House GOP reveals AHCA: Update - Repeal of ACA IS BACK ON

[JahFocus CS]

The projections I'm really interested in are how many cacs will die if this is repealed.

Better yet, we can get a racial breakdown of projected deaths and maybe we can fundraise to help the people in our community who would suffer...


Those cacs though...

 

[tru_m.a.c]

That doesn't make any sense. Kennedy dems campaigned on universal healthcare and only compromised when they were able to get ACA level concessions from Nixon. The unions saw Kennedy as a sellout for doing so, Nixon got impeached, and that was the closest we ever got to a national healthcare program.

Conservative democrats and conservative republicans have never been for any type of national health program on any level. Medicare. Medicaid. CHIP. All of these programs are democratic legislation.

It makes no sense to say the democrats are for the status quo. They have no choice but to push through these piecemeal documents because conservatives fukk up everything.

 

[tru_m.a.c]

Immigration Provision Cut From Obamacare Rollback, Angering Conservatives

WASHINGTON — Some conservatives in Washington were fuming on Tuesday after an Obamacare rollback bill was tweaked by Republican leaders to delete a provision meant to crack down on illegal immigrants getting federal healthcare insurance coverage.

The development posed another problem for Republican leaders in the U.S. House of Representatives and President Donald Trump, who are trying to win congressional approval of the wider bill, the first big legislative test for Trump since taking office.

The provision would have allowed the Treasury Department to access data at the Department of Homeland Security to verify that healthcare tax credits went only to U.S. citizens and legal permanent residents, not to illegal immigrants.

In a largely procedural move, it was dropped from the bill after the Senate Parliamentarian determined that the Senate Finance Committee, which handles tax credits under the bill, does not have purview over the Department of Homeland Security.

Republican Representative Lou Barletta issued a statement on Monday evening, after the change was made, saying he could no longer support the bill, citing the obscure provision.

"I am concerned that the bill lacks sufficient safeguards for verifying whether or not an individual applying for health care tax credits is lawfully in this country and eligible to receive them," said the Pennsylvania lawmaker.

https://www.nytimes.com/reuters/201...0_PEDTA5XqinibcmtLVb8Ct5AolMEA&_hsmi=48749232

 

[tru_m.a.c]

Medicaid Fight Lands in New York, Crossing Party Lines

The state’s counties currently pick up 13 percent of the total cost of Medicaid, a tab that is expected to top $8 billion in the coming fiscal year, though much of that is in New York City. Some other states also require counties to cover some Medicaid costs. But residents of New York pay far more than those in other states, according to the New York State Association of Counties — something that has been blamed for high property tax rates in many parts of New York.

The so-called Collins amendment — proposed by Representative Chris Collins, an upstate Republican and a steadfast Trump supporter — would shift county Medicaid costs to the state government. Estimates suggest it could cost the state government $2.3 billion a year, even as the state girds for a loss of billions from the repeal of the Affordable Care Act and deep cuts to a variety of social service agencies outlined in the president’s budget.

“New York is the only state in the nation affected by this amendment,” Mr. Cuomo said. He accused Mr. Collins and his Republican colleague Representative John Faso of practicing “cheap politics” in supporting the amendment. “There is no fairy that is going to float down and hand over $2.3 billion,” he said.

Mr. Collins sharply defended the plan, accusing Mr. Cuomo of exaggerating its impact. “He is Chicken Little: The sky is falling,” said Mr. Collins, who represents a Buffalo area district, adding that the governor was “in a panic” because it would force him to spend discretionary state money. He also noted that the change wouldn’t take effect until 2020.

The amendment was cheered in some economically beleaguered quarters of upstate New York where leaders have long groused about the Medicaid payments’ impact on their budgets. But in a sign of the complexity and confusion surrounding the issue, neither the criticism nor the praise was perfectly partisan on Tuesday: Some Democrats hailed the idea as a needed dose of local mandate relief while some state Republicans reacted with deep skepticism about the plan’s financial impact.

Some Democrats, including Brian Higgins, another Buffalo area congressman, have spoken in favor of such mandate relief, while still opposing the broader Republican overhaul, which he said could “have a boomerang effect that will cost New Yorkers and local residents more in the end.”

Such political dissonance was common as word of the possible inclusion of the amendment spread. Bill Samuels, a well-known New York progressive, called the Republican health care bill “otherwise calamitous,” but nonetheless supported the idea of the state’s picking up billions in costs. “Cuomo and the Albany leaders have created their own problem by abdicating their responsibility,” he said, adding that property taxes had driven away residents and businesses. “No other state burdens its counties the way New York State does.”

But Representative Louise Slaughter, an upstate Democrat, said Republicans were trying “steal billions from New York to pay for tax cuts for the wealthy,” calling the shift “a political sleight of hand.”

And Representative Dan Donovan, the lone Republican in New York City’s congressional delegation, expressed concern that the provision — which excludes New York City — could actually harm his constituents.

“If the counties aren’t going to have to pay $2.3 billion any longer, that’s got to either be made up somewhere else, and if it’s made up by increasing taxes of all New Yorkers, it’s going to affect my people in a negative way,” he said. “Or it’s going to result in a cut in services.”

https://www.nytimes.com/2017/03/21/...ZCwhx7O7ITn-jJ-3pQdXUZRhTft0yg&_hsmi=48749232

 

[tru_m.a.c]

Medicaid Work Requirement Wouldn't Shrink Spending Much

"Forcing people to work as a condition of Medicaid doesn't help people to get jobs. It's a barrier to getting care," says Elizabeth Lower-Basch, director of income and work supports at the Center for Law and Social Policy.

Today, more than half of all adult Medicaid recipients work, according to CLASP, and 78 percent live in a home where an adult works.

Those who aren't working often have medical barriers to work that don't reach the level of full disability, says Lower-Basch. Work requirements won't help them get care, she says, and are unlikely to help them get better jobs.

It doesn't include college attendance, however. And one study by the Kaiser Family Foundation shows that as many as 18 percent of able-bodied Medicaid beneficiaries are in school.

Kentucky already has a request in to the Department of Health and Human services to make changes to its Medicaid program that would include requiring able-bodied adults who don't have children under age 6 to work to be eligible for benefits.

"This will affect a relatively small subsection of Medicaid that's responsible for an even smaller portion of total spending," he says.

That's because about 60 percent of Medicaid spending — which totals about $550 billion a year between the federal and state governments — goes to care for senior citizens, people with disabilities, people in long-term care and children.

"These are people who are not, and never will be, in the workforce," Salo says.

Medicaid Work Requirement Wouldn't Shrink Spending Much

 

[tru_m.a.c]

Repeal Of Health Law Could Force Tough Decisions For Arizona Republicans

Connie Dotts is a big fan of her insurance.

"I like that we can choose our own doctors," says the 60-year-old resident of Mesa, Ariz. "They also have extensive mental health coverage."

Dotts isn't on some pricey plan, either. She's among the nearly 2 million people enrolled in Medicaid in Arizona and one of the more than 400,000 who have signed up since the Republican-led state expanded Medicaid in 2013.

Her eight prescription drugs are cheap, Dotts says, and she has no copays or premiums. The Medicaid benefits have allowed her to stay on top of her emphysema, depression and osteoarthritis.

"I have torn ligaments in my ankles and I can't take the time off work to go to physical therapy or surgery," she says. So she's grateful to be able to manage her other conditions.

Dotts works retail and lives paycheck to paycheck. Without Medicaid, she says, she wouldn't be able to afford to see a doctor. "It's just barely above what they consider livable income. Any extensive medical issues would put an excessive burden on me," she says.

She wouldn't be eligible for Medicaid, except that Arizona started accepting extra funding from the federal government via the Affordable Care Act in 2014 to raise the income threshold for Medicaid in the state. That enabled Arizona to expand Medicaid to cover more people.

The replacement plan the GOP leaders in Congress have proposed would cut off the federal funding for that sort of expanded eligibility after 2020.

The Republican health plan would eventually cost Arizona nearly half a billion dollars a year, according to calculations by the state, just to keep the adults with the lowest income in the expansion population insured. It's a group that Arizona voters actually required the state to cover in 2000 through a ballot initiative. But during the recession in later years, financial pressure led state lawmakers to freeze enrollment for those adults.

Scaling back Medicaid could be a particularly risky proposition for Arizona, according to the state program's administrators, because Arizona is already one of the most efficient, lean programs in the country.

Getting locked in at the current funding rates would give other states a leg up, explains Tom Betlach, who runs Medicaid in Arizona.

"If they are able to achieve improved outcomes and reduced costs, they are able to capture those savings," Betlach says. "Versus we actually get penalized for being a good steward of taxpayer funds."

Repeal Of Health Law Could Force Tough Decisions For Arizona Republicans

 

[FAH1223]

That doesn't make any sense. Kennedy dems campaigned on universal healthcare and only compromised when they were able to get ACA level concessions from Nixon. The unions saw Kennedy as a sellout for doing so, Nixon got impeached, and that was the closest we ever got to a national healthcare program.

Conservative democrats and conservative republicans have never been for any type of national health program on any level. Medicare. Medicaid. CHIP. All of these programs are democratic legislation.

It makes no sense to say the democrats are for the status quo. They have no choice but to push through these piecemeal documents because conservatives fukk up everything.

Today's Democrats are not ideologically aligned with Kennedy style Democrats though. They're to the right.

 

[Hood Critic]

Defying Trump, Freedom Caucus insists they'll oppose GOP ObamaCare replacement

 

[Airfeezy]

Going to be so Beautiful watching these fukkers fail on this health care bill glad people aren't just rolling over on this and standing up for their constituents..Aye Paul Ryan your finished Breh

 

[JahFocus CS]

MAGAcare gonna fail bigly?

:ohhhmj:

 

[Althalucian]

They don't have the votes for this? And they're really going through with this?



Might have to make some drinks for tomorrow. Order some food.
Either way, fukkery will be on point.

 

[gangreen]

Aight brehs wats the over under on this passing through the house?

I know the senate is going to trash it.

And has president Orange even signed a bill into law yet with a republican congress. All i see is his tiny hands holding up executive orders.

 

[Dr. Acula]

Trump voters in South Georgia come to terms with GOP health plan

Under the proposed plan, thousands of Georgians who live in rural areas that voted overwhelmingly for Trump – by a whopping 75 to nearly 90 percent in some cases – could lose out on thousands of dollars in tax credits to help them buy health coverage, an analysis by The Atlanta Journal-Constitution has found.

Kenneth Peek is among many Trump supporters in South Georgia coming to terms with the new GOP proposal, called the American Health Care Act, and learning they could be worse off.

Right now, Peek is paying $281 a month for his health policy through Obamacare. That’s $3,372 a year. He’s receiving $11,172 in government tax credits. (His wife, Debra, is on disability.)

Under the proposed new plan, his tax credit would shrink to about $4,000, a drop of $7,172 or 64 percent.

Peek, for his part, is disappointed, and concerned he might not be able to afford health insurance.

“The way they talked it was supposed to be better,” Peek said.

Some 77 percent of people in Schley — pronounced as Sly — voted for Trump in the presidential election. Trump drew widespread support from white, working-class people across the country. This county is 73 percent white, and the median household income is $39,375, well below the national figure of $56,516.

Blake Yelverton is taking a break with a burger that doesn’t cut any corners. Cheese and bacon and everything. He’s 23, a burly young man with a big red beard, and he works on his father’s cow farm.

“I don’t believe it’s the federal government’s job to provide health care,” he said. “It’s communism, socialism anyway.”

Yelverton hopes Trump trashes the whole thing, and he’s not too fond of the GOP plan being discussed in Congress either. “They’re doing a lesser evil of Obamacare,” he said.

His insurance?

“I’m on my parents’ plan,” he said.

So, Yelverton, it turns out, benefits from Obamacare. That’s because the law allows parents to keep kids on their insurance until age 26 — a widely-popular element of Barack Obama’s signature health law that Republicans intend to keep in their replacement plan.

Confronted with that information, he pauses for a moment.

“I haven’t been to the doctor in four or five years,” he said.

A recent analysis by Georgia State University estimated 750,000 Georgians could lose their health insurance under the proposal. Such a scenario could send the state’s rate of uninsured people — the third highest in the nation — soaring.

Georgia hospitals already provide $1.75 billion a year in free care to the uninsured. Trying to care for a flood of newly uninsured patients could force some already struggling rural hospitals to close their doors.

Trump voters in South Georgia come to terms with GOP health plan

 

[dtownreppin214]

MAGAcare gonna fail bigly?

:ohhhmj:

Rethugs always fall in line. I'm sure they'll get it passed with some last minute dealmaking.

 

[Bleed The Freak]

People seem to keep forgetting this shyt is DEAD A FUKK in the Senate.....nikkas is shook 4 real.