The Medical Savings Account Program Model For Employers VIII. Implementation, Monitoring, and Evaluation
Offering and installing an effective health benefits programs requires a coordinated implementation plan. The preparation and resources needed to carry out the plan depends greatly upon the company, its culture, prior experience, numbers and types of employees, family members, and degree of change expected. Each element of the plan should be assigned to a member of an implementation task team. The task team should consist of a cross section of the organization, including various levels of employees and management. This team should also develop an on going monitoring and evaluation program to ensure the plan is attaining its desired goals.
If a consulting firm helps the employer establish the MSA plan, it should assist in the process to whatever extent meets employer objectives. Adjustments to the program should be made as required.
At a March 23, 2005, House Appropriations hearing on a bill to gut the voter-approved I-601 spending limit, Rep. Jim McIntire (D) asked a supporter of I-601’s two-third supermajority requirement for the legislature to raise taxes the following question:
"Can you name a time when we [legislators] have actually not just set it [supermajority requirement] aside by majority vote? I mean, this is in many respects a procedural motion that has no bearing. It’s a statutory constraint that cannot constrain any legislature that chooses as a majority to set it aside . . . have we ever used a supermajority [to raise taxes]?"