Executive Order On Protecting And Improving Medicare For Our Nations Seniors
The White House, October 3, 2019
Section 1. Purpose. The proposed Medicare for All Act of 2019, as introduced in the Senate would destroy our current Medicare program, which enables our Nations seniors and other vulnerable Americans to receive affordable, high-quality care from providers of their choice. Rather than upend Medicare as we know it, my Administration will protect and improve it.
Medicare for All would not only hurt Americas seniors, it would also eliminate health choices for all Americans. Instead of picking the health insurance that best meets their needs, Americans would generally be subject to a single, Government-run system. Private insurance for traditional health services, upon which millions of Americans depend, would be prohibited. States would be hindered from offering the types of insurance that work best for their citizens. The Secretary of Health and Human Services would have the authority to control and approve health expenditures such a system could create, among other problems, delays for patients in receiving needed care. To pay for this system, the Federal Government would compel Americans to pay more in taxes. No one neither seniors nor any American would have the same options to choose their health coverage as they do now.
Sec. 3. Providing More Plan Choices to Seniors.
ensure that, to the extent permitted by law, FFS Medicare is not advantaged or promoted over MA with respect to its administration.
Huge Crowds Gather To Both Watch And Protest Trump Speech
Jeff Van Drew, the New Jersey Republican who changed his party affiliation after voting against Donald Trumps impeachment, will speak at the Republican convention on Thursday.
Van Drew joins a limited number of Democrats or former Democrats who spoke on Trumps behalf at his re-nominating convention. It provides a contrast with Biden, who featured higher-profile Republicans speaking at his event.
News Update For Dec 6 2016
The House Republicans lawsuit against Obamacares subsidy program has been delayed by the U.S. Court of Appeals for the Washington, D.C. Circuit. A judge previously ruled that Obamacare premium tax credits were unlawful because funding did not come from Congress. And further proceedings have been delayed to give Trumps Justice Department time to decide on settling or withdrawing the case.
- If House Republicans win the suit to get rid of premium tax credits, also called cost-sharing subsidies, it could cause insurance companies to sharply raise premiums or exit the ACA exchange markets, since the law requires them to reduce cost-sharing burdens for eligible members in silver plans, as this Modern Healthcare article
- Without a replacement option for cost-sharing funds, this would also prevent insurance companies from receiving payments, and companies would lose out on money they expected to receive.
ACA Repeal on the Insurance Market
GOP lawmakers are slowly coming to terms with the need to take action to protect the individual insurance market from collapse and prevent plans from exiting the market in 2018. Health plan carriers are watching to see if Republicans will delay the elimination of premium tax credits and Medicaid expansion, both of which insurance companies say are the key to making the individual insurance business financially viable.
Obamacare Subsidies and Republican States
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News Update For Dec 14 2016
A Repeal Bill Before Trumps Inauguration May be Unlikely
Congressional Republicans hope to pass a repeal bill between January 3 when lawmakers reconvene and January 20 on inauguration day. But Republican G. William Hoagland, who is a senior staff member of the Senate Budget Committee and senior vice president at the Bipartisan Policy Center said, No way. I just dont think its possible. Ed Lorenzen, who serves as a senior adviser to the nonpartisan Committee for a Responsible Federal Budget, thinks January 20 isnt possible. But he said, I think they could do it by the end of January. He also stated, Mechanically they can get it done. The bigger question is, can they decide what should be in the package?
Nancy Pelosi Doesnt Think Repeal Will Happen
In a statement to reporters, House Minority Leader Nancy Pelosi said, Theyre not going to repeal it. I dont think theyre going to repeal the Affordable Care Act. Pelosi argues that Republicans and the Trump administration will find repealing and replacing Obamacare to be an enormous task. She also predicts that they wont repeal the law because people would lose benefits they value and they wont be able to replace it because that would cost the government money they dont want to spend.
Less Coverage And Higher Costs: The Trumps Administrations Health Care Legacy
The president has failed to deliver on his promises to take care of everybody.
During his 2016 campaign, President Donald Trump repeatedly said he was for insurance for everybody and promised to take care of everybody and to lower costs. Almost four years later, the Trump administrations record falls far short of these promises: The number of uninsured Americans has swelled, his administration has chipped away at the consumer protections guaranteed by the Affordable Care Act , costs have risen for Americans with marketplace plans, and the nation is mired in a public health crisis.
The wake of one of the administrations most destructive health care policies may trail far beyond this term of his presidency. The health care repeal lawsuit that he helped advance to the U.S. Supreme Court could invalidate the entire ACA next spring, ending coverage for more than 20 million Americans, driving up costs for those seeking to buy coverage on their own, and eliminating consumer protections for millions of people with preexisting conditionsall in the midst of the COVID-19 pandemic.
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What Is Different About The American Health Care Act / Better Care Reconciliation Act And The Affordable Care Act
The goal of this page is to compare TrumpCare to ObamaCare in the form it was before Trump took office. To do that we will look at Trumpcare as it existed in July of 2017 when Congress and the administration were attempting to pass a repeal and replace plan and compare it to the Affordable Care Act as it existed before Trump took office and began making changes.
In other words, this page reflects all changes up to the July 13th, 2017 changes to the Better Care Reconciliation Act of 2017 , but does not include later changes like the executive order to repeal the individual mandate or the administrations backing of the court case that could declare the ACA illegal .
News Update For Dec 13 2016
ACA Repeal Set to Begin Early Next Year
- On Monday, December 12, Senate Majority Leader Mitch McConnell said that the Senate will begin voting to repeal the Affordable Care Act shortly after Jan 1. And then we will work expeditiously to come up with a better program than current law, because current law is simply unacceptable and not sustainable. However, McConnell did not give an answer on a timeline for a replacement.
- Although Republicans plan to repeal much of the ACA, they say they dont want to do any harm to the millions of people who get health coverage under the law. Health insurance consultants argue that repealing the healthcare law and expecting that insurance market remain healthy may be fantasy.
Millions With Preexisting Conditions Could be Denied Coverage
A study from the Kaiser Family Foundation found that 52 million non-elderly adult Americans with a preexisting condition would be at risk of being denied coverage if they were buying a health insurance policy in the individual market prior to the ACA. So without ACA protections for preexisting conditions, this group would likely be turned downed by insurance companies if a repeal happens. More details on people at the highest risk can be found in this Kaiser Health News article.
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Healthcare Reform News Update For May 12 2017
Conservative Senators Begin Outlining Healthcare Reform Ideals
Conservative Republicans have several ideals for the healthcare bill they are currently drafting and negotiating with other members of the Senate:
- Change the AHCAs refundable tax credits to non-refundable tax credits
- Remove Medicaid expansion eligibility for able-bodied adults
- Repeal insurance regulations put in place by the ACA such as the requirement that plans dont charge higher premiums to people with pre-existing conditions or make states opt in.
Senate Assures Womens Involvement in Healthcare Reform
The Republican Senate has recently faced criticism pointing at the lack of women in the 13-member healthcare reform working group, despite the number of womens health issues at play. Senate Majority Leader Mitch McConnell has assured his colleagues, and the public, that women will not be excluded. According to a member of the GOP, The leader has assured us that at least one of the women will attend all of the meetings going forward.
McConnell extended invitations to three female colleagues for a Tuesday meeting of the working group, which Senator Shelley Moore Capito attended. A Thursday meeting was attended by Senator Joni Ernst. Additionally, McConnell has reportedly given an open invitation to any Republican Senator interested in attending the working groups meetings.
Senate May Revert to Income-Based Subsidies in Revised Healthcare Bill
Accuracy Of Cbo Coverage Forecasts
In general, CBO has been more accurate than other significant forecasting entities regarding the coverage impact of the ACA/Obamacare. It has been very accurate with respect to forecasting the number of uninsured and change in uninsured, but off significantly in forecasting the number of persons who would enroll in the exchanges. Instead, many more persons retained their employer-based plan than CBO had anticipated. CBO revises its forecasts for health insurance coverage due to current law annually.
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Healthcare Reform News Update For May 26 2017
Senate to Begin Drafting Healthcare Bill During Weeklong Recess
Now that the CBO score for the American Health Care Act has been published, the Senate can begin drafting its own bill. Thursday, Senator Ron Johnson said, Over the break, initial legislation will be drafted and then well have more time, actually have a basis to discuss policies. While there are no final agreements on critical reform points, the initial draft will be a step forward for the Senate.
FDA Steps Into Efforts to Lower Drug Prices
Scott Gottlieb, the new FDA Commissioner, informed a congressional panel that the FDA is creating a drug competition action plan. This plan would speed up the approval process for generic medications .
Blue Cross and Blue Shield of North Carolina Hikes Premiums over CSR Payment Uncertainty
Blue Cross and Blue Shield of North Carolina has asked state regulators to approve a 23% premium rate increase for 2018. The company did say it could afford a 9% increase with the assurance of CSR payments, but it is currently planning on the high rate increase because it doesnt expect crucial payments from the federal government to continue.
Blue Cross and Blue Shield of North Carolina sells coverage in all 100 North Carolina counties, and it is the lone option in 95. It said Thursday that its participation for next year is not guaranteed.
Wisconsin Proposes Drug Screenings for Medicaid Applicants
Trump Broke This Promise From The Beginning
This is Trump on the campaign trail in 2015:
I was the first & only potential GOP candidate to state there will be no cuts to Social Security, Medicare & Medicaid. Huckabee copied me.
Donald J. Trump May 7, 2015
Trumps budgets and the policies he has supported around health care and government spending in Congress reflect the opposite. Some of this can be attributed to Trumps appointed budget chief Mick Mulvaney the former Congress member who was part of the ultraconservative Freedom Caucus has long rallied for cutting Medicare, Social Security, and Medicaid.
In fact, Mulvaney once bragged to a Politico reporter that he tricked Trump into accepting a proposal to cut Social Security by calling SSDI just disability insurance spinning it to the president as general welfare reform. The idea has been in every single one of Trumps budget proposals to Congress since the president came to office.
Then there was the Republican Obamacare repeal push every bill proposed massive cuts to Medicaid in order to pay for tax cuts elsewhere. Trump supported every iteration of Republicans Obamacare repeal-and-replace bills. He even held a party for House Republicans in the White House Rose Garden when the lower chamber of Congress narrowly passed a proposal that slashed more than $800 billion from Medicaid over 10 years.
Now his policy positions around those programs break from that promise.
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News Update As Of : 12 Pm Cst
White House Pulls AHCA Ahead of House Vote
Republicans have decided to pull the American Health Care Act from the House floor. Despite last-minute concessions to conservative Republicans, the party still lacked the votes to approve the healthcare reform bill. House Speaker Paul Ryan was seen rushing to the White House during the Houses debate to inform President Trump. In a phone interview with The Washington Post, President Trump said, We just pulled it. The President did not cast blame on Ryan, telling The Washington Post, I dont blame Paul.
Trump Demands Friday Vote on AHCA
Mick Mulvaney, Office of Management and Budget Director, issued strong words from Trump to lawmakers Thursday. Trump wants the vote on American Health Care Act to happen today , and if it fails, he will leave Obamacare in place and move on to other priorities.
The House Is Debating the American Health Care Act
Currently, the U.S. House is debating for and against the AHCA. The scheduled 4-hour debate began at 10:20 a.m. central and can be viewed live here. It still is not clear if the bill has gained enough Republican votes to pass.
Kansas Moves Forward With Medicaid Expansion Amid Federal Medicaid Debate
Trumps Plan To Privatize Medicare
Last week, President Donald Trump signed an executive order titled Protecting and Improving Medicare for Our Nations Seniors. The order is the latest example of how Trump says one thing while doing another. Rather than strengthening Medicare, Trump envisions turning large swaths of the 54-year-old program for the elderly over to the private sector while directing the federal government to dismantle safeguards on seniors health care access, shift costs onto beneficiaries, and limit seniors choice of providers.
Among other things, the executive order lays out a path to:
- Shift the Medicare program toward private plans
- Expand private contracting between beneficiaries and providers, putting seniors at risk for higher costs and surprise medical bills
- Further restrict seniors choice of providers in Medicare Advantage
- Expand Medicare Medical Savings Accounts as a tax shelter for the wealthy
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