Colorado Medicaid and Circumcision


22 April 2014

We are very pleased to announce that the Colorado state budget for this coming fiscal year has been passed by the Legislature, and it does not include any language to force Medicaid to waste healthcare funds on circumcision. We would like to thank everyone who helped and contacted the legislators. You made your voices heard, and you had a big impact!

Just to recap: Representative Paul Rosenthal introduced a budget amendment to add medically unnecessary circumcision to Colorado Medicaid, but on March 27th, just before the amendment was to be voted on by the House, he withdrew the amendment without explanation. He did, however, say that he would "keep this issue [moving] forward". Our sources indicate that Rep Rosenthal was unable to obtain agreement with the legislators in charge of the budget to divert funds away from another program to pay for his amendment, and that caused him to withdraw the amendment.

We were very concerned that the Senate could have introduced a similar amendment. However, none of the Senators did so, and the Senate passed the budget on April 3rd. The budget was then passed back through the budget conference committee on April 10th, and on April 21st, the final budget was sent to the Governor. Therefore, we are in the clear as far as the budget is concerned!

However, we must continue to be vigilant because Rep Rosenthal seems determined to waste healthcare dollars on this. Let's all keep our eyes and ears open, and be ready for a fight again next year if he is re-elected this November.

Thank you so much for everyone's support!





29 March 2014

We need your help to prevent Colorado Medicaid from paying for medically unnecessary circumcisions. The time to act is now!

The Current Situation - Updated!

This past week, Representative Paul Rosenthal introduced a budget amendment to add circumcision to Colorado Medicaid. However, on Thursday March 27th, before the amendment was voted on by the House, Rep Rosenthal withdrew the amendment. He did not provide a reason, but said that he would "keep this issue [moving] forward".

The budget will go to the Senate on Monday March 31st, where amendments will be added. At this point, we don't know if any Senators intend to introduce a similar amendment. The Senate's calendar does not yet reflect when the budget amendments will be voted on, but it should happen this week, perhaps as early as Tuesday or Wednesday.

You can make a difference!

The most important people to contact now are the members of the Senate, listed below. Please take just a few minutes to send some emails (sample letter below). We cannot stress enough the importance of this battle in Colorado to the rest of the country. We will be counting on your voices! Thank you!

Craig Garrett
Colorado NoCirc
craig@coloradonocirc.org


Sample E-Mail

Medicaid should not pay for circumcision

Every Medicaid dollar should go directly to real medical treatments to address the needs of the poor. Medicaid should not pay for cosmetic surgeries like circumcision.

The medical systems of Canada, the United Kingdom, and New Zealand do not pay for newborn circumcision. Seventeen other U.S. states also don't pay for it. They know that routine circumcision is unjustified medically and is a waste of healthcare resources.

The American Academy of Pediatrics is wrong.

  • The AAP omitted the fact that the foreskin is an important part of male anatomy with specific sexual, sensory, and protective functions.
  • The AAP failed to address the ethical problems with amputating healthy tissue from a child without that child's consent.
  • Other modern nations are not endorsing circumcision as an HIV prevention method. Infants are not sexually active, and HIV is more easily and more effectively prevented in other, less invasive ways such as education.
  • The AAP inadequately addressed the risks of circumcision, despite the fact that complications can and do happen, causing trauma to the child and adding to public healthcare costs.
  • The AAP is out of step with the medical organizations in other countries. Virtually all other medically advanced nations have reviewed the same data and they have concluded that circumcision is not worthwhile and may, in fact, be harmful.

I am outraged that Representative Rosenthal introduced a budget amendment to waste money on cosmetic circumcisions, and I am glad that it did not become part of the budget. Please oppose any attempt to force Colorado Medicaid to waste precious healthcare funds on this questionable and antiquated practice.

Sincerely,
[your name]
[your address]
[your phone number]


Colorado Senators

(*members of the Joint Budget Committee)

Title Name (Last, First) Party Phone Email
*Senator Steadman, Pat (D) 303-866-4861 pat.steadman.senate@state.co.us
*Senator Hodge, Mary (D) 303-866-4855 mary.hodge.senate@state.co.us
*Senator Lambert, Kent (R) 303-866-4835 senatorlambert@comcast.net
Senator Aguilar, Irene (D) 303-866-4852 irene.aguilar.senate@state.co.us
Senator Carroll, Morgan (D) 303-866-4879 morgan.carroll.senate@state.co.us
Senator Guzman, Lucia (D) 303-866-4862 lucia.guzman.senate@state.co.us
Senator Heath, Rollie (D) 303-866-4872 rollie.heath.senate@state.co.us
Senator Jahn, Cheri (D) 303-866-4856 cheri.jahn.senate@state.co.us
Senator Johnston, Michael (D) 303-866-4864 mike.johnston.senate@state.co.us
Senator Jones, Matt (D) 303-866-5291 senatormattjones@gmail.com
Senator Kefalas, John (D) 303-866-4841 john.kefalas.senate@state.co.us
Senator Kerr, Andy (D) 303-866-4859 SenatorAndyKerr@gmail.com
Senator Newell, Linda (D) 303-866-4846 linda.newell.senate@gmail.com
Senator Nicholson, Jeanne (D) 303-866-4873 jeanne.nicholson.senate@state.co.us
Senator Schwartz, Gail (D) 303-866-4871 gail.schwartz.senate@gmail.com
Senator Tochtrop, Lois (D) 303-866-4863 lotochtrop@aol.com
Senator Todd, Nancy (D) 303-866-3432 nancy.todd.senate@state.co.us
Senator Ulibarri, Jessie (D) 303-866-4857 senator.ulibarri@gmail.com
Senator Zenzinger, Rachel (D) 303-866-4840 SenatorRachelZ@gmail.com
Senator Balmer, David (R) 303-866-4883 david.balmer.senate@state.co.us
Senator Baumgardner, Randy (R) 303-866-5292 randy.baumgardner.senate@state.co.us
Senator Brophy, Greg (R) 303-866-6360 greg@gregbrophy.net
Senator Cadman, Bill (R) 303-866-4880 bill.cadman.senate@state.co.us
Senator Crowder, Larry (R) 303-866-4875 larry.crowder.senate@state.co.us
Senator Grantham, Kevin (R) 303-866-4877 kevin.grantham.senate@state.co.us
Senator Harvey, Ted (R) 303-866-4881 ted.harvey.senate@state.co.us
Senator Herpin, Bernie (R) 303-866-6364 bernie.herpin.senate@state.co.us
Senator Hill, Owen (R) 303-866-2737 owen.hill.senate@state.co.us
Senator King, Steve (R) 303-866-3077 steve.king.senate@state.co.us
Senator Lundberg, Kevin (R) 303-866-4853 kevin@kevinlundberg.com
Senator Marble, Vicki (R) 303-866-4876 vicki.marble.senate@state.co.us
Senator Renfroe, Scott (R) 303-866-4451 senatorrenfroe@gmail.com
Senator Rivera, George (R) 303-866-4878 george.rivera.senate@state.co.us
Senator Roberts, Ellen (R) 303-866-4884 ellen.roberts.senate@state.co.us
Senator Scheffel, Mark (R) 303-866-4869 mark.scheffel.senate@state.co.us

Email addresses of the Senators in a single list, comma-separated.

pat.steadman.senate@state.co.us, mary.hodge.senate@state.co.us, senatorlambert@comcast.net, irene.aguilar.senate@state.co.us, morgan.carroll.senate@state.co.us, lucia.guzman.senate@state.co.us, rollie.heath.senate@state.co.us, cheri.jahn.senate@state.co.us, mike.johnston.senate@state.co.us, senatormattjones@gmail.com, john.kefalas.senate@state.co.us, SenatorAndyKerr@gmail.com, linda.newell.senate@gmail.com, jeanne.nicholson.senate@state.co.us, gail.schwartz.senate@gmail.com, lotochtrop@aol.com, nancy.todd.senate@state.co.us, senator.ulibarri@gmail.com, SenatorRachelZ@gmail.com, david.balmer.senate@state.co.us, randy.baumgardner.senate@state.co.us, greg@gregbrophy.net, bill.cadman.senate@state.co.us, larry.crowder.senate@state.co.us, kevin.grantham.senate@state.co.us, ted.harvey.senate@state.co.us, bernie.herpin.senate@state.co.us, owen.hill.senate@state.co.us, steve.king.senate@state.co.us, kevin@kevinlundberg.com, vicki.marble.senate@state.co.us, senatorrenfroe@gmail.com, george.rivera.senate@state.co.us, ellen.roberts.senate@state.co.us, mark.scheffel.senate@state.co.us












2 March 2014

We now have confirmation that one or more legislators in Colorado are currently trying to add circumcision to Colorado Medicaid via the budget, which is being written now. It is extremely important that we prevent this from happening. If Colorado starts paying for circumcision, other states may follow. We deeply appreciate your support!

We need you to contact the Colorado legislators immediately! Below you will find emails and phone numbers of the legislators, as well as a sample email you can use. Feel free to write your own message if you prefer, and please be respectful.

The most important people to contact are the 6 members of the Joint Budget Committee (JBC), and they are listed first below(*). After that, please contact the Democrats, and finally the Republicans.

Background

Colorado Medicaid stopped paying for newborn circumcision in July 2011. Both in 2012 and 2013, certain legislators attempted to reinstate payment for circumcision, and they are trying again this year. In 2012, a state senator pushed a bill to force payment. This bill passed the CO Senate, but was narrowly defeated in the House. In 2013, the situation was even closer, with a similar measure failing in the Joint Budget Committee by a tied vote of 3-3. We were very fortunate that it didn't pass!

You can make a difference!

In 2012 when we called on you for help, you answered in a big way, and it made a real difference! We need your help again - please take just a few minutes to send some emails (sample below). We cannot stress enough the importance of this battle in Colorado to the rest of the country. We will be counting on your voices! Thank you!

Craig Garrett
Colorado NoCirc
craig@coloradonocirc.org

About the Colorado Legislature

For more information about the Colorado State Legislature, including contact information and legislator homepages, see: Colorado Legislature contact information.


Sample E-Mail

Medicaid should not pay for circumcision

Every Medicaid dollar should go directly to real medical treatments to address the needs of the poor. Medicaid should not pay for cosmetic surgeries like circumcision.

The medical systems of Canada, the United Kingdom, and New Zealand do not pay for newborn circumcision. Seventeen other U.S. states also don't pay for it. They know that routine circumcision is unjustified medically and is a waste of healthcare resources.

The American Academy of Pediatrics is wrong.

  • The AAP omitted the fact that the foreskin is an important part of male anatomy with specific sexual, sensory, and protective functions.
  • The AAP failed to address the ethical problems with amputating healthy tissue from a child without that child's consent.
  • Other modern nations are not endorsing circumcision as an HIV prevention method. Infants are not sexually active, and HIV is more easily and more effectively prevented in other, less invasive ways such as education.
  • The AAP inadequately addressed the risks of circumcision, despite the fact that complications can and do happen, causing trauma to the child and adding to public healthcare costs.
  • The AAP is out of step with the medical organizations in other countries. Virtually all other medically advanced nations have reviewed the same data and they have concluded that circumcision is not worthwhile and may, in fact, be harmful.

Please oppose any attempt to force Colorado Medicaid to waste precious healthcare funds on this questionable and antiquated practice.

Sincerely,
[your name]
[your address]
[your phone number]


Colorado Legislators (Senators and Representatives)

(*members of the Joint Budget Committee)

Title Name (Last, First) Party Phone Email
*Representative Duran, Crisanta (D) 303-866-2925 crisanta.duran.house@state.co.us
*Representative May, Jenise (D) 303-866-2945 jenise.may.house@state.co.us
*Representative Gerou, Cheri (R) 303-866-2582 cheri.gerou@gmail.com
*Senator Steadman, Pat (D) 303-866-4861 pat.steadman.senate@state.co.us
*Senator Hodge, Mary (D) 303-866-4855 mary.hodge.senate@state.co.us
*Senator Lambert, Kent (R) 303-866-4835 senatorlambert@comcast.net
Senator Aguilar, Irene (D) 303-866-4852 irene.aguilar.senate@state.co.us
Senator Carroll, Morgan (D) 303-866-4879 morgan.carroll.senate@state.co.us
Senator Guzman, Lucia (D) 303-866-4862 lucia.guzman.senate@state.co.us
Senator Heath, Rollie (D) 303-866-4872 rollie.heath.senate@state.co.us
Senator Jahn, Cheri (D) 303-866-4856 cheri.jahn.senate@state.co.us
Senator Johnston, Michael (D) 303-866-4864 mike.johnston.senate@state.co.us
Senator Jones, Matt (D) 303-866-5291 senatormattjones@gmail.com
Senator Kefalas, John (D) 303-866-4841 john.kefalas.senate@state.co.us
Senator Kerr, Andy (D) 303-866-4859 SenatorAndyKerr@gmail.com
Senator Newell, Linda (D) 303-866-4846 linda.newell.senate@gmail.com
Senator Nicholson, Jeanne (D) 303-866-4873 jeanne.nicholson.senate@state.co.us
Senator Schwartz, Gail (D) 303-866-4871 gail.schwartz.senate@gmail.com
Senator Tochtrop, Lois (D) 303-866-4863 lotochtrop@aol.com
Senator Todd, Nancy (D) 303-866-3432 nancy.todd.senate@state.co.us
Senator Ulibarri, Jessie (D) 303-866-4857 senator.ulibarri@gmail.com
Senator Zenzinger, Rachel (D) 303-866-4840 SenatorRachelZ@gmail.com
Representative Becker, KC (D) 303-866-2578 kcbecker.house@state.co.us
Representative Buckner, John (D) 303-866-2944 john.buckner.house@state.co.us
Representative Court, Lois (D) 303-866-2967 lois.court.house@state.co.us
Representative Exum, Tony (D) 303-866-3069 thomas.exum.house@state.co.us
Representative Ferrandino, Mark (D) 303-866-2346 mferrandino@yahoo.com
Representative Fields, Rhonda (D) 303-866-3911 rhonda.fields.house@state.co.us
Representative Fischer, Randy (D) 303-866-2917 randyfischer@frii.com
Representative Foote, Mike (D) 303-866-2920 mike.foote.house@state.co.us
Representative Garcia, Leroy M (D) 303-866-2968 leroy.garcia.house@state.co.us
Representative Ginal, Joann (D) 303-866-4569 joann.ginal.house@state.co.us
Representative Hamner, Millie (D) 303-866-2952 rephamner@gmail.com
Representative Hullinghorst, Dickey Lee (D) 303-866-2348 dl.hullinghorst.house@state.co.us
Representative Kagan, Daniel (D) 303-866-2921 repkagan@gmail.com
Representative Kraft-Tharp, Tracy (D) 303-866-2950 reptracy29@gmail.com
Representative Labuda, Jeanne (D) 303-866-2966 jeanne.labuda.house@state.co.us
Representative Lebsock, Steve (D) 303-866-2931 steve.lebsock.house@state.co.us
Representative Lee, Pete (D) 303-866-2932 pete.lee.house@state.co.us
Representative McCann, Beth (D) 303-866-2959 beth.mccann.house@state.co.us
Representative McLachlan, Mike (D) 303-866-2914 mike.mclachlan.house@state.co.us
Representative Melton, Jovan (D) 303-866-2919 jovan.melton.house@state.co.us
Representative Mitsch Bush, Diane (D) 303-866-2923 diane.mitschbush.house@state.co.us
Representative Moreno, Dominick (D) 303-866-2964 dominick.moreno.house@state.co.us
Representative Pabon, Dan (D) 303-866-2954 dan.pabon.house@state.co.us
Representative Peniston, Cherylin (D) 303-866-2843 cherylin.peniston.house@state.co.us
Representative Pettersen, Brittany (D) 303-866-2939 brittany.pettersen.house@state.co.us
Representative Primavera, Dianne (D) 303-866-4667 dianne.primavera.house@state.co.us
Representative Rosenthal, Paul (D) 303-866-2910 paulrosenthal5280@gmail.com
Representative Ryden, Su (D) 303-866-2942 su.ryden.house@state.co.us
Representative Salazar, Joseph A (D) 303-866-2918 joseph.salazar.house@state.co.us
Representative Schafer, Sue (D) 303-866-5522 sue.schafer.house@state.co.us
Representative Singer, Jonathan (D) 303-866-2780 jonathan.singer.house@state.co.us
Representative Tyler, Max (D) 303-866-2951 max@maxtyler.us
Representative Vigil, Edward (D) 303-866-2916 edvigil1@gmail.com
Representative Williams, Angela (D) 303-866-2909 angela.williams.house@state.co.us
Representative Young, Dave (D) 303-866-2929 dave.young.house@state.co.us
Representative Buck, Perry (R) 303-866-2907 perrybuck49@gmail.com
Representative Conti, Kathleen (R) 303-866-2953 kathleen.conti.house@state.co.us
Representative Coram, Don (R) 303-866-2955 don.coram.house@state.co.us
Representative DelGrosso, Brian (R) 303-866-2947 brian@briandelgrosso.com
Representative Dore, Timothy (R) 303-866-2398 tim.dore.house@state.co.us
Representative Everett, Justin (R) 303-866-2927 justin.everett.house@state.co.us
Representative Gardner, Bob (R) 303-866-2191 bob.gardner.house@state.co.us
Representative Holbert, Chris (R) 303-866-2933 chris.holbert.house@state.co.us
Representative Humphrey, Stephen (R) 303-866-2943 rephumphrey48@yahoo.com
Representative Joshi, Janak (R) 303-866-2937 janak.joshi.house@state.co.us
Representative Landgraf, Lois (R) 303-866-2946 lois.landgraf.house@state.co.us
Representative Lawrence, Polly (R) 303-866-2935 polly.lawrence.house@state.co.us
Representative McNulty, Frank (R) 303-866-2936 frank.mcnulty.house@state.co.us
Representative Murray, Carole (R) 303-866-2948 murrayhouse45@gmail.com
Representative Navarro, Clarice (R) 303-866-2905 clarice.navarro.house@state.co.us
Representative Nordberg, Dan (R) 303-866-2965 dan.nordberg.house@state.co.us
Representative Priola, Kevin (R) 303-866-2912 kpriola@gmail.com
Representative Rankin, Bob (R) 303-866-2949 bob.rankin.house@state.co.us
Representative Saine, Lori (R) 303-866-2906 lori.saine.house@state.co.us
Representative Scott, Ray (R) 303-866-3068 ray.scott.house@state.co.us
Representative Sonnenberg, Jerry (R) 303-866-3706 jerry@repsonnenberg.com
Representative Stephens, Amy (R) 303-866-2924 amy.stephens.house@state.co.us
Representative Swalm, Spencer (R) 303-866-5510 spencer.swalm.house@state.co.us
Representative Szabo, Libby (R) 303-866-2962 libby.szabo.house@state.co.us
Representative Waller, Mark (R) 303-866-5523 mark.waller.house@state.co.us
Representative Wilson, Jim (R) 303-866-2747 james.wilson.house@state.co.us
Representative Wright, Jared (R) 303-866-2583 jared.wright.house@state.co.us
Senator Balmer, David (R) 303-866-4883 david.balmer.senate@state.co.us
Senator Baumgardner, Randy (R) 303-866-5292 randy.baumgardner.senate@state.co.us
Senator Brophy, Greg (R) 303-866-6360 greg@gregbrophy.net
Senator Cadman, Bill (R) 303-866-4880 bill.cadman.senate@state.co.us
Senator Crowder, Larry (R) 303-866-4875 larry.crowder.senate@state.co.us
Senator Grantham, Kevin (R) 303-866-4877 kevin.grantham.senate@state.co.us
Senator Harvey, Ted (R) 303-866-4881 ted.harvey.senate@state.co.us
Senator Herpin, Bernie (R) 303-866-6364 bernie.herpin.senate@state.co.us
Senator Hill, Owen (R) 303-866-2737 owen.hill.senate@state.co.us
Senator King, Steve (R) 303-866-3077 steve.king.senate@state.co.us
Senator Lundberg, Kevin (R) 303-866-4853 kevin@kevinlundberg.com
Senator Marble, Vicki (R) 303-866-4876 vicki.marble.senate@state.co.us
Senator Renfroe, Scott (R) 303-866-4451 senatorrenfroe@gmail.com
Senator Rivera, George (R) 303-866-4878 george.rivera.senate@state.co.us
Senator Roberts, Ellen (R) 303-866-4884 ellen.roberts.senate@state.co.us
Senator Scheffel, Mark (R) 303-866-4869 mark.scheffel.senate@state.co.us

Email addresses in a single list, comma-separated.

crisanta.duran.house@state.co.us, jenise.may.house@state.co.us, cheri.gerou@gmail.com, pat.steadman.senate@state.co.us, mary.hodge.senate@state.co.us, senatorlambert@comcast.net, irene.aguilar.senate@state.co.us, morgan.carroll.senate@state.co.us, lucia.guzman.senate@state.co.us, rollie.heath.senate@state.co.us, cheri.jahn.senate@state.co.us, mike.johnston.senate@state.co.us, senatormattjones@gmail.com, john.kefalas.senate@state.co.us, SenatorAndyKerr@gmail.com, linda.newell.senate@gmail.com, jeanne.nicholson.senate@state.co.us, gail.schwartz.senate@gmail.com, lotochtrop@aol.com, nancy.todd.senate@state.co.us, senator.ulibarri@gmail.com, SenatorRachelZ@gmail.com, kcbecker.house@state.co.us, john.buckner.house@state.co.us, lois.court.house@state.co.us, thomas.exum.house@state.co.us, mferrandino@yahoo.com, rhonda.fields.house@state.co.us, randyfischer@frii.com, mike.foote.house@state.co.us, leroy.garcia.house@state.co.us, joann.ginal.house@state.co.us, rephamner@gmail.com, dl.hullinghorst.house@state.co.us, repkagan@gmail.com, reptracy29@gmail.com, jeanne.labuda.house@state.co.us, steve.lebsock.house@state.co.us, pete.lee.house@state.co.us, beth.mccann.house@state.co.us, mike.mclachlan.house@state.co.us, jovan.melton.house@state.co.us, diane.mitschbush.house@state.co.us, dominick.moreno.house@state.co.us, dan.pabon.house@state.co.us, cherylin.peniston.house@state.co.us, brittany.pettersen.house@state.co.us, dianne.primavera.house@state.co.us, paulrosenthal5280@gmail.com, su.ryden.house@state.co.us, joseph.salazar.house@state.co.us, sue.schafer.house@state.co.us, jonathan.singer.house@state.co.us, max@maxtyler.us, edvigil1@gmail.com, angela.williams.house@state.co.us, dave.young.house@state.co.us, perrybuck49@gmail.com, kathleen.conti.house@state.co.us, don.coram.house@state.co.us, brian@briandelgrosso.com, tim.dore.house@state.co.us, justin.everett.house@state.co.us, bob.gardner.house@state.co.us, chris.holbert.house@state.co.us, rephumphrey48@yahoo.com, janak.joshi.house@state.co.us, lois.landgraf.house@state.co.us, polly.lawrence.house@state.co.us, frank.mcnulty.house@state.co.us, murrayhouse45@gmail.com, clarice.navarro.house@state.co.us, dan.nordberg.house@state.co.us, kpriola@gmail.com, bob.rankin.house@state.co.us, lori.saine.house@state.co.us, ray.scott.house@state.co.us, jerry@repsonnenberg.com, amy.stephens.house@state.co.us, spencer.swalm.house@state.co.us, libby.szabo.house@state.co.us, mark.waller.house@state.co.us, james.wilson.house@state.co.us, jared.wright.house@state.co.us, david.balmer.senate@state.co.us, randy.baumgardner.senate@state.co.us, greg@gregbrophy.net, bill.cadman.senate@state.co.us, larry.crowder.senate@state.co.us, kevin.grantham.senate@state.co.us, ted.harvey.senate@state.co.us, bernie.herpin.senate@state.co.us, owen.hill.senate@state.co.us, steve.king.senate@state.co.us, kevin@kevinlundberg.com, vicki.marble.senate@state.co.us, senatorrenfroe@gmail.com, george.rivera.senate@state.co.us, ellen.roberts.senate@state.co.us, mark.scheffel.senate@state.co.us