Friday, December 21, 2018

In Louisiana, More Than a Third of Ex-Lawmakers Continue to Try to Influence Their Old Colleagues

Jim Tucker, former speaker of the Louisiana House of Representatives, is now CEO of the nonprofit nursing home conglomerate CommCare Corp. Tucker, shown above in 2011, pushed against legislation discouraging institutionalization of the elderly and disabled. (Travis Spradling/The Advocate)
Louisiana’s nursing homes are among the nation’s worst.

The state ranked 50th in patient quality of care in a recent AARP report, which noted high rates of pressure sores and antipsychotic medications.

Elderly citizens widely prefer staying in their homes with help as long as possible, studies show. And advocates for changing the system say that making institutionalization a last resort would save the state money.

But when legislation was introduced this year to address that imbalance, three prominent former lawmakers helped torpedo it before it could progress.

Former House Speaker Jim Tucker urged the House Appropriations Committee to kill the proposal. Joe McPherson, the former chair of the Senate Health and Welfare Committee, told his onetime colleagues the reform was impractical. And Sherri Buffington, the committee’s former vice chair, watched from the audience.

Each of them is deeply connected to the nursing home industry, which has strongly opposed the changes.

Tucker is the CEO of CommCare Corp., a nonprofit that runs 13 Louisiana nursing homes. McPherson is the administrator and part-owner of a nursing home in Lafayette. And Buffington, who as a legislator sponsored laws that helped nursing homes reap more money, now lobbies for the health care sector, including a Shreveport hospital system that owns a nursing home.

The muscular display from former lawmakers is not unusual in Louisiana, a state known for a pro-business climate, and in particular a lax regulatory environment. Former lawmakers, whose legislative jobs brought in $30,000 to $40,000 a year in combined salaries and per diems, frequently leverage the part-time jobs into much higher-paying roles in the private sector or in the upper ranks of government. The bills they sponsored and positions they espoused at the Capitol give them a launching pad for lucrative future opportunities.

Some work around the state ethics law requiring them to wait two years before lobbying the Legislature. Instead, they push industry positions before other government branches, or sign on as “consultants” rather than lobbyists. Others take on top jobs at state agencies or in the executive branch, working on behalf of interests they once championed from the floor.

“There’s a whole flock of them,” said State Sen. Conrad Appel, a Republican who sponsored the bill this year supporting more home- and community-based care. “Do they have any extra authority because they were a legislator? I’d say no. But they do have a leg up because they’re friends with people there, and they know how the system works, and they have contacts.”

To gauge the continuing influence of former lawmakers, The Advocate and ProPublica tracked the 99 former members who left the Legislature between 2010 and last month’s elections. Thirty-five went on to jobs in the spheres of lobbying, consulting, governmental affairs, state government, state boards or as legislative advocates for businesses they run. The group includes members of all political affiliations.

“They’ve proven their loyalty to the industry already, and they still have influence,” said Bruce Blaney, a former state health official, about lawmakers who advocate for nursing homes. As the head of an association of more than 300 in-home support providers, Blaney has often tangled with the nursing home industry. He has yet to prevail.  (Click to Continue)

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In Louisiana, More Than a Third of Ex-Lawmakers Continue to Try to Influence Their Old Colleagues

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