Former Maine DHHS Commissioner Mary Mayhew Appointed As Federal Medicaid Director

Oct 15, 2018

Former Maine Health and Human Services Commissisoner Mary Mayhew has been tapped by the Trump administration to become the deputy administrator and director of Medicaid and the Children’s Health Insurance Program, or CHIP.

Mayhew’s appointment was confirmed Monday by a spokesman for Centers of Medicare and Medicaid Services. It drew a swift reaction from opponents of the policies she pushed at the Maine Department of Health and Human Services.

“Maine’s national health ranking fell during her time, from 10th to 22nd. The number of uninsured children in Maine rose. Maine’s infant mortality rate spiked. So this is not a person who should be running any kind of public health system, much less the national public health system,” says Zach Heiden, the legal director for the ACLU of Maine, which is among several groups that has sued DHHS over policies implemented while Mayhew led the agency.

Mayhew was picked to become the DHHS chief by Republican Gov. Paul LePage in 2011. For nearly seven years she oversaw an agency that administers an array of public health programs, including welfare cash assistance and MaineCare, the state’s version of Medicaid.

Over that time, Mayhew helped implement changes that limited cash assistance through the Temporary Assistance for Needy Families program to five years, resulting in 23,000 fewer Mainers receiving benefits and in the accumulation of $146 million in unused TANF funds.

She also helped spearhead restrictions to MaineCare and led LePage’s staunch opposition to expansion of the program to roughly 70,000 low-income Mainers through the Affordable Care Act. That effort included the administration’s granting of a $1 million no-bid contract to evaluate Maine’s welfare system.

The report’s findings were widely rejected and significant portions turned out to be plagiarized.

Mayhew weathered the controversy, and her efforts to fight Medicaid expansion were applauded by conservatives. She parlayed her experience as the DHHS chief into a bid for governor, finishing third in a four-way Republican primary in June.

She was endorsed by Deb Sanderson, a Republican state representative from Chelsea who also serves on the Legislature’s Health and Human Services Committee. Sanderson said Mayhew helped prioritize essential government services while getting the DHHS budget under control.

“And I’m really hopeful that she’ll be able to do that for the entire nation,” she said.

But her oversight of DHHS has left a bitter taste for Democrats like state Rep. Drew Gattine, who clashed with Mayhew repeatedly. He says Mayhew’s appointment by the Trump administration follows its trend of picking people to lead the same federal agencies and programs that they’ve long opposed.

“[She’s] certainly a person who I would categorize as being antagonistic to Medicaid as opposed to a person who’s going to be supportive of its mission of supporting people’s health care,” he said.

In an interview with Maine Public Radio in April, Mayhew said all of the changes she pursued at DHHS were designed to help people get out of poverty.

“There has been such a failure to fully appreciate that at the end of the day, the true compassion that has been core to our efforts, is that if you are on any of those welfare programs it means that you are living in poverty. What the governor said, what I said, is that’s no way of life for anyone,” she said.

Mayhew did return phone calls seeking comment on her new job. She succeeds Brian Neale, who had been the director of Medicaid and CHIP until his resignation in January. Tim Hill has been serving as acting director since then.

The CMS spokesman says Mayhew’s appointment does not have to be confirmed by the U.S. Senate.