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Cost of services for non-citizens isn't causing budget crisis, state official says

Assistance for communicable disease, emergency room care

CARSON CITY -- Hordes of noncitizens have not caused the state's $881 million shortfall by securing welfare, food stamps and other public assistance, a key state official said Tuesday.

Michael Willden, director of the Department of Health and Human Services, said people who are not U.S. citizens cannot receive any kind of public assistance funded through his office, except for the treatment of communicable diseases and hospital emergency room care.


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  • Nevada last year paid $22 million to hospitals that treated noncitizens because federal law requires that they receive such care, he said. Much of this expenditure was reimbursed by the federal government.

    He said public health agencies provide care to noncitizens with sexually transmitted and other communicable diseases.

    "We want to nip that in the bud," he said. "We want to protect the general population from diseases and disease outbreaks."

    Willden spoke in response to questions from Senate Majority Leader Steven Horsford during an Interim Finance Committee hearing on the state budget.

    Horsford, D-Las Vegas, said almost every day he receives e-mail from people certain that state spending on noncitizens is astronomical.

    "We get inundated by people who believe this has caused our problem," Horsford said. "People are becoming more frustrated. It is important to know what is fact and what is not."

    "None of the noncitizens or illegals are eligible for public assistance, except for emergency medical assistance," Willden replied.

    Tuesday's discussion did not mention Department of Education benefits that go to schoolchildren who are in the country illegally, including public school education itself and free and reduced price meals. Those programs are not administered through Willden's agency.

    Willden later said that children born in the United States who have noncitizen parents are U.S. citizens. They can receive welfare, food stamps and other forms of assistance.

    Willden said Nevada does not have a reputation of easily making people eligible for public assistance.

    He said a growing number of U.S. citizen children of noncitizens are receiving Temporary Assistance for Needy Families.

    In December, 4,505 citizen children of noncitizens were receiving this form of assistance. In all, 29,440 people received TANF grants that month.

    Contact Capital Bureau Chief Ed Vogel at evogel@reviewjournal.com or 775-687-3901.

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    Comments (81)

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    Report abuse

    single-working American citizen wrote on February 10, 2010 08:41 PM: Things that frustrate and just plain piss me off about this great state.

    1. More money is spent additionally on illegal immigrants in county and state lockups, then our legal citizens in the school district. I bet there has been no mention of interrupting or discontinuing their rights to pursue educational opportunities while being punished for illegal acts.

    2. I am irritated to no end when my school-age children bring notes and forms home in Enlish and Spanish. Did I miss something? Why are we wasting tax dollars for printing these items in two languages. There is only one national language. This goes for state funded agencies ie. DMV, welfare office, CCSD, and courts, phone hotlines that are in both English and Spanish. I see that it is only a matter of time, before our nation's political correctness will produce documents and pre-recorded messages that are in multiple languages.

    3. I work 5-6 days a week. I do not receive any state assistance although I do qualify. I was disgusted when I went to the Welfare office in Boulder City,NV and while waiting to meet with a worker for 1 hour after my scheduled appointment the number of "clients" that entered and required directions in Spanish. Why?

    I know that this rant may not fit entirely with the topic matter,but I am sick and tired of services for the legal citizens of this state taking cut after cut. I can only imagine if we stopped long enough to analyze the real issues, our states budget shortfall would be a distant memory.


    Report abuse

    Joe C wrote on February 10, 2010 08:25 PM: It is gratifying that so many posting know the truth about our illegal alien problem and will not fall victim anymore to the phony propaganda and incomplete stats put out by elected officials like Willden and other government agencies.

    It is also gratifying to read people label Mr. Willden exactly what he is a liar, if not a liar completely inapt or corrupted by those exploiting and profiting from this issue.

    Those that claim this is a humanitarian issue certainly are confused about who the victims are and it is taxpayers burdened by the huge costs, as the criminals gain and con our system.

    Mr. Willden you are either incompetent or a huge liar, omitting honest stats, which is it?


    Report abuse

    Jane wrote on February 10, 2010 08:04 PM: Mr. Wilden is in top management with the Department of Health and Human Services. As so often happens top management is out of touch with what is actually happening. His article about non-citizens not causing budget crisis is a total fallacy. Illegals are covered by medicaid for "emergency medical situations" whatever that means. The state considers child birth as an emergency. Illegals have enormous families - not uncommon to have 10 children; and all anchor babies receive medicaid. Then their children begin having; not uncommon for a 19-yr old to have 5 children. Regarding cash assistance: a US citizen is limited to 5-yrs cash. Although an illegal does not receive the cash in their name, they receive it for their children and they do not have the 5-yr limit, they can receive cash assistance until the child(ren) reachs age 18. One child $253, 2 - $318; 3 - $383; get the picture? The more children they have, the more money they receive. No incentive to limit children. Then regarding food stamps, $200 per child. Ten children $2000 month. They also state the fathers are in Mexico and they have no idea his name. Yet, they may have several children by the same illegal father. Mr Wilden was also incorrect regarding qualifying for welfare benefits. The State of Nevada does NOT MAKE it difficult to qualify for assistance. In fact the workers are NOT allowed to question applicants, they are encouraged to accept the applicants statements and not "phish" for information. Mr. Wilden is a prime example of top heavy government. Perhaps the State could eliminate his position and save tens of thousands of dollars annually.


    Report abuse

    Tom, Burbank wrote on February 10, 2010 06:26 PM:
    FLY EATEN BY SPIDER

    Dateline - Spider web

    A fly was eaten by a spider yesterday after being assured by an "official" it would be safe to enter the spider's parlor. The fly initially protested, according to a witness. "The fly said the spider would eat him, but the "official" said not to worry. Now he's dead." said a grasshopper who asked to not be identified. Several "officials" supported their co-worker, claiming that he felt the fly would be safe. The "official" has been given a raise and promotion.

    TRUST YOUR INSTINCTS, NOT "OFFICIALS"!


    Report abuse

    Jeff wrote on February 10, 2010 05:56 PM: Mr Willden is factually correct but not truthful in his statements. He states"In December, 4,505 citizen children of noncitizens were receiving this form of assistance. In all, 29,440 people received TANF grants that month."
    THis is correct. But the truth beyond that is that a US citizen has a limits of 60 months of TANF(cash) eligibilty. That includes that citizens FAMILY. If you are illegal, there is no limit to the months the family can use so it is not at all unusual that the family with a illiegal head of household can recieve TANF CASH for an unlimited time considerably past the 60 months that a Citizen head of household gets. And the rules the Citizen has to follow are a lot more stringent than that of a non-citizen which makes it easier for a citizen to be disaqulaified from the aid than it does for a non-citizen family.


    Report abuse

    John wrote on February 10, 2010 04:46 PM: Why are public officials/workers always defending the illegal alien? The illegal alien abuses tax payer’s money, plain and simple. Why play word games?


    Report abuse

    Donny T wrote on February 10, 2010 02:27 PM: Joe C accuses Governor Gibbons of not protecting his taxes from illegals...vows to vote for him again!

    LOL!


    Report abuse

    Calm down, ese wrote on February 10, 2010 02:06 PM: I worked for Immigration too. So, please calm down, ese.

    The sky is not falling! Go outside, beutiful sunny day. Take a walk to UMC.


    Report abuse

    Jeff.Durbin MSgt USAF Ret wrote on February 10, 2010 01:21 PM: What kind of bull is this guy trying to run down here?

    State reimburses hospitals for care given to illegals/non-residents?

    Why is UMC running deficits of roughly $34M plus a year in providing dialysis for illegals?

    Does that mean he paid County for these illegals getting care, and if he did ensure these payments were sent, why is county saying they have not received reimbursements?

    Someone is definitely lying and I have to believe it is this state official.

    I am an Independent American running for office of Clark County Commissioner, District F, I will ensure illegals are carried off premises of UMC for non-payment of medical billings.

    A few weeks, ago, RJ interviewed ICE director and Mexican Consulate, Gas, both said that no one from County has told them of problem with illegals getting care at UMC!

    Well, guess what Dudes, & Dudettes, I will be pounding on your doors after November 2nd and demand you take actions ASAP!!!

    So get ready for that door to be knocked down and then try and say no one from Clark County government has informed you of a problem.

    As an ex-Immigration employee, I do know definition of illegal, and that is as clear as it is spelled I-L-L-E-G-A-L and with that ICE and Mexican Consulate, Gas, better pony up with millions of dollars for not only what is owned recently but all back payments.

    As for state official who is clearly not telling truth, he can expect me to visit him as well and get funds he says that state was obligated to pay, so pony up as well!

    If all pay their payments, current payments, this should be more than $500M back to Clark County!

    Do I expect them to pay up? Not really, but I will call them out on lies!


    Report abuse

    SteveF8 wrote on February 10, 2010 12:20 PM: It appears that, just like Obama and Reid, Wilden and Horsford are LIARS! If either of you think that $22 million isn't a large sum of money, then you are IDIOTS! If you think that thousands of illegal aliens aren't getting massive amounts of government assistance, then you are IDIOTS! Both Wilden and Horsford should do the State and their families a favor and earn a "Darwin Award".


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