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.”
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.”
If Republicans succeed in repealing the Patient Protection and Affordable Care Act (Obamacare), an estimated 2.7 million New Yorkers would lose health coverage, New Yorkers would lose $250 million in Health Care Savings Tax Credits, and New York State would experience a direct state budget impact of $3.7 billion and a loss of nearly $600 million of federal funding that goes directly to counties, which they use to help lower property taxes.
“The cost of a repeal of the Affordable Care Act, to state and local budgets and to the New Yorkers who depend on its health care coverage, is simply too high to justify,” Governor Andrew M. Cuomo said. “Since its implementation, the Affordable Care Act has become a powerful tool to lower the cost of health insurance for local governments and New Yorkers, and it is essential that the federal government does not jeopardize the health and livelihoods of millions of working families.”
The NY State of Health exchange has successfully cut the percentage of uninsured New Yorkers in half, from 10 percent to 5 percent. It has also significantly expanded eligibility and access to health coverage, allowing hundreds of thousands of previously uninsured New Yorkers to achieve economic and healthcare security.
Based on current enrollment levels, the repeal of the Affordable Care Act would result in over 2.7 million New Yorkers losing health coverage. The estimated number of individuals at risk of losing coverage, based on current enrollment levels, is broken down by counties below:
County
Individuals at Risk of Losing Coverage
Albany
25,552
Allegany
4,608
Bronx
300,012
Broome
20,231
Cattaraugus
8,310
Cayuga
7,665
Chautauqua
15,270
Chemung
9,160
Chenango
5,184
Clinton
7,787
Columbia
6,827
Cortland
4,606
Delaware
4,461
Dutchess
25,074
Erie
93,403
Essex
3,660
Franklin
5,110
Fulton
6,038
Genesee
5,074
Greene
4,971
Hamilton
522
Herkimer
6,932
Jefferson
10,955
Kings
540,320
Lewis
2,932
Livingston
4,972
Madison
5,861
Monroe
75,512
Montgomery
5,473
Nassau
133,324
New York
218,937
Niagara
21,287
Oneida
24,781
Onondaga
45,682
Ontario
9,355
Orange
37,851
Orleans
4,522
Oswego
12,568
Otsego
5,785
Putnam
7,006
Queens
493,058
Rensselaer
12,540
Richmond
56,882
Rockland
38,526
Saratoga
16,340
Schenectady
16,056
Schoharie
3,079
Schuyler
2,065
Seneca
3,145
St. Lawrence
11,063
Steuben
10,039
Suffolk
152,631
Sullivan
9,668
Tioga
4,560
Tompkins
7,827
Ulster
19,850
Warren
6,796
Washington
6,689
Wayne
9,354
Westchester
91,844
Wyoming
3,700
Yates
2,515
Total
2,715,807
The estimated direct state budget impact of the repeal is $3.7 billion. New York’s counties have been able to use the additional federal Medicaid funding through the Affordable Care Act, which goes to directly to counties and helps to lower property taxes. A repeal of the Affordable Care Act would result in a total loss of $595 million in funding. A county by county breakdown of the allocated annual funding that each county would lose is available below, based on the most recent year:
County
2016-17 Funding
Albany
$4,738,862
Allegany
$786,300
Broome
$3,049,122
Cattaraugus
$1,211,333
Cayuga
$1,098,606
Chautauqua
$2,443,709
Chemung
$1,491,573
Chenango
$686,373
Clinton
$1,292,531
Columbia
$833,957
Cortland
$786,023
Delaware
$666,830
Dutchess
$2,974,044
Erie
$17,149,148
Essex
$400,176
Franklin
$681,442
Fulton
$879,897
Genesee
$691,774
Greene
$832,298
Hamilton
$68,800
Herkimer
$956,261
Jefferson
$1,601,068
Lewis
$294,378
Livingston
$686,242
Madison
$842,891
Monroe
$13,023,431
Montgomery
$797,695
Nassau
$17,866,829
Niagara
$3,849,704
Oneida
$4,169,425
Onondaga
$7,871,592
Ontario
$1,042,122
Orange
$5,021,173
Orleans
$667,917
Oswego
$2,281,144
Otsego
$729,112
Putnam
$561,094
Rensselaer
$2,307,076
Rockland
$3,867,080
St. Lawrence
$1,564,073
Saratoga
$1,864,638
Schenectady
$2,462,377
Schoharie
$475,760
Schuyler
$312,126
Seneca
$369,493
Steuben
$1,514,370
Suffolk
$18,310,813
Sullivan
$1,439,822
Tioga
$589,433
Tompkins
$1,015,126
Ulster
$2,935,566
Warren
$787,632
Washington
$746,252
Wayne
$910,595
Westchester
$15,243,258
Wyoming
$382,781
Yates
$282,426
Upstate Total
$162,405,572
New York City Total
$433,294,428
New York State Total
$595,700,000
“New York’s healthcare workers see the positive impact of the Affordable Care Act every day,” George Gresham, President, 1199SEIU United Healthcare Workers East, said. “Our patients are able to access preventative care instead of coming to emergency rooms in states of advanced illness. Our employers have reduced losses from uncompensated care. Our friends and relatives are relieved of the fear that getting sick equals financial ruin. Repealing the Affordable Care Act without an adequate replacement would have immediate and devastating consequences for millions of our fellow New Yorkers and for state and local budgets. We applaud Governor Cuomo’s leadership in educating New Yorkers about costs and are proud to stand with him to advocate for the health all New Yorkers,”
Greater New York Hospital Association President Kenneth E. Raske said,“These deeply troubling numbers are only the tip of the iceberg if the Affordable Care Act is repealed. It will also severely harm the hospital community. 27 hospitals across New York State are on a ‘watch list’ for financial stress and many more both public and private face similar fiscal challenges. Repealing the Affordable Care Act without an immediate and adequate replacement plan will make things dramatically worse for safety net hospitals and the vulnerable communities they serve. I applaud Governor Cuomo for his leadership and look forward to working with the bipartisan members of the New York Congressional delegation to ensure that the health care of all New Yorkers is protected.”
“In addition to providing care to those in need, hospitals are major employers in communities all across the state,” stated Bea Grause, President of the Healthcare Association of New York. “Repeal of the ACA could have tremendous consequences for the delivery of healthcare and also in terms of jobs and economic activity. It’s imperative that Congress be mindful of this reality. I’m pleased to join the Governor in this important effort to protect New Yorkers.”
