President Biden announces final rule that will allow eligible DACA recipients to enroll in Affordable Care Act coverage. Some 100,000 DACA recipients are expected to take advantage of this opportunity. This fact sheet is provided by the White House:
The Biden-Harris Administration is expanding access to affordable, quality health care coverage to Deferred Action for Childhood Arrivals (DACA) recipients. In 2012, President Obama and then Vice President Biden created the DACA policy to transform the lives of eligible Dreamers – young people who came to this country as children—allowing them to live and work lawfully in our country. Over the last decade, DACA has brought stability, possibility, and progress to hundreds of thousands of Dreamers.
While President Biden continues to call on Congress to provide a pathway to citizenship to Dreamers and others, he is committed to protecting and preserving DACA and providing Dreamers with the opportunities and support they need to succeed, including access to affordable, quality health care coverage. Thanks to the Biden-Harris Administration’s actions, today’s final rule will remove the prohibition on DACA recipients’ eligibility for Affordable Care Act coverage for the first time, and is projected to help more than 100,000 young people gain health insurance. Starting in November, DACA recipients can apply for coverage through HealthCare.gov and state-based marketplaces, where they may qualify for financial assistance to help them purchase quality health insurance. Four out of five consumers have found a plan for less than $10 a month, with millions saving an average of about $800 a year on their premiums.
President Biden and Vice President Harris believe that health care should be a right, not a privilege. Together, they promised to protect and strengthen the Affordable Care Act, lowering costs and expanding coverage so that every American has the peace of mind that health insurance brings. Today’s final rule delivers on the President’s commitment by giving DACA recipients that same peace and opportunity.
Today’s rule also reinforces the President’s enduring commitment to DACA recipients and Dreamers, who contribute daily to the strength and vitality of our communities and our country. On day one of his Administration, President Biden committed to preserving and fortifying the DACA policy. While only Congress can provide Dreamers permanent status and a pathway to citizenship, the Biden-Harris Administration has continued to vigorously defend DACA against ongoing legal challenges and strengthened DACA by codifying the 2012 policy in a final rule.
Statement from President Joe Biden:
Today, my Administration is expanding affordable, quality health care coverage to Deferred Action for Childhood Arrivals (DACA) recipients. Dreamers are our loved ones, our nurses, teachers, and small business owners. And they deserve the promise of health care just like all of us.
Nearly twelve years ago, President Obama and I announced the DACA program to allow our young people to live and work in the only country they’ve called home. Since then, DACA has provided more than 800,000 Dreamers with the ability to work lawfully, pursue an education, and contribute their immense talents to make our communities better and stronger.
I’m proud of the contributions of Dreamers to our country and committed to providing Dreamers the support they need to succeed. That’s why I’ve previously directed the Department of Homeland Security to take all appropriate actions to “preserve and fortify” DACA. And that’s why today we are taking this historic step to ensure that DACA recipients have the same access to health care through the Affordable Care Act as their neighbors.
On Day One of my administration, I sent a comprehensive immigration reform plan to Congress to protect Dreamers and their families. Only Congress can provide Dreamers permanent status and a pathway to citizenship. Congress must act.
Statement from Vice President Kamala Harris:
Dreamers throughout this country are serving in our military, teaching in our classrooms, and leading our small businesses as entrepreneurs. They are our neighbors, classmates, and loved ones. Our nation is fortunate that America is their home.
Thanks to Deferred Action for Childhood Arrivals (DACA), more than 800,000 Dreamers have been able to live, study, and work in the only home they have ever known while making our nation a better place. It is why I fought to defend and protect DACA as Attorney General of California and a U.S. Senator from California.
Now as Vice President, I have worked alongside President Biden to take steps to preserve and fortify DACA. Today, we are building on this progress by ensuring DACA recipients also have access to affordable health care, which will improve the health of all communities. This announcement will bring relief to more than 100,000 people and help them thrive while working to achieve their aspirations.
President Biden and I will continue to do everything in our power to protect DACA, but it is only a temporary solution. Congress must act to ensure Dreamers have the permanent protections they deserve.
Contrast to Trump Position on DACA, ACA
In stark contrast to Biden’s support of DACA and ACA, Trump tried to dismantle the DACA program which had protected 700,000 young people who were brought to this country as children from deportation, eventually losing at the Supreme Court.
And Trump tried to repeal the Affordable Care Act – failed – and is vowing to try again if he wins in November. What this would mean for Americans:
More than 100 million Americans with preexisting conditions could be denied coverage or charged more
40 million people’s health insurance coverage at risk
Health care costs would increase for the millions of Americans
Young adults up to age 26 could be kicked off their parent’s health care plan
The White House provided this fact sheet detailing actions President Biden has taken, and new actions he is taking to lower prescription drug and health care costs, expand access to health care and protect consumers, even as Republicans voted against giving Medicare the ability to negotiate drug prices and their presumed presidential nominee, Trump, is renewing calls to repeal the Affordable Care Act (Obamacare), which now has enabled a record 21 million to obtain health insurance, 9 million more than when Biden took office, and as he moves to negotiate for a $2000 cap on out-of-pocket prescription drug costs for all, not just Medicare recipients and expand the number of drug prices being negotiated from 10 to as many as 50 a year. –Karen Rubin, [email protected]
President Biden believes that health care is a right, not a privilege, and since day one, he has delivered health care to millions more Americans while also lowering health care costs. The President continues to build on, strengthen, and protect Medicare, Medicaid, and the Affordable Care Act, signing laws such as the American Rescue Plan Act and the Inflation Reduction Act to lower prescription drug costs and health insurance premiums. Thanks to the President’s efforts, more Americans have health insurance than under any other President, and are better protected against surprise medical bills and junk fees. Seniors are already seeing lower prescription drug prices with insulin capped at $35, free vaccines, and out-of-pocket costs for prescription drugs capped at $2,000 starting in 2025. And the Administration is well on its way to lower the cost of range of drugs as Medicare negotiates over the prices of prescription drugs for the first time ever. The Biden-Harris Administration has also taken steps to make sure consumers aren’t scammed by junk insurance and have better access to mental health care.
However, the President is not just resting on these accomplishments. He’s fighting to deliver even lower costs and better health care to Americans. That’s why the Biden-Harris Administration is acting to lower prescription drug costs, keep health insurance premiums low, expand access to health care, especially mental health care coverage, and continue to protect Americans from getting ripped off.
Taking on Big Pharma to Deliver Lower Prescription Drug Costs for Seniors and Families
After decades of opposition, President Biden enacted a law that finally takes on Big Pharma and gives Medicare the power to negotiate drug prices. President Biden’s Inflation Reduction Act will save millions of seniors money on some of the costliest prescription drugs on the market. Meanwhile, Big Pharma also executed over $135 billion in mergers and acquisitions in 2023 alone, while passing the cost to consumers. And eight of the 10 drugs selected for this year’s negotiation program raised their prices in 2024 – after all 10 drugs were already priced three to eight times higher in the United States than in other countries. President Biden knows how the Inflation Reduction Act is delivering for American families, and his Administration will continue the fight to lower health care costs for more Americans.
Announcing that Manufacturers of 10 Drugs Remain at the Negotiating Table. Last month, for the first time in history, Medicare has made offers on the fair price for 10 of the most widely used and expensive drugs. Medicare is no longer taking whatever price for these drugs that the pharmaceutical companies demand. This week CMS announced that manufacturers for all 10 selected drugs are participating in drug price negotiation, with all manufacturers having submitted counteroffers and negotiations continuing. Later this year, new, negotiated prices for the first 10 prescription drugs selected for the negotiation program will be announced.
Let Medicare Negotiate Drug Prices for at least 50 Drugs Every Year. Medicare should not be limited to negotiating just 20 drugs per year. Instead, the President is proposing that Medicare be able to negotiate prices for the major drugs that seniors rely on, like those used for treating heart disease, cancer, and diabetes. The Budget cuts federal spending by $200 billion increasing the number of drugs Medicare can select for negotiation and bringing more drugs into the negotiation process sooner, and other reforms.
Expand Cap on Out-of-Pocket Prescription Drug Costs. When the $2,000 out-of-pocket cap on prescription drugs applies in Medicare in 2025, nearly 19 million seniors and other beneficiaries are projected to save $400 per year on prescription drugs. The President is calling on Congress to expand the $2,000 out-of-pocket cap to all private insurance so that all Americans have the peace of mind that comes with knowing that they won’t have to choose between filling their prescription or putting food on the table.
Capping Medicare Cost-Sharing at $2 for Common Generic Drugs. Medicare will be launching a new model to limit Medicare Part D cost-sharing for certain generic drugs to $2. As Medicare prepares to launch the model, today HHS published a list of dozens of generic drugs for the model, including drugs like statins to treat high cholesterol, beta-blockers for high blood pressure, and platelet inhibitors to prevent blood clots. In his budget, the President is calling on Congress to limit Medicare cost-sharing to $2 for high-value generic drugs for all Medicare plans.
Access to Cell & Gene Therapies. In January, HHS announced that sickle cell disease will be the first focus of the Cell and Gene Therapy (CGT) Access Model. Under this model, CMS will negotiate with manufacturers on behalf of state Medicaid programs to increase affordable access to potentially lifesaving and life-changing treatment, and lower health care costs for some of the nation’s most vulnerable populations. Today, CMS is releasing the Request for Applications for drug manufacturers of cell and gene therapies to participate in the model.
Expand the IRA’s Requirement that Drug Companies Pay Rebates When They Increase Prices Faster than Inflation. Thanks to the IRA, drug manufacturers must now pay rebates to Medicare if their price increases for certain drugs exceed inflation. The President is calling on Congress to require those rebates for commercial drug sales, as well as sales to Medicare. That will save the federal government billions of dollars, further curb prescription drug price inflation, and reduce health insurance premiums for people with private health insurance coverage.
Putting High-Quality Health Care Within Reach
Today, more Americans have health insurance than under any President. The President’s efforts to lower health insurance premiums have led to record-breaking enrollment in the Affordable Care Act’s Marketplaces, with over 21 million people signing up for coverage – 9 million more than when the President took office. The Biden-Harris Administration isn’t stopping there and is building on this incredible success by:
Keeping Health Insurance Premiums Low. Thanks to the President’s American Rescue Plan and Inflation Reduction Act, millions of Americans are saving on average $800 a year on premiums. The Biden-Harris Administration is committed to keeping health insurance premiums low, giving families more breathing room and the peace of mind that health insurance brings. To do that, the President is calling on Congress to make the expanded premium tax credits that the Inflation Reduction Act extended permanent. Without Congressional action, millions of Americans will see their health insurance premiums spike by hundreds or thousands of dollars starting in the fall of 2025.
Closing the Medicaid Coverage Gap. The President continues to call on Congress to provide Medicaid-like coverage to people in the 10 states that have not adopted Medicaid expansion as well as keeping Medicaid expansion enrollees covered.
Keeping Kids Covered. Investing in our nation’s children is a top priority for the President. Research shows that when children have health insurance, they thrive: they’re healthier, they do better in school, and are more likely to succeed in adulthood. Keeping children covered is the right thing to do, which is why the President wants to make sure that children can never lose coverage due to red tape from birth until they turn age 6, and that families only have to submit Medicaid paperwork once every three years.
Closing Research Gaps in Women’s Health Research.In November 2023, the President and the First Lady launched the first-ever White House Initiative on Women’s Health Research to fundamentally change how our nation approaches and funds women’s health research. Women make up more than half the population but have been understudied and underrepresented in health research for far too long. As part of the initiative, the President during the State of the Union will call on Congress to make bold, transformational investments in women’s health research.
Making Home Care More Available. Thanks to the American Rescue Plan, President Biden delivered $37 billion to all states to expand access to home care and improve the quality of caregiving jobs. The Biden-Harris Administration is taking steps to improve the quality of Medicaid home care services and to make sure home care workers get a bigger share of Medicaid payments for these critical services. The President remains committed to further improving and expanding Medicaid home care services, and is calling on Congress to do their part to allow the hundreds of thousands of older adults and individuals with disabilities on Medicaid home care waiting list to remain in their homes and stay active in their communities while continuing to improve the quality of jobs for caregivers.
Ensuring Access to Mental Health Care. Ensuring robust access to mental health care has been a bipartisan priority for almost 15 years, including the enactment of mental health parity requirements which require health plans to cover mental health care benefits at the same levels as physical health care benefits. Yet today, too many Americans still struggle to find and afford the care they need. The President is committed to tackling the mental health crisis in this country, which means making health plans do their part and providing agencies with the needed support to make sure they’re doing so. The Biden-Harris Administration is working to finalize the mental health parity rule, which would close existing loopholes as well as ensure health plans evaluate access to mental health care in their networks, and make changes if it’s found to be inadequate. In addition, the President is calling on Congress to further increase access to mental health care by expanding coverage in Medicare and private insurance, applying the mental health parity requirements to Medicare beneficiaries, and extending Medicare incentive programs to address mental health provider shortages.
Cracking Down on Junk Insurance, Surprise Bills and Fees, and Confusing Health Care Pricing
Nothing infuriates the President more than seeing Americans get ripped off. That’s why the Biden-Harris Administration has prioritized implementing surprise billing protections, preventing 1 million Americans from receiving surprise medical bills every single month. The President has also taken steps to prevent Americans from being ripped off by junk insurance that preys on vulnerable citizens by closing loopholes to ensure consumers know what they’re buying and can get the health coverage that best meets their needs. But more can be done to protect consumers, which is why the President intends to:
Prevent More Surprise Medical Bills. Today, Americans are protected from receiving medical bills for most emergency care and air ambulance services as well as when consumers didn’t know they were getting care from an out-of-network provider despite doing their homework and going to an in-network facility for treatment. The President wants to further protect consumers by applying surprise billing protections to ground ambulance providers. The last thing people should worry about during an emergency is an unexpected bill for their ambulance ride.
Crack Down on Junk Insurance. Last year, the Biden-Harris Administration proposed a monumental rule to help millions of Americans access high-quality, affordable health insurance and protect consumers from being discriminated against because of pre-existing conditions. Making sure Americans aren’t scammed into low-quality coverage, and charged more or denied life-saving care is a key priority for the Administration, which is why we are working to finalize proposed rules that limit the availability of junk insurance.
Honoring America’s Commitment to Seniors
The President has always believed that Medicare and Social Security are a promise—a rock-solid guarantee generations of Americans have counted on to be able to retire with dignity and security. The President will reject any efforts to cut the Medicare or Social Security benefits that seniors and people with disabilities have earned and paid into their entire working lives. The Budget honors that ironclad commitment—not only by rejecting benefit cuts, but by embracing reforms and investments that will protect and strengthen both programs. The President is committed to working with Congress to ensure Medicare and Social Security remain strong for their beneficiaries, now and in the future.
Securing Medicare. In his budget, the President is calling on Congress to ensure that high-income individuals contribute their fair share to Medicare and directs revenue from the Net Investment Income Tax into the HI trust fund as was originally intended. In addition, the President has proposed to direct savings from further lowering drug costs into the Medicare trust fund. If Congress were to heed the President’s call and enact these reforms, it would substantially extend solvency for the Medicare HI Trust Fund, guaranteeing seniors the benefits they have been promised.
Protects Seniors’ Health and Dignity. As President Biden pledged to do two years ago in the State of the Union, the Biden-Harris Administration is “set[ting] higher standards for nursing homes and make sure your loved ones get the care they deserve and that they expect.” The nursing home industry receives billions of dollars of taxpayer funding each year, but for too long, many facilities have not had the staff required to give residents safe, high-quality care. That is changing. HHS has proposed a new rule establishing a federal floor for nursing home staffing, so that owners cannot cut staffing to unsafe levels simply to turn a profit. This includes a proposal for every facility to have a Registered Nurse on site 24/7, in addition to minimum number of registered nurses and nurse aides to assist with care. Earlier this year, HHS also finalized a rule to increase transparency in nursing home ownership, making it easier for residents and their loved ones to hold facilities accountable. The final rule was just submitted to the Office of Management and Budget for review
Strong Record on Expanding and Strengthening Health Care Nationwide
The President’s new actions are all in addition to an already impressive track record on fighting for the health care of Americans across the nation. Over the last three years, the President has:
Expanded health insurance through the ACA Marketplaces to an additional nine million Americans and helped over one million people in Missouri, North Carolina, Oklahoma, and South Dakota gain Medicaid coverage.
Extended postpartum Medicaid coverage to nearly 700,000 women across 44 states and the District of Columbia.
Kept children covered continuously in Medicaid and CHIP for a full year.
Made it easier for people to enroll in the ACA Marketplaces and Medicaid, including for older adults that are covered by both Medicaid and Medicare.
Made critical vaccines free for all Medicare beneficiaries as well as adults enrolled in Medicaid, with seniors on Medicare saving on average $70 in out-of-pockets for vaccines.
Lowered maximum out of pocket costs for Americans with employer and ACA coverage by an average of $400.
Capped out-of-pocket costs at $35 for a month’s supply of insulin for seniors and people with disabilities on Medicare.
Lowered coinsurance for seniors that took the 47 drugs covered by Medicare Part B that hiked prices faster than inflation in 2023, with some enrollees saving as much as $618 per dose.
The White House is piercing the secrecy, backroom plans of Congressional Republicans to yet again, repeal the Affordable Care Act (Obamacare) and slash Medicaid, under the guise of “balancing the budget”. Instead, the Republicans’ agenda would add $3 trillion to the national debt while leaving hundreds of millions living with the anxiety and insecurity of being without access to health care or destroyed by medical debt. The Republicans’ policy goes against the grain of Americans who overwhelmingly support Obamacare, which has delivered record numbers of Americans who have health insurance. Repealing the ACA would thrust millions into the life-and-death insecurity of not having health insurance at all or finding health insurance unaffordable, the 100 million people who have “pre-existing conditions” (now likely 200 million because of COVID), also being uninsurable by the for-profit insurance industry. Likewise, slashing Medicaid would not only leave millions, including millions of children, without health care, but result in more hospitals shutting down. This fact sheet from the White House is issued in advance of President Joe Biden’s remarks from Virginia Beach:–Karen Rubin/news-photos-features.com
Speaker McCarthy and congressional Republicans have committed to balance the budget while adding $3 trillion or more to the deficit through tax cuts skewed to the wealthy and large corporations. As a matter of simple math, that requires trillions in program cuts. Congressional Republicans have yet to disclose to the American people where these cuts will come from. But past Republican legislation, budgets, and litigation, along with recent statements, proposals, and budgetplans, provide clear evidence that health care will be on the chopping block for severe cuts.
Virtually every Republican budget or fiscal plan over the last decade has included repeal of the Affordable Care Act (ACA) and deep cuts to Medicaid. That would mean: higher health care costs for tens of millions of Americans; ending critical protections for people with pre-existing conditions; millions of people losing health coverage and care; and threats to health care for seniors and people with disabilities, including growing home care waiting lists and worse nursing home care.
The American people deserve to see congressional Republicans’ full and detailed budget plan, including what it cuts from the ACA and Medicaid, Social Security and Medicare, and other critical programs, and should have the chance to compare it with the President’s budget plan, which he will release March 9.
If Republicans are successful in repealing the Affordable Care Act and making deep cuts to Medicaid:
Millions of Americans Will Have Higher Health Care Costs
More than 100 million people with pre-existing health conditions could lose critical protections. Before the ACA, more than 100 million Americans with pre-existing health conditions could have been denied coverage or charged more if they tried to buy individual market health insurance. Republican repeal proposals either eliminate these protections outright or find otherways to gut them.
Up to 24 million people could lose protection against catastrophic medical bills. Before the ACA, insurance plans were not required to limit enrollees’ total costs, and almost one in five people with employer coverage had no limit on out-of-pocket costs, meaning they were exposed to tens of thousands of dollars in medical bills if they became seriously ill.
Tens of millions of people could be at risk of lifetime benefit caps. Prior to the ACA, 105 million Americans, mostly people with employer coverage, had a lifetime limit on their health insurance benefits, and every year up to 20,000 people hit that cap and saw their benefits exhausted just when they needed them most.
Millions of people could lose free preventive care. The ACA requires private health insurers to cover preventive services, like cancer screenings, cholesterol tests, annual check-ups, and contraceptive services, at no cost. Before these requirements were in place, millions of Americans with health insurance faced cost sharing – sometimes high costs – for these services, which is part of why the ACA resulted in increased use of critical preventive care.
Over $1,000 average increase in medical debt for millions covered through Medicaid expansion. Repealing the ACA, in particular the expansion of Medicaid to low-income adults, would reverse major gains in financial security. Within the first two years of the ACA’s expansion of Medicaid, medical debt sent to collection agencies dropped by $3.4 billion, and there were 50,000 fewer medical bankruptcies. Among people gaining coverage through expansion, medical debt fell by an average of over $1,000. Expansion states also saw significant drops in evictions compared to non-expansion states.
Tens of millions of people could see their prescription drug coverage scaled back. Prescription drug coverage is an optional benefit under Medicaid. If states faced large cuts to their federal Medicaid funding, millions of Medicaid enrollees could see their coverage scaled back or have a harder time getting their prescriptions because of extra red tape.
Millions of Americans Will Lose Their Health Insurance
40 million people’s health insurance coverage would be at risk. Over 16 million people have signed up for ACA marketplace coverage for 2023, over 22 million people are enrolled in Medicaid expansion coverage available due to the ACA, and another 1 million people have coverage through the ACA’s Basic Health Program. The total number of people with some form of ACA coverage has risen significantly since 2017, when the Congressional Budget Office estimated the House-passed repeal bill would grow the ranks of the uninsured by 23 million.
An additional 69 million people with Medicaid could lose critical services, or could even lose coverage altogether. Slashing federal funding for Medicaid would force states to make Medicaid eligibility changes that would make it harder to qualify for and enroll in Medicaid coverage. States would also likely consider capping or limiting enrollment, cut critical services, and cut payments rates, making it harder for people with Medicaid to access care.
Thousands more preventable deaths each year. The ACA Medicaid expansion is preventing thousands of premature deaths among older adults each year, research finds, likely because it improves access to care, including medications to control chronic conditions and preventive care such as cancer screenings. ACA marketplace coverage also prevents premature deaths.
Worse Care for Seniors and People With Disabilities
Over 7 million seniors and people with disabilities could receive worse home care, with ballooning wait lists for those still in need. The number of people on home care wait lists has dropped by 20 percent since 2018. This progress would likely be reversed under a block grant or per-capita cap because there would be fewer dollars available for home care services, an optional benefit in Medicaid. Faced with large federal funding cuts, states would almost certainly ration care. That would likely mean wait lists for home care in the 13 states and DC that don’t currently have them, and skyrocketing wait lists in 37 states that do.
Hundreds of thousands of nursing home residents would be at risk of lower quality of care. Over 60 percent of nursing home residents are covered by Medicaid. With large cuts in federal funding, states would be forced to cut nursing home rates to manage their costs, as many states have done during recessions. Research shows that when nursing homes are paid less, residents get worse care.
Millions of People Will Lose Access to Opioid Treatment and Mental Health Care
Millions of people could lose access to substance use treatment or mental health care. Across the country, the ACA, especially its expansion of Medicaid, has dramatically expanded access to opioid treatment and other substance use disorder care, including increases in medication assisted treatment prescriptions for opioid and other substance use treatment and improved access to mental health care.
34 million children at risk of losing guaranteed access to mental health care. Past Republican plans proposed ending Medicaid’s guarantee of comprehensive health coverage for children. This would jeopardize children’s access to mental health care at a critical point in efforts to address the burgeoning youth mental health crisis. It would also cause children to go without other services, like annual check-ups and speech and physical therapy. And Republican proposals could endanger schools’ ability to bill Medicaid for mental health care, speech therapy, or physical therapy for students.
Rural Hospitals Would Be Forced to Close
More of the over 500 rural hospitals at risk of closure could close. The ACA, especially its expansion of Medicaid, helped cut hospital uncompensated care by about $12 billion, helping hospitals, especially rural hospitals, stay afloat. Between 2010 and 2021, nearly three-fourths of rural hospital closures were in states that have not adopted Medicaid expansion, with research finding that expansion disproportionately improved rural hospital margins and helped avert rural hospital closures. If the ACA is repealed, and millions lose coverage, closures among at-risk hospitals could increase significantly.
Separate from all these quantifiable harms, Republican ACA and Medicaid plans propose abrupt, unprecedented upheaval, with consequences for the entire health care system. In 2017, patient groups, physicians, hospitals, insurers, insurance regulators, health care experts, and governors from both parties all expressed alarm that ACA repeals could have far-reaching consequences for the stability of health insurance markets and availability of affordable coverage and care.
House Republicans commit to radical ultra MAGA budget that takes health care from millions and increases costs:
Confirming President Biden’s warning that House Republicans are threatening to cause an unforced economic catastrophe unless they can make disastrous cuts that increase millions of American’s health care costs, the top House Republican on the Budget Committee now says outright that they are using a ultra MAGA plan to do just that.
House Budget Chairman Jodey Arrington says Republicans are modeling their budget off of a hard right proposal from former Trump OMB Director Russell Vought – a plan that calls for draconian cuts to the Affordable Care Act and Medicaid. This would deprive countless Americans of their health coverage, make the costs of health care skyrocket cross the board, cause a spike in the price of prescription drugs, and devastate rural hospitals.
What sacrifices does Vought’s budget ask of rich special interests? None. And House Republicans simultaneously back enormous tax giveaways to the wealthy that economists warn would aggravate inflation.
President Biden and the American people want to go in the opposite direction, building on the historic deficit reduction he has led by having the rich and big corporations pay their fair share and reduce the deficit by a further $2 trillion.
“In their own words, Congressional Republicans keep proving President’s Biden’s warnings to the middle class right,” said White House spokesperson Andrew Bates. “The House Republican leading their budget process now admits that the foundation of their approach will be a radical, ultra MAGA plan that takes health coverage away from millions of middle class families, causes health care and prescription drug costs to skyrocket, and devastates rural hospitals. And they’re threatening to intentionally plunge our economy into chaos and kill millions of jobs and businesses if they don’t get their way. Meanwhile, Republicans are pushing exorbitant tax welfare for rich special interests that would increase the deficit and worsen inflation. This is the definition of trying to force our economy to work from the top-down, when they should be joining with President Biden to keep rebuilding the American middle class.”
Affordable Care Act – Obamacare – gives access to affordable health insurance for individuals. The Biden Administration reported a record 16.3 million people signed up for Obamacare in the last open enrollment period, a nearly 50 percent increase in HealthCare.gov signups since President Biden took office; 3.6 million people signed up for health care coverage through the marketplaces for the first time. (c) Karen Rubin/news-photos-features.com
Nearly 50% increase in HealthCare.gov signups since President Biden took office, and 3.6 million people signed up for health care coverage on the Marketplaces for the first time this year
The White House provided this detail about a record 16.3 million people signing up for Obamacare in the just-concluded open enrollment season,a nearly 50% increase inHealthCare.gov signups since President Biden took office, and 3.6 million people signed up for health care coverage on the Marketplaces for the first time this year
The Biden-Harris Administration announced that a record-breaking 16.3 million people have selected an Affordable Care Act (ACA) Marketplace health plan nationwide during the 2023 Marketplace Open Enrollment Period (OEP) that ran from November 1, 2022-January 15, 2023 for most Marketplaces. President Biden promised to strengthen and build on the Affordable Care Act, and this year, the 10th year of ACA Open Enrollment, more Americans signed up for high-quality, affordable health insurance through the ACA Marketplaces than ever before. Since President Biden took office, the number of people who have signed up for an affordable health care plan through HealthCare.gov has increased by nearly 50%. Because of the President’s plan, millions of working families saved an average of $800 on their health insurance premiums last year.
Total plan selections include 3.6 million people (22% of total) who are new to the Marketplaces for 2023, and 12.7 million people (78% of total) who had active 2022 coverage and made a plan selection for 2023 coverage or were automatically re-enrolled. Over 1.8 million more people have signed up for health insurance, or a 13% increase, from this time last year. The 3.6 million plan selections from people who are new to the Marketplaces represent a 21% increase in new-to-Marketplace plan selections over last year.
“Unprecedented investments lead to unprecedented results,” said HHS Secretary Xavier Becerra. “Thanks to President Biden’s leadership, more than 16 million Americans have health insurance through the Affordable Care Act Marketplaces – an all-time high. The Biden-Harris Administration has made lowering health care costs and expanding access to health insurance a top priority – and these record-breaking numbers show we are delivering results for the American people. We will keep doing everything we can to ensure more people have the peace of mind that comes with high-quality, affordable health care.”
“President Biden promised to build on the success of the Affordable Care Act and make it easier for people to enroll and find affordable, quality coverage – and that promise has been kept,” said CMS Administrator Chiquita Brooks-LaSure. “On the tenth anniversary of the ACA Marketplaces, the numbers speak for themselves: more people signed up for plans this year than ever before, and the uninsured rate is at an all-time low.”
The Biden-Harris Administration has made expanding access to health insurance and lowering health care costs for America’s families a top priority, and under their leadership, the national uninsured rate reached an all-time low earlier this year, and the 2023 Marketplace Open Enrollment Period saw the highest number of plan selections of any year since the launch of the ACA Marketplaces ten years ago.
This year, individuals benefited from a highly competitive Marketplace. Ninety-two percent of HealthCare.gov enrollees had access to options from three or more insurance companies when they shopped for plans. Also, new standardized plan options were available in 2023 through HealthCare.gov, which helped consumers compare and select plans. Thanks to the Inflation Reduction Act, more people this year continued to qualify for help purchasing quality health coverage with expanded financial assistance, resulting in four out of five people returning to HealthCare.gov being able to find a plan for $10 or less after tax credits.
Today’s snapshot represents activity through January 15, 2023 for the 33 Marketplaces using HealthCare.gov and through January 14 or 15, 2023 for the 18 State-based Marketplaces (SBMs) in 17 states and the District of Columbia that are using their own eligibility and enrollment platforms.
1 The returning consumers metric in this report includes both consumers who have returned to their respective Marketplace through the reporting date and selected a plan for 2023 coverage and consumers who have been automatically re-enrolled in their 2022 plan or a suggested alternate plan. 2 In addition to reported plan selections, New York and Minnesota have a Basic Health Program (BHP), which provides coverage to consumers with incomes below 200 percent of the FPL who are not eligible for Medicaid or CHIP and otherwise would be eligible for a QHP. From November 1 – January 14, 2023, New York had a total of 1,114,406 individuals enroll in a BHP. Minnesota’s BHP data was not available at the time of this report.
While the 2023 Open Enrollment Period has closed for the 33 Marketplaces using HealthCare.gov, State-Based Marketplace deadlines vary and enrollment continues in several states. State-specific deadlines and other information are available in the State-based Marketplace Open Enrollment Fact Sheet.
Individuals who meet certain conditions may be eligible for a Special Enrollment Period (SEP) and can determine if they qualify by visiting HealthCare.gov, or CuidadoDeSalud.gov, or by calling 1-800-318-2596.
This fact sheet on the impact on health care coverage, benefits and protections under the Congressional Republicans’ plans was provided by the White House:
President Biden’s top priority is to lower costs for the American people. He was proud to sign the Inflation Reduction Act into law, taking on Big Pharma to allow Medicare to negotiate prescription drug costs for the first time, capping seniors’ drug costs at the pharmacy and the cost of insulin, and lowering health insurance premiums for people who get coverage through the Affordable Care Act. President Biden and Congressional Democrats are committed to protecting and strengthening Social Security and Medicare.
Congressional Republicans have a very different vision. They have promised to strip Medicare of the right to negotiate drug prices and remove the $2,000 cap on out-of-pocket pharmacy expenses. Florida’s Republican Senator and Chair of the National Republican Senatorial Committee Rick Scott has championed a plan to put Medicare, Medicaid, and Social Security on the chopping block every five years. Further, Congressional Republicans have repeatedly pledged to hold the American economy hostage by refusing to raise the debt limit unless they can cut Social Security and Medicare benefits that tens of millions of Americans have already paid into.
Here’s what Congressional Republicans’ plan would mean:
Part I: Putting Bedrock Programs like Social Security and Medicare on the Chopping Block and Threatening the Global Economy Unless Those Programs Are Cut
All Medicare, Medicaid, and Social Security beneficiaries would see their benefits threatened under Sen. Rick Scott’s plan to put those programs on the chopping block every five years. Sen. Ron Johnson’s vision of putting them up for a vote every year would make that even worse.
Congressional Republican leaders have also repeatedly said they will use the debt limit as leverage to cut these bedrock programs. Congressional Republicans have supported Medicare and Social Security cuts including:
Transforming Medicare benefits into a voucher where seniors would get a fixed amount of money to purchase a private health plan (Better Way Plan) or offering beneficiaries the option to transition to a premium support system (Republican Study Committee FY 2023 Budget) – which could lead to hundreds or thousands of dollars in additional out of pocket costs for seniors throughout the country.
Part II: Repealing the Prescription Drug and Health Care Provisions in the Inflation Reduction Act
President Biden has worked for decades to let Medicare negotiate drug prices, and that is finally happening thanks to the Inflation Reduction Act. This will save billions of dollars for both Medicare beneficiaries, who will see reduced premiums and out-of-pocket costs, and the federal government. Kaiser Family Foundation estimates suggest that some 5 to 7 million beneficiaries each year use the types of high-cost drugs that could be subject to negotiation and will directly face higher cost sharing if these provisions are repealed.
The Inflation Reduction Act also requires prescription drug companies to pay rebates if they increase drug prices faster than inflation. According to an analysis by the Department of Health and Human Services, the cost of 1,200 prescription drugs rose faster than inflation in the last year alone – some prescription drugs increasing by $1000 in just one year. If Congressional Republicans repeal the Inflation Reduction Act, drug companies will be able to continue raising prices without paying a rebate, rather than putting that money back into Americans’ pockets.
Before the Inflation Reduction Act, Medicare beneficiaries with conditions like cancer, multiple sclerosis, and lung disease could face thousands of dollars in out-of-pocket prescription drug costs per year. Thanks to President Biden and Congressional Democrats’ Inflation Reduction Act, those costs will be capped at $2,000 per year, saving over 1 million beneficiaries an average of over $1,300 per year. If Congressional Republicans get their way and repeal the law, over 1.4 million Medicare beneficiaries will pay more each year – thousands of dollars more in some cases – for drugs at the pharmacy.
Drug manufacturers have raised insulin prices so rapidly over the last few decades that some Medicare beneficiaries struggle to afford this life-saving drug that costs less than $10 a vial to manufacture. Today, Medicare beneficiaries are enrolling in plans that must cap the out-of-pocket cost of insulin at no more than $35 per month per prescription, a protection they will lose if the law is repealed.
The Inflation Reduction Act saves 13 million Americans an average of about $800 per year on their health care premiums, by continuing the improvements to Affordable Care Act (ACA) premium tax credits enacted in the American Rescue Plan. By making health care more affordable, these improvements have expanded coverage to millions of people, helping bring the uninsured rate to an all-time low. Starting today, during Open Enrollment season, Americans can choose health insurance plans that lock in the Inflation Reduction Act’s cost savings for 2023. But Congressional Republicans would repeal this assistance, drive premiums higher, and jeopardize the progress the Biden Administration has made in driving the uninsured rate to a historic low. Older Americans would see especially large premium spikes; in most states, annual premiums for a 60-year old making $60,000 would more than double to over $10,000.
President Joe Biden, with former President Barack Obama at his side, signed an Executive Order to expand access to the Affordable Care Act, which he said was fittingly dubbed “Obamacare”, fix the “family glitch” and lower health care costs for one million Americans. Recalling the difficulty of passing Obamacare, Biden remarked on Obama’s unwavering commitment toward the goal of universal health care, where a medical emergency wouldn’t bankrupt a family and people did not live with the insecurity of being denied coverage. Obama reflecting on the strong opposition from Republicans – who have attempted to repeal the ACA more than 70 times, and only last week, vowed to repeal it when they regain control of Congress – said that compromises had to be made in order to achieve what presidents had failed to do for 100 years in providing access to health care. As Biden said, it was the most consequential legislation since Medicare of 1965. Obama said it was always recognized that the law would need to be improved. That’s what Biden did today.
From day one of his presidency, Biden has worked to expand access to health care, and now, some 30 million have health insurance coverage because of Obamacare, while 100 million Americans with pre-existing conditions are assured of having health insurance (a number that will be vastly expanded with over 75 million having contracted COVID-19 and millions suffering effects of Long-COVID), children can stay on their parents’ plan until age 26, and there are no longer lifetime caps on coverage. Here’s a Fact Sheet from the White House on how Biden-Harris Administration proposes to fix the “family glitch” and lower health care costs – the most significant administrative action to improve implementation of Obamacare since its enactment 12 years ago. “The ACA is stronger now than it has ever been and today we are strengthening it further,” Biden declared.
President Biden and Vice President Harris believe that health care is a right, not a privilege. They promised to protect and build on the Affordable Care Act (ACA), lowering costs and expanding coverage so that every American has the peace of mind that health insurance brings.
The Biden-Harris Administration continues to deliver on that promise. Thanks to the landmark American Rescue Plan, ACA premiums are at an all-time low, while enrollment is at an all-time high. Four out of five Americans can find quality coverage for under $10 a month, and families are saving an average of $2,400 on their annual premiums—$200 in savings every month back to families. The Administration has lowered costs and increased enrollment to a record high of 14.5 million Americans—including nearly 6 million who newly gained coverage. With the addition of Missouri and Oklahoma, two states that expanded Medicaid last year, nearly 19 million low-income Americans are enrolled in the ACA’s Medicaid expansion coverage, adding up to a record nearly 80 million children, pregnant women, seniors, people with disabilities, and other low-income Americans covered by Medicaid.
PROPOSING TO FIX THE “FAMILY GLITCH”
Today, the Biden-Harris Administration is proposing a rule to strengthen the ACA by fixing the “family glitch,” which would save hundreds of thousands of families hundreds of dollars a month.
Under the ACA, people who do not have access to “affordable” health insurance through their jobs may qualify for a premium tax credit to purchase affordable, high-quality coverage on the ACA’s health insurance marketplaces. Current regulations define employer-based health insurance as “affordable” if the coverage solely for the employee, and not for family members, is affordable, making family members ineligible for a premium tax credit even though they need it to afford high-quality coverage through the Marketplace. For family members of an employee offered health coverage through an employer, the cost of that family coverage can sometimes be very expensive and make health insurance out of reach. The “family glitch” affects about 5 million people and has made it impossible for many families to use the premium tax credit to purchase an affordable, high-quality Marketplace plan.
The Treasury Department and the Internal Revenue Service are proposing to eliminate the “family glitch.” Should today’s proposed rule be finalized, family members of workers who are offered affordable self-only coverage but unaffordable family coverage may qualify for premium tax credits to buy ACA coverage. Should the proposed change be made, it’s estimated that 200,000 uninsured people would gain coverage, and nearly 1 million Americans would see their coverage become more affordable. Many families would be able to save hundreds of dollars a month thanks to lower premiums. This proposed rule would amount to the most significant administrative action to improve implementation of the ACA since its enactment.
EXECUTIVE ORDER CONTINUING TO STRENGTHEN AMERICANS’ ACCESS TO AFFORDABLE, QUALITY HEALTH COVERAGE
Last January, President Biden signed an Executive Order directing federal agencies to take action to strengthen Medicaid and the Affordable Care Act. Today, President Biden is building on that directive with a new Executive Order directing federal agencies to continue doing everything in their power to expand affordable, quality health coverage. This includes:
Making it easier for people to enroll in and keep their coverage.
Helping people better understand their coverage options so they can pick the best one for them.
Strengthening and improving the generosity of benefits and improving access to health care providers.
Improving the comprehensiveness of coverage and protecting Americans from low-quality coverage.
Continuing to make health coverage more accessible and affordable by expanding eligibility and lowering costs for Americans with ACA, Medicare, or Medicaid coverage.
Connecting people to health care services by improving access to health care providers and linkages between the health care system and communities to help Americans with health-related needs.
Taking steps to help reduce the burden of medical debt that far too many Americans experience.
ADDITIONAL EFFORTS TO STRENGTHEN THE ACA AND MEDICAID
These latest actions build on months of work to strengthen the ACA and Medicaid by lowering costs and expanding coverage.
Lowered premiums and out of pocket costs for millions of Americans. As the biggest expansion of affordable health care since the ACA, the American Rescue Plan (ARP) included enhanced subsidies that lowered premiums for 9 million Americans by an average of $50 per month per person. The enhanced subsidies helped expand the availability of free and low-cost health plans to millions of consumers with nearly half of existing consumers able to enroll in a silver level plan with no premium and 70 percent of existing able to enroll in a low-premium silver plan. In addition, the Administration lowered the cap on total out-of-pocket costs by $400 in 2022.
Made it easier to sign up for affordable coverage, including opening a Special Enrollment Period in 2021. In addition to opening a Special Enrollment Period last year, which enabled nearly 3 million Americans to newly sign up for coverage under the ACA, the Administration extended HealthCare.gov’s Open Enrollment period by one month, giving people more time to sign up for coverage The Administration operated the most successful Open Enrollment Period in history last year, with a historic 14.5 million Americans signing up for ACA coverage and another million people signing up for the Basic Health Program, an alternative coverage program created by the ACA. The Administration also eliminated unnecessary paperwork and increased outreach, quadrupling the number of trained Navigators to help Americans sign up for coverage on HealthCare.gov. These efforts helped reach communities that have historically been left behind, with the HealthCare.gov enrollment rate increasing by 26 percent for Hispanic Americans and 35 percent for Black Americans.
Facilitated the expansion of Medicaid in Missouri and Oklahoma. The Centers for Medicare & Medicaid Services (CMS) helped Missouri and Oklahoma become the 38th and 39th states to expand Medicaid, which will cover nearly half a million more low-income Americans in those two states. Missouri and Oklahoma are also taking advantage of the ARP’s financial incentive to expand Medicaid, which is expected to provide an extra $968 million and $500 million in federal dollars to these states, respectively.
Expanded and strengthened access to home care for millions of older Americans and people with disabilities. The ARP provided states with increased Medicaid funding to help expand access to home care services, furthering the Administration’s commitment to ensuring people can get the care they need in their homes and communities. The additional Medicaid funding will also help states strengthen their home- and community-based services programs by investing in the home care workforce and other innovations to improve the delivery of care.
Provided new options to help people experiencing a behavioral health crisis. Thanks to the ARP, states can now receive enhanced Medicaid funding to establish mobile crisis intervention services teams to help provide services to Medicaid beneficiaries experiencing a behavioral health crisis. This new option is a key component in the Administration’s strategy to address the Nation’s mental health crisis by ensuring that Medicaid beneficiaries experiencing a behavioral health crisis can get connected to the care they need.
Tackled the maternal health crisis. Medicaid covers more than 40 percent of births in the United States. Thanks to the ARP and the Vice President’s leadership, the Biden-Harris Administration partnered with Illinois, New Jersey, Virginia, and Louisiana to make sure new moms can keep their Medicaid coverage for a year after they deliver. Another 9 states are in the process of seeking CMS approval to expand postpartum coverage to their states as well. Based on HHS estimates, more than 83,000 beneficiaries across five states will benefit from this extended post-partum coverage during the critical first year after delivery.
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.
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.
Vice President Joe Biden is directly challenging Trump’s handling of the coronavirus pandemic accelerating across the United States and world that has produced twin crises in healthcare and the economy, in the form of questions that should be posed at the White House briefings that have become campaign rallies for Trump’s election. (c) Karen Rubin/news-photos-features.com
Vice President Joe Biden is directly challenging Trump’s handling of the coronavirus pandemic accelerating across the United States and world that has produced twin crises in healthcare and the economy, in the form of questions that should be posed at the White House briefings that have become campaign rallies for Trump’s election. Instead of a “whole of government” marshaling of forces to combat the virus, Trump’s “whole of government” is one big political enterprise, while Trump uses that time at the bully pulpit to attack Democrats, particularly Speaker Nancy Pelosi, and call the impeachment yet another “hoax” instead of organizing his administration to make sure all the states and cities have the life-saving equipment and staff needed to save lives, that the nation unites together to curtail social contact, and to make sure businesses and families to have the financial resources necessary to make it through. Instead, Trump has denied re-opening enrollment to Obamacare for those who don’t have health insurance, and his administration has no clue how to actually implement the $2.2 trillion in “relief” money to families and businesses. This is from the Biden campaign: –Karen Rubin, news-photos-features.com.
As Trump Attempts to Spin Away His Historic Failure to Combat the Coronavirus, Here Are Questions He Needs to Answer at Today’s Press Conference
1. Why are you refusing to allow Americans who desperately need health insurance in the middle of a pandemic access to the Affordable Care Act’s marketplace?
This is yet another step in Trump’s ideological battle against the ACA — no matter the cost to the health care of Americans — which has seen his Administration pursue efforts that would kick tens of millions of Americans off their coverage and roll back protections for Americans with pre-existing conditions
About 20 million Americans have received health insurance through the ACA, and it’s given better care and peace of mind to countless others — that’s why Vice President Biden sent a letter to President Trump and Republican leaders demanding that they drop their efforts to jeopardize Americans’ health care.
2. Why do you continue to mislead Americans about your failure to adequately develop and deploy an effective coronavirus test — a failure that allowed the virus to spread unchecked and explode across our country?
In a call with governors on Monday, according to the New York Times, Trump continued to shrug off the coronavirus testing crisis that exploded on his watch, claiming that “I haven’t heard about testing being a problem” and that he hasn’t “heard about testing in weeks” — even though countless Americans are still unable to be tested for the coronavirus, fatally undercutting our response to this crisis?
Trump’s lie was so out of step with reality that it prompted a rebuke from fellow Republicans, with Maryland Governor Larry Hogan saying yesterday that Trump’s claim was “just not true” and that “no state has enough testing” and Ohio Governor Mike DeWine adding that “we know Ohio hasn’t had as much testing as we would have liked. We had to ration the testing.”
Similarly, Trump’s assertion in a Monday interview with Fox New that testing failures were the fault of the Obama-Biden administration was demolished by PolitiFact yesterday, which rated Trump’s claim “Pants on Fire” false, and said that that his attack “flies in the face of logic.”
Trump’s baseless claims come just days after a bombshell report by the Times showed how his failure to quickly deploy an accurate coronavirus test resulted in a “lost month” that left America blind as it tried to combat the virus’ spread, and that his administration “squandered [America’s] best chance of containing the virus’s spread.”
3. With new polls showing that Americans don’t approve of your handling of the coronavirus crisis, do you regret not acting sooner to halt the virus’ spread, like other countries did, instead of downplaying its threat for months?
Two new polls today show growing numbers of Americans disapprove of Trump’s slow and erratic response to the coronavirus, which has left the United States leading the world in confirmed cases.
A POLITICO/Morning Consult survey found that by a seven point margin, Americans don’t think the administration is doing enough to combat the coronavirus. Similarly, an Associated Press poll also out today shows that only 44% of Americans approve of Trump’s handling of the pandemic and only 38% approve of the federal government’s response — even as people rally in support of how their state and local officials have handled the crisis.
4. GOP State Attorneys General confirmed Monday that they will continue their lawsuit to roll back the Affordable Care Act and kick millions of Americans off their health insurance in the midst of a pandemic. Will you, as Vice President Biden has called for, withdraw your support for this effort?
The Daily Beast confirmed on Monday that at least five Republican state Attorneys General plan to continue their lawsuit to overturn the ACA — threatening the health care of millions of Americans in the middle of a pandemic.
Ten years ago, President Obama signed the Affordable Care Act into law, expanding access to quality, affordable health care for millions of Americans. But instead of standing up for Americans’ health care, Donald Trump continues to lead fellow Republicans in efforts to do away with the law and the critical protections it put in place.
5. Why did your administration ignore existing Obama-Biden Administration plans to combat pandemics and why did you take actions that reduced our preparedness for challenges like the coronavirus?
POLITICO reports that the Trump administration tossed out an existing “pandemic playbook” from the National Security Council that laid out, in detail, steps to take in the face of a public health emergency like this.
As a result, key problems that the playbook planned for — like the current logistical challenges plaguing our health care system — went unaddressed, slowing down our response.
This is only one in a string of missteps by the Trump administration that left the United States unprepared and vulnerable to a future pandemic. Key positions across the government have been left unfilled, or occupied by unqualified political cronies. Similarly, CDC staff in China was slashed on Trump’s watch, removing important eyes and ears on the ground that could have given us critical early notice of the coronavirus’ spread.
6. With another round of record unemployment claims showing the economic pain the coronavirus is putting the American people through, do you regret the weeks you spent downplaying the threat it posed and do you agree with your Treasury Secretary who said last week that unemployment numbers are “not relevant”?
With 6.6 million Americans filing for unemployment benefits last week, the explosive economic toll of the coronavirus continues to grow.
For months, Trump ignoredand downplayed the looming threat of the coronavirus and failed to take the necessary steps to prepare us — even as other countries quickly acted. Now, America has more coronavirus cases than any other country in the world and our economy continues to suffer body blows.
Throughout, Trump’s administration has shown a cavalier indifference to the unimaginable economic toll of the coronavirus has had on the American workers, with Secretary Mnuchin claiming that last week’s massive unemployment figures were “not relevant” — even as families across the country are struggling to make ends meet.
7. Why are you refusing to allow Americans who desperately need health insurance in the middle of a pandemic access to the Affordable Care Act’s marketplace?
This is yet another step in Trump’s ideological battle against the ACA — no matter the cost to the health of Amercans — which has seen his Administration pursue efforts that would kick tens of millions of Americans off their coverage and roll back protections for Americans with pre-existing conditions
About 20 million Americans have received health insurance through the ACA, and it’s given better care and peace of mind to countless others — that’s why Vice President Biden sent a letter to President Trump and Republican leaders demanding that they drop their efforts to jeopardize Americans’ health care.
8.A new report today shows that the U.S. Army was projecting as early as the beginning of February that 150,000 Americans could be killed by the coronavirus. So why did you continue to waste precious weeks downplaying the threat it posed?
A shocking report today by the Daily Beast shows that as early as February 3, the U.S. Army had internal projections showing that upwards of 150,000 Americans could die as a result of the coronavirus that was then spreading rapidly around the globe.
Instead of joining other countries around the world in taking quick action to prepare for the virus, Trump dismissed and downplayed its threat, telling a campaign rally a week later that “looks like by April, you know, in theory, when it gets a little warmer, it miraculously goes away.”
Vice President Biden, in contrast, was sounding the alarm — writing a January 27 op-ed in USA Today about the threat it posed and the steps that should be taken, with Jonathan Chait of New York Magazine noting yesterday that Joe Biden “very much did see the coronavirus disaster coming.”
9. With new polls showing that Americans don’t approve of your handling of the coronavirus crisis, do you regret not acting sooner to halt the virus’ spread?
Two new polls released yesterday show growing numbers of Americans disapprove of Trump’s slow and erratic response to the coronavirus, which has left the United States leading the world in confirmed cases.
A POLITICO/Morning Consult survey found that by a seven point margin, Americans don’t think the administration is doing enough to combat the coronavirus. Similarly, an Associated Press poll also out today shows that only 44% of Americans approve of Trump’s handling of the pandemic and only 38% approve of the federal government’s response — even as people rally in support of how their state and local officials have handled the crisis.
10. Why do you continue to mislead Americans about your failure to adequately develop and deploy an effective coronavirus test — a failure that allowed the virus to spread unchecked and explode across our country?
In a call with governors on Monday, according to the New York Times, Trump continued to shrug off the coronavirus testing crisis that exploded on his watch, claiming that “I haven’t heard about testing being a problem” and that he hasn’t “heard about testing in weeks” — even though countless Americans are still unable to be tested for the coronavirus, fatally undercutting our response to this crisis?
Trump’s lie was so out of step with reality that it prompted a rebuke from fellow Republicans, with Maryland Governor Larry Hogan saying Tuesday that Trump’s claim was “just not true” and that “no state has enough testing” and Ohio Governor Mike DeWine adding that “we know Ohio hasn’t had as much testing as we would have liked. We had to ration the testing.”
Similarly, Trump’s assertion in a Monday interview with Fox New that testing failures were the fault of the Obama-Biden administration was demolished by PolitiFact yesterday, which rated Trump’s claim “Pants on Fire” false, and said that that his attack “flies in the face of logic.”
Trump’s baseless claims come just days after a bombshell report by the Times showed how his failure to quickly deploy an accurate coronavirus test resulted in a “lost month” that left America blind as it tried to combat the virus’ spread, and that his administration “squandered [America’s] best chance of containing the virus’s spread.
Vice President Joe Biden offers stark difference to Donald Trump in focus and approach to addressing coronavirus pandemic poses five questions to Trump that should be asked at the daily briefing (c) Karen Rubin/news-photos-features.com
The coronavirus pandemic has completely derailed the 2020 presidential campaigns. While Trump has a bully pulpit and turns daily briefings into political rallies, challengers including Vice President Joe Biden cannot compete for visibility or reach. We will do our part, as much as possible, to broadcast their messages so that voters may discern for themselves who should be elected to lead this country. This is from the Joe Biden campaign, which came before Trump, switching focus from the 10 minutes he spent concerned about the spread of the disease and having an adequate health care system, turned again to prioritize the economy, saying he would look to end measures in a matter of weeks (not months) designed to slow the spread of COVID-19 in order to goose the economy. Trump said that the economic impact could become worse than COVID-19 itself. “We cannot let cure be worse than the problem,” causing the medical community to scratch heads.The desire to prioritize economic health over people is echoed by other Republicans and rightwingers. Texas Lt. Gov. Dan Patrick saidlots of grandparents would be willing to die in order to save the economy for their grandchildren. This is from the Biden campaign, in advance of Trump’s March 23 briefing–Karen Rubin, News & Photo Features.
Five Questions for Donald Trump
at Today’s Briefing
As Trump Attempts to Spin Away His Historic Failure to
Combat the Coronavirus, Here Are Five Questions He Needs to Answer at Today’s
Press Conference
1. Why do you continue to
support efforts to roll back the Affordable Care Act and kick tens of millions
of Americans off their insurance in the middle of a global pandemic?
Ten years ago today, President Obama signed the Affordable Care Act into law,
expanding access to quality, affordable health care for millions of Americans.
But, even in the midst of a global pandemic, Donald Trump continues to lead
fellow Republicans in efforts to do away with the law and the critical
protections it put in place.
Over 20 million Americans have received health insurance through the ACA, and
it’s given better care and peace of mind to countless others — that’s why Vice President Biden sent a
letter today to President Trump and Republican leaders
demanding that they drop their efforts to jeopardize Americans’ health care.
2. Why did you put the
profits of big corporations ahead of desperately needed medical supplies for
health care workers, first responders, and coronavirus victims?
New reporting today from CNN shows
that Trump abruptly reversed himself on using the Defense Production Act to
speed up the manufacture of critical medical equipment because big businesses
aggressively lobbied the White House out of fear of “profit loss.”
Trump is continuing to put the bottom lines of his corporate cronies ahead of
the safety of first responders and coronavirus victims — even as a bipartisan group of governors
and mayors has demanded that he finally use the DPA to help
secure life-saving gear.
3. Why did you ignore the
repeated warnings of your own intelligence officials in January and February
about the impending risk of the coronavirus and decide to downplay the threat
instead of preparing a response?
The Washington Post reported that
Trump ignored repeated warnings from top intelligence officials in January and
February that the coronavirus was spreading globally and that it posed a dire
threat to the safety of the United States, with one official telling the Post
that “the system was blinking red.”
Instead of preparing for the imminent spread of coronavirus in America, Trump repeatedly ignored experts
and downplayed its significance, claiming, “it’s going to disappear.
One day — it’s like a miracle — it will disappear.” The result: a “chaotic” response as
basic needs for tests and life-saving equipment go unmet, and as Administration
officials scramble to cover up for Trump’s lies about the response.
While Trump was ignoring the experts and downplayed the threat of the
coronavirus, Vice President Biden laid out a clear-eyed vision in January for
how we could come together as a country to stop the emerging pandemic and has
built on that with a comprehensive plan to
combat the coronavirus.
4. Why did you take China’s
word and praise Xi’s response for weeks as the coronavirus continued to spread,
ignoring Vice President Biden’s warning about their misleading statements?
Now Trump has laughably pivoted to
criticizing China, attempting to rewrite history and brush aside countlessexamples of him heapingpraise on Xi and
the Chinese government. Moreover, is Trump saying that he wasn’t supposed to
take steps to protect the American people simply because this virus emerged in
another country?
5. Why are you supporting a
$500 billion slush fund for corporations with no strings attached and no
protections for workers?
With America’s economy teetering, and with countless families facing financial
ruin, Trump continues to back a massive corporate bailout package with almost
no conditions, and no restraints on corporations using taxpayer dollars for
executive bonuses and stock buybacks.
That’s why Vice President Biden has called for workers and families to be put
first in any stimulus package — with no blank checks for big corporations — so
Americans will have the financial support they need to weather this storm.
