Gov. Nathan Deal presented Georgia lawmakers with a wide-ranging but cautious agenda Thursday, asking the new General Assembly not to diverge from the path set during the Republican governor's first two years in office.
"We have made communities safer, improved educational opportunities, provided for infrastructure improvements, driven workforce development, generated a better business environment and created jobs," Deal said during a 30-minute State of the State Address. "I challenge you to join me as we go forward with a focus on progress."
The Republican governor's priority list, presented to a joint session of the House and Senate, includes public safety, education, health care and economic development, all pursued within tight financial constraints.
He presented a budget proposal that would trim most state agencies' budgets but cover higher costs from increased enrollment in K-12 schools. The latter detail is called for under the state's school financing formula. Deal also emphasized new money to return pre-kindergarten programs to a full 180-day calendar, after cutbacks in lean budget years.
The governor urged lawmakers to ratify his plan for an appointed state health policy board to assess fees on Georgia hospitals as a way to avert steep cuts to the Medicaid health insurance program for low-income residents, most of them children or disabled adults. That plan would replace a direct tax that expires at the end of the current fiscal year.
The Senate approved the plan — which is designed to spare lawmakers from having to vote explicitly on renewing a tax — in a 46-9 vote about four hours after Deal concluded his remarks.
Deal said the threat of Medicaid payment cuts to hospitals and other health care providers is dire. Still, he stood by his decision not to accept federal dollars to expand the Medicaid program to cover thousands more individuals and families, as part of President Barack Obama's 2010 health insurance overhaul. Deal maintains that the state cannot afford its future share for expanding eligibility, though part of current Medicaid expenditures involves paying hospitals to treat uninsured patients who would become insured under an expanded Medicaid program.