Today, President Biden announced that the Centers for Medicare & Medicaid Services (CMS) is extending access to the Special Enrollment Period (SEP) for health insurance through the Affordable Care Act marketplace until August 15 – giving consumers additional time to take advantage of new savings through the American Rescue Plan. This action provides new and current enrollees an additional three months to enroll or re-evaluate their coverage needs with increased tax credits available to reduce premiums.
“Every American deserves access to quality, affordable health care – especially as we fight back against the COVID-19 pandemic,” said HHS Secretary Xavier Becerra. “Through this Special Enrollment Period, the Biden Administration is giving the American people the chance they need to find an affordable health care plan that works for them. The American Rescue Plan will bring costs down for millions of Americans, and I encourage consumers to visit HealthCare.gov and sign up for a plan before August 15.”
As a result of the American Rescue Plan, additional savings will be available for consumers through HealthCare.gov starting April 1. These savings will decrease premiums for many, on average, by $50 per person per month and $85 per policy per month. On average, one out of four enrollees on HeathCare.gov will be able to upgrade to a higher plan category that offers better out of pocket costs at the same or lower premium compared to what they’re paying today.
Consumers who want to access the SEP to enroll in coverage and see if they qualify for financial help to reduce the cost of monthly premiums, can visit HealthCare.gov or CuidadoDeSalud.gov to view 2021 plans and prices and enroll in a plan that best meets their needs. Additionally, consumers can call the Marketplace Call Center at 1-800-318-2596, which provides assistance in over 150 languages. TTY users should call 1-855-889-4325. Consumers can also find a local assister or agent/broker in their area: https://localhelp.healthcare.gov
Consumers who are eligible and enroll under the SEP will be able to select a plan with coverage that could start as soon as the first month after plan selection. Current enrollees will be able to change to any plan available to them in their area. To take advantage of the SEP, current enrollees should review their application and make changes, if needed, to their current information and submit their application in order to receive an updated eligibility result.
Additionally, beginning in early July on HealthCare.gov, consumers who have received or have been determined eligible to receive unemployment compensation for any week during 2021 may be able to get another increase in savings when enrolling in new Marketplace coverage or updating their existing Marketplace application and enrollment. These savings to be made available starting in early July for eligible consumers are in addition to the increased savings available to consumers on HealthCare.gov starting April 1.
The SEP is currently available to consumers in the 36 states that use the HealthCare.gov platform. Consumers served by State-based Marketplaces that use their own platform can check their state’s website to find out more information on Special Enrollment Periods in their state.
The hypocrisy and shamelessness of Senate Majority Leader Mitch McConnell and Senate Republicans to now move forward to fill the seat vacated by Ruth Bader Ginsburg with someone who would completely undo all the progress she made toward equality and social justice in the midst of actual voting to replace the president and Congress is only matched by the hypocrisy and shamelessness of the self-professed conservative “originalist” Supreme Court justices who have the audacity to suggest they can fathom what the Founding Fathers meant and disregard all the changes since then, to actually make law. Five justices contradicting the 435 elected members of the House and 100 elected members of the Senate and the president, going further, reaching back into settled law and precedent to overturn women’s rights, civil rights, voting rights, workers rights, environmental protection, to re-form this nation as a Catholic theocracy, not much different than Islamic theocracy.
Just a reminder: McConnell invented this “rule” of not confirming – not even giving President Obama’s nominee a hearing – even though the election was 10 months away (and Scalia’s seat was vacant for 400 days) because it was an election year, and that Obama purposely looked for a moderate, not a progressive, and not someone who could conceivably serve for 50 years on the bench, in choosing Merrick Garland to replace Antonin Scalia. It really was a further demonstration of the disrespect he had for Obama, America’s first Black president, and, when Obama took office in the midst of the worst financial crisis since the Great Depression, McConnell said his first priority was not to help Americans seeing their lives come apart but to make Obama a “one-term president.” He stalled hundreds of judicial appointments so that he could fill them all – and hand Trump his only achievement Trump can crow about. B
McConnell’s does not necessarily see the swift filling of Ruth Bader Ginsburg’s seat as energizing Republican turnout but because he expects to lose the White House and very possibly the Senate. Also, he wants a Supreme Court in Trump’s pocket to decide the dozens of outrageous court suits designed to suppress voting (the only way Trump can eke out a win in the Electoral College).
Vice President Joe Biden, the Democratic candidate for president, spoke out in Philadelphia, paying homage to Justice Ginsburg’s life and legacy and outrage over yet another theft of a Supreme Court seat that, despite the conservative minority in the country and majority’s rejection of their positions, will control the lives of every American for generations. Presidents may come and go, but these justices serve for life.
”This appointment isn’t about the past. It’s about the future. And the people of this nation are choosing the future right now,” Biden declared. “To jam this nomination through the Senate is just an exercise in raw political power.”
Here are Vice President’s remarks, highlighted, as prepared for delivery on September 20, 2020 in Philadelphia:
I attended mass earlier today and prayed for Justice Ruth Bader Ginsburg and her family.
The nation lost an icon, but they lost a mother, a grandmother, and a matriarch.
We know how hard that is to watch a piece of your soul absorb the cruelty and pain of that dreadful disease of cancer.
But as I spoke with her daughter and granddaughter last night, they made clear that until the very end she displayed the character and courage we would expect of her. She held their hand and gave them strength and purpose to carry on.
It’s been noted that she passed away on Rosh Hashanah.
By tradition, a person who dies during the Jewish New Year is considered a soul of great righteousness.
That was Ruth Bader Ginsgburg. A righteous soul.
It was my honor to preside over her confirmation hearings, and to strongly support her accession to the Supreme Court.
Justice Ginsburg achieved a standing few justices do. She became a presence in the lives of so many Americans, a part of the culture.
Yes there was humor in the mentions of the “Notorious RBG” and her impressive exercise routines. But it was so much more. She was a trailblazer, a role model, a source of hope, and a powerful voice for justice.
She was proof that courage and conviction and moral clarity can change not just the law, but also the world.
And I believe in the days and months and years to follow, she will continue to inspire millions of Americans all across this country. And together, we can — and we will — continue to be voices for justice in her name.
Her granddaughter said her dying words were “My most fervent wish is that I will not be replaced until a new president is installed.”
As a nation, we should heed her final call to us — not as a personal service to her, but as a service to the country at a crossroads.
There is so much at stake — the right to health care, clean air and water, and equal pay for equal work. The rights of voters, immigrants, women, and workers.
And right now, our country faces a choice. A choice about whether we can come back from the brink.
That’s what I’d like to talk about today.
Within an hour of news of her passing, Senate Majority Leader Mitch McConnell said President Trump’s nominee to replace Justice Ginsburg will receive a vote in the Senate.
The exact opposite of what he said when President Obama nominated Merrick Garland to replace Justice Scalia in 2016.
At that time, Majority Leader McConnell made up a rule based on the fiction that I somehow believed that there should be no nomination to the Court in an election year.
It’s ridiculous. The only rule I ever followed related to Supreme Court nominations was the Constitution’s obligation for Senators to provide advice and consent to the president on judicial nominees.
But he created a new one — the McConnell Rule: absolutely no hearing and no vote for a nominee in an election year.
Period. No caveats.
And many Republican Senators agreed. Including then-Chairman of the Senate Judiciary Committee, Chuck Grassley of Iowa. Including the current Chairman of the Senate Judiciary Committee, Lindsay Graham of South Carolina. Who at the time said, and I quote verbatim:
“I want you to use my words against me. If there’s a Republican president in 2016 and a vacancy occurs in the last year of the first term, you can say Lindsay Graham said let’s let the next president, whoever it might be, make that nomination. And you could use my words against me and you’d be absolutely right.”
That is what Republicans said when Justice Scalia passed away — about nine months before Election Day that year. Now, having lost Justice Ginsburg less than seven weeks before Election Day this year — after Americans have already begun to cast their votes — they cannot unring the bell.
Having made this their standard when it served their interest, they cannot, just four years later, change course when it doesn’t serve their ends. And I’m not being naive.
I’m not speaking to President Trump, who will do whatever he wants.
I’m not speaking to Mitch McConnell, who will do what he does.
I’m speaking to those Senate Republicans out there who know deep down what is right for the country — not just for their party.
I’m speaking for the millions of Americans out there, who are already voting in this election. Millions of Americans who are voting because they know their health care hangs in the balance.
In the middle of the worst global health crisis in living memory, Donald Trump is at the Supreme Court trying to strip health coverage away from tens of millions of families and to strip away the peace of mind from more than 100 million people with pre-existing conditions.
If he succeeds, insurers could once again discriminate or drop coverage completely for people living with preexisting conditions like asthma, diabetes, and cancer.
And perhaps, most cruelly of all, if Donald Trump has his way, complications from COVID-19, like lung scarring and heart damage, could become the next deniable pre-existing condition.
Millions of Americans who are also voting because they don’t want nearly a half century of legal precedent to be overturned and lose their right to choose.
Millions of Americans who are at risk of losing their right to vote.
Millions of Dreamers who are at risk of being expelled from the only country they have ever known.
Millions of workers who are at risk of losing their collective bargaining rights.
Millions of Americans who are demanding that their voices be heard and that equal justice be guaranteed for all.
They know — we all know — what should happen now.
The voters of this country should be heard. Voting has already begun in some states.
And in just a few weeks, all the voters of this nation will be heard. They are the ones who should decide who has the power to make this appointment.
This appointment isn’t about the past. It’s about the future. And the people of this nation are choosing the future right now.
To jam this nomination through the Senate is just an exercise in raw political power.
I don’t believe the people of this nation will stand for it.
President Trump has already made it clear this is about power. Pure and simple.
Well, the voters should make it clear on this issue and so many others: the power in this nation resides with them — the people.
And even if President Trump wants to put forward a name now, the Senate should not act on it until after the American people select their next president and the next Congress.
If Donald Trump wins the election — then the Senate should move on his selection — and weigh that nominee fairly.
But if I win the election, President Trump’s nomination should be withdrawn.
As the new President, I should be the one who nominates Justice Ginsburg’s successor, a nominee who should get a fair hearing in the Senate before a confirmation vote.
We’re in the middle of a pandemic. We’re passing 200,000 American deaths lost to this virus. Tens of millions of Americans are on unemployment.
Health care in this country hangs in the balance before the Court.
And now, in a raw political move – this president and the Republican leader have decided to jam a lifetime appointment to the Supreme Court through the United States Senate.
It’s the last thing we need in this moment.
Voters have already begun casting ballots in this country.
In just a few weeks, we are going to know who the voters of this nation have chosen to be their next president.
The United States Constitution was designed to give the voters one chance – to have their voice heard on who serves on the Court.
That moment is now — and their voice should be heard. And I believe voters are going to make it clear – they will not stand for this abuse of power.
There’s also discussion about what happens if the Senate confirms — on election eve – or in a lame duck after Donald Trump loses — a successor to Justice Ginsburg.
But that discussion assumes that we lose this effort to prevent the grave wrong that Trump and McConnell are pursuing here.
And I’m not going to assume failure at this point. I believe the voices of the American people should be heard.
This fight won’t be over until the Senate votes, if it does vote.
Winning that vote — if it happens — is everything.
Action and reaction. Anger and more anger. Sorrow and frustration at the way things are.
That’s the cycle that Republican Senators will continue to perpetuate if they go down this dangerous path they have put us on.
We need to de-escalate — not escalate.
So I appeal to those few Senate Republicans — the handful who will really decide what happens.
Don’t vote to confirm anyone nominated under the circumstances President Trump and Senator McConnell have created.
Don’t go there.
Uphold your Constitutional duty — your conscience.
Cool the flames that have been engulfing our country.
We can’t keep rewriting history, scrambling norms, and ignoring our cherished system of checks and balances.
That includes this whole business of releasing a list of potential nominees that I would put forward.
It’s no wonder the Trump campaign asked that I release a list only hours after Justice Ginsburg passed away.
It’s a game to them, a play to gin up emotions and anger.
There’s a reason why no Presidential candidate other than Donald Trump has ever done such a thing.
First, putting a judge’s name on a list like that -could influence that person’s decision-making as a judge — and that’s wrong.
Second, anyone put on a list like that under these circumstances – will be the subject of unrelenting political attacks.
And because any nominee I would select would not get a hearing until 2021 at the earliest – she would endure those attacks for months on end without being able to defend herself.
Third, and finally, and perhaps most importantly, if I win, I will make my choice for the Supreme Court — not as part of a partisan election campaign — but as prior Presidents did.
Only after consulting Democrats and Republicans in the U.S. Senate – and seeking their advice before I ask for their consent.
As everyone knows – I have made it clear that my first choice for the Supreme Court will make history as the first African American woman Justice.
I will consult with Senators in both parties about that pick, as well as with legal and civic leaders. In the end, the choice will be mine and mine alone.
But it will be the product of a process that restores our finest traditions – not the extension of one that has torn this country apart.
I’ll conclude with this.
As I’ve said in this campaign, we are in the battle for the soul of this country.
We face four historic crises. A once-in-a-generation pandemic. A devastating economic recession. The rise of white supremacy unseen since the 1960’s, and a reckoning on race long overdue. And a changing climate that is ravaging our nation as we speak.
Supreme Court decisions touch every part of these crises — every part of our lives and our future.
The last thing we need is to add a constitutional crisis that plunges us deeper into the abyss – deeper into the darkness.
If we go down this path, it would cause irreversible damage.
The infection this president has unleashed on our democracy can be fatal. Enough.
We must come together as a nation. Democrat, Republican, Independent, liberal, conservative. Everybody.
I’m not saying that we have to agree on everything. But we have to reason our way through to what ails us – as citizens, voters, and public servants. We have to act in good faith and mutual good will. In a spirit of conciliation, not confrontation.
This nation will continue to be inspired by Ruth Bader Ginsburg, but we should be guided by her as well.
By her willingness to listen, to hear those she disagreed with, to respect other points of view.
Famously, Justice Ginsburg got along well with some of the most conservative justices on the Court.
And she did it without compromising her principles – or clouding her moral clarity – or losing her core principles.
If she could do this, so can we.
How we talk to one another matters. How we treat one another matters. Respecting others matters.
Justice Ginsburg proved it’s important to have a spine of steel, but it’s also important to offer an open hand — and not a closed fist — to those you disagree with.
This nation needs to come together.
I have said it many times in this election. We are the United States of America.
There’s nothing we cannot do if we do it together. Maybe Donald Trump wants to divide this nation between Red States and Blue States.
Between representing those states that vote for him and ignoring those that don’t.
I do not.
I cannot — and I will not — be that president.
I will be a president for the whole country.
For those who vote for me and those who don’t.
We need to rise to this moment, for the sake of our country we love.
Vice President Joe Biden, the presumptive Democratic candidate for president, in a speech in Lancaster, Pennsylvania, decried Trump’s latest move to have the Affordable Care Act declared “unconstitutional,” despite having been ruled constitutional several times by the Supreme Court. The latest move, based on the dubious claim that the ACA’s “individual mandate” is unconstitutional, and therefore negates the entire law (duly passed by Congress in 2010, which enabled 30 million to access health care without being cut off because of preexisting conditions and no lifetime caps, and requiring at least 80% of premiums to go to patient care, and for the first time reversed the explosive annual increases in premiums), was inspired when the Republican 2017 tax law made the fine zero, the warped logic a right wing Texas judge used to therefore declare the entire law unconstitutional.
Instead, Biden spoke up for the crucial benefits of the Affordable Care Act and said if he were president, he would expand the public option, ensure premiums are never more than 8.5% of income, end surprise billing for medical care. “My plan lowers health care costs and gets us to universal coverage quickly when Americans desperately need it.” In Biden’s remarks, he distinguished his approach to the presidency from Trump’s – essentially, Biden intends to serve the people, while Trump, clueless in how to actually solve problems, is solely focused on what benefits himself politically.
“That’s what the presidency is — a duty to care for everyone. Not just those who voted for us…And no trust is more sacred, no responsibility is more solemn, no purpose is more fundamental, than for a President to do absolutely everything he or she can to protect American lives. “So I want every single American to know: if you’re sick, if you’re struggling, if you’re worried about how you’re going to get through the day — I will not abandon you. I will not leave you to face these challenges alone. We are going to get through this — together.”
Here are Biden’s remarks: — Karen Rubin/news-photos-features.com
Today, in the middle of the worst global health crisis in living memory, Donald Trump will file a brief in the Supreme Court to attempt to strip health coverage away from tens of millions of families, and to strip the peace of mind away from more than 100 million people with pre-existing conditions.
If he succeeds, more than 23 million Americans could lose their coverage outright— including nearly a million Pennsylvanians.
Insurers could once again discriminate, or deny services, or drop coverage for people living with preexisting conditions like asthma, diabetes, and cancer.
And perhaps most cruelly of all, if Donald Trump has his way, complications from COVID-19 could become a new pre-existing condition.
Some survivors will experience lasting health impacts — like lung scarring and heart damage.
And if Donald Trump prevails in court, insurers would be allowed to strip away coverage or jack up premiums — simply because of their battle with the coronavirus.
Those survivors, having struggled and won the fight of their lives, would have their peace of mind stolen away at the moment they need it most.
They would live their lives caught in a vise between Donald Trump’s twin legacies: his failure to protect the American people from the coronavirus, and his heartless crusade to take health care protections away from American families.
I have called on Donald Trump many times to withdraw his lawsuit. Today, I am renewing that call.
Mr. President, drop the lawsuit. Stop trying to take away people’s health care.
Now more than ever, stop trying to steal their peace of mind. I cannot comprehend the cruelty that is driving him to inflict this pain on the very people he is supposed to serve.
One of the families the Affordable Care Act has delivered peace of mind to is the Ritters—who live not far from here in Manheim, Pennsylvania.
Jan and Madeline Ritter were just four years old when their mom, Stacie, heard some of the most devastating words that a parent can ever hear. Both of her twins had been diagnosed with leukemia.
I promise you — that news — it stops your heart. It wrenches your entire world off of its axis. And the very last thing on your mind — the very last thing that should be on your mind— is whether you can afford treatment.
But when Stacie’s twins got sick, there was no Affordable Care Act.
So, after the draining days and the endless nights, the harrowing stem-cell transplants, the fickle waves of hope and fear, after enduring more than any parent should have to endure, the Ritters still faced a future where their twins could be denied coverage for the rest of their lives.
The Affordable Care Act was created to put a stop to that inhumanity — to ensure that people like Stacie, thrust into the worst nightmare of their lives, could focus on the fight that matters.
Stacie’s twins won their fight. They beat cancer — and now, they’re 22 years old. Jan is studying early education at Elizabethtown College. Madeline just graduated from Arcadia University with a degree in international studies. And because of the law, insurance companies can no longer deny them coverage because they’re survivors of cancer.
I’m proud of the Affordable Care Act.
In addition to protecting people with pre-existing conditions, this is a law that delivered vital coverage to more than 20 million Americans.
It’s a law that bars insurance companies from capping Americans’ benefits— and from charging women more simply because they are women.
It’s a law that reduced prescription drug costs for nearly 12 million seniors, who would see their those costs spike — because the Medicare ‘donut hole’would have suddenly reopened.
It’s a law that saves lives.
But now, in the middle of the worst public health crisis in modern history, Donald Trump is suing to take the Ritters and millions more Americans — back to the way things were.
It’s cruel, it’s heartless, and it’s callous.
And it’s all because he can’t abide the thought of letting stand one of President Obama’s greatest achievements.
We’ve seen that same callousness in his handling of the coronavirus.
Just over three months ago, as most Americans were first coming to grips with the unprecedented scale and danger of the pandemic, President Trump publicly claimed that, “Anybody that wants a test can get a test.”
That wasn’t true. And he knew it.
Then, five days ago, at his campaign gathering in Tulsa, he admitted telling his people to, slow the testing down, please.” At first, his spokespeople tried to say he was joking. But then Trump himself said he wasn’t joking.
He called testing, “a double-edged sword.” Let’s be crystal clear about what he means by that.
Testing unequivocally saves lives, and widespread testing is the key to opening up our economy again — so that’s one edge of the sword.
The other edge: that he thinks finding out that more Americans are sick will make him look bad.
And that’s what he’s worried about. He’s worried about looking bad.
Well, Donald Trump needs to stop caring about how he looks and start caring about what’s really happening in America.
The number of cases is increasing in 29 states. We are going to be dealing with this for a long time. Trump can’t wish it away. He can’t bend it to meet his political wishes. There are no miracles coming.
We are going to have to step up as Americans — all of us — and do both the simple things — and the hard things — to keep our families and neighbors safe, to re-open our economy, and to eventually put the pandemic behind us.
And sadly — we are going to have to do it without responsible leadership from the White House. So it is up to us. All of us.
We’re going to have to wear masks. And I know as Americans it’s not something we’re used to. But it matters. All the evidence from all over the world tells us it just might be the most effective thing we can do.
We’re going to have to socially distance. It’s not easy. It seems so strange to us. Not as Americans, but as human beings. We’re built to talk, to laugh, to hug, to gather with other people. I know I am. I know you are. But for now, we have to socially distance. It matters.
We’re going to have to find a way to keep our economy running as we bring the number of cases down. The president wants you to believe this is a choice between the economy and the public’s health. He still hasn’t grasped the most basic fact of this crisis: to fix our economy, we have to get control of the virus.
He’s like a child who just can’t believe this has happened to him. It’s all whining and self-pity. This pandemic didn’t happen to him. It happened to all of us.
And his job isn’t to whine about it. His job is to do something about it.
If I have the honor of becoming President, I promise you I will lead.
I will do everything I can to take responsibility and ease that burden on you and your families. I will put your family first. And that will begin with a dramatic expansion of health coverage and bold steps to lower health care costs.
We need a public option now more than ever — especially at a time when more than 20 million people are unemployed.
That public option will allow every American— regardless of their employment status — the choice to get a Medicare-like plan.
It will force private insurers to keep premiums low and offer better coverage because, for the first time, they’ll have to compete for your business against a public insurer that doesn’t have a profit motive.
We’re going to lower premiums for people buying coverage on their own by guaranteeing that no American ever has to spend more than 8.5 percent of their income on health insurance — and that number will be lower for lower-income families.
We’re also going to further reduce costs by making it less expensive for Americans to choose plans with lower deductibles and out-of-pocket expenses by lowering prescription drug prices and by ending the practice called “surprise billing,” which can leave you with an unexpectedly high bill after you leave a hospital.
Here’s the bottom line: my plan lowers health care costs and gets us to universal coverage quickly when Americans desperately need it.
Families are reeling right now — enduring illnesses, forced into risky choices, losing their employer plans in droves.
They need a lifeline now. That’s what the families here today deserve. That’s what families all across this nation deserve.
They don’t need a president going into court to deny them health care. They need a president going into the White House who will fight for the health care they need.
If Donald Trump refuses to end his senseless crusade against health coverage, I look forward to ending it for him. And working quickly with Congress to dramatically ramp up protections, get America to universal coverage, and lower health care costs as soon as humanly possible.
This is my promise to you. When I am President, I will take care of your health coverage the same way I would for my own family. This is personal to me.
I was sworn into the United States Senate next to a hospital bed. My wife and daughter had been killed in a car crash— and lying in that bed were my two surviving little boys.
I couldn’t imagine what it would have been like if we didn’t have the health care we needed immediately.
Forty years later, one of those little boys, my son Beau, was diagnosed with terminal cancer and given only months to live.
I couldn’t imagine an insurance company coming in and saying, “for the last six months of your life, you’re on your own” — which is exactly what happened to so many families before the Affordable Care Act.
So Amy, I understand.
And when I say I’ll take care of your health coverage the same way I would for my family — there is nothing I take more seriously.
That’s my promise to Stacie and Victoria and Amy and to every American.
That’s what the presidency is — a duty to care.
A duty to care for everyone.
Not just those who voted for us.
For all of us.
And no trust is more sacred, no responsibility is more solemn, no purpose is more fundamental, than for a President to do absolutely everything he or she can to protect American lives.
So I want every single American to know: if you’re sick, if you’re struggling, if you’re worried about how you’re going to get through the day — I will not abandon you.
I will not leave you to face these challenges alone.
We are going to get through this — together.
And we are going to build our health care system, our economy, and our country back better than it has ever been before.
Thank you. God bless you, and God protect our troops.
Under the Republican American Health Care Act, 2.7 million New Yorkers would lose coverage and the state’s budget would take a $6.9 billion hit, including $2.3 billion as a direct result of an amendment that targets New York State specifically. It would be devastating to New Yorkers, and the Congressional Budget Office’s report confirms that. Just how bad? New York State Governor Andrew M. Cuomo issued this statement:
“The Congressional Budget Office’s report confirms what we already knew to be true—ultra-conservatives in Washington have declared war on New York’s health care system. What’s worse is that Republican members of our own Congressional delegation have aided and abetted in Washington’s war against New York, cutting taxes for millionaires while jeopardizing care for seniors, women, the middle class and the disabled.
“The radical Republican health plan will devastate New York’s health care system, strip 2.7 million New Yorkers of their health care coverage, and roll back the progress we have made to protect vulnerable Americans. This bill will cost New York State a total of $6.9 billion, including $2.3 billion as a direct result of the disastrous amendment introduced by Congressmen Faso and Collins.
“As radical ideologues race to impose their extremist agenda on Americans, New Yorkers say no. In New York, we will stand up for our progressive principles and protect the right to affordable and quality health care for all. I will continue to work with our Congressional delegation and New York’s health care leaders to defeat this reckless legislation.”
The American Health Care Act will leave 23 million more Americans uninsured and be disastrous for New York:
The plan will leave 2.7 million New Yorkers without health care coverage.
It will cost New York a total of $6.9 billion.
It will put at risk a total of 7 million people who rely on Medicaid services and other programs created under the Affordable Care Act.
And it threatens the entire New York State health care system, which serves 19.5 million New Yorkers.
The Collins/Faso amendment, which targets only New York, stops counties from paying a share of Medicaid. It would have a devastating effect on New Yorkers:
It will cut $2.3 billion in Medicaid funding to the State.
Steep cuts would force New York State to increase taxes, slash coverage to millions of New Yorkers, or devastate health care providers. As a result of the AHCA bill:
Hospital payments would be cut by $944 million in total
Nursing Home payments would be cut by $819 million in total
Home care payments would be cut by $734 million in total
The bill punishes New York for its support for women’s reproductive rights by threatening to take away citizens’ access to tax credits that are intended to make health insurance more affordable:
New York requires that all commercial insurance policies cover abortion services. In January, Governor Cuomo took new action to ensure that contraceptive drugs and devices are covered by commercial health insurance policies without co-pays, coinsurance, or deductibles.
The Republican health care bill would prohibit the use of tax credits to support the purchase of insurance plans that cover abortion services.
As a result, the bill would effectively defund the Essential Plan, forcing 685,000 low-income people, half of whom are women, to lose their insurance and denying them $1.5 billion in tax credits.
In addition, roughly 143,000 lower-income New Yorkers whose income is just above the threshold for the Essential Plan, half of whom are women, would be denied $400 million more in tax credits that help them afford insurance.
This bill also includes an amendment that will enable insurers to charge more for people with preexisting conditions in some states, rolling back a key achievement of the Affordable Care Act:
In New York, 8.4 million people under the age of 65 have preexisting conditions.
The MacArthur amendment would allow states to opt out of provisions that restrict providers from raising prices on people with preexisting conditions.
Removing protections for people with pre-existing conditions will result in the sick paying high premiums and would force those who cannot afford it to lose coverage.
The health plan would also permit states to charge older people more, which would also force people who cannot afford it to lose coverage.
But here’s the thing: even though the Senate Republicans have said they are drafting its own health care law, they are still not bothering to confer with health care providers, health care insurers, patients or state and local officials. It is likely that even if the impacts are softened, any proposal which is designed to cater to healthy, young Americans (by allowing them to not buy insurance), and empower insurance companies to charge whatever they like to cover separate items like maternity, mental illness, addiction, pre-existing conditions (life is a pre-existing condition), to charge penalties for lapses in coverage and to charge older Americans up to five times what younger people pay, and no longer pay for wellness or preventive services, will result in tens of millions of Americans being unable to afford health insurance, being underinsured (making the policies useless), will bankrupt families of their ability to save for college or retirement or home ownership. Americans will find themselves trapped in horrible jobs or abusive marriages because they can’t afford to lose health insurance. It isn’t just the 20% of Americans who must purchase on the individual market: lifting the mandates will mean that employers will be free to stop offering health benefits altogether, or will require hefty pay-ins, or will offer bare-bones policies that leave people without protection and care. Children who are born with health issues will be faced with lifetime caps. A family will again face the insecurity of being just one medical emergency away from bankruptcy. Hospitals, especially in rural communities, will shut down. Tens of thousands of people a year will die prematurely and needlessly for lack of access to health care, and tens of thousands more will suffer for lack of care. Society will suffer lost productivity while paying more money to cover those who are forced to use emergency rooms for medical care, leaving the rest of us to pick up the tab.
Passing the Republican-sponsored American Health Care Act, which is scheduled for a vote in the House on Thursday, March 23, would mean a 10 percent tax increase on all New Yorkers, or, if Republicans also “reform” the tax code, a 26 percent increase on middle class New Yorkers, Governor Andrew M. Cuomo warned.
What is more, hospitals in Congressmen Peter King’s and Lee Zeldin’s districts on Long Island would lose $57 million in funding.
“The American Health Care Act as drafted by the Republican Congress and amended by [Congressmen Chris] Collins and [John] Faso will devastate the New York Healthcare system,” Cuomo stated. “The Republican plan will leave 2.7 million New Yorkers without healthcare and cut $4.7 billion from the state’s Medicaid budget. This comes after the Republicans promised the exact opposite: That no American would lose healthcare and that no block grant would cut funding to the state.”
“Life has options and the hard reality is that Collins and Faso are leaving New York State with only two unacceptable choices. Either, we could pass on the devastating cuts to our hospitals, nursing homes and the 40 percent of New Yorkers who currently receive Medicaid and health benefits. Or, we would be forced to raise state income taxes – either by increasing taxes on all New Yorkers by 10 percent, or if Collins and Faso have their way in protecting only the wealthy, on the middle class by 26 percent. Any tax increase flies in the face of New York’s success in reducing spending and taxes to record lows.
“To devastate our healthcare industry will not only affect millions of lives, but disrupt one of the state’s main economic engines. Healthcare is a pillar of the New York economy.
“Make no mistake. The Republican house members are recklessly attempting to buy votes for the AHCA with an IOU to the New York taxpayers. One nonsensical suggestion is that the state should ‘find the money.’ We have cut our spending to record low limits. Five years ago we imposed a 3 percent cap on the growth of Medicaid in New York. Our hospital sector operates on the lowest margins in the country. New York’s 3 percent rate of growth is lower than most other states.
“If the federal government wants to buy votes, let them pay for it.
“It’s absurd to ask the state to pay the cost, while the same bill provides a $150 billion tax cut to the 1 percent richest Americans and Republicans in Congress also support a record $54 billion increase for the Pentagon. If they think that $4.7 billion is merely chump change, they should factor it into their own budget – propose $145 billion tax break or a $49 billion increase to the defense budget.
Hospitals in King, Zeldin Districts Would Lose $57 Million
What is more, an analysis by the New York State Department of Health shows that hospitals in the districts of Republican Congressmen Lee Zeldin and Peter King would lose millions.
The seven hospitals in Zeldin’s 1st Congressional District would lose $41.2 million in funding if the Ryan/Collins/Faso health care repeal is passed, crippling their ability to provide critical health care services for local residents and jeopardizing hundreds of jobs across the district.
Stony Brook University Hospital – $27,123,469
Brookhaven Memorial Hospital Medical Center – $5,827,691
Eastern Long Island Hospital – $673,801
John T. Mather Memorial Hospital – $2,542,069
Peconic Bay Medical Center – $1,993,305
Southampton Hospital – $1,021,658
St. Charles Hospital – $1,970,589
District Total – $41,152,582
The three hospitals in Republican Congressman Peter King’s 2nd Congressional District would lose $14.6 million in funding:
Good Samaritan Hospital of West Islip — $6,015,802 in cuts
St. Joseph Hospital — $1,253,535 in cuts
Southside Hospital — $7,319,357 in cuts
District Total— $14,588,694 in cuts
“The radical conservative ideology in Washington has declared war on New York with legislation that will devastate hospitals across the state and hurt New Yorkers,”Governor Cuomo said. “These massive cuts will cripple our hospitals and ravage the health care services on which New Yorkers rely, with $41.2 million in cuts to hospitals in the 1st District and $14.6 million in cuts to hospitals in the 2nd District alone. I urge members of the community to call their member of Congress and demand that they vote ‘no’ on this unconscionable piece of legislation.”
“If the Republican representatives are responsible to their districts, they must provide federal revenue to pay for their actions. Isn’t it their job to help – rather than hurt – their district?
“If this bill is passed as is, our federal representatives will be responsible for massive income or sales tax increases or devastating cuts to New York’s healthcare system. That is the plain reality. No political rhetoric can change it. New Yorkers will hold them accountable for their vote. This is radical conservative ideology at work rather than real public policy to help the very people of this state who elected them.”
(MINEOLA, NY) –Nassau County Democrats are raising alarms about what repealing the Affordable Care Act would mean for county residents and appealed to County Executive Ed Mangano to compile a comprehensive report that would quantify the impact on residents and the county’s budget.
Minority Democratic Leader Kevan Abrahams and Legislator Laura Curran stood with their democratic legislative colleagues, along with local healthcare advocates including Long Island Progressive Coalition and Nassau County Planned Parenthood calling upon the Nassau County Executive, commissioners, and administrators to compile a comprehensive report that measures the impact of what looks like the inevitable repeal of the Affordable Care Act (ACA).
According to a report issued by New York State’s Office of the Governor on January 4, 2017, Nassau County stands to lose $17,866,829 in direct funding which “goes directly to counties and helps to lower property taxes”.
Under the ACA, Nassau County saw a 33% decrease in the number of uninsured according to the most recent U.S. Census. The number of uninsured people on Long Island has declined rapidly over the last decade, while the proposed GOP healthcare bill will undo that work by putting 24 million at risk of losing coverage, according to the nonpartisan Congressional Budget Office. The American Health Care Act proposed by the Republican Party may affect more than 1 in 4 Nassau residents. Those at risk of coverage changes include, but are not limited to, the 204,681 Nassau seniors enrolled in Medicare and 133,324 residents who enrolled on the Affordable Care Act’s open marketplace.
“After making inroads for more affordable healthcare access, the proposed law could force counties to choose between supporting low-income residents who rely on Medicaid for health services,” said Minority Legislative Leader, Kevan Abrahams (D-Freeport).
“President Trump is leading us down a very dangerous path and County Government is going to be left holding the bag while taxpayers’ costs could skyrocket. Trumpcare is no longer a campaign talking point but an imminent threat to the financial and physical health of our community, and we must be prepared,” said Legislator Laura Curran (D-Baldwin). “Repealing the Affordable Care Act and replacing it with Trump’s alternative is going to drive a massive hole in the County budget while leaving more residents uninsured and without the benefits of preventative care. So that the County is prepared for these massive changes, County Executive Mangano, County Commissioners, and Department Administrators must immediately start preparing a report that outlines the real impact of losing the Affordable Care Act and what it will mean for Nassau taxpayers.”
Today, Nassau Democratic Legislators called upon the Nassau County Executive, county commissioners and department administrators to prepare an impact study that outlines the real impact losing the affordable care will have on Nassau County residents and the services they receive.
Such a study was just announced by Suffolk County Executive Steve Bellone and is being undertaken by county governments all over the country, Lisa Tyson, Executive Director of the Long Island Progressive Coalition, said.
“The repeal of the Affordable Care Act will deprive Long Islanders’ access to affordable healthcare that can be a matter of life-and-death. Nassau County residents deserve to know how losing the Affordable Care Act might affect their family both financially and physically,” she said.
The repeal of the Affordable Care Act. could be detrimental to citizens of Nassau most in need: low-income families, young adults, seniors and those in need of mental health care and substance abuse treatment. All these programs are at risk of being affected as the legislation currently stands.
“Repealing the Affordable Care Act will have real consequences for our community and we need to know how many of our neighbors will be affected and what costs will fall to the County. Obvious questions are whether our Medicaid costs will rise, and by how much; how increased emergency room visits will affect Nassau University Medical Center; whether the workload and costs of the County’s Department of Health will skyrocket; whether the County’s drug abuse rates are likely to soar due to diminished treatment options; the projected costs that will result; and many more. Governor Cuomo estimates that 133,000 Nassau residents (one out of ten residents) would lose coverage, and that should serve as a chilling wake-up call to every stakeholder in government and healthcare. Our taxpayers deserve to know exactly how much they will be affected by Washington’s costly decisions, and the County’s planning must start now,” said Legislator Curran.
Older residents will see a rise in healthcare premiums, with a projected 20-25% increase for those in their early 60s, given the current proposed GOP tax credit structure, which does not take income into account. For Nassau’s poor and working families, the halting of Medicaid expansion coupled with rising premiums will disintegrate any chance of affordable healthcare.
“Repealing the Affordable Care Act and defunding Planned Parenthood will mean that many women – across the country and right here in Nassau County –who receive their care at Planned Parenthood health centers won’t receive care at all. We are calling on congress to stop these political attacks, but, until they do, Planned Parenthood will leave no stone unturned in fighting back for our patients and ensuring that our doors stay open,” said PPNC President & CEO JoAnn Smith.
For Long Islander Rachel Siehs, not having healthcare at a most crucial time in her life could have been a matter of life-and-death. After Rachel was laid off from her job in October 2015 she battled the very same conflict so many do when they lose their health insurance – in this case, she gotten it from her previous employer. “I was on the fence if I should buy health insurance? I couldn’t afford Cobra. Plus, I am young and healthy and thought I could wait to start a new job and acquire insurance that way,” said Rachel Siehs. “After discussing the issue with my parents, they encouraged me to find coverage on the Affordable Care Act marketplace and thankfully I did – I was diagnosed with Hodgkin’s lymphoma only two months later and would fight cancer for most of 2016.”
Since then, Rachel, 28 years old, has successfully fought Hodgkin’s lymphoma. She was able to see doctor because she had health coverage through the Affordable Health Act. Like many Americans, she risks losing health insurance again after the repeal.
“I don’t know if I would be here today if I didn’t seek coverage on the ACA marketplace. I would start a new job in January 2016 but my health insurance would not have kicked in until April. But also, who knows if I would have scheduled the doctor appointments if I would have had to pay completely out of pocket for them. The impact is real here in Nassau. Health care is important. It needs to be well thought out and studied and shouldn’t be a rushed vote. This is people’s lives,” said Rachel Siehs of Melville.
While County Executive Mangano has already indicated his disinterest in undertaking such a study, which he decried as purely political, Governor Andrew M. Cuomo did provide some indication of the impact on New Yorkers of the American Health Care Act – 2.7 million New Yorkers would face substantial loss in their health care coverage from what they have now, while quality and availability of health services across the state would be jeopardized. Also, an amendment just introduced by Chris Collins, an upstate Congressman (and Trump spokesman) and John Fasio, which would apply solely to New York State, would ban federal reimbursement for state Medicaid funds for local governments outside of New York City, cutting Medicaid for these local governments by $2.3 billion. When added to the $4.5 billion cost of the ACHA over the next four years, the total cost to the State would rise to $6.9 billion.
Except for the cuts to the State Department which has some Republicans howling, the rest of Trump’s “America First” anti-American budget are the things the Conservatives have been fantasizing about but never had the guts to do because of the ramifications. Now they have someone who is putting himself out there who doesn’t bother considering the impacts on ordinary people.
This is as much Ryan’s budget as Trump’s, which likely will also enact massive tax cuts, paid for by slashing benefits to Medicare, Medicaid and Social Security, further exacerbating the inequality in wealth, political power and justice in this country that strains the limits to what this Democracy can sustain.
“This is our moment,” Vice President Mike Pence gleefully told the Club for Growth at the posh Breakers Hotel, Palm Beach.
For the first time in a decade, thanks to your hard work, we have a pro-growth House, we have a pro-growth Senate, and we have a pro-growth President of the United States of America. (Applause.) And President Donald Trump I believe has laid out an agenda that is renewing the American spirit in ways that we haven’t seen since the days of Ronald Reagan.
This is our moment. This is the time. And my friends, this is our chance to prove that our answers are still the right answers for America. (Applause.)
More freedom. Lower taxes. Less regulation and smaller government. History will attest that when America builds on this foundation, we reach heights that once seemed unreachable.
And that is the foundation of this administration. President Trump’s vision is to unleash growth in America like never before, and the good news is: It’s already happening.
On Day One, President Trump went straight to work rolling back the reams of red tape. He instructed every bureaucracy in Washington, D.C. to find two regulations to get rid of before imposing any new red tape on the American people and on American free enterprise. (Applause.)
He’s already taken action to put the Keystone and Dakota pipelines on the path to approval, creating tens of thousands of American jobs and protecting our American energy future. (Applause.)
And just this past Monday, President Trump set into motion a plan to reorganize the executive branch — and that includes identifying and eliminating federal agencies that, frankly, we just plain don’t need anymore.
It’s leadership like that — you can applaud that if you like. (Applause.) It’s leadership like this that’s getting government out of the way of the American people and of American job creators.
Businesses are already reacting to President Trump’s vision and his renewed optimism and investment. And they’re investing in America in ways that are lifting and creating jobs.
Last month alone the economy added 235,000 jobs. Construction and manufacturing are booming once again. Business leaders and American consumers haven’t been this confident in years — and by some measures, in more than a decade.
Folks, the era of slow growth is over; a new era of American growth has begun. (Applause.)
You know and I know that economic growth begins with fiscal responsibility. I see my friend Senator Pat Toomey over there. We fought together in the House, shoulder to shoulder for fiscal restraint. And I know how enthusiastic he and the other great conservatives like Senator Mike Lee and others in the room are that just two days ago, President Donald Trump released the most conservative budget since Ronald Reagan sat in the Oval Office. (Applause.)
Our vision is simple. We want a government that will keep Americans safe and that leaves us free to do what the American people do best. That’s why our budget first and foremost gives our soldiers, sailors, airmen, Marines, and Coast Guard the resources they need to complete their mission, protect our families, and come home safe to theirs. We’re rebuilding the American military under this Trump budget. (Applause.)
But also at the President’s direction, our budget offsets $54 billion in military spending with government spending cuts –a 31 percent cut at the E.P.A. (Applause.) Double-digit reductions in no fewer than 10 federal departments. (Applause.)
And, folks, The Washington Post actually ran a headline this week saying, they quote, “historic contraction of the federal workforce.” (Laughter.) They meant it as a warning, we took it as a compliment. (Applause.)
We’re going to end the waste, the fraud, the abuse in D.C and make sure that the American taxpayer gets the best bang for their buck. I got to tell you this businessman who has become President of the United States believes in sharpened pencils. And he’s been sharpening his pencils ever since the morning after Election Day.
But beyond the budget, we’re going to keep slashing all the job-killing regulationsand rein in unelected bureaucrats in Washington, D.C. I want to commend the members of Congress for sending those congressional review act bills. We’re going to keep rolling back regulation every chance we get so that this economy can’t be crippled by bureaucrats in Washington, D.C. sitting behind the comfort of their metal desks. (Applause.)
We’ve heard from businesses large and small, all across America that red tape is strangling their ability to create jobs, and to grow and thrive. That’s why we’re working to get government off their back.
We’re going to keep working with the Congress to repeal the last-minute mandates rushed through by the last administration. And, frankly, we’re taking a hard look at every regulation on the books — including, as President Trump said on Wednesday, the CAFE rule that is holding back the American automotive industry will now no longer stand in the way of economic prosperity and growth. (Applause.)
We’re making sure federal agencies fast-track projects and permits and don’t slow-walk them. And we’re going to roll back Dodd-Frank so that American businesses have access to the best financial system in the world. (Applause.)
And with this Cabinet — and how about this Cabinet? (Applause.) With this Cabinet, President Trump has picked men and women who know that bureaucrats don’t create jobs, businesses do.
The bottom line is that our agenda of more freedom and less regulation is going to usher in growth and opportunity and prosperity in this country like never before. And it’s the vision that the Club for Growth has been about advancing since the very beginning of this organization.
If you still have any doubt, there’s also something else I want you to know. We’re going to have the biggest tax reform and reduction in a generation in America before this year is out. (Applause.)
Under President Trump’s leadership, we’re going to cut taxes across the board for working families, small businesses, and family farms. It’s going to be pro-growth, pro-savings, and pro-hardworking Americans keeping more of their hard-earned dollar.
We’re going to simplify the tax code working with members of the House and Senate who are gathered here, and we’re going to have lower rates across the board.
We’re going to make American businesses competitive again by slashing one of the highest corporate rates in the developed world and letting American companies bring the money back from overseas so they can invest in American and create American jobs with a lower business rate. (Applause.)
And not only that, and I promise to you working with members of Congress, we’re going to repeal hundreds of billions of dollars in taxes when we repeal and replace Obamacare. (Applause.)
My friends, the Obamacare nightmare is about to end. Now, I don’t have to remind people here at the Club for Growth why this failed law has to go. You all have seen the headlines, and you know the facts. You’ve lived them in many places all over the country — skyrocketing premiums, unaffordable deductibles, mandates, higher taxes. The truth is the American people can’t afford Obamacare, and it’s time we no longer ask them to put up with it. (Applause.)
In his joint address to Congress two weeks ago, the President outlined his plan to repeal and replace Obamacare once and for all. And we’re working with members of Congress to advance that plan.
Make no mistake about it: Our plan is pro-growth and pro-freedom. It ends Obamacare’s individual and employer mandates by eliminating their penalties by the time the whole plan is unfurled. It repeals the taxes I just mentioned right out of the gate. It expands health savings accounts. It enacts the biggest reform in Medicaid since the creation of that program in 1965.
These are the kind of solutions that conservatives like us have been talking about for years. And they’re now within our reach. And let me be blunt: We need your help to get this plan passed. The House is set to vote next week on the beginning of this process. It’s called the American Health Care Act, and it is a crucial step towards fulfilling our promise to repeal and replace Obamacare with something that actually works.
Now I know that there have been concerns expressed with the bill as it currently stands. And just know that the President and I are and our entire administration are listening. We’re working with members of Congress to improve the bill and to make this bill even better than it already is..
And we’re working with every single [Republican] member of Congress — the Republican Study Committee, the Freedom Caucus, the Senate Steering Committee, and all the lawmakers here tonight, just to name a few. Thanks to their input, we’ve actually added a number of great amendments just in the last 24 hours.
Beginning with, we’re going to stop more states from expanding Medicaid by ceasing the expansion for states that did not expand Medicaid under Obamacare immediately. (Applause.)
Because of the voices of conservatives in Congress, we’re going to be amending the Ho bill to give states the option for a Medicaid in a block grant in its entirety so states can reform Medicaid in the way that they see fit. (Applause.)
And thanks to the leadership and the collaboration of many of the great conservatives in this room, we’re going to have an amendment to allow states to include a work requirement for able-bodied adults on Medicaid so we can ensure the program is there for people who actually need it. [So if you’ve lost your job, were laid off, your company goes bankrupt, you are doomed.] (Applause.)
Folks, I meant it when I said we’re listening. And the President is going to continue to engage members of Congress in ways that we can improve this legislation. We had a meeting just yesterday in the Oval Office, and I was pleased that the leadership of the Republican Study Committee endorsed the bill that’s moving through the House, and we’re grateful for their support.
And while we’re having a vigorous debate, the good news is that Republicans are in complete agreement, and we have complete consensus that Obamacare must go. (Applause.)
We’ll continue to advance the President’s agenda, and how we work that out is going to be the result of the legislative process and administrative action. But President Trump’s vision is very simple: a national health-care marketplace and state-based Medicaid reform; allowing the American people to purchase health insurance across state lines the way you buy life insurance, the way you buy car insurance, and allowing states the freedom and flexibility to redesign Medicaid around the unique needs of their own people is a pathway toward a more prosperous future and better healthcare for the American people. (Applause.)
And it’s important to remember that our healthcare plan doesn’t begin and end with the bill that’s moving through the Congress today. I wanted to make it clear to all of you this is only one part of the President’s three-part strategy. The other two tracks are just as important in restoring free-market principles to American health care.
At this very moment, our administration is evaluating every possible administrative action to get government out of the way and allow for state-based innovation and reform.
The name of the game is to seize the opportunity to change the regulations, and we’ve got a great team with Dr. Tom Price and Seema Verma heading up HHS and the Center for Medicaid & Medicare Services to do it.
Just this past week, they both sent a letter to every single one of America’s governors saying, “a new era for federal and state Medicaid partnership” has begun — and so it has. (Applause.)
Under Dr. Tom Price’s leadership with Seema Verma at his side running Medicaid, we’re going to give our states the freedom and flexibility they need with Medicaid to implement the kind of reforms that will do the most good for the most vulnerable — state-based solutions, not one-size-fits-all federal solutions. And remember that truthfully it is about improving Medicaide[sic]….
And we’re going to continue to partner with the Congress to pass other important healthcare reforms, including we’re going to pass medical malpractice reform at last. (Applause.) We’re going to allow businesses around America to participate in association health plans, and as I mentioned before, we’re going to give Americans the freedom to buy health insurance across state lines — an idea whose time has come.
Not before too long I expect we’re going to see that little lizard and Flo on television selling health insurance just the way they sell car insurance and sell life insurance. (Laughter and applause.)
Our three-part strategy, once enacted, we truly believe will create a dynamic national health-insurance marketplace, which is the key to making affordable, high-quality coverage accessible for every American.
Now we can’t lose sight of what’s at stake in the coming weeks. This is a momentous time. We literally have an opportunity to begin to accomplish what everyone in this room has fought so hard to achieve for so long. And President Trump and I look forward to continuing to work with all of you — the men and women in public life who are here, and those of you who are patrons and supporters that are present.
And know this: When we repeal and replace Obamacare, we will also make room for even more tax relief for working families, small businesses, and family farms when we take up tax reform this spring. (Applause.)
But health care isn’t the only place where we need your partnership. The same goes for the rest of our pro-growth, pro-freedom agenda.
Quite frankly, we’re counting on you. And we know you’ll be there. You’ve already demonstrated — many of you for many years here at Club for Growth — your dedication to the principles that we all share.
I look around this room and I see true patriots — men and women who love this country and have been willing to devote your time and your talent andyour treasure to the country’s future without any regard to whether you’d ever be acknowledged or ever get credit for it. Those great candidates that you’ve supported over the years, and that now people the hallways of the House and the Senate serving the American people.The debt this country owes to the men and women in this organization and throughout the conservative movement can only be repaid by keeping faith with the ideals and the principles that you have sought to advance….
The reason that we’re here with a pro-growth President and a pro-growth Congress on the cusp of repealing the failed policies of Obamacareis because, on the cusp of transformational tax reform, on the cusp of a whole range of reforms that will enliven this country’s economy and open doors of opportunities for millions of Americans is that year after year,all of you in this room and conservatives around America never gave up. And I’m just here to say thanks, and to tell you to press on.
My friends, this is our moment. Now is the time. This is our rendezvous with destiny. And I know we’ll meet the challenge. It will come together. We’ll give all of our energy, our enthusiasm, our courage, and our conviction, our passion, and our prayers. And in that, I’m confident — I’m confident we’ll make the most of the opportunity before us. And under President Trump’s leadership, I know we’ll get this economy moving again. Under his leadership, I know we’ll restore opportunity and prosperity for all our people. We’ll make the best healthcare system in the world even better with free-market principles, more jobs, higher incomes, better healthcare in a safer and more prosperous America.
In a word, my friends, with your help, and with God’s help, we’ll make America great again.
Thank you very much. Thanks for having me back and God bless you and God bless the United State of America. (Applause.)
Pool Reporter Alex Leary, Washington Bureau Chief for the Tampa Bay Times, brings us into the inner sanctum of the White House to learn how Donald Trump and Mike Pence are manipulating the debate over the repeal and replacement of the Affordable Care Act (Obamacare) with the Republicans’ American Health Care Plan (Ryancare).
On March 13, he hosted a group of Obamacare “victims”, followed by his first-ever meeting of his Cabinet which featured remarks by Health & Human Services (HHS) Secretary Tom Price’s dismissal of the Congressional Budget Office (CBO) scathing report projecting that 24 million people would lose health care under the Republican plan:
This is Leary’s report:
POTUS entered the room at 11:26 a.m. and pool was inside for roughly 33 minutes.
POTUS thanked the participants for sharing their stories about “the very, very failed and failing Obamacare law.”
Several times POTUS complained about news media coverage of the debate. “The press is making Obamacare look so good suddenly. I’m watching the news. It looks so good. … First of all, it covers very few people and it’s imploding. And ’17 will be the worst year.”
POTUS cast the coverage as nostalgia. “It’s a little bit like President Obama. When he left, people liked him. When he was here, people didn’t like him so much. That’s the way life goes. That’s human nature. The fact is, Obamacare is a disaster.”
The best political play, POTUS said, would to let the law collapse on its own over the coming year – “because it’s going to blow itself off the map. But that’s the wrong thing to do for the country. It’s the wrong thing to do for our citizens.”
POTUS said his administration and “a lot of people in the Senate and a lot of people in the House are committed to repealing and replacing this disastrous law with a health care plan that lowers costs, expands choice and ensures access for everyone. You represent the millions of Americans who have seen their Obamacare premiums increase by double-digit and even triple-digits …”
POTUS said the House bill would provide “far” more choices at lower costs. “Americans should pick the plan they want. Now they’ll be able to pick the plan. They’ll be able pick the doctor they want. They’ll be able to do a lot of things that the other plan was supposed to give and it never gave. …”
“You’re not going to have one-size-fits-all. Instead, we’re going to be working to unleash the power of the private marketplace to let insurers come in and compete for your business and you’ll see rates go down, down, down and you’ll see plans go up, up, up. You’ll have a lot of choices. You’ll have plans that nobody is even thinking of today.”
Seated across the table in the Roosevelt Room was VPOTUS. At one head of the table was HHS Secretary Tom Price; at the other. Gary Cohn, director of the White House’s National Economic Council.
The rest of the table was filled out by individuals (see list below) invited to tell their stories.
A collection of Obamacare “victims” from across the country shared their stories. (names below as provided by WH).
But first, more from POTUS, who said the Obamacare repeal and replacement must come in three steps, due to working with Congress. “I’d love to do it all in one package, but if you did it that way, it can’t get done.”
As pool was led out, a reporter asked POTUS if he had “any message” for people worried about losing coverage if Obamacare goes away.
“It’ll get better. If we’re allowed to do what we want to do, it will get better. Much better.,” POTUS replied. “Hopefully it will get very good.”
Carrie Couey, from Colorado, said her rates are “three times” higher than when Obamacare began and that has hurt her family cattle ranching business. “We can’t afford our equipment if we’re paying these rates year after year after year. Our food source is in jeopardy because of this health care law.”
Brittany Ivey, Georgia, said she left a full-time job in 2009 to raise her two children. She said a family plan for four cost them $650 per month and by 2015, it had gone up “102 percent.” She said her husband’s employer dropped the family from coverage so she looked for a new job but couldn’t find one that offered insurance. At that point, the family got Obamacare. “We believed the sales pitch that if you like your doctor, you can keep your doctor. Even though we were going to have to pay $1,300 a month for Obamacare, we thought we’d still be ok with our doctors.” But she said doctors would not accept the coverage. “We paid them $8,000 in five months and were never able to use it.” She and her husband earn a combined $74,000 a year, Ivey said, but health care is too burdensome. “It’s almost put our family in financial ruin.”
Elias Seife, Florida, said his individual plan was canceled. He said his parents came from Communist Cuba. “They know what socialism is all about. I know what socialism is … and this whole system was meant to have one single provider.”
Kim Sertich, Arizona, said her premium last year was $365 a month and it had risen to $809 a month this year, with a deductible of $6,800. “It just didn’t seem like a good use of my money,” she said, adding she had opted out and went into a faith-based program.
Louis Brown, Virginia, said he worked for the Democratic National Committee when the Affordable Care Act was going through Congress in 2009 and that he later resigned, citing opposition to abortion. He supported Trump in the election and said that he was on hand to support efforts to place people “at the center of our American health care system, not the government.”
Manny Sethi, Tennessee, says he runs nonprofit called Healthy Tennessee and that he’s noticed that people can’t afford rising premiums. “So what they are doing is, effectively, they’re paying the tax penalty because it’s cheaper and works out better than paying for the insurance. That’s been a big problem that we’re seeing across the state.”
Joel Brown, Tennessee, said he’s in farming and he considered paying the penalty for not carrying insurance. He said there is only one option for coverage, Blue Cross Blue Shield Tennessee and the premium is $540 a month with a $7,000 deductible. “You’ve got to pay a high premium for a plan that I don’t need or don’t want.”
Robin Armstrong, Texas, said a lot of patients are not adequately covered by Obamacare and are hit with high premiums and deductibles. “I actually read the bill that’s been produced, that’s coming out of the House now and I really like a lot of the changes in it. I think this is going to correct a lot of issues that Obamacare has had.”
Gina Sell, Wisconsin, said she’s a nurse and mother and had to get a full-time position to pay the costs. “We could not afford a premium of $1,200 per month and a deductible that didn’t cover anything.” She said now the deductible is $6,500 “and so if I have a child who is extremely sick, it’s going to cost me hundreds of dollars.” Last week, she said, her daughter had a fever and she sent her to school for “three days straight because I had to work to afford our insurance” and couldn’t pay for a trip to the doctor. “It has been devastating for our family.”
Greg Knox, Ohio, began by giving POTUS a note and drawing from his 11-year-old son. The note was written on the back of a cutout face with orangeish hair. “Looks nothing like you,” Knox said to laughter. POTUS flashed a big smile and said, “I wish I looked that good.” Knox said he had meet with Secretary Price and Vice President Pence during a recent roundtable in Cincinnati. “We have the best health care system in the world. We do. But it needs to be fixed. Small business owners like myself — I’m a manufacturer — what we’d like to see is not a government-operated market but a free market.”
Stan Summers, Utah, said his son was born premature 26 years ago and they had good insurance but it deteriorated over time. Enter the ACA. “I’m not going to call it the other word. I call it the last president’s health care bill. I don’t need to say that name.” (POTUS: “Other than that, you like him a lot.” Laughter.) Summers said he has three businesses and drives a school bus to provide coverage for his family. He said he expects to meet a $6,000 deductible in April.
Secretary Price gave brief remarks about the stories. “This is about real people, about real patients.” He said he was “really excited” to help install a replacement.
POTUS then again bemoaned what he deemed “wonderful press” about Obamacare. “It’s a horrible thing, actually, and getting worse.”
VPOTUS thanked the participants. “These people are emblematic of the Americans that Obamacare has failed.”
Trump Convenes His First Cabinet Meeting
Later, at 3:48 pm, Trump convened the first-ever meeting of his Cabinet, lamenting that, “We have four empty seats, which is a terrible thing.
“Because the Senate Democrats are continuing to obstruct the confirmation of our nominees for the Department of Labor, the Department of Agriculture, the director of national intelligence and the United States Trade Representative, somebody I want very badly. … The main victim of this very partisan obstruction is the American public.”
POTUS began by giving an update on the approaching storm…
He then touted actions by the nascent administration, including stripping away “job crushing” regulations, and alluded to the coming executive order to “begin the process of reorganizing the executive branch to make it less wasteful and more productive.”
POTUS reiterated his earlier remarks about Obamacare and talked about the replacement plan on Capitol Hill. “It’s a big, fat beautiful negotiation,” he said, drawing snickers. “Hopefully we’ll come up with something that’s going to be really terrific.” He thanked “Paul Ryan” and “Mitch.”
POTUS said he’d be sending a budget request with the major increase in defense spending. “And it will be fully paid for,” POTUS said, Secretary James Mattis on his left. “I saved a lot of money on those jets, didn’t I? Did I do a good job?”
POTUS talked about immigration and enhancing vetting. “We will not rest until the job is done.”
“This is our first Cabinet meeting,” POTUS said. “I hope this is going to be a historic Cabinet meeting, historic in the sense that we’re going to do a fantastic job for the American people, for our country and for the future of our country.”
He did not respond to a request for comment on the “wiretapping.”
A number of officials were on hand, including Jared Kushner, Steve Bannon and Kellyanne Conway.
HHS Secretary Price ‘Disagrees Strenuously” With CBO Report on GOP Health Care Plan
“We disagree strenuously with the report that was put out,” HHS Secretary Tom Price told reporters at the White House after the CBO score was released on the GOP health care plan.
Price argued that the CBO report looked “at a portion of our plan, but not the entire plan.” He explained that HHS can employ the “regulatory apparatus” to “make certain that patients are helped and that costs are decreased.”
Price said CBO ignored other legislative action.
“We believe that our plan will cover more individuals at a lower cost and give them the choices that they want for the coverage that they want for themselves and their family, not that the government forces them to buy.”
OMB Director Mick Mulvaney said he had not read the entire CBO report but found a bright spot. “The numbers that I’ve seen in the first glance is that CBO says that premiums will go down by at least 10 percent.”
A reporter noted that CBO got to that figure by estimating that fewer older Americans would get coverage but Price waved that away, again saying CBO did not take into account the full plan for repeal and replace. “The fact of the matter is, we’re working on the regulations right now.”
Asked about the report’s finding that 14 million more people would be left without insurance next year, Price said it’s “virtually impossible to have that number occur.”
Reporter: So CBO is wrong, they are not credible?
“Well, you just look at the numbers,” Price said. “There are 8-9 million people who are on the exchange currently. I’m not sure how they are going to get 14 million people uninsured, if that’s what they say, with only 8 million people on the exchange.
“They are individuals, I guess that they assume that are on Medicaid who aren’t paying anything in the Medicaid system who are not going to take the Medicaid policy just because the mandate ended or something happened. It’s just not believable is what we would suggest. We’ll look at the numbers and see.”
Reporter: Without that mandate to buy coverage, wouldn’t you concede there will be millions of uninsured?
“No, I wouldn’t concede that at all,” Price said. “The fact of the matter is they are going to be able to a coverage policy that they want for themselves and for their family. They are going to have the kind of choices that they want. … So we think that CBO simply has it wrong.”
Mulvaney echoed those points, criticizing CBO for assuming Medicaid changes will happen “on day one. It’s just absurd.”
Governor Andrew Cuomo, in response to a question posed by Mark Halperin on MSNBC, said:“Obviously the consequences for a state like New York could be devastating. Depending on what they do, you have 3 million people who are insured under Obamacare. What are you going to do with the 3 million people? Medicaid is a big piece of our budget. They talk about block grants, turning it over to the state. That sounds great. The question is when they block grant it, do they actually transfer the money? Remember the old expression, passing the buck without passing the bucks. Governor of New York, my fear is the rhetoric of give it back to the states sounds great, but if they give it back to the states and they cut the funding, you put the states in a really terrible situation. So I get the political appeal of repeal Obamacare, but you know, be careful what you ask for and I think this is the dog that chases the car. What are they going to do? And you have millions and millions of people who are affected and you could devastate the budget. I just did my budget. I said, “Look, I don’t have a contingency plan.” Because I don’t know what they’re going to do, and frankly, they could take an action for which there is no contingency plan. There are rumors that they could cut the state of New York 2, 3 billion dollars. I can’t make up 2, 3 billion dollars. It would wreak havoc in this state. So it’s their move and I want to see what they come up with.”
Lt. Governor Kathy Hochul, commenting on a proposed amendment from Congressman Collins (R-NY), said:
“Our Founding Fathers warned us this day would come. Partisan politics would overtake good government for the people. The Medicaid changes being proposed in Washington would cut taxes for wealthy special interests while devastating New York State’s finances and all but eliminating health care for the most vulnerable New Yorkers.
“What’s worse, a New York Republican Congressman, Chris Collins is offering an amendment that would wreak havoc on the state. While I understand that the Democrats in Washington are attacking Collins on ethics issues and are having a heated political fight, they shouldn’t be played out at the expense of everyday New Yorkers.
“Here are the facts: The overall Medicaid plan would cost the state billions of dollars of lost federal funds and jeopardize hospital stability. As if that were not enough, Rep. Collins would have the state assume the counties’ share of Medicaid expenses outside of New York City. The current breakdown is 13 percent county, 36 percent state, and 51 percent federal. This ill-conceived plan would cost his home state approximately $2.3 billion. Unbelievably, that’s on top of the cost of the Republican Affordable Care Act repeal plan – another $2.4 billion.
“Translation: Rep. Collins is proposing a tax increase on New Yorkers to the tune of $4.7 billion. This one-two punch would destroy all the hard work the Governor and Legislature have accomplished in the last six years to lower taxes across the board and achieve the lowest spending increases in recorded history. New Yorkers will be at risk of losing their healthcare, hospitals will be forced to lay off workers, and our vulnerable elderly will find it much harder to afford nursing home care.
“On the merits, the counties have no right to claim this is an undue burden. They paid a percentage of health care costs even before Medicaid – and in fact, currently have a more favorable agreement than in decades.
“In 1960 – well before New York State and most counties had any sales tax revenue to pay for it – Congress passed the Kerr-Mills Act, which created a national role in funding health care for the elderly. Under this program, the counties in New York paid approximately 44 percent of the cost of care, the state paid about 38 percent, and the federal government paid around 18 percent.
“In 1965, Medicaid replaced that program and the counties paid 25 percent. That same year, the state began giving counties the option of collecting sales tax on their behalf. Every county in New York has subsequently agreed to this option. Many counties in the nation don’t get sales tax, and most of those receive less than our counties. Moreover, the state recently agreed to give the counties additional help – after hearing the counties’ complaints of the growing Medicaid costs, the state has held them harmless for any increases since 2011.
“As a result, the counties’ share for Medicaid is down from 25 percent to 13 percent, and the state assumed this cost while still living within the 2 percent spending cap, and all while cutting taxes. The state is not asking the counties to do anything more than we have done ourselves. In fact, the state has done far more. If the Collins amendment passed, the state would need to raise income taxes or the counties would have to forego their share of sales tax in exchange for the state picking up the additional Medicaid costs.
“In short, Rep. Collins’ amendment and the Affordable Care Act repeal would transfer $4.7 billion in costs to the state which would translate into a new tax for New Yorkers. I know firsthand that the people of the 27th Congressional District face enough challenges in their lives – they don’t need to worry about increasing health care costs or new taxes.
“Rep. Collins should stop prioritizing his wealthy friends and start helping his home state by protecting the most vulnerable from losing their healthcare and putting the state budget at risk. Remember, as my mentor Sen. Daniel Patrick Moynihan used to always point out, New York is a donor state – we pay more in federal taxes than we receive back.
“Mr. Collins, try practicing good government rather than partisan politics.”
The only ones the Trump/Pence/Ryan/McConnell Administration care about, speak to are the ultra-rightwing conservatives. This from the White House, Friday, March 10:
READOUT OF THE VICE PRESIDENT’S LISTENING SESSION WITH CONSERVATIVE LEADERS
Vice President Mike Pence and Secretary of Health and Human Services Tom Price assembled dozens of conservative leaders today at the White House to discuss the multi-faceted effort to repeal and replace Obamacare. The Vice President and the Secretary highlighted the work being accomplished through legislative and regulatory efforts to end Obamacare’s government takeover of healthcare and provide market-based reforms that will lower costs and provide more choice to Americans. They also invited conservative groups to continue offering their ideas for improving healthcare in America and agreed to keep communication channels open as the President and Congress work to fulfill the promise of repealing and replacing the flawed Obamacare law.
The following individuals participated:
Thomas Binion, Heritage Foundation
Melissa Ortiz, Able Americans
Mia Heck, ALEC
Jason Pye, FreedomWorks
Matthew Schlapp, American Conservative Union
Nan Swift, National Taxpayers Union
Richard Manning, Americans for Limited Government
Grace Turner, Galen Institute
Kenneth Cuccinelli, Senate Conservatives Fund
Jennifer Butler, State Policy Network
Daniel Schneider, American Conservative Union
John McKechnie, ABA Health Savings Account (HSA) Council
Stephen Keen, National Federation of Independent Business
Lisa Nelson, ALEC
Jennifer Hatten, ABA Health Savings Account (HSA) Council
David Bozell, ForAmerica
Phil Kerpen, American Commitment
Peter Sepp, National Taxpayers Union
Timothy Chapman, Heritage Action
Bradley Close, National Federation of Independent Business
Kent Lassmam, Competitive Enterprise Institute
Jennifer Martin, Tea Party Patriots
Shonda Kalra, Tea Party Patriots
Amanda Moorhead, National Federation of Independent Business
Bill Pascoe, Tea Party Patriots
Christopher Jacobs, Texas Public Policy Foundation
Adam Brandon, FreedomWorks
Michael Cannon, CATO
Bob Carlstrom, Association of Mature American Citizens
Andy Roth, Club for Growth
Heather Curry, CATO