A policy analysis question

Later on today, I’m meeting up with two referees to go to Middle of Nowhere State College for a soccer game tonight. One of my colleagues is a public policy post-doc at the local policy school and the other is a business prof focusing on economic development issues. I work with this crew once or twice a year and it is usually the geekiest and most enjoyable drives of the season.

The policy geek is always look for good teaching examples and I think we have a good one to sketch out tonight.

Over the past couple of years, the local high school soccer association and high school leagues have made a variety of changes to expectations and rules. Here are some of the changes in practice and expectations.

1) When there is a sub-varsity/varsity doubleheader the start time moved from the traditional 6:00/7:30 or 6:30/8:00 split to a uniform 5:30/7:00pm. —-Referees are expected to be at the field at least 30 minutes before kick-off.
2) All referees must renew their clearances annually even though state law allows for three years of validity for educators.
3) 12 hours of in-season training (on nights when college or high amateur leagues play) instead of the previous 6 off-season hours and four in-season hours that were better scheduled to avoid conflicts. Most of the pre-season hours could be satisfied by either a college or USSF intermediate clinic.
4) New uniforms that are unique to the high school game and can not be used for USSF or NCAA games (previously we used USSF shirts, shorts and three striped socks)
5) Formal assessments were discontinued. Now the play-off pool is determined by a combination of seniority (length in the chapter) and three season average varsity game count.

Pay has not changed since 2008.

The local high school referee group had 190 members in it for the 2015 playing season. That broke down to roughly 30 people whose highest level games were either professional or scholarship college, another 20 refs whose highest level games were D-3 college, ethnic mens’ amateurs or Regional USSF youth ball and 140 refs whose highest level games were either low level State Cup or high school depending on how they were being assigned. I was uncomfortable working with about ten refs as they found ways to screw games up in old and uncreative ways. Last year, we sent 24 referees to the state playoff system, twenty one of them had as their highest level game either a professional match or a scholarship game.

Using basic policy analysis skills can we make any predictions about the impact of these policy changes?
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The Politicization of Policy

Earlier today the Supreme Court, in a 4-4 deadlocked ruling pertaining to President Obama’s Executive Order pertaining to the status of the parents of American citizens or legal residents who are in the country illegally, issued the following ruling: “The judgement is affirmed by an equally divided Court.” In the short term this means that the original District Court ruling, affirmed by the 5th Circuit Court of Appeals, stands. It is unclear whether this means that the President will seek to enforce his executive order to not deport the parents of American citizens or legal residents outside of the 5th Circuit or not. The ruling is partially the result of Texas and 25 other states shopping for a sympathetic District Court Judge, which is why they filed it in Brownsville, not Austin the state capitol. It demonstrates both the challenges of a divided Supreme Court and the politicization of policy.

While Speaker Ryan has issued a statement lauding the decision and claiming it as a victory for the Constitution and Congress, specifically under Article 1, this is simply part of the politicization of this particular policy. And that comes at a price. Both in lives affected and in dollars spent. The reality that no one wants to mention when discussing the President’s DAPA and expanded DACA order to defer deportations for specific, low risk classes of undocumented people in the US, and which demonstrates why Speaker Ryan’s claiming victory for Article 1 and the Congress’s power to write the Law, not the Executive Branch, misses the point is that Congress did write the Law. Congress made it a misdemeanor to improperly enter the US; specifically entering in an undocumented capacity without papers while avoiding immigration control. Unlawful presence, overstaying one’s visa or not leaving the US and returning to one’s home country when one is supposed to is not actually a crime at all. The Executive Branch, however, has to administer (execute) this law. But here’s where the rubber of making Law hits the road of enforcing it: Congress also has to provide the ways and means.

Currently Congress only appropriates enough money for the Department of Homeland Security to deport approximately 450,000 undocumented immigrants that have illegally entered or overstayed their visas. This is not something new. Congress never appropriates enough money to deport everyone who has entered illegally or overstayed their visas. The cost for trying to identify, round up, and deport all of the estimated 11 million undocumented people – both improper entry and unlawful presence – in the US right now is estimated at no less than a $100 billion and up to $600 billion. As a result every Presidential Administration has had to prioritize who to focus on. The focus is always on those who have been arrested and/or previously convicted of engaging in violent crimes or who are tied to human or drug trafficking or terrorist/extremist organizations. And this makes sense from a domestic, public policy standpoint: focus on those who present the greatest potential threat to the US, American citizens, legal residents, and those visiting the US. What Speaker Ryan, Governor Abbot of Texas and his 25 colleagues from when he was the Texas Attorney General, Federal District Court Judge Hanen, the 5th Circuit Court of Appeals, and the four Supreme Court Justices that voted to uphold the lower court rulings against the Administration’s Executive Orders have chosen to ignore is that tomorrow the Obama Administration still only has enough Congressionally appropriated funding to deport 450,000 people in the US illegally. And tomorrow the Department of Homeland Security is still going to have to prioritize who they focus on – the parents of an American citizen who other than the Federal misdemeanor of improper entry or the not an actual crime at all of unlawful presence are otherwise law abiding or the guy trafficking women for the sex trade.

We’ve reached this moment of policy and juridicial stupidity because both the President and those opposing his policy of prioritization politicized the issue. The President publicly announced the policy of placing the parents of US citizens and legal residents on the low priority list for deportation, which provided them with an effective exemption. President Obama did this as part of a strategic communication strategy to signal to an important constituency that he, and the Democratic Party, were not going to forget them even if Congress was unable or unwilling to act. The House GOP majority, as well as twenty-six Republican controlled states, responded by also strategically communicating to their constituencies that they would sue the President to overturn his Executive Order to ensure that the Law was administered and that only Congress, as Article 1 states, can write Law. The issue, which was already politicized, was dialed up to 11.

There is no way of knowing if, had the President not publicly announced what he was doing, the GOP House Majority or one or more of these 26 Republican governed states would have still objected as vehemently or opposed the President’s actions through a lawsuit. Moreover, there isn’t equal guilt for politicization on both sides. Until or unless Congress appropriates more funds for deportations, which they do not seem to be inclined to do, the Obama Administration, and any subsequent administrations, will only have the funding – the means – to identify, arrest, detain, and deport 450,000 undocumented people per year. No matter what Judge Hanen, the 5th Circuit Court of Appeals, or the Supreme Court rules, tomorrow the Department of Homeland Security, part of the Obama Administration’s Executive Branch, will still have to prioritize who to deport. I fully expect that they will continue to prioritize their efforts on those accused of and/or convicted of violent crimes, as well as those suspected to be trafficking drugs and people or of being affiliated with extremist or terrorist organizations. Focusing on less dangerous cohorts among the undocumented would create an actual threat to the safety and security of the US, its citizenry, its legal residents, and those visiting for work, school, or enjoyment.



Sort of Maybe a Bit Like Friday Recipe Exchange on Monday: Do NOT Try This at Home Edition!!!!!

Alton Brown has been tinkering again. He’s invented a way to make ice cream in under 10 seconds. The video is below. Whatever you do, do not try this at home!

Bon appetit! And open thread.



ERISA and All Claim databases

Nicholas Bagley is worried about a Supreme Court case.  In Liberty Mutual, a self-insured company that has an administrative services only (ASO) contract with an insurer, is arguing that the requirement to submit claims data to the state of Vermont is a violation of the ERISA law that does not allow states to tell companies how they administer benefits to their employees.

It’s thus perverse that the Supreme Court is poised to rule in a case that could thwart efforts to get good data about health-care prices. In Gobeille v. Liberty Mutual, the Court will decide whether the Employee Retirement Income Security Act of 1974 (ERISA) supersedes laws, on the books in 18 states, requiring self-insured employers to report data about the prices they pay to “all payer claims databases.”

Because about two-thirds of all employees receive coverage through self-insured firms, exempting those firms from the reporting obligation would blow a giant hole in the state databases. If you’re persuaded that we’re paying too little attention to the problem of market power—and I am—then ruling against the states in Gobeille would be especially boneheaded.

There is a sub-optimal work around if the Supremes rule for Liberty Mutual.

Most ASO contracts use standard networks and benefit configurations attached to a standard plan design.  ASOs will often seek cost savings by having their administrator craft narrow networks that carve out certain high cost providers.  But they are still attached to a standard plan design.

From a provider point of view, the provider can’t tell if a patient is Mayhew Insurance Fully Insured or Mayhew Insurance ASO employer self-insured.  They get paid the same rate for the same ste of services if the patient is in a Mayhew PPO or a Mayhew HMO.  The contract that a provider has with the insurer is far broader than the numerous options ASOs believe that they are getting.  One provider contract can and does cover a hundred network tweaks and eight hundred cost-sharing variants.

Most ASOs are fairly small (under 5,000 covered lives).  There is a limit to what an insurance company is willing to do to customize a plan.  Re-slicing a network is fairly easy.  That task could be anywhere from an afternoon if we were slicing out the most expensive 1% or 2% of the providers (a fairly common request) to a month if we were building a home host multi-tier with appropriate provider access designed to funnel money to a provider and take money away from a competing provider group.  The big challenges would be presenting a draft model to the clients built according to their written specifications and having them come back and tell us to add their CFO’s cardiologist and their CHRO’s endocrinologist back into the mix.  And those two docs belonged to the group that they were trying to screw.

What does not happen in most ASO custom plans  is a rewrite of provider contracts.  Renewing and rewriting provider contracts and more importantly, having providers sign onto a new contract is much more expensive than recutting an already contracted network.   For the Mayhew narrow Exchange product 70% of the prep cost was getting new contracts out to providers to sign.  This changes when the ASO is large enough (Boeing and Starbucks in Seattle are doing some very interesting things on healthcare where contracts need to be rewritten) but most ASOs will have provider pricing similar to fully insured groups.

Since provider pricing is similar, probabilistic matching could be used to create demographically similar dummy members and their projected claims experience could be estimated within a useable but wide error band.

This is not ideal, it is a third best hack to solve a problem of a company not wanting to give a massive text file data dump that does not cost them a lot to either produce internally, or request from their administrator.  Their administrator already produces that file anyways in order to bill the self-insured company.  The ideal case is the Supreme Court says this is a reporting requirement and not a benefit requirement so GTFO.








SCOTUS Update

It being a Monday in June, we have Supreme Court decisions.  Four decently big ones came down today, Bank of America vs Caulkett, EEOC v Abercrombie & FitchElonis v US, and Mellouli v Lynch.

The first case (Caulkett) involved whether or not Chapter 7 bankruptcy could wipe out a second mortgage as well as the first when it came to underwater mortgages. In a 9-0 decision, SCOTUS said no dice.

The U.S. Supreme Court on Monday handed a win to Bank of America Corp by ruling that a second mortgage on an “underwater” home – one with a mortgage balance exceeding its current value – cannot by voided during bankruptcy.

On a unanimous vote, the court ruled against two homeowners, David Caulkett and Edelmiro Toledo-Cardona, in Florida, where many homeowners have struggled to pay their mortgages following the recent housing crisis.

Caulkett and Toledo-Cardona had both won before the regional appeals court that oversees Florida. The 11th U.S. Circuit Court of Appeals had ruled that homeowners in Chapter 7 bankruptcy can void – or in bankruptcy terms “strip off” – a second mortgage when the debt owed to the holder of the first mortgage is more than the property’s current value.

SCOTUS didn’t buy that argument in the least, with Clarence Thomas writing the opinion.  Things went a little better in the EEOC case:

The US Supreme Court on Monday ruled against Abercrombie & Fitch in a dispute over its decision not to hire a 17-year-old Muslim girl who wore a headscarf that would have violated the store’s notorious “look policy.”

The dispute centered on a federal law that requires employers to “reasonably accommodate” workers’ religions or disabilities. The Equal Employment Opportunity Commission (EEOC) had sued on behalf of Samantha Elauf, who wore the offending head scarf to her Abercrombie interview.

In an opinion written by Justice Antonin Scalia, the high court ruled that job applicants don’t need to show that an employer knew that a job applicant needed special accommodation for their religious beliefs in order to claim they were treated differently because of those beliefs.

“Abercrombie’s primary argument is that an applicant cannot show disparate treatment without first showing an employer had ‘actual knowledge’ of the applicant’s need for accomodation. We disagree,” Scalia wrote.

That one was 8-1 with Thomas a partial dissent.  Then there was Elonis v US, the so-called “Facebook threats case“:

The Supreme Court has reversed the conviction of a Pennsylvania man who said violent messages he posted on Facebook were therapeutic, not true threats. Anthony Elonis was arrested by the FBI, which had been monitoring his posts.

At issue is the standard by which a lower court viewed rap lyrics and messages from Elonis, who often posted graphically violent language along with disclaimers that he was merely asserting his First Amendment rights.

As we reported last year, Elonis began posting violent messages after his wife of seven years left him in 2010. The messages he posted to Facebook prompted Elonis’ now ex-wife to get a state protection order against him, and led his bosses to fire him from his job at an amusement park.

Elonis was charged with threatening his wife, a kindergarten class, and law enforcement officers — including a female agent who visited his house to question him. All were subjects of rap-style lyrics he posted to Facebook, under the pseudonym Tone Dougie.

A jury convicted him on those counts, and Elonis was sentenced to more than three years in prison.

SCOTUS tossed that conviction 7-2, Chief Justice Roberts on the opinion there, with dissents from Alito and Thomas.  Finally in Mellouli, the Supremes overturned a drug conviction case for a Tunisian man that led to deportation:

The Supreme Court has overturned the deportation of a Tunisian man whose crime was possessing drug paraphernalia.

Mones Mellouli was deported after he pleaded guilty to the minor drug crime in Kansas state court. The item in question was a sock that contained four pills of the stimulant Adderall.

Justice Ruth Bader Ginsburg wrote for the court Monday that federal law does not authorize deportation for such a minor offense.

That one went 7-2 with RBG on the opinion, Thomas and Alito dissenting.

Hash it out in the comments and all that.








Voting rights and wrongs

Went to a great voting rights panel at Netroots Nation. Nina Turner is running for Ohio Secretary of State and Maggie Toulouse Oliver is running for New Mexico Secretary of State. Jocelyn Benson ran for Michigan Secretary of State in 2010.

tina turner

Candidates running for Secretary of State will discuss voting rights issues that come up in the states and what participants can do to help fight back against Voter ID laws in their own states.

Nina Turner is very passionate about voting rights, knows her stuff and was also (incidentally) the favorite of county Democrats here when they met her along with some other state candidates recently. Maggie Toulouse Oliver focused more on the administrative role of a secretary of state, although Oliver is no slouch on the passion part either. Sometimes those two issues are separated – competent administration of elections and the history and meaning of voting – (example of that here) but I disagree with that approach. We can vigorously defend the right to vote and also focus on “good government” administration of elections. Smart, competent voter-centered process protects the right to vote, as a practical matter. Those aren’t two distinct issues. In Pennsylvania in 2012, Republicans attacked the right to vote AND monumentally screwed up the administration of their new voter ID process. They were suppressing the vote and also very bad at running elections.

This was a fun event for me because voting rights make my heart go pitter-patter and I immediately go into oppositional/adversarial posture when listening to people who compare the right to vote to buying booze or using an ATM. This was an extremely well informed crowd – throwing around “HAVA” and “Crawfordwith ease– in other words, my people. I could relax and enjoy the discussion because it wasn’t full of people screeching about mysterious white vans pulling up to polling places and disgorging hordes of fraudulent voters or the ever-popular “there are people who died still on voter rolls so that must mean dead people voted.”

The two candidates for Secretary of State talked a bit about the office of Secretary of State and how it has changed. In the past, it was a rather low-key job because it wasn’t partisan and it wasn’t considered a stepping stone to national fame and the speaker circuit. The objective was to expand lawful access to the ballot, administer elections properly and serve voters. That has changed. An example of this higher profile is Kris Kobach in Kansas, who used the job to pursue his rather extreme legal theories on immigration and become a national advisor to Mitt Romney. It is my belief that Jon Husted in Ohio is also using the job as a stop on his way to the governor’s mansion. I don’t think these folks are interested in the hard work of administering elections in a fair and competent manner. I think they have much bigger ambitions.

I think the politicization of the job began in earnest with the Bush Administration and their “purge” of those US Attorneys who would not pursue allegations of voter impersonation fraud (because voter impersonation fraud doesn’t exist). I think voting process has really suffered as a result, and voters have been all but forgotten in the rush to put in more and more voting restrictions and lump more and more people into the “probably planning a felony” category when they show up at a polling place.



You can’t base a restrictive law on an imaginary fear

Good piece about the work behind the latest win on voting rights:

The debate over state voter-ID laws in the lead-up to November’s elections may have gained a national audience, but the legal action has played out largely in Midwest and Southern courtrooms to this point. That’s not to say Seattle hasn’t been well-represented. University of Washington political science professor Matt Barreto has been in the middle of most of it. Or at least his research has.
The 37-year-old professor has lately been a man in demand. The research he and his colleague, New Mexico professor Gabriel Sanchez, are becoming known for has become part of the standard playbook for lawyers challenging voter-ID laws. Using statistically sound large-swath surveys on a state-by-state basis, Barreto’s findings have demonstrated that not only are blacks, Latinos, and minorities less likely to possess valid photo ID, they’re also less likely to have the documents necessary to obtain such ID.
These laws have proliferated in the wake of the 2013 Supreme Court case Shelby County v. Holder, in which the court, by a controversial 5-4 vote, struck down a section of the Voting Rights Act of 1965 requiring states to obtain federal preclearance before changing voting regulations or practices. With the federal preclearance hurdle removed, states that pass voter-ID laws can move quickly to implement them—and have, to the dismay of many, including the national legal arm of the American Civil Liberties Union.
Last month the effort logged its biggest victory to date when a Federal court struck down a Wisconsin law, signed by Republican Governor Scott Walker in 2011, requiring voters to show photo identification before casting a ballot.
“[Judge Adelman] just systematically dismantled the voter-fraud myth in a way that went beyond any other court decision that I have seen,” Young continues. “He said, correctly, that when it comes to election integrity, the perpetrator of the voter-fraud myth are the ones that are undermining voter confidence in the electoral process, not actual voter fraud . . . He said you can’t pass a restrictive law based on an imaginary fear.”

Who knows what will happen when it gets to the US Supreme Court, but the truth is the laws have gotten more and more restrictive. We’ve gone from “voter ID” when I first started following this to “photo ID” and now we’re accepting only certain forms of photo ID.

Ohio’s original ID law contained some protections for voters who could not jump through the hoops; utility bills, “government documents” – there was a genuine effort to recognize and address the problems that real people run into. But that wasn’t enough, the compromise wasn’t acceptable to the GOP base and looking back I don’t think it was ever going to be enough. Because, what’s “enough”? Voter impersonation fraud is imaginary. We’ll never be able to prove we fixed voter impersonation fraud with Ohio’s less restrictive ID law because that problem never existed to begin with.

This is the Texas law. We’ll never know if this one fixed the imaginary problem either:

Here is a list of the acceptable forms of photo ID:
• Texas driver license issued by the Texas Department of Public Safety (DPS)
• Texas Election Identification Certificate issued by DPS
• Texas personal identification card issued by DPS
• Texas concealed handgun license issued by DPS
• United States military identification card containing the person’s photograph
• United States citizenship certificate containing the person’s photograph
• United States passport

The voter fraud fraudsters have all but given up on arguing voter fraud. Now they argue that the ID laws are intended to promote public trust in the election process. That’s a dilemma for voting rights enthusiasts, too, because as the judge in the Wisconsin decision pointed out voter fraud fraudsters created the lack of confidence they’re now “fixing”:

“He said, correctly, that when it comes to election integrity, the perpetrator of the voter-fraud myth are the ones that are undermining voter confidence in the electoral process, not actual voter fraud . . .

I guess they’ll have to tell us when voter impersonation fraud is solved and thus their confidence is restored since this entire issue now rests completely on their “feelings.”