On Monday, President Trump expressed frustration that Republicans had talked for years about repealing and replacing the Affordable Care Act but had failed to deliver now that a Republican was in the White House.
A revised version of the Graham-Cassidy bill was circulating on Capitol Hill Sunday and Republicans are still trying to lock down key votes after Sens. It’s definitely the most cowardly.
Collins voted against Republican efforts over the summer to repeal and replace the ACA.
Prospects for the bill are uncertain as a decisive handful of Republicans remain opposed to the measure proposed by Sens. Lindsey Graham, of SC, and Bill Cassidy, of Louisiana, would girdle economic growth at about 2 percent a year over the next decade – far below the four percent growth President Donald Trump vowed would support most of his legislative agenda. It would also repeal Obamacare’s Medicaid expansion money.
States would instead receive lump-sum payments to create their own health programs. This block grant provision is routed through an existing federal statute that bars federal funding for abortion care or for insurance coverage that includes abortion (again, except in cases of life endangerment, rape or incest). For example, would an insurance company or health care provider receiving block grant dollars be barred from providing abortion coverage or care throughout its business? But the list of things that people surely won’t like is staggering.
Some senators, such as McCain, said they didn’t support the bill because it has not yet been scored by the Congressional Budget Office (CBO), a nonpartisan group that “scores” bills to give lawmakers an idea of the impact they might have. “Nor could I support it without knowing how much it will cost, how it will affect insurance premiums, and how many people will be helped or hurt by it”. The dreaded “death spiral”, in other words. The changes aim to increase funding for states like Alaska, but there’s no proof that the bill will bring the undecided senators onboard now. Bill Cassidy, R-La., Lindsey Graham, R-S.C., Dean Heller, R-Nev., and Ron Johnson, R-Wis., rejiggers how changes in federal funding provided to states for health care would be phased in over time.
“It’s just sending it from one state to another”, Paul said.
“No strings attached” is a bit of an understatement.
The numbers are misleading, partly because they omit GOP Medicaid cuts from clamping per-person spending caps on the program, said Matt House, spokesman for Senate Minority Leader Chuck Schumer, D-N.Y.
Other Republicans are wavering, too.
Reimplementation of the ACA: Option 1 allows the State to reinstate Title I of the ACA, including its mandates and other requirements. Under current law, states can apply for waivers if they wish to adapt their regulations to local conditions.
Tuesday, the Senate judiciary committee will consider two separate bipartisan-sponsored bills that would protect Justice Department special counsel Robert Mueller from being fired.
It’s no wonder that almost every major stakeholder, from the American Medical Association to the March of Dimes, has come out against this lily-livered bill.
Aside from the math, the newest iteration of Cassidy-Graham makes crystal clear that the federal safeguards against charging more for people with preexisting conditions are gone.