Tag Archives: medicaid

Donald Trump Just Released a Plan to Destroy Medicaid

Mother Jones

<!DOCTYPE html PUBLIC “-//W3C//DTD HTML 4.0 Transitional//EN” “http://www.w3.org/TR/REC-html40/loose.dtd”>

When President Donald Trump released his first full budget Tuesday, he directly contradicted one of his most explicit promises from the presidential campaign. “I’m not going to cut Medicare or Medicaid,” Trump unequivocally promised back in 2015.

Trump’s 2018 budget, if approved by Congress, would do just that. It calls for more than $1.4 trillion in cuts to Medicaid—the federal program that provides health insurance to low-income Americans—spread out over the next decade. Rather than simply adopting the Medicaid cuts that House Republicans passed earlier this month as part of their bill repealing of Obamacare, the president’s budget actually goes even further.

It’s hard to overstate how dramatic these Medicaid cuts would be. The House bill not only rolls back Obamacare’s expansion of Medicaid, it also imposes a cap on how much money the federal government sends to state governments. The Congressional Budget Office expects that Medicaid spending would drop by $880 billion over the next 10 years under the GOP’s plan, compared with current law. The cuts compound over time. By 2026, yearly Medicaid spending would have dropped by 25 percent, with 14 million fewer people enrolled in the government insurance program.

But Trump’s budget doesn’t end there. It calls for an additional $610 billion drop in Medicaid funding over the next decade. How, exactly, it achieves that isn’t entirely spelled out, but the budget outline emphasizes spending caps and block grants that would lower the amount of Medicaid dollars that the federal government gives to states. If both the House’s Obamacare repeal and Trump’s budget were put into effect, in 2027 federal Medicaid spending would be nearly 50 percent lower than it would be under current law.

Trump’s embrace of Medicaid reductions could put a group of Republican senators in a tricky position. Before their colleagues in the House had even unveiled their plan to dismantle the Affordable Care Act, four senators wrote a letter to their House counterparts warning them against dramatic cuts to Medicaid funding. Those four senators—Rob Portman (R-Ohio), Shelley Moore Capito (R-W.Va), Cory Gardner (R-Colo.), and Lisa Murkowski (R-Alaska)—have good reason to be wary. All four represent states that adopted Obamacare’s Medicaid expansion, which offers insurance for people earning up to 138 percent of the federal poverty level. So far 19 states have resisted taking federal funds for the program, but it’s popular with the public, and politicians might face a backlash if they suddenly take those benefits away from their constituents.

“I am seriously interested in reforms to Medicaid and better ways to make the money go further, but I’ve seen a lot of benefits to the Medicaid expansion in our state, particularly in the mental health and opioid and drug abuse areas,” Capito said earlier this month after the House bill passed.

Read this article: 

Donald Trump Just Released a Plan to Destroy Medicaid

Posted in FF, GE, LAI, LG, ONA, Radius, Uncategorized, Venta | Tagged , , , , , , , | Leave a comment

Iowa Just Showed Us What Defunding Planned Parenthood Under Trumpcare Would Look Like

Mother Jones

<!DOCTYPE html PUBLIC “-//W3C//DTD HTML 4.0 Transitional//EN” “http://www.w3.org/TR/REC-html40/loose.dtd”>

In a harbinger of what’s to come if the Obamacare repeal bill becomes law, Planned Parenthood has announced that it will close four health clinics in Iowa next month that serve nearly 15,000 patients.

The move is a direct result of a defunding measure signed into law by Iowa Gov. Terry Branstad last week that will go into effect on July 1. The new law rejects federal Medicaid dollars and replaces them with a state-run family planning program that will prohibit low-income patients from using their publicly funded insurance for care at providers, like Planned Parenthood, that also offer abortions.

“What is happening in Iowa is what we could see across the country if Congress passes this dangerous law to defund Planned Parenthood,” said Dr. Raegan McDonald-Mosley, chief medical officer at Planned Parenthood Federation of America, in a statement. “This is hardest on people who already face barriers to accessing health care—especially people of color, young people, people with low to moderate incomes, and people who live in rural areas.”

The defunding measure enacted by Iowa is similar to the one attached to the Obamacare repeal bill, the American Health Care Act (AHCA), that passed the House earlier this month and must now head to the Senate. That proposal would undo a federal statute that allows Medicaid patients to use their coverage broadly, prohibiting states from excluding abortion providers in doling out Medicaid reimbursements for nonabortion care. (The Hyde Amendment prohibits the use of federal Medicaid funds for most abortions.) Iowa’s new law rejects federal Medicaid funding and replaces it with state money so as not to run afoul of this federal requirement.

A number of other states have attempted to exclude abortion providers from their Medicaid programs, but only Texas has ever done so successfully, doing in 2011 exactly what Iowa did last week. Texas’ state-funded program promised to maintain the same level of care for patients without Planned Parenthood, through community health clinics, federally qualified health centers, and more. In reality, there was a significant drop in care for low-income patients: A number of clinics closed. Other health centers attempted to step in, but nearly 26,000 fewer women received reproductive health care. Medicaid contraception claims declined by 35 percent, suggesting that fewer low-income women were obtaining contraceptive care. There was also an increase in childbirths among women receiving Medicaid who’d previously received contraception from Planned Parenthood clinics. The areas that saw the largest drops in women served were those where Planned Parenthood clinics had to close.

The Iowa counties that will be losing Planned Parenthood clinics are poised for a similar decline in access to care: In three out of the four counties with health centers closing—Burlington, Keokuk, and Sioux City—Planned Parenthood served at least 80 percent of the family planning patients using publicly funded insurance, according to 2015 data.

View original: 

Iowa Just Showed Us What Defunding Planned Parenthood Under Trumpcare Would Look Like

Posted in FF, GE, LAI, LG, ONA, Radius, Uncategorized, Venta | Tagged , , , , , , , , , | Leave a comment

Senate Republicans Are Arguing About How Badly to Screw the Poor

Mother Jones

<!DOCTYPE html PUBLIC “-//W3C//DTD HTML 4.0 Transitional//EN” “http://www.w3.org/TR/REC-html40/loose.dtd”>

Medicaid doesn’t get a lot of attention in the debate over Trumpcare, but it’s likely that more people would be affected by Medicaid cuts than by any other single part of the bill. However, the Wall Street Journal reports that Senate conservatives still aren’t satisfied:

Some conservative Senate Republicans, such as Mike Lee, want to immediately start phasing back federal money for expansion enrollees, a process that would take 10 years….Conservatives also hope to use a different formula to calculate federal Medicaid funding that would mean less money for states. The House bill would slash an estimated $839 billion from Medicaid over the next 10 years, according to the CBO. Senate conservatives want to change federal funding of Medicaid in part by pegging it to a different inflation measure, which long term would mean less generous payments to the states than under the House GOP bill.

….Centrist GOP senators are on board with some Medicaid cuts but disagree over how best to implement them. Some say the House plan to halt federal funding for new expansion enrollees in 2020 is too harsh and want a longer sunset of the program.

Nearly a quarter of all Americans depend on Medicaid as their primary (or only) source of health coverage. That’s the American health care system for you. Nonetheless, of course Republican centrists are on board with “some” Medicaid cuts. They only want to quibble over whether 10 million poor people should be tossed out of the program by 2026 or if it would be more humane to toss out 9 million poor people by 2028. Decisions, decisions.

Original source:  

Senate Republicans Are Arguing About How Badly to Screw the Poor

Posted in FF, GE, LG, ONA, Uncategorized, Venta | Tagged , , , , , , , , , | Leave a comment

Chart of the Day: Obamacare’s Triumph—Except in the South

Mother Jones

<!DOCTYPE html PUBLIC “-//W3C//DTD HTML 4.0 Transitional//EN” “http://www.w3.org/TR/REC-html40/loose.dtd”>

The CDC has a new report out on the chronically uninsured. Here’s the good news:

Starting in 2014, when Obamacare went into effect, the number of chronically uninsured plummeted by more than half, from 15.7 percent to 7.6 percent. That’s a huge public policy victory.

Now here’s the bad news—at least for some people:

States that resisted Obamacare in general, and refused the Medicaid expansion in particular, were largely in the South. In 2013 those states already accounted for 46.1 percent of the uninsured even though they have only 35 percent of the US population. By 2016, as other states were making progress, their share of the chronically uninsured skyrocketed to 54.7 percent.

Put another way: by 2016, the per capita rate of chronically uninsured in the South was more than twice what it was in the rest of the country even though southern states could have reduced their uninsured rate practically for free. This is the triumph of Republican bitterness over human decency.

View original: 

Chart of the Day: Obamacare’s Triumph—Except in the South

Posted in FF, GE, LG, ONA, Uncategorized, Venta | Tagged , , , , , , , | Comments Off on Chart of the Day: Obamacare’s Triumph—Except in the South

Kansas Republicans Just Defied Donald Trump and Voted to Expand Medicaid

Mother Jones

<!DOCTYPE html PUBLIC “-//W3C//DTD HTML 4.0 Transitional//EN” “http://www.w3.org/TR/REC-html40/loose.dtd”>

On the same day the House was supposed to pass a bill dismantling Medicaid, Kansas Republicans took a big step toward expanding the program in their state.

In a voice vote Thursday morning, a committee in the Kansas Senate approved legislation that would enable the state to take advantage of an Obamacare provision offering Medicaid health insurance coverage to a wider group of poor people. The federal government would provide the vast majority of the funding.

Many deep-red states like Kansas have rejected Medicaid expansion based largely on their ideological objections to Obamacare. But as I reported earlier this week, a new bloc of moderate Republicans in the state—back by the health care industry and business community—have teamed up with Democrats to push Medicaid expansion. They point out that the state has given up, to date, nearly $2 billion in federal funds that could have helped both improve the health of the state’s low-income communities while also boosting its economy.

The Kansas House overwhelming passed Medicaid expansion earlier this year. The full state Senate is expected to vote on the issue Monday, according to KCUR. But they would likely need to cobble together a veto-proof majority, since Gov. Sam Brownback (R) has vocally opposed to adopting the program. In fact, Brownback released a letter Thursday, signed with seven other Republican governors, asking Congress to pass the repeal of Obamacare, which would eventually end funding for new sign-ups in the Medicaid expansion and would prevent states such as Kansas signing up in the meantime.

It’s unclear if Congress will heed Brownback’s request. The GOP’s bill to repeal and replace Obamacare was supposed to get a vote in the full House sometime Thursday, but with both conservatives and moderate Republicans balking, the vote was delayed. The Trump administration set a deadline for a Friday vote, saying the White House would otherwise abandon the effort. Congress is currently debating the measure, but vote counts from various news outlets suggest Republicans currently lack enough votes to pass the bill.

Read more about the fight for Medicaid expansion in Kansas here.

Source: 

Kansas Republicans Just Defied Donald Trump and Voted to Expand Medicaid

Posted in FF, GE, LG, ONA, Radius, Uncategorized, Venta | Tagged , , , , , , , , | Comments Off on Kansas Republicans Just Defied Donald Trump and Voted to Expand Medicaid