It’s been a dramatic 24 hours and we’re all bleary-eyed today after tracking the Senate’s activity last night. What’s important to remember is that the flurry of activity over the next 48 hours is a mere sideshow. The real action is the behind-the-scenes lobbying Majority Leader Mitch McConnell is doing to rally Republicans around the likely so-called "skinny" repeal which would result in a horrible final bill that would be written in secret.
Most analyses of Senate health care repeal bills have rightly focused on the damage those bills would cause for people’s coverage and care, consumer protections, and state budgets. However, an additional concern is that Senate health legislation would give the Trump Administration extraordinary power over state budgets, providing leverage that could be used to shape state policy on a broad range of issues.
Trump and McConnell Efforts to Patch Together an Alternative to Medicaid Expansion Are Grossly Inadequate
The latest version of the Senate health bill, as with every version before it, ends the Medicaid expansion funding that has enabled more than 11 million people to get health coverage. Several Republican senators from Medicaid expansion states have objected to the cutoff of Medicaid expansion funding, and the Trump Administration and Senate Republican leadership are mounting a last-ditch effort to get their support.
Tomorrow, July 21st, is a National Call-In Day to #ProtectOurCare.
The Senate’s quest to repeal health care for millions of Americans and make disastrous cuts to Medicaid is not over. Senators and administration officials met last night to continue negotiations on their harmful bill. Senate Majority Leader McConnell aims to vote on the “Motion to Proceed” to move forward with health care repeal as soon as Monday.
Both Senator Ted Cruz's amendment and the broader Senate health bill reveal an extremist, free-market vision for health care that is radically at odds with what American consumers need and want.
After it became clear earlier this week that he didn’t have the votes to pass the Republican health care bill, Senate Majority Leader McConnell announced his intention to pursue a bill repealing the Affordable Care Act with no replacement.
Despite growing opposition to his repeal-only approach, Senator McConnell is pledging to go forward with a vote on a bill that passed the House and Senate in late 2015. This bill would have repealed key parts of the Affordable Care Act (ACA). And negotiations are ongoing on reviving the other health care bill, called the Better Care Reconciliation Act.
Late last night, Senate Majority Leader McConnell announced that he will not hold a vote on the Better Care Reconciliation Act (BCRA), the bill that repeals and replaces the Affordable Care Act (ACA). Instead, McConnell now proposes to revive 2015 legislation that simply eliminates the ACA’s coverage provisions and funding mechanisms, without saying what would take their place.
Senate Republican Leadership and the Trump Administration are Presenting Impossible Numbers on Stabilization Funding and Medicaid Expansion
The Senate health bill ends the Medicaid expansion for adults starting in 2021, leaving 11 million residents across 31 states without health care.
The bill allows people with incomes below poverty to buy coverage on the marketplace, but for someone living at or below the poverty level, marketplace coverage would mean massive exposure to out-of-pocket costs that could total half their yearly income, or more.
Just as with earlier versions, the latest iteration of the Senate's Affordable Care Act repeal bill would devastate insurance coverage, gut the Medicaid program, and dramatically increase deductibles and out of pocket costs.
New additions include fewer protections for those with pre-existing conditions, a complete restructuring of Medicaid, and more. Read our analysis to learn more.
A few days ago, we wrote about the Cruz Amendment: “If you create one pool for healthy people and one pool that only covers sick people—those with pre-existing conditions—you are thrusting sick people into a pool that is the very definition of a death spiral.”
Now that the Senate bill text has been released, we can see exactly how the death spiral will play out.