Ohio tea party to use IRS to fight Medicaid

Tea party activists in Ohio reportedly want to turn an enemy — the Internal Revenue Service — into an ally as they fight continued efforts to expand Medicaid.
Associated Press
Jul 2, 2013

In a confidential email sent to fellow Ohio tea party leaders and obtained by The Associated Press, Tom Zawistowski laid out a strategy for invoking a little-known IRS provision that allows citizens to challenge executive salaries and the nonprofit statuses of charitable hospitals.

In a phone interview Tuesday, Zawistowski called it "hilarious" that tea party groups that came under extra scrutiny by the IRS are now using an IRS law to target others.

Zawistowski identifies the hospitals as big backers of expanded Medicaid. His email said tea party groups will "make Medicaid personal" by publicizing large salaries of those seeking federal money to help the poor.

"I think it's hilarious, and I think it'll be fun to get some other groups who have maybe been on the sidelines and questioning us to see how they like being investigated," he said.

The effort follows a Sunday veto by Republican Ohio Gov. John Kasich of a provision in the state budget that would have blocked his administration from expanding Medicaid to additional low-income residents.

In a news conference ahead of that veto, Kasich and Republican House Speaker William Batchelder, whose chamber backed the vetoed roadblock, said they hoped to settle differences on a broader Medicaid expansion by year's end.

"The goal is to change the narrative," Zawistowski wrote. Rather than have people wondering why tea party groups don't want to help the poor, they should wonder why hospitals need more federal tax dollars to care for the poor when they've got plenty of cash on hand, he wrote.

Not-for-profit hospitals are under constant IRS scrutiny and do not fear the effort, said Ohio Hospital Association spokesman Scott Borgemenke.

"For years and years, the law hasn't changed and the status hasn't changed," he said. "We continue to be within federal law. From that standpoint, we're not worried our status is in jeopardy at all."

Zawistowski recognized the irony even in the email. Tea party groups have blasted the IRS, complained to Congress, rallied and sued over the agency's targeting of conservative groups seeking tax-exempt status. Multiple investigations into the practice are causing a political firestorm in Washington.

"I think you are going to love this," Zawistowski told tea party leaders in his email.

Zawistowski said by phone that Kasich has "hauled out" hospital CEOs at pro-Medicaid rallies that are making millions of dollars. In his emails, he singles out the $2.5 million salary of Cleveland Clinic CEO Toby Cosgrove, whose nonprofit hospital had more than $9 billion in assets in 2011.

"This guy's making $2 million a year, pleading poverty to help poor people," he said. "It just seems a little disingenuous to us in the tea party who volunteer for nothing. We're curious to see their definition of poverty."

Borgemenke said hospital CEOs' salaries are decided by community boards, which weigh the performance of the institutions, look at similarly situated businesses, and sometimes run nationwide searches.

"The old axiom is the hunted become the huntees, right?" he said. "We've got billions of dollars of uncompensated care" that isn't covered by Medicaid reimbursement. He said hospitals even sustained a $500 million cut in this year's budget.

Roughly 366,000 Ohioans would eligible for coverage beginning in 2014 if the state expands Medicaid, a key component of Democratic President Barack Obama's federal health care law.

Kasich's push to take advantage of the law was among reasons Zawistowski, executive director of the Portage County TEA Party, tried in April to take over the Ohio Republican Party. His bid against a Kasich-backed candidate was unsuccessful — but Zawistowski and his backers vowed to continue their fight.

Kasich opposed the federal health care overhaul, but has said expanding Medicaid is the best way to make sure Ohio gets back federal tax dollars to help the needy.



Pterocarya frax...

"It's been estimated that due to waste, fraud and abuse, Medicaid and Medicare lose approx. $100B annually."

Estimated by whom? My estimates are much lower and improving annually. How much waste, fraud and abuse happens in private insurance? You never mention that.

Did you even read the link you posted? Even conservative "scholars" praise the EITC for it's effectiveness. So you are squawking about $12 billion in tax refunds to poor people, but not about the $92 billion in corporate welfare every year? Your priorities are seriously whacked.


Re: My estimates are much lower and improving annually."

And where and what are they?

Feel free to do a Google search of: "Waste, fraud and abuse Medicare"

Private ins. and corp. welfare - off-topic.

Keep the rose-colored glasses firmly affixed to your eyes.

Pterocarya frax...

My estimates are my estimates....and they are just as valid as the numbers you posted, since you provided no references to back up your numbers.

My comments on private insurance fraud and corporate welfare are just as on topic as your ramblings about EITC. Talk about rose colored glasses........


Contango, You have much wisdom.


Re: "MSNBC is more factual than opinionated in my opinion."

Are you sure that you've got your hearing aids turned on?

NYT and even MSNBC disagree: More opinion, less fact.

"Devoted to Politics, MSNBC Slips on Breaking News":



"Here Are Winners and Losers in Obamacare Delay":

"Giving businesses more time to deal with Obamacare mandates stunned the health industry Wednesday. Whether this is a precursor of things to come will determine how deeply the shock will penetrate."


The U.S. economy is already very fragile and the ObamaNazis are only helping to create more uncertainty.

The Mkt. HATES uncertainty.


Giving businesses more time to deal with Obamacare mandates

It really means we don't have processes and procedures figured out for this mammoth beast. Heck, we haven't even finished interpreting what we wrote

Darwin's choice

"We have to pass it to find out whats in it" From the queen of democrats!!


It just gives us another year or two of uncertainty, slow hiring and a slower economy.

The Big Dog's back

Gee, you mean we might delay to make sure all our ducks are in a row? What a novel idea.


Meomix you are right. We can only hope they are all eunuchs like Heaven's Gate.


Nigel Farage MEP:

Can we find a U.S. birth certificate for this guy?



"As much as $100 billion may be lost to Medicare and Medicaid waste, fraud, and abuse each year."


"The IRS estimates that at least 21 percent of its EITC payments in 2012 were faulty."


"The subsidy that Obamacare offers, given in the form of a tax credit, is meant to offset insurance costs to limit the percentage of income spent on insurance premiums."



So the lawless ObamaNazis announce the delay of the ACA employer mandate in a (bleeping) BLOG POST???

Love the title too:

"Continuing to Implement the ACA in a Careful, Thoughtful Manner"


Yeah, like it was also originally legislated in a "careful, thoughtful manner." :)

Nice of 'em to spew this caca out just before the July 4th holiday - maybe no one would notice?

Shouldn't the Clown-in-Chief have make this announcement from his trusty ol' teleprompter?

Remember: The narcissist loves the name "Obamacare."


The Big Dog's back

Man-crush ehh pooh.