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Happy New Year: Drug Companies Ring In 2019 With More Price Hikes While The Trump Administration Stands Idly By

Washington DC – The Wall Street Journal reports that over a dozen drug companies have already begun jacking up prices while the Trump administration continues its repeal-and-sabotage agenda. In response, Brad Woodhouse, executive director of Protect Our Care, issued the following statement:

“It’s a new year, but drug companies are still up to their same old tricks and all the Republicans in Congress are offering is smoke and mirrors. With laws rigged to benefit the big drug companies and after Republicans rewarded them with huge tax breaks, more than a dozen drug companies are once again jacking up prices for millions of Americans. Republicans even went to court to overturn the health care law that makes sure health insurance companies have to pay for some of our prescription drug costs. It’s past time for Congress to take real action on drug prices and reject the Trump administration’s sabotage agenda which benefits drug companies, not the American people.”

Background:

Wall Street Journal: Drugmakers Raise Prices on Hundreds of Medicines. “Pharmaceutical companies are ringing in the new year by raising the price of hundreds of drugs, with Allergan AGN +1.28% PLC setting the pace with increases of nearly 10% on more than two dozen products, according to a new analysis.” [Wall Street Journal, 1/1/19]

Axios: New Year, New Drug Prices: “Pharmaceutical companies are ringing in the new year by raising the price of hundreds of drugs,” The Wall Street Journal’s Jared Hopkins reports.” [Axios, 1/2/19]

Wall Street Journal: Pfizer To Raise Prices On 41 Drugs In January. “Pfizer plans to raise the list prices of 41 of its prescription drugs, or 10 percent of its portfolio, in January, according to a person familiar with the matter. The plans mean Pfizer would resume its practice of raising drug list prices after the company rolled back some increases in July under criticism from President Trump.” [Wall Street Journal, 11/16/18]

In October, Pfizer Announced That It Would Return To “Business As Normal,” Raising Prices Despite Trump Pressure. “Pfizer CEO Ian Read said the company will return to ‘business as normal’ on its drug pricing in January, after agreeing to hold off on price increases earlier this year following pressure from President Trump…Trump has touted his efforts to get drug companies to hold off on price increases. Fighting high drug prices has been a major focus of his presidency. Pfizer, though, affirmed on Tuesday that the price increases could return in January, given that the agreement only lasted until then.” [The Hill, 10/30/18]

Elections Matter: Virginia Medicaid Expansion Already Bringing Affordable Care to 200,000 Virginians

Washington, D.C. – Less than a year after Democrat Ralph Northam was sworn in as Virginia’s Governor, 200,000 people have already gained access to health care as a result of Medicaid expansion which officially took effect yesterday.  Brad Woodhouse, executive director of Protect Our Care, released the following statement in response:

“Elections matter, and nowhere is this more clear than in Virginia. Virginia Republicans spent years rejecting Medicaid expansion, but Virginia had its highest voter turnout in the past two decades in 2017, electing Democrats up and down the ballot, clearing a path for Medicaid expansion. Over the past two years, five states have voted to expand Medicaid, a clear and direct rebuke to the Trump Administration’s ongoing sabotage agenda on Medicaid and Americans’ health care. Make no mistake, from Virginia and Maine to Idaho, Nebraska and Utah, elections matter and hundreds of thousands of Americans are gaining access to life-saving coverage and rejecting the ongoing Republican war on health care which continues to this very day.”

What does Medicaid expansion mean for Virginians?

AP: More Than 200,000 People Have Already Been Enrolled. “Thousands of uninsured, low-income Virginians will have new health care coverage starting in the new year. Virginia is joining more than 30 states that have expanded Medicaid, a key part of former President Barack Obama’s health care overhaul… The state’s Medicaid office has been working with hospitals, advocates for the poor, insurance companies and others to help enroll the newly eligible into Medicaid. Coverage starts Jan. 1 and the state said Friday that more than 200,000 people have been enrolled.” [Bradenton Herald, 12/31/18]

WSLS: “More People In The Commonwealth Have Access To Health Coverage.” “More people in the commonwealth have access to health coverage starting today.  That’s because Virginia joins 32 other states in expanding Medicaid coverage. This will give more adults between the ages of 19 and 64 access to quality low-cost and no-cost health insurance.” [WSLS, 1/1/19]

Delegate Sam Rasoul: “It’s Been A Long Process But Is Fantastic.” “‘It’s been a long process but is fantastic. Over the past couple months, there’s been open enrollment. And 200,000 Virginians have already been signed up into Medicaid and have health care coverage and many others, for the first time ever, starting today. And we still have another couple hundred thousand to go,’ said Delegate Sam Rasoul.” [WSLS, 1/1/19]

Casey Thompson, 21-Year Old Virginian: “It’s Massive.” “Casey Thompson, a 21-year-old who has been uninsured for two years, said she lost all her savings when she had to go to a hospital in May for a ruptured cyst. She said she is thrilled she’ll be covered under Medicaid expansion starting in January and will no longer have to worry about unexpected medical costs. ‘It’s massive,’ she said.” [Bradenton Herald, 12/31/18]

What spurred this change?

AP: Expansion Occurred After 2017 Democratic Wave Election, GOP Repeal Attempts. “Opponents argued that Medicaid expansion was fiscally irresponsible because the long-term costs are unsustainable. Several factors contributed to Republicans switching position on the issue after years of opposition. They include a Democratic wave election in 2017 and the inability of President Donald Trump and congressional Republicans to repeal Obama’s signature health care law.” [Bradenton Herald, 12/31/18]

Was this mindset limited to just Virginia?

Lincoln Journal Star: After Republicans Refused, Nebraskans Voted To Expand Medicaid. “After seven years of legislative refusal to expand Medicaid in Nebraska, voters in November extended coverage to an estimated 90,000 adult Nebraskans who are working at low-wage jobs. That decision will bring a projected $1.3 billion in federal funding flowing into the state during the first three years of the new program.” [Lincoln Journal Star, 12/28/28]

Forbes: After Republicans Refused, Idahoans Voted To Expand Medicaid. “Idaho voted Tuesday to expand Medicaid under the Affordable Care Act via ballot initiative, overcoming conservative Republican state legislators who refused for years to pass additional coverage for the state’s poor. With nearly 60% support and two-thirds of the votes counted, voters in Idaho were following the lead of voters in Maine who last November voted to expand Medicaid under the Affordable Care Act in a public referendum at the ballot box. Supporters of Idaho’s Medicaid expansion put it on Tuesday’s midterm general election ballot after their Republican-controlled legislature for years balked at the idea.” [Forbes, 11/7/18]

Milwaukee Journal Sentinel: Medicaid Expansion Makes Sense “Both Fiscally And Socially.” “Experts and the evidence agree, increasing access to MAT is one of the most important policy changes we could implement to combat the opioid epidemic. They also agree that Medicaid expansion is a key move that could be made to improve access; it is the largest source of funding for treatment. Medicaid, which has broad public support, covers the poorest, most marginalized people in our communities who often have some of the most complicated health care needs. In the past, Wisconsin’s Medicaid program had a high-caliber reputation. Like all state Medicaid programs, BadgerCare is jointly financed by the state and federal government, which has a generous matching structure for any state dollars spent. As Wisconsin’s opioid mortality continues to skyrocket above the national average, expanding Medicaid here makes sense both fiscally and socially.” [Milwaukee Journal Sentinel, 1/2/19]

Protect Our Care Praises House Democrats for Making Health Care a Top Priority in New Congress

On Day One, House Rules Package Includes

Provision to Oppose Texas Lawsuit to Overturn the Affordable Care Act

 

Washington DC – Today, it was reported that the House of Representatives will vote tomorrow on the Restoring Congress For The People Resolution, which takes direct aim at the relentless health care repeal and sabotage campaign waged by Republicans in Congress and President Trump. The Resolution specifically addresses the Texas, et. al. vs. United States, et. al. lawsuit that would strike down the Affordable Care Act. The resolution authorizes the House counsel to intervene in the lawsuit on behalf of the House of Representatives to protect the health care for millions of Americans, including 130 million with pre-existing conditions. Leslie Dach, chair of Protect Our Care, issued the following statement:

“Starting with their first action in the new Congress, House Democrats are once again showing the American people who is fighting for them on health care. This resolution takes direct aim at the disastrous Texas court decision, pushed by Republicans and President Trump, that would end all protections for people with pre-existing conditions, and raise health care costs for millions. This lawsuit must be overturned. If Republicans truly cared about keeping health care affordable and protecting people with pre-existing conditions, they would vote against this lawsuit and for protecting the tens of millions of Americans.”

BREAKING: Texas Judge Grants Motion To Stay Proceedings In GOP Lawsuit To Repeal ACA

Washington DC – Today, Judge Reed O’Connor, who sided with President Trump and Republicans to overturn the Affordable Care Act, issued a stay in the Texas, et. al. vs. United States, et. al. lawsuit and ruled that his ruling is immediately appealable. This decision will allow the Affordable Care Act to remain in place while the ruling is appealed. Brad Woodhouse, executive director of Protect Our Care issued the following statement in response:

“Today’s ruling should prevent the damage this lawsuit will cause to millions of Americans while the appeal process is underway. But despite the clear message from the November elections, that the American people want protections for pre-existing conditions and quality and affordable health coverage, Donald Trump and his Republican allies will continue to try and weaponize the courts to do what they couldn’t do legislatively or at the ballot box — repeal the ACA. If this misguided ruling isn’t overturned, Republicans will succeed at striking down the ACA and gutting key protections for millions of Americans. Make no mistake, this politically driven lawsuit remains an absolute disaster for Americans and their health care.”

BACKGROUND:

Due to Judge O’Connor’s ruling on December 14th, Republicans are one step closer to repealing the Affordable Care Act and eliminating key protections, unleashing — as the Trump Administration itself admitted in his court — “chaos” in our entire health care system. Under this ruling:

  • Marketplace tax credits and coverage for 10 million people: GONE.
  • Medicaid expansion currently covering 15 million people: GONE.
  • Protections for more than 130 million people with pre-existing conditions when they buy coverage on their own: GONE.
  • Allowing children to stay on their parents’ insurance until age 26: GONE.
  • Free annual wellness exams: GONE.
  • Ban on annual and lifetime limits: GONE.
  • Ban on insurance discrimination against women: GONE.
  • Contraception with no out-of-pocket costs: GONE.
  • Limit on out-of-pocket costs: GONE.
  • Requirement that insurance companies cover essential benefits like prescription drugs, maternity care, and hospitalization: GONE.
  • Improvements to Medicare, including reduced costs for prescription drugs: GONE.
  • Closed Medicare prescription drug donut hole: GONE.
  • Rules to hold insurance companies accountable: GONE.
  • Small business tax credits: GONE.

Shelley Moore Capito Suddenly Supports the Affordable Care Act

Facing re-election, Sen. Shelley Moore Capito (R-WV) is now telling voters one thing while consistently having done the opposite. This morning, she told the Los Angeles Times she supports maintaining protections for people with pre-existing conditions and letting children stay on their parents’ insurance until age 26, two main provisions of the Affordable Care Act. Where has this been for the previous two years?

SHOT: “I think it would be in our best interest as Republicans to assure the public that [on] the issues like preexisting conditions, staying on your parents’ insurance until age 26 and things like that, we’re committed,” said Sen. Shelley Moore Capito, who is up for reelection in West Virginia in 2020.” [Los Angeles Times, 12/30/18]

CHASER: Sen. Capito voted to fully repeal the ACA as a House Member, which would have repealed provisions to protect people with pre-existing conditions and allow kids to stay on their parents’ coverage until age 26. And she voted to repeal the ACA as a Senator last summer.

In 2011, Rep. Shelley Moore Capito Voted For A Full Repeal Of The ACA, “Repealing the Job-Killing Health Care Law Act.” [House clerk, 1/19/11]

In 2012, Rep. Shelley Moore Capito Again Voted For A Full Repeal Of The ACA. [House clerk, 7/11/12]

In 2017, Sen. Shelley Moore Capito Voted For The Better Care Reconciliation Act, Which Would Kicked 22 Million Americans Off Of Their Insurance. [New York Times, 7/28/17; Congressional Budget Office, 6/26/17]

In 2017, Sen. Shelley Moore Capito Also Voted For The GOP’s Final Repeal Bill. [New York Times, 7/28/17]. As a reminder, under repeal:

  • 184,000 West Virginians would lose health coverage, a 208% increase in the number of uninsured. [Urban Institute]
  • West Virginians would lose $1.794 billion in federal financial assistance through the insurance marketplaces from 2019-2028, leading to a dramatic spike in the number of uninsured. [Urban Institute]
  • 29,163 West Virginians would lose an average monthly advanced premium tax credit of $388 which currently helps them pay for insurance [Kaiser Family Foundation]
  • West Virginia would lose $12.2 billion in federal Medicaid or Children’s Health Insurance Program (CHIP) funding, currently providing lifelines to 562,183 West Virginians. [Urban Institute, Kaiser Family Foundation]
  • Repealing the ACA would result in 16,000 West Virginia jobs lost, including 7,200 jobs in the healthcare sector. [Commonwealth Fund]

Federal Open Enrollment Comes to A Close Amid Unprecedented Republican Sabotage Campaign

Washington, D.C. – Following the devastating ruling from Judge Reed O’Connor to overturn the Affordable Care Act (ACA) during the final hours of open enrollment – one of the busiest times for sign-ups – we learned that a lot fewer people signed up for coverage through the federal exchange marketplace. Leslie Dach, chair of Protect Our Care, issued the following statement in response:

“Americans want and need the quality, affordable coverage provided by the Affordable Care Act. Open Enrollment sign-ups would be dramatically higher if not for the unprecedented Republican sabotage campaign, which included slashing advertising by 90 percent, dramatically cutting navigator assistance, and shortening the enrollment time period. Democrats ran on health care and were able to take back the House, and in the Majority these Democrats will work to fully fund open enrollment and end this sabotage, ensuring that Americans of all backgrounds are able to obtain the coverage they need. Will Republicans ever learn to do the same?”

BACKGROUND: THE TRUMP ADMINISTRATION AND REPUBLICANS DOUBLED DOWN ON OPEN ENROLLMENT SABOTAGE IN 2018

The Trump Administration Removed Information On Applying For Coverage From HealthCare.gov. The Trump Administration overhauled the “Apply for Health Insurance” section of HealthCare.gov, removing the options of signing up for coverage via mail and phone and directing people to sign up for coverage through enrollment sites run by private companies.

Between 2016 And 2018, The Trump Administration Cut Funding For Groups That Help People Sign Up For Coverage By 84 Percent. After cutting funding for navigator groups that help people sign up for coverage from $63 million in 2016 to $36 million in 2017, the Trump Administration made yet another round of cuts in 2018, leaving just $10 million in funding for health navigator groups. Since 2016, Trump has cut navigator funding by 84 percent.

Health Navigators, Like Jodi Ray At The University Of South Florida, Say Cuts To Navigator Programs Prevent Them From Adequately Letting People Know That Open Enrollment Is Happening. Ray said, “We don’t have the people to provide the enrollment assistance nor to do the outreach and marketing to let people know what’s happening.”

This Year, 800 Counties Served By The Federal Marketplace Are Operating Without Any Federally-Funded Navigators. This is more than six times as many counties served by the federal marketplace that operated without federally funded navigators in 2016, when 127 counties lacked such a navigator.  

The Trump Administration Wants Navigator Groups To Push Consumers To Sign Up For Junk Coverage That Is Exempt From Covering Prescription Drugs And Hospitalization Instead Of Comprehensive Plans. The Administration announced in July that it would encourage navigator groups to use their remaining funding to push consumers to sign up for junk health plans, which cover few benefits and notorious for the fraud they attract.

In December 2017, The Trump Administration Repealed The Requirement That Most People Have Insurance Despite The CBO Estimate That Doing So Would Increase The Number Of Uninsured By 13 Million. The Republican tax bill passed last December was estimated by the nonpartisan Congressional Budget Office to increase the number of uninsured by 13 million in 2027.

All Of This Comes After The Trump Administration Cut The Open Enrollment Advertising Budget By 90 Percent in 2017. As ABC News summarized, “In 2016, the Centers for Medicare & Medicaid Services spent $100 million on Obamacare advertising and outreach, but for [2017]’s open enrollment period, CMS plans on spending $10 million.” CMS chose not to increase the budget for 2019.

A full timeline of the Trump Administration’s crusade to sabotage open enrollment is below:

December 2018

  • Sunlight Foundation investigation finds that Trump Administration removed information about ways to apply for coverage on HealthCare.Gov and is directing people to sign up for coverage through enrollment sites run by for-profit companies.

October 2018

  • The Trump Administration issues guidance that allows federal subsidies to be used to purchase junk plans that can deny coverage to people with pre-existing conditions, a move expected to worsen ACA risk pools.
  • Trump Administration announces scheduled maintenance on the open enrollment website, preventing people from signing up for coverage on Sundays from 12:00 AM – 12:00 PM.

September 2018

  • Centers for Medicare and Medicaid Services removes a training guide for Latino outreach from a CMS website just over a month before the beginning of open enrollment. Latinos are at a disproportionately high risk of being uninsured compared to white non-hispanic Americans.

August 2018

  • Trump Administration finalizes rule for bare-bones short-term plans that are exempt from key consumer protections, such as the requirement that insurance covers prescription drugs, maternity care, and hospitalization.

July 2018

  • Trump Administration slashes funding for non-profit health navigator groups that help people shop for coverage, from $36 million to $10 million. CMS encourages groups to use the remaining funds to push people to sign up for junk plans that skirt important consumer protections.

July 2018

  • Trump Administration limits access to assistance for consumers who want to enroll in marketplace coverage. This change removes the requirement that every area has at least two “navigator” groups to provide consumer assistance and that one be local. Now, just one group could cover entire states or groups of states.

December 2017

  • Congressional Republicans pass their tax scam, which doubles as a sneaky repeal of the Affordable Care Act  by kicking 13 million people off of their insurance and raising premiums by double digits for millions more.

October 2017

  • The Trump Administration dramatically cuts in-person assistance to help people sign up for 2018 health coverage.

September 2017

  • The Administration orders the Department of Health and Human Services’ regional directors to stop participating in Open Enrollment events. Mississippi Health Advocacy Program Executive Director Roy Mitchell says, “I didn’t call it sabotage…But that’s what it is.”

August 2017

  • The Administration cuts the outreach advertising budget for Open Enrollment by 90 percent, from $100 million to just $10 million – which resulted in as many as 1.1 million fewer people getting covered. Emails obtained by Democracy Forward reveal that the administration chose to cut outreach despite having been warned that over 100,000 fewer people would enroll in coverage.

July 2017

  • The Trump Administration uses funding intended to support health insurance enrollment to launch a multimedia propaganda campaign against the Affordable Care Act.

April 2017

  • The Trump Administration cuts the number of days people could sign up for coverage during open enrollment by half, from 90 days to 45 days.

January 2017

  • Also on January 20th, the Department of Health and Human Services begins to remove information on how to sign up for the Affordable Care Act.
  • The Trump Administration pulls funding for outreach and advertising for the final days of 2017 enrollment. This move is estimated to have reduced enrollment by nearly 500,000.

On The 19th Day Of Christmas, The GOP Gave America: A NO Vote On Stopping The Lawsuit To Overturn The Affordable Care Act

Washington DC – Today, Senate Democrats attempted to intervene on behalf of the American people and authorize the Senate legal counsel to defend the Affordable Care Act in the Texas, et. al. vs. United States, et. al lawsuit following the terrible ruling from conservative U.S. District Judge Reed O’Connor to overturn the Affordable Care Act (ACA). But in true sabotage fashion, the Republicans blocked the measure from moving forward. Brad Woodhouse, executive director of Protect Our Care issued the following statement in response:

“If anyone thought Republicans would end their war on health care after they were wallopped on the issue in November they were sadly mistaken. Republicans blocking the Senate from intervening in the Texas lawsuit confirms that they will do everything in their power to repeal and sabotage health care.  Americans do not want to roll back the clock and go back to the days where insurance companies could drop coverage or deny it altogether simply for having a pre-existing condition. Enough is enough. It’s time for the GOP to wake up and end this relentless war on health care.”

Good Riddance to the Least Successful, Most Anti-Health Care Speaker in American History

Washington, D.C. – This afternoon, Speaker Paul Ryan will give his farewell address at the Library of Congress. Brad Woodhouse, executive director of Protect Our Care, issued the following statement in response:

“Paul Ryan sat around a keg in college and dreamed of slashing Medicaid, tried to end Medicare as we know it as a Budget chairman, and tried to rip health care away from 23 million people by repealing the Affordable Care Act as Speaker of the House. As he leaves Washington, voters and legislatures across the country are expanding Medicaid; the public overwhelmingly rejected Ryan’s vouchers to upend Medicare, with the discussion today about how to strengthen and expand the program rather than end it; and despite his best efforts to repeal health care, kick tens of millions of people off of their coverage and end protections for those with pre-existing conditions, the ACA is more popular than ever, repeal went down in flames, and the Ryan-led effort to upend the American health care system swept his party from power in the House. There is no finer karma. Paul Ryan is perhaps the most anti-health care Speaker in American history – fortunately for the American people he was also the least successful and least competent. Good riddance.”

“They May Have Bought More Than They Bargained For”: Republicans Thought They Had It Bad Before, But It’s Getting Clearer That It’s Even Worse Than They Thought

In the last twenty-four hours, it’s become clear that the Texas court decision overturning the Affordable Care Act is an even bigger problem for Republicans than originally reported. It goes beyond even the most outlandish of last year’s repeal bills by striking down some of the law’s most popular provisions, such as the prohibition on denying someone coverage because they’re sick and the requirement that adults under age 26 be allowed to stay on their parents’ plan.

Following Friday’s jarring decision by a conservative federal judge to overturn the Affordable Care Act, Democratic state attorneys general have submitted a request for a stay on the court’s order — ensuring that the Affordable Care Act remains in effect while the case makes it way through the appeals process. Should their request be denied, the American people will suffer, and the American health care system will be upended.

 

WHAT WOULD HAPPEN:

  • 12 million Americans who gained coverage through Medicaid expansion would become uninsured.
  • 8 million low-income residents will lose access to billions of dollars in tax credits.
  • 19 million Medicare Advantage beneficiaries could lose their plans because the ACA replaced the payment system previously in effect.
  • Insurance companies may once again be able to discriminate on the basis of health status by charging higher premiums or denying coverage altogether, jeopardizing the care of more than 130 million Americans with pre-existing conditions.
  • The prohibition of lifetime or annual limits on coverage would disappear.
  • The requirement that children under the age of 26 be allowed to stay on their parents’ coverage would be gone.
  • Insurance companies would no longer have to cover essential health benefits, including ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance abuse treatment, prescription drugs, laboratory services, preventative services and chronic disease management, and pediatric services, including oral and vision care.
  • States may lose their platforms for connecting residents to health care options — state marketplaces, federally facilitated exchanges, and hybrid options that use healthcare.gov would disappear.
  • Important initiatives to improve quality of care, reduce cost, and increase innovation would disappear. The Affordable Care Act’s initiatives holding hospitals accountable for quality and safety, allowing providers to receive Medicare payments based on quality and care coordination; and funding efforts to states, public health officials, educational institutions, and medical providers to improve treatment of chronic illnesses, reduce health disparities, improve efficiency and value, and to provide comprehensive care, including preventive care, and mental health and substance use disorder services could fall by the wayside.
  • Uncompensated care costs would increase by $1.1 trillion over the next decade because so many people would lose coverage.
  • And the Prevention and Public Health Fund (PPHF), a new funding stream created by the ACA that has sent over $3.9 billion to states since 2010 ($650 million for fiscal year 2017), would be eliminated.

THE KAISER FAMILY FOUNDATION: PRE-EXISTING CONDITION PROTECTIONS ARE NOT EVEN THE MOST POPULAR PROVISION THE RULING STRIKES DOWN

Kaiser Family Foundation President Drew Altman said:

“Democrats will now use the 2020 campaign to paint Republicans as threatening a host of popular provisions in the ACA And here’s the kicker: protections for pre-existing conditions, the provision that played such a big role in the midterms, is not even the most popular one.”

Overturning the Affordable Care Act means overturning its most popular provisions, which are supported by both Democrats and Republicans. According to the Kaiser Family Family Foundation’s November tracking poll:

  • Young adults can remain on their parents’ health insurance policies until age 26: 82% of the public supports this, including 66% of Republicans.
  • Subsidies for lower and moderate income people: 81% support this, including 63% of Republicans.
  • Closing the “donut hole” so there’s no gap in Medicare prescription drug coverage: 81% like this, as do 80% of Republicans.
  • Eliminating costs for many preventive services: 79% support this, as do 68% of Republicans.
  • Medicaid expansion: 77% like it, as do 55% of Republicans.
  • Protecting people with pre-existing conditions: 65% of the public supports this, including 58% of Republicans.

The bottom line from the Kaiser Family Foundation’s Drew Altman: “ [Republicans’] world has changed politically, with Democrats preparing to take control of the House next year, and Republicans may have been better off settling for the repeal of the mandate penalty that Congress already passed. The mandate was by far the least popular part of the law and gave them something to crow about. Now, they may have bought more than they bargained for.”

Cory Gardner: The Grinch Who Stole Health Care

Washington DC – During a recent interview regarding conservative U.S. District Judge Reed O’Connor decision in the Texas, et. al. vs. United States, et. al. lawsuit, Senator Cory Gardner refused to denounce the efforts of Republican attorneys general, governors, and the Trump Administration. By siding with his GOP allies, Sen. Gardner is once again supporting the Republican war on health care to overturn the entire Affordable Care Act (ACA).  Brad Woodhouse, executive director of Protect Our Care issued the following statement in response:

 

“Don’t be fooled, Gardner voted to do what the court has just accomplished:  rollback the health care law, end people’s protections, and kick people off their life-saving coverage. If he feels differently now, he should denounce the lawsuit and sign on to the Senate resolution to intervene in opposition to it. Otherwise, you can count on Cory Gardner continuing to stand with the Trump administration and Republicans who want to repeal the law, kick kids off their parent’s policies and deny coverage to millions of Americans and Coloradans.  And in the end, if Gardner continues to be a soldier in the Republican war on American health care, voters will show him the door just as they did scores of his congressional colleagues in November.”

 

Background:

What’s at stake for Colorado:

  • The coverage that 419,000 Coloradans gained through the ACA by 2015.
  • Protections for 2,350,900 Coloradans who have a pre-existing health condition.
  • The health care of roughly 40,000 young adults in Colorado who have coverage because they can stay on their parents coverage until age 26.
  • 450,900 Coloradans who have coverage because of Medicaid expansion.
  • The nearly 2,519,638 Coloradans, most of whom have employer coverage, who can access free preventive care at no cost.
  • The 2,949,000 Coloradans with employer coverage who no longer have to worry about lifetime or annual limits.
  • Seniors’ drug savings — 56,531 Colorado seniors are saving $61.1 million on drugs in 2017, an average of $1,081 per beneficiary because the ACA closed the Medicare prescription drug donut hole.

Because Judge O’Connor Sided With Republicans, 17.1 Million People Could Lose Their Coverage

According to the Urban Institute, 17.1 million people would lose coverage in the first year by repealing the Affordable Care Act, leading to a 50 percent increase in the uninsured rate.

Because Judge O’Connor Sided With Republicans, Insurance Companies Could Be Put Back In Charge, Ending Protections For The 130 Million People With A Pre-Existing Condition

  • According to a recent analysis by the Center for American Progress, roughly half of nonelderly Americans, or as many as 130 million people, have a pre-existing condition. This includes:
    • 44 million people who have high blood pressure
    • 45 million people who have behavioral health disorders
    • 44 million people who have high cholesterol
    • 34 million people who have asthma and chronic lung disease
    • 34 million people who have osteoarthritis and other joint disorders
  • 17 million children. One in four children, or roughly 17 million, have a pre-existing condition.
  • 68 million women. More than half of women and girls nationally have a pre-existing condition.
  • 30 million people aged 55-64. 84 percent of older adults, 30.5 million Americans between age 55 and 64, have a pre-existing condition.

 

  • 2,350,900 Coloradans have a pre-existing condition.

 

Because Judge O’Connor Sided With Republicans, Insurance Companies Could Have The Power To Deny Or Drop Coverage Because Of A Pre-Existing Condition

Before the Affordable Care Act, insurance companies routinely denied people coverage because of a pre-existing condition or canceled coverage when a person got sick.

  • A 2010 congressional report found that the top four health insurance companies denied coverage to one in seven consumers on the individual market over a three year period.
  • A 2009 congressional report found that the of the largest insurance companies had retroactively canceled coverage for 20,000 people over the previous five year period
Conditions That Could Cost You Your Care:

  • AIDS/HIV
  • Alcohol/drug Abuse
  • Cerebral Palsy
  • Cancer
  • Heart Disease
  • Diabetes
  • Epilepsy
  • Kidney Disease
  • Severe Epilepsy
  • Sleep Apnea
  • Pregnancy
  • Muscular Dystrophy
  • Depression
  • Eating Disorders
  • Bipolar Disorder
Jobs You Could Be Denied Coverage Because Of:

  • Active military personnel
  • Air traffic controller
  • Body guard
  • Pilot
  • Meat packers
  • Taxi cab drivers
  • Steel metal workers
  • Law enforcement
  • Oil and gas exploration
  • Scuba divers
Medications That You Could Be Denied Health Care For Taking:

  • Anti-arthritic medications
  • Anti-diabetic medications (including insulin)
  • Anti-cancer medications
  • Anti-coagulant and anti-thrombotic medications
  • Medications used to treat autism
  • Anti-psychotics
  • Medications for HIV/AIDS
  • Growth hormone
  • Medication used to treat arthritis, anemia, and narcolepsy
  • Fertility Medication

 

Because Judge O’Connor Sided With Republicans, Insurance Companies Could Have The Power To Charge You More

 

  • More than 100 Million People With A Pre-Existing Condition Could Be Forced to Pay More. An analysis by Avalere finds that “102 million individuals, not enrolled in major public programs like Medicaid or Medicare, have a pre-existing medical condition and could therefore face higher premiums or significant out-of-pocket costs” thanks to the Republican lawsuit to repeal the Affordable Care Act.

 

 

 

  • Women Could Be Charged More Than Men for the Same Coverage. Prior to the ACA, women were often charged premiums on the nongroup market of up to 50 percent higher than they charged men for the same coverage.

 

  • People Over the Age of 50 Could Face a $4,000 “Age Tax,” Including $ 4,302 in Colorado. Because Judge O’Connor sided with Republican lawmakers, insurance companies could be able to charge people over 50 more than younger people. The Affordable Care Act limited the amount older people could be charged to three times more than younger people. If insurers were to charge five times more, as was proposed in the Republican repeal bills, that would add an average “age tax” of $4,124 for a 60-year-old in the individual market, including $ 4,302 in Colorado, according to the AARP.

 

 

  • Nine Million People in the Marketplaces Would Pay More for Coverage, Including 102,628 Coloradans. If Judge O’Connor’s ruling is upheld, consumers would no longer have access to tax credits that help them pay their marketplace premiums, meaning roughly nine million people who receive these tax credits to pay for coverage will have to pay more, including 102,628 in Colorado.

 

  • Seniors Would Have to Pay More for Prescription Drugs. Because Judge O’Connor sided with Republican lawmakers, seniors could have to pay more for prescription drugs because the Medicare “donut” hole got reopened. From 2010 to 2016, “More than 11.8 million Medicare beneficiaries have received discounts over $26.8 billion on prescription drugs – an average of $2,272 per beneficiary,” according to a January 2017 CMS report. In Colorado, 56,531 seniors each saved an average of $1,081.

Because Judge O’Connor Sided With Republicans, Insurance Companies Could Have the Power to Limit the Care You Get, Even If You Have Insurance Through Your Employer

 

  • Insurance Companies Do Not Have to Provide the Coverage You Need. The Affordable Care Act made comprehensive coverage more available by requiring insurance companies to include “essential health benefits” in their plans, such as maternity care, hospitalization, substance abuse care and prescription drug coverage. Before the ACA, people had to pay extra for separate coverage for these benefits. For example, in 2013, 75 percent of non-group plans did not cover maternity care, 45 percent did not cover substance abuse disorder services, and 38 percent did not cover mental health services. Six percent did not even cover generic drugs.

 

 

  • Reinstate Lifetime and Annual Limits. Repealing the Affordable Care Act means insurance companies would be able to impose annual and lifetime limits on coverage.

 

  • Large Employers Could Choose to Follow Any State’s Guidance, Enabling Them Put Annual and Lifetime Limits on Their Employees’ Health Care. Without the ACA’s definition of essential health benefits (EHB) in even some states, states could eliminate them altogether. Large employers could choose to apply any state’s standard, making state regulations essentially meaningless. Because the prohibition on annual and lifetime limits only applies to essential health benefits, this change would allow employers to reinstate annual and lifetime limits on their employees’ coverage.

Because Judge O’Connor Sides With Republicans, Medicaid Expansion Could Be Repealed

  • Fifteen million people have coverage through the expanded Medicaid program, including 450,900 in Colorado.