrawealthy to pay their fair share of taxes. The legislation would put the money into essential programs like affordable housing, child care and education. One of the bills establishes a capital-gains tax.
Isaiah Fenichel, Hudson Valley lead organizer for the group Citizen Action of New York, said another would create a more equitable tax structure.
"It creates new tax brackets where it is kind of spacing out the percentages and what folks are paying on the way up," Fenichel explained. "That is to generate more of the wealth because as it stands if you make between $250,000 and a million dollars, you're taxed at the same rate, regardless of where you fall on that spectrum."
Despite wide support for the bills, the biggest opposition surrounds the question of 'what if this drives wealthy people away from New York?' However, studies show it's the working-class population leaving the state. The Fiscal Policy Institute finds, on average, savings from lower housing costs in other states are 15 times greater than savings from taxes for former New Yorkers.
The package of legislation also includes spending priorities for housing, climate change and other areas. Fenichel noted the money from the legislation would help pay for programs like housing access vouchers and foundation aid. As a new parent, he said child care accessibility is another area in need of better funding.
"One of the things we're advocating for is a billion and a half dollars to raise wages for New York's child care workforce," Fenichel outlined. "We can bring more folks in, have more child care workers, that way there can be more facilities open, and people can take more folks into the classroom."
Census data show New York State has a high rate of employment for child care workers but their average salary is close to $38,000 a year. The Massachusetts Institute of Technology's Living Wage Calculator finds the living wage for a single person is more than $55,000 a year.
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Pennsylvania's landscape is undergoing a transformation, paid for with billions in federal funding from the Inflation Reduction Act and the Bipartisan Infrastructure Law.
The state is expected to receive more than $13 billion over five years for highways and bridges.
David Gunshore described himself as a "semiretired inspector," working on a bridge project in Clarks Summit and said it's being paid for 100% by federal dollars. Gunshore said the crumbling bridge was built in 1959 and last rehabbed in 1983, and stands 65 feet above railroad tracks.
"Like a lot of the concrete, it rots out and it falls, that means it deteriorates and breaks out," Gunshore explained. "So you cut all that out, and you re-patch it with new stuff, so that the rot can't go any deeper into the pillars. We're redoing the bridge deck and the piers, the pillars, the columns that hold it up."
Gunshore estimated the bridge project will be finished by next fall. As of March of this year, the Bipartisan Infrastructure Law had allocated more than $15 billion to Pennsylvania, for more than 450 projects. Of those funds, $6.7 billion are for highways and just over $1 billion for bridges.
Gunshore pointed out in his years on the job, the construction industry seems to have struggled more under Republican administrations but thrived during President Bill Clinton's tenure and with the Fixing America's Surface Transportation Act during Barack Obama's presidency to fix roads and transit lines. Gunshore thinks it has been money well spent, noting the Biden-Harris administration's support for construction, manufacturing and apprenticeship programs.
"Big government spends the money but you're building roads, people get jobs, and money goes into the economy, and you're still ending up with new roads and new infrastructure," Gunshore emphasized. "I think that's one of the best investments going, that and health care, because the better the health care, the less people are going to get sick."
Gunshore noted the last major federal project he worked on, the Twin Bridges project, is underway to replace two mainline bridges in Lackawanna County. He added there is a lot of work to be done and jobs are available for the project.
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Nebraska is one of four states with measures about state funding of private-school vouchers on the ballot this year. Referendum 435 asks voters to decide whether to repeal the school voucher program passed on the last day of the 2024 legislative session.
Backers of the law claim vouchers are needed by low-income families who can't otherwise afford to send their children to a private school. But studies show that in a number of states, most who benefit from school vouchers are not from low-income families.
Tim Royers, president of the Nebraska State Education Association, said this has been borne out in Iowa.
"In Iowa, for example, who just implemented their voucher system last year," he said, "the median income for the voucher recipients is roughly $120,000."
Iowa data also show that more than two-thirds of the students using vouchers had already been attending a private school.
Another of NSEA's objections is that the law doesn't benefit all of Nebraska, since more than half the counties have no private schools. Critics of the voucher programs say they siphon state funds away from the public school system.
Royers said choice is fine - as long as it's publicly accountable choice.
"As long as private schools can discriminate and deny certain children admission; as long as they don't have to follow the same testing and reporting requirement that we do, we just don't feel public tax dollars should go to those institutions," he said.
Arizona's private-school voucher program has ballooned in scope and cost, and contributed to the need for significant state budget cuts. Dave Wells, research director at the Grand Canyon Institute, a "centrist think tank" in Phoenix, says Arizona's voucher program means the state is essentially supporting two school systems - public and private.
"In Arizona, we can't afford to do that, and it's had really negative impacts," he said. "And I think it has especially negative impacts on rural areas where there aren't private schools even to pick from. And the people who benefit the most from this are people who can already afford to go to private schools, is what we've found in Arizona."
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