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Why Rhode Islanders’ Insurance Is Getting Even More Expensive: The Trump Administration and Washington Republicans Keep Sabotaging Health Care

Washington, D.C. – As preliminary Rhode Island rate filings for 2019 individual-market health insurance indicated an almost 10% average premium increase due to D.C. Republicans’ repeal-and-sabotage agenda, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“For the past year and a half, President Trump and his Republican allies in Congress have engaged in a deliberate, aggressive campaign to undermine health care and now families in Rhode Island are being asked to pay the price. While insurance companies make huge profits and enjoy record tax breaks from Republicans, they are planning to charge working families even more. Until we stop Republicans’ war on health care, health care experts predict that rates will keep rising by double digits. Washington, D.C. Republicans should start working on bipartisan solutions to make coverage more affordable, instead of helping their friends in the insurance industry make another buck on the backs of hardworking Rhode Islanders.”

From The Insurance Commissioner And Insurance Companies:

Rhode Island Health Insurance Commissioner: Rates “Made Against The Backdrop Of Continuing Uncertainty Over Federal Policy Actions Around The Affordable Care Act.” “This year’s rate filings are made against the backdrop of continuing uncertainty over federal policy actions around the Affordable Care Act, such as the discontinuance of both Cost Sharing Reduction subsidies and penalties for not having insurance.” [Rhode Island Health Insurance Commissioner’s Office, 5/31]

Neighborhood Health Plan Of Rhode Island: “Key Drivers Of The Rate Increase Include” Mandate Repeal. “The range of rate changes, before reflecting changes in age, which consumers will experience, is approximately 7.9% to 9.6%. Key drivers of this rate increase, further described below, include: Repeal of the individual mandate penalty affecting medical service costs…  In 2018, the federal administration also repealed the individual mandate penalty which previously required all US citizens or permanent residents to obtain qualifying health insurance or pay a tax penalty greater than zero dollars. Repeal of the mandate penalty will result in approximately 1.9% increase of premiums, assuming healthy individuals will no longer purchase health insurance.” [Neighborhood Plan of Rhode Island, 5/31]

Why Rhode Islanders’ Insurance Is Getting Even More Expensive: The Trump Administration and Washington Republicans Keep Sabotaging Health Care

While spending most of last year trying to repeal the Affordable Care Act (ACA) and waging a war on our health care, President Trump and Republicans in Congress have also used their control of Washington to actively undermine the Health Insurance Marketplaces every chance they get – leading insurance companies to raise premiums for 2018 and 2019 and, in some cases, forcing them out of the individual market altogether. Washington Republicans’ goal is simple: sabotage and undermine the Affordable Care Act, then blame everyone but themselves for the consequences of their actions. President Trump keeps rooting for disaster, saying that “The best thing we can do…is let Obamacare explode” and “Let it be a disaster because we can blame that on the Democrats.

Now, initial rate filings in Rhode Island forecast rate hikes again this fall because of Republican sabotage.

Republicans never ended their war on our health care. After Congress failed to repeal the Affordable Care Act, the Trump Administration is aggressively sabotaging our health care system and refusing to work to make coverage better and more affordable.

  • Experts from AARP, the Congressional Budget Office, and a wide range of other nonpartisan organizations agree that Republican actions are forcing up health care costs.
  • Republicans in Congress are supporting the Administration’s many actions to undermine health care, despite widespread opposition from patient and disease groups, doctors, nurses, hospitals, plus health care and consumer advocates.
  • The Trump Administration officials keep rewriting the rules to let big insurance companies cover fewer and fewer services while charging people more and more. The sabotage doesn’t stop there: last year the Administration fired many of the community assisters who help people enroll in health care; this year they are planning more enrollment cuts, making it even harder to sign up for coverage.
  • And now, Republicans are encouraging insurance companies to sell more junk plans that don’t have to cover basic care like hospitalization and prescription drugs, and that are allowed to charge people with pre-existing conditions more or even deny them coverage altogether.

This could have been avoided: if Republicans had stopped sabotaging health care, American families wouldn’t be facing another huge increase this fall.

  • Even the Trump Administration has admitted that the Affordable Care Act’s insurance marketplaces had been stabilizing prior to them coming into office.
  • The nonpartisan Congressional Budget Office had predicted only modest rate increases if Republicans hadn’t sabotaged the markets.
  • Even Senate Republicans admitted this fall’s upcoming rate hikes were “avoidable,” but then they torched bipartisan stabilization talks at the last minute, prioritizing partisan politics over their last opportunity to help American families afford health care next year.

The Trump Administration’s sabotage will punish Americans by jacking up premiums again, compounding the damage done last year, when Republican sabotage pushed rates up by a national average of 37%.

  • The Republican tax bill’s repeal of a key Affordable Care Act provision and the Trump Administration’s junk plan proposal will increase individual market premiums in Rhode Island by an average 20.7 percent this fall, according to a recent Urban Institute study.
  • This sabotage-driven rate hike will make the damage Republicans inflicted last year through repeal attempts and sabotage even worse.
  • Higher premiums will mean fewer working families can afford coverage: during the first year of the Trump Administration, millions more Americans joined the ranks of the uninsured – the highest increase since Gallup started tracking the uninsured rate.

Despite Republican sabotage, the Affordable Care Act has improved Rhode Islanders’ care.

  • 33,021 Rhode Islanders signed up for Marketplace coverage this year.
  • Thanks to the Marketplace and Medicaid expansion, Rhode Island’s uninsured rate fell by 5 percent between 2013 and 2016 as Rhode Islanders have gained access to affordable coverage.
  • Before today’s announcement, the Urban Institute predicted that Rhode Island premiums for 2019 could rise 20.7 percent more because of the Trump Administration’s junk plan proposal and the Republican tax bill’s repeal of a key Affordable Care Act coverage incentive.
  • Even despite sabotage, Affordable Care Act subsidies help keep coverage affordable for 80 percent of Rhode Island Marketplace consumers, whose average 2018 premium is $144 per month.
  • But because of the Republican sabotage agenda, many middle-income Rhode Islanders could pay hundreds or thousands of dollars more than they would have otherwise.

Rhode Islanders won’t forget that Republicans and the Trump Administration keep forcing up health care costs to score political points.

  • Health care costs are a top issue in nearly every major issue-ranked poll in 2018.
  • Voters overwhelmingly trust Democrats over Republicans on health care costs.
  • In poll after poll, voters resoundingly reject President Trump and Congressional Republicans’ repeal-and-sabotage campaign against the Affordable Care Act.

KEY QUOTES

Former HHS Secretary Tom Price: GOP Actions Responsible For Premium Increases. “President Trump’s former top health official on Tuesday said the Republican tax law would raise the cost of health insurance for some Americans because it repealed a core provision of the Affordable Care Act. Tom Price, Trump’s first secretary of the Department of Health and Human Services, said people buying insurance on government-run marketplaces will face higher prices because the tax law repealed the ACA’s individual mandate. The mandate had forced most Americans to have health coverage or face a financial penalty. ‘There are many, and I’m one of them, who believes that that actually will harm the pool in the exchange market, because you’ll likely have individuals who are younger and healthier not participating in that market, and consequently that drives up the cost for other folks within that market,’ Price said at the World Health Care Conference in Washington.” [Washington Post, 5/1/18]

Cynthia Cox, Kaiser Family Foundation: “In The Absence Of Efforts To Undermine The Market, We Would Be Seeing A Period Of Relatively Small Premium Increases.” “‘In the absence of efforts to undermine the market, we would be seeing a period of relatively small premium increases, driven mostly by the underlying growth in health care costs,’ said Cynthia Cox, the lead author of the Kaiser Family Foundation report. ‘I wouldn’t be surprised if we’re in for another year of double-digit premium increases. And if that does happen, it would be in large part due to policy changes that are happening.’” [Huffington Post, 5/18/18]

America’s Health Insurance Plans: Republican Sabotage Will “Drive Up The Rate Of Premium Increases.” “Policies that disproportionately draw healthy consumers away from the individual market, like expanding access to short-term plans, will likely have an even more devastating effect on affordability, choice and competition. This will further result in adverse selection, drive up the rate of premium increases, and exacerbate affordability issues for many other people.” [America’s Health Insurance Plans Letter to HHS, 4/20/18]

Kris Haltmeyer, Blue Cross Blue Shield Association Vice President: “With The Repeal Of The Individual Mandate And The Failure Of Congress To Enact Stabilization Legislation, We Are Expecting Premiums To Go Up Substantially.” Kris Haltmeyer, a vice president at the Blue Cross Blue Shield Association, told reporters that the premium increases were in part due to the repeal of ObamaCare’s individual mandate in the Republican tax reform bill in December. He also cited lawmakers’ failure to pass a bill aimed at shoring up the market, which fell apart earlier this year amid a partisan dispute over abortion restrictions. ‘With the repeal of the individual mandate and the failure of Congress to enact stabilization legislation, we are expecting premiums to go up substantially,’ Haltmeyer said. He estimated that average premium increases nationwide will be in the ‘low teens,’ but that there will be major variation across areas, ranging from the low single digits to up to 70 or 80 percent.” [The Hill, 5/23]

Commonwealth Fund: Rollback Of Health Insurance Gains Spurred By “Actions By The Current Administration.” “The marked gains in health insurance coverage made since the passage of the Affordable Care Act (ACA) in 2010 are beginning to reverse, according to new findings from the latest Commonwealth Fund ACA Tracking Survey. The coverage declines are likely the result of two major factors: 1) lack of federal legislative actions to improve specific weaknesses in the ACA and 2) actions by the current administration that have exacerbated those weaknesses. These include the administration’s deep cuts in advertising and outreach during the marketplace open-enrollment periods, a shorter open enrollment period, and other actions that collectively may have left people with a general sense of confusion about the status of the law. Signs point to further erosion of insurance coverage in 2019: the repeal of the individual mandate penalty included in the 2017 tax law, recent actions to increase the availability of insurance policies that don’t comply with ACA minimum benefit standards, and support for Medicaid work requirements.” [Commonwealth Fund, 5/1/18]

Center for American Progress: “Combined, The Recent Tax Law’s Repeal Of The Individual Mandate And The Administration’s Short-Term Plan Rule Will Undermine The Individual Insurance Market And Increase Premiums For ACA-Compliant Coverage.” “Last year, as part of the tax law, Congress eliminated the Affordable Care Act’s individual mandate penalty. Given the mandate’s important role in encouraging healthier people to enroll in the marketplaces, the Congressional Budget Office (CBO) estimates that, in 2019, this will increase average premiums in the individual market by 10 percent. Furthermore, in February 2018, the Trump administration proposed a rule to expand short-term health insurance plans… Along with the repeal of the individual mandate penalty, this expansion of short-term plans will drive up average premiums for ACA-compliant coverage in the individual market. Recent preliminary rate filings in Virginia demonstrate that these actions are contributing to significant premium increases for marketplace coverage in 2019. In fact, some Virginia insurers specifically cited the individual mandate repeal and short-term plan rule as major factors in their rate filings… Combined, the recent tax law’s repeal of the individual mandate and the administration’s short-term plan rule will undermine the individual insurance market and increase premiums for ACA-compliant coverage.” [CAP, 5/18]

New York Times: “Rather Than Trying To Eliminate Obamacare In One Fell Swoop, [Republicans Are] Trying To Undermine It With Multiple Acts Of Sabotage – While Hoping Voters Won’t Realize Who’s Responsible For Rising Premiums And Falling Coverage.” “At the beginning of 2017, Republicans promised to release the kraken on Obamacare — to destroy the program with one devastating blow. But a funny thing happened: Voters realized that repealing the Affordable Care Act would mean taking health insurance away from tens of millions of Americans. They didn’t like that prospect — and enough Republicans balked at the backlash that Obamacare repeal fizzled. But Republicans still hate the idea of helping Americans get health care. So instead of releasing the kraken, they’ve brought on the termites. Rather than trying to eliminate Obamacare in one fell swoop, they’re trying to undermine it with multiple acts of sabotage — while hoping voters won’t realize who’s responsible for rising premiums and falling coverage.” [NYT, 5/8/18]

New York Times Editorial Board: “The Administration’s Health Care Sabotage Efforts Have Already Had A Big Impact”: A 30-Percent Premium Increase. “The administration’s health care sabotage efforts have already had a big impact — but not the kind of impact officials promised. Insurance companies raised average premiums for 2018 A.C.A. policies by 30 percent. This has mostly hurt middle-class families who have to pay full freight for health insurance because they make too much money to qualify for subsidies and don’t get coverage through their employer. Few experts were surprised when the Commonwealth Fund found that the percentage of American adults who did not have health insurance jumped to 15.5 percent this year, from 12.7 percent before Mr. Trump took office. Experts say those numbers could climb higher still when the penalty for not having insurance goes away next year.” [NYT, 5/3/18]

Washington Post Editorial Board: “The Numbers Suggest That [The ACA’s] Critics’ Sabotage Efforts Are To Blame. “The effects of the president’s underinformed instincts, enabled by the ideologues in his administration, are beginning to show up in some of the numbers, representing real pain that Americans are suffering for Mr. Trump’s deficient leadership… Obamacare critics regularly describe all problems as the inevitable result of a poorly designed law. But the numbers suggest that the critics’ sabotage efforts are to blame. After impressive declines during President Barack Obama’s second term, the fund found that the uninsured rate increased in both of the years Mr. Trump has been in office. During the campaign, Mr. Trump regularly complained that the Affordable Care Act (ACA) left too many Americans uncovered. The result of nearly a year and a half of Mr. Trump’s leadership is 4 million people added to that group.” [Washington Post, 5/8/18]

CEO of CareFirst Blue Cross Blue Shield: Things Are “Materially Worse” Under Trump. “Continuing actions on the part of the administration to systematically undermine the market and make it almost impossible to carry out the mission…If continued efforts at the federal level undermine the marketplaces, I would think the board would have to examine what they would want — that’s very much on their mind.” [Washington Post, 5/1/18]

Horizon Blue Cross Blue Shield of New Jersey: 2018 Premium Increase Was Due To Federal Policy.Three factors connected to federal policy decisions are responsible for 14.7% of the 24.3% total average individual premium increase: Weakened enforcement of the Individual Mandate…Elimination of federal funding for Cost Sharing Reductions (CSR), [and] 2018 reinstatement of Health Insurance Tax…Were it not for the three factors within the control of the Federal Government, Horizon BCBSNJ’s individual premiums would have an average increase of 9.6%.” [Horizon Blue Cross Blue Shield of New Jersey, 10/17/17]

Lindsey Graham: Republicans “Own The Outcome” On Health Care. “Sen. Graham told Breitbart News, ‘In October, premiums are going up. Obamacare cannot be fixed. It’s going to continue to collapse, and then, we own the outcome. By repealing the individual mandate, which is a step forward in the eyes of the public, we own the issue. We have a responsibility to do something about the collapsing Obamacare system. I believe that we’re going to get blamed more than Democrats because we stopped trying to repeal Obamacare, and to suggest that we don’t own it is just simply politically naive.’ Graham continued, ‘It can hurt us in 2018. It can hurt by our base feeling like we betrayed them. It can hurt us from people suffering from Obamacare, like we don’t have a solution. It will energize Democrats. It can undercut everything we did on the tax cut side.’” [Breitbart, 2/6/18]

Rep. Charlie Dent: “We, The Republican Party…Own” Health Care Now. “Rep. Charlie Dent (R-Pa.) argued Friday that President Trump was ‘ill-advised’ to end key ObamaCare payments, warning that the GOP now ‘owns’ whatever happens to ObamaCare. ‘I think the president is ill-advised to take this course of action because … we, the Republican Party, will own this,’ Dent, a key House moderate who is retiring from Congress at the end of his term, said on CNN. Asked about Trump’s previous comments blaming problems with ObamaCare on former President Barack Obama, Dent pointed out that Republicans currently control the White House and have majorities in both chambers of Congress. ‘Barack Obama is a former president. President Trump is the president and he’s a Republican, and we control the Congress,’ Dent said. ‘So we own the system now. We’re going to have to figure out a way to stabilize this situation … This is on us.’” [The Hill, 10/13/17]

Washington Post: “The Pottery Barn Rule Comes To Mind: You Break It, You Own It.” “This is not ‘letting’ Obamacare fail. Many nonpartisan experts believe that these active measures are likely to undermine the pillars of the 2010 law and hasten the collapse of the marketplaces. The Pottery Barn rule comes to mind: You break it, you own it. Yes, the plate you just shattered had some cracks in it. But if you dropped it on the ground, the store is going to blame you.” [Washington Post, 10/13/17]

Washington Post: “Trump’s Not Going To Be Able To Avoid Blame For Kneecapping Obamacare.” [Washington Post, 10/13/17]

“After Months Of Pinning The Blame For Obamacare’s Shortcomings On Democrats And Watching His Own Party Fail To Act, President Donald Trump Just Took Ownership Of A Struggle That’s Consumed Republicans For Seven Years.” “After months of pinning the blame for Obamacare’s shortcomings on Democrats and watching his own party fail to act, President Donald Trump just took ownership of a struggle that’s consumed Republicans for seven years. Trump’s decision late Thursday to end government subsidies to insurers to help lower-income Americans afford to use their coverage under the Affordable Care Act was the most drastic step he’s taken to undermine his predecessor’s signature achievement. It also lobbed a live bomb into the laps of Republicans lawmakers 13 months before congressional elections after he publicly berated the party’s Senate leadership for being unable to keep a longstanding promise to repeal the law.” [Bloomberg, 10/13/17]

The American People Agree: President Trump And Congressional Republicans Are Playing Politics With People’s Health Care.  A poll conducted last September found that 61 percent of voters believed President Trump was “trying to make the Affordable Care Act fail,” and 64 percent of voters said Trump is “playing politics with people’s health care.” The poll also found that the American people seriously disapprove of how Republicans in Congress are treating health care: 80 percent of voters disapprove while only 20 percent approve. [Hart Research, 9/5/17]

Protect Our Care Statement on Virginia Medicaid Expansion

After the Virginia Senate voted to approve Medicaid expansion, Protect Our Care Chair Leslie Dach released the following statement:

“Today’s vote in Virginia is a smack in the face to the Trump Administration and the Republicans in Congress who keep pushing an out-of-touch, anti-health-care agenda. While they keep voting for health care repeal and sabotaging the system, Virginia voters demanded – and won – expanded coverage. Up to four hundred thousand Virginians will gain coverage through today’s Medicaid expansion, a tremendous step for Virginia’s health care system and its economy. In the four years since states began expanding Medicaid, more than fifteen million Americans have gained coverage, giving these individuals and families control of their health care and providing peace of mind that a medical emergency will no longer result in bankruptcy, or worse. While it’s unfortunate that Virginia Republicans insisted on imposing work requirements as a precondition for this achievement, today’s vote highlights growing momentum across the country to expand access to health care. Virginia is the latest state to do the right thing, but it surely won’t be the last. Thanks to everyone who never gave up on this fight, from grassroots organizers across the Commonwealth to leaders in Richmond, who have today secured a landmark achievement for Virginia.”

 

Editorial Roundup: Across the Country, Standing Up to Health Care Sabotage

Across the country, editorial boards are speaking out against Republicans’ repeal-and-sabotage war on health care as rising costs and higher uninsurance rates take a toll on American communities:

San Antonio Express-News: Health Care Numbers Moving In The Wrong Direction. [5/27/18]

Los Angeles Times: CA Should Fight The Good Fight Against Bad Health Insurance Policies. [5/25/18]

Boston Globe: Repeal Failed, But The GOP’s ACA Attack Continues. [5/12/18]

Charlotte Observer: Get ready for Obamacare Sticker Shock. [5/9/18]

Valley News: Health-Care Sabotage Begins to Kick In. [5/7/18]

Washington Post: Americans Are Starting To Suffer From Trump’s Health Care Sabotage. [5/6/18]

Florida Times-Union: Obamacare has become Trumpcare. [4/12/18]

Des Moines Register: Elected officials undermine Iowans’ health insurance. [4/3/18]

Minneapolis Star Tribune: Sabotaging the Affordable Care Act will lead to pricier insurance. [3/27/18]

Portland Press Herald: Republicans responsible for looming chaos in health care marketplaces. [3/22/18]

Star-Ledger: State Lawmakers Must Rescue Obamacare. [3/11/18]

St. Louis Post-Dispatch: In Iron County, the rural health care catastrophe comes home. [3/8/18]

New York Times: Trump Tries to Kill Obamacare By A Thousand Cuts. [2/21/18]

Los Angeles Times: The Trump administration wants to cut premiums for the healthy at the expense of the sick. Again. [2/21/18]

President Trump Doubles Down on Health Care Sabotage at Bill Signing Ceremony

Washington, D.C. – After President Trump boasted about his Administration’s ongoing health care sabotage during a bill signing, saying that “we will have gotten rid of a majority of Obamacare” in relation to his Administration’s expected rules on short-term and association health plans, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“President Trump is bragging about his Administration’s continuing efforts to undermine and sabotage Americans’ health coverage through short-term junk and association health plans on the very same day that a new analysis shows unprecedented opposition to both proposals from over 90% of health care groups. Instead of forging ahead down this destructive path, Trump should listen to the vast majority of Americans, who oppose his repeal-and-sabotage agenda, and withdraw this harmful rule. It’s time for President Trump to end this partisan war on Americans’ health care.”

FACT SHEETS:

SHORT-TERM PLANS leave people who get sick with thousands of dollars in medical bills because they don’t have to cover basic medical services.

ASSOCIATION HEALTH PLANS may also refuse to cover basic medical services, and have a long history of fraud and unpaid claims.

Health Insurance Experts Confirm Rate Hikes Driven By Sabotage

New estimates from the health insurance industry trade group and other expert organizations are making it clear that Republican sabotage is dramatically increasing the premiums everyday Americans will be paying for health coverage in 2019. In a report that should shock every person struggling to afford health care, the health insurance companies expect rate hikes of up to 15.7% specifically because of Republican actions to undermine and sabotage the health care system.

AHIP: Factors Influencing 2019 Premiums in the Individual Market [5/25]

  • Short-term plan regulation: “Proposed rule would likely increase premiums in the individual market by 1.7% in the near-term and up to 6.6% once these changes are fully implemented.”
  • Association Health Plan regulation: “Could increase premiums in the individual market by up to 4 percent.”
  • Tax bill: Elimination of the individual mandate will increase premiums in 2019 … Recent regulatory guidance by the Administration expanded the list of hardship exemptions to the mandate for 2018, which could inject further uncertainty in the market ahead of 2019.”

AHIP, May 2018

Congressional Budget Office: Federal Subsidies for Health Insurance Coverage for People Under Age 65: 2018 to 2028 [5/23]

  • Significant hikes projected: Premiums for benchmark plans are expected to increase by 15 percent next year, and 7 percent per year between 2019 and 2028.
  • Republican sabotage to blame: CBO says these coverage losses and premium increases will happen “mainly because the penalty associated with the individual mandate will be eliminated and premiums in the nongroup market will be higher.”

CBO, May 2018

Center for American Progress: State-by-State Estimated Premium Increases due to Individual Mandate Repeal and Short-Term Plan Rule [5/18]

  • Four-figure rate hikesEstimated premium increases due to these acts of marketplace sabotage average $1,013 nationally for benchmark premiums for a 40-year-old individual.”
  • Cumulative sabotage impact: “After all, through previous acts of marketplace sabotage, the Trump administration has already unnecessarily driven up 2018 premiums for ACA-compliant coverage. For example, last year, CAP estimated that the Trump administration’s decisions to cancel cost-sharing reduction payments and to undermine enforcement of the individual mandate would increase average benchmark premiums for a 40-year-old by $1,061.”

Senator Bill Cassidy Won’t Stop Trying to Repeal Health Care

After Senator Bill Cassidy (R-LA), one of the chief architects of last year’s failed Senate Republican health repeal push, released a document urging Republicans to revisit Affordable Care Act sabotage and Medicaid cuts, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“Senator Bill Cassidy, who infamously lied to Jimmy Kimmel last year about how his bill would hurt people with pre-existing conditions, is back with yet another plan that would force sick people to lose their coverage. His new proposal to sabotage the Affordable Care Act and cut Medicaid comes as Americans are already blaming Republicans for skyrocketing premiums. Cassidy wants to finalize the Trump Administration’s junk plan proposal to stick millions of Americans with skimpy plans that can discriminate against people with pre-existing conditions, refuse to cover essential services like hospitalization or prescription drugs and stick unsuspecting patients with enormous medical bills. Today’s proposal adds to a growing drumbeat of Republicans who are desperate to pass a health care repeal bill ahead of the November elections, even though Americans across the political spectrum overwhelmingly oppose their agenda and all they have to offer are reheated leftovers from last year’s mess.”

This Week in the War on Health Care

While foreign policy again dominated the headlines, Republicans continued their unprecedented assault on the American health care system. Here’s what happened this week in the war on health care, plus six new polls underscoring opposition to the GOP health care agenda and a speech not to miss:

CBO CONFIRMS: GOP SABOTAGE IS RAISING COSTS, REDUCING COVERAGE

Yesterday, the nonpartisan Congressional Budget Office released a report detailing the higher costs Americans are facing due to the GOP’s repeal and sabotage campaign. It found that premiums will be going up double-digits and 5 million more Americans than originally anticipated will lose health insurance, and these negative consequences are happening because of Republicans’ actions:

Washington Post: “The reality is Republicans leading both chambers and the White House have acted in ways that could trigger the rise of premiums.”

CNN: “Congress eliminated the penalty associated with Obamacare’s individual mandate as part of its tax reform package last year. This change alone will cause premiums to be 10% higher.”

CNBC: “The CBO also projects about 5 million more people under the age of 65 will be uninsured in 2027 than it estimated in September, up to a total of 35 million people.”

Axios: “Insurance premiums tend to go up every year, but the magnitude of these increases stems largely from the repeal of the ACA’s individual mandate, the expansion of skimpy short-term plans, and the decision last year to cut off the law’s cost-sharing payments.”

Bloomberg: “One reason for the rising premiums is the actions of President Donald Trump.”

RIGHT-WING GROUPS’ BIG NEW IDEA ON HEALTH REPEAL: LET’S KEEP DIGGING

This week, four right-wing groups urged Congressional Republicans to revive Graham-Cassidy, the GOP’s worst repeal bill. These right-wing groups are counting on Republicans to ignore the will of the American people and amp up attacks on Medicaid and the Affordable Care Act. This time, they want an even more destructive bill – one that would slash Medicaid, repeal expansion, and decimate the insurance markets, all while giving insurance and pharmaceutical companies even bigger tax breaks.

It’s time for Jim DeMint and his cronies to get another hobby and give up their obsession with taking away our care.

TRUMP PUTS ADMINISTRATION BETWEEN WOMEN AND THEIR DOCTORS

This week, the Trump Administration dramatically accelerated its attacks on women’s care with new regulations released ahead of the President’s speech at an anti-women’s-health gala. This rule puts Donald Trump between women and their doctors and signals a new phase in the Republican war on women’s health. By banning providers from giving women all the facts about their options and restricting them from getting any services at all from Planned Parenthood and other essential community health providers, this rule is designed to threaten women’s health and restrict access to care.

The Trump Administration continues to pursue a radical anti-women’s health agenda, but this week’s proposal will only strengthen the resolve of the millions of women who have been marching against these attacks since Day One.

FAR FROM FACTUAL: SEN. ALEXANDER LIES, AGAIN

On Tuesday, Sen. Lamar Alexander (R-TN) published a comicaly-inaccurate letter to the editor in a last-ditch attempt to duck responsibility for the pain he’s causing American families, the latest example of the Senator’s misleading the public about health care. What did he lie about?

LIE 1: That efforts to stabilize health care markets failed because of Democrats. Republican poison pills on reproductive rights are what killed those efforts – full stop. Democrats continue to make overtures to Alexander on stabilization, but in a letter to lobbyists, he unilaterally declared he was walking away from the negotiating table.

LIE 2: That repealing the Affordable Care Act would have made matters better for anyone. In fact, millions of Americans would have lost their coverage, millions more with pre-existing conditions would have faced discrimination from insurance companies, and premiums would have soared.

LIE 3: That he is a moderate, reasonable, or thoughtful voice on health care. Sen. Alexander’s first priority is always repeal, making him no different from far-right Republicans like the Freedom Caucus or the Koch Brothers.

After this spring’s stabilization farce, Sen. Alexander has spent his last shreds of bipartisan credibility, and his letter indicates people in Tennessee are finally noticing.

TRUMP DRUG ‘PLAN’ COULD PUNISH SENIORS WITH CANCER

Also this week, new research from Avalere and a CBS News investigation exposed the dangers seniors with cancer could face under the Trump Administration’s drug pricing blueprint.

In the simplest terms, this Administration has no answers on how its proposed changes to Medicare would protect seniors from prohibitively high out-of-pocket costs for specialized cancer treatment, and these findings are more proof the Trump Administration’s drug pricing ‘plan’ is a day late and a dollar short. Americans are already worried enough about rising health care costs – the Trump Administration adding to that list by finding new ways to make care more expensive is absurd. In fact…

BATTLEGROUND POLLS FIND VOTERS BLAME REPUBLICANS FOR PREMIUM HIKES

Six new Public Policy Polling surveys in battleground states found that voters are not only blaming Republicans for the expected health care premium increases this summer by 30 points, but they also believe Republicans and President Trump are actively undermining and sabotaging the ACA.

  • In Arizona, 55% of voters will hold Republicans in Washington responsible if rates increase, and 49% believe Washington Republicans and President Trump have been trying to undermine and sabotage the Affordable Care Act, including 57% of independent voters.
  • In Indiana, 49% of voters will hold Republicans in Washington responsible if rates increase, and 48% believe Washington Republicans and President Trump have been trying to undermine and sabotage the ACA, including 48% of independent voters.
  • In Missouri, 59% of voters will hold Republicans in Washington responsible if rates increase, and a plurality (47%) say they believe Washington Republicans and President Trump have been trying to undermine and sabotage the ACA, including 50% of independent voters.
  • In Montana, 55% of voters will hold Republicans in Washington responsible if rates increase, and a plurality (47%) say they believe Washington Republicans and President Trump have been trying to undermine and sabotage the ACA, including 52% of independent voters.
  • In Nevada, 56% of voters will hold Republicans in Washington responsible if rates increase, and 55% say they believe Washington Republicans and President Trump have been trying to undermine and sabotage the ACA, including 59% of voters.
  • In Wisconsin, 59% of voters will hold Republicans in Washington responsible if rates increase, and 53% say they believe Washington Republicans and President Trump have been trying to undermine and sabotage the ACA, including 50% of  independent voters.

Perhaps someone should show these polls to Jim DeMint.

SEN. MURPHY FLOOR ADDRESS CALLS OUT REPUBLICAN RATE HIKES

Yesterday, Senator Chris Murphy (D-CT) took to the Senate floor to once again call out the GOP’s repeal and sabotage campaign and its effects on Americans’ premiums. As Sen. Murphy said:

“CBO has told you that the repeal of the individual mandate is going to jump premiums by 10%… But because of the actions that were taken here and because of many of the actions undertaken by this Congress, we’re looking at a double-digit increase… So Senate Democrats are going to be down on the floor pretty relentlessly over the course of the next few months to make people understand that as you are getting your health insurance bills, as you are seeing these big increases, a big reason why are the actions that your elected leaders have taken, this Republican Congress and this Administration…

“As I walked across the state of Connecticut last summer, something that I’ve come to do the last few years – I take about five or six days and I walk from one side of the state to the other – health care was the dominant theme. People were waiting for me miles ahead on the road having seen news that I was in a certain town earlier in the day. They waited ahead of me for hours and hours to talk to me about their illness and about their fear that this congress and this President were going to take away their coverage.

“We were successful in defeating the full repeal of the Affordable Care Act. And that’s great news because the Affordable Care Act is more popular than ever before. But this Congress and this President are trying to ruin some of the most important protections in our health care system because they’re mad that they lost the repeal vote by one vote. And so it’s important for us to tell Americans what the consequences of that sabotage campaign are. It certainly means that sick people are going to get less protection, but it also means that over the course of the next few months, as rates are filed across the country, you are going to see some devastatingly high premium increases due to the Republican campaign of health care sabotage. This week, 14% in Oregon. Last week or the week before, 91% in Maryland. 64% in Virginia. This is what happens when you strike blows at the American health care system, and it’s important for Americans to understand what’s happening. With that, Mr. President, I’d yield.”

We couldn’t have said it better ourselves!

CBO Confirms: GOP Sabotage Is Raising Costs, Reducing Coverage

Yesterday, the nonpartisan Congressional Budget Office released a report detailing the higher costs Americans are facing due to the GOP’s repeal and sabotage campaign. Among its conclusions: premiums will be going up double-digits, 5 million more Americans than originally anticipated will lose health insurance, and these negative consequences are happening because of Republicans’ actions. Here are the key takeaways:

Washington Post: “The Reality Is Republicans Leading Both Chambers And The White House Have Acted In Ways That Could Trigger The Rise Of Premiums.” “The reality is Republicans leading both chambers of Congress and the White House have acted in ways that could trigger the rise of premiums. They’ve repealed the law’s individual mandate, paving the way for healthier people to leave the marketplaces and leave sicker, more expensive patients behind. They’re working to expand leaner plans exempt from ACA coverage requirements. And they haven’t found a way to pay extra subsidies in order to defray extra plan costs for the lowest-income customers.” [Washington Post, 5/24]

CNN: Individual Mandate Repeal “Alone Will Cause Premiums To Be 10% Higher.” “Congress eliminated the penalty associated with Obamacare’s individual mandate as part of its tax reform package last year. This change alone will cause premiums to be 10% higher because fewer healthy people will buy coverage, leaving insurers with a sicker and costlier group of policyholders, the CBO projected.” [CNN, 5/23]

CNBC: “The CBO Also Projects About 5 MIllion More People” Will Be Uninsured, “Up To A Total Of 35 Million People.” “The CBO also projects about 5 million more people under the age of 65 will be uninsured in 2027 than it estimated in September, up to a total of 35 million people… Trump and congressional Republicans tried unsuccessfully to repeal the landmark health law multiple times last year. They managed to repeal the individual mandate, which required most people to have some form of health insurance or pay a tax penalty, as part of the broader tax law it passed in December. The change is slated to go into effect next year. This coupled with higher premiums will cause 3 million more people than previously forecast to be uninsured next year, CBO estimates. Between 2019 and 2028, it expects the number of uninsured people to increase to 35 million.” [CNBC, 5/23]

The Hill: “ObamaCare Premiums Are Expected To Rise An Average Of 15 Percent Next Year, An Increase Largely Due To The GOP’s Repeal Of The Individual Mandate.” “ObamaCare premiums are expected to rise an average of 15 percent next year, an increase largely due to the GOP’s repeal of the law’s individual mandate, according to a Congressional Budget Office (CBO) analysis released Wednesday. The CBO estimates that gutting the requirement that Americans have health insurance or face a tax penalty will contribute to about a 10 percent rise in premiums for 2019, with insurers expected to see healthier people dropping out of the marketplaces, leaving sicker enrollees on the plans.” [The Hill, 5/23]

Bloomberg: “One Reason For The Rising Premiums Is The Actions Of President Donald Trump.” “One reason for the rising premiums is the actions of President Donald Trump. Last year, Trump topped funding for the cost-sharing reduction payments made to insurers under Obamacare to help Americans afford health costs. The non-payment of those subsidies, less enforcement of a rule requiring people to have insurance and limited competition caused insurers to raise their premiums by about 34 percent in 2018, compared to 2017. That increased the cost of the subsidies to the federal government, according to the CBO.” [Bloomberg, 5/23]

Axios: “The Magnitude Of These Increases Stems Largely” From Administrative Actions. “Insurance premiums tend to go up every year, but the magnitude of these increases stems largely from the repeal of the ACA’s individual mandate, the expansion of skimpy short-term plans, and the decision last year to cut off the law’s cost-sharing payments. [Axios, 5/24]

Justine Handelman, Blue Cross Blue Shield Association Vice President: “It Continues To Be Uncertain Times.” “Although the administration hasn’t teed up any new policy announcements lately, senior officials from the Blue Cross Blue Shield Association told reporters yesterday that there’s still reason to be nervous.  It’s too late to help moderate premium hikes for 2019, they said, so they’re focused on 2020. They’re hoping new policies like the change in short-term plans won’t take effect until 2020, so that they won’t upend the market assumptions plans have made for next year.‘It continues to be uncertain times,’ said Justine Handelman, a BCBSA senior vice president.” [Axios, 5/24]

Kris Haltmeyer, Blue Cross Blue Shield Association Vice President: “‘With the repeal of the individual mandate and the failure of Congress to enact stabilization legislation, we are expecting premiums to go up substantially,’ Haltmeyer said… Haltmeyer said the premium increases are ‘related to the loss of the mandate and then underlying medical costs.’ ‘Those two things have the most impact on the rate increases,’ he added.” [The Hill, 5/23]

Nonpartisan Congressional Budget Office Confirms Devastating Impact of Republican Sabotage

After the nonpartisan Congressional Budget Office released a report detailing how Republican actions to sabotage health care will harm health care costs and force millions of Americans off their coverage, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“The nonpartisan Congressional Budget Office just confirmed what Democrats and health care advocates have been warning about for months: Republican sabotage will force next year’s individual market premiums to spike by double digits and leave 3 million more Americans uninsured. According to today’s CBO estimate, average rates will jump 15% this fall, a number that’s on the low end of preliminary filings we’ve seen this month in Virginia, Maryland, Oregon and Vermont. And Republicans will have a hard time hiding from this: CBO says two-thirds of that 15% increase is specifically caused by the Republican tax bill’s repeal of the Affordable Care Act requirement for most people to have health insurance. We tried to warn President Trump and Congressional Republicans, but they refused to listen, and now it’s American families who will pay the price.”

Right-Wing Groups’ Big New Idea on Health Repeal: Let’s Keep Digging

After four right-wing groups urged Congressional Republicans to revive repeal and expand previous bills’ attacks on health care, Protect Our Care Chair Leslie Dach released the following statement:

“For almost a decade, Republicans have been listening to right-wing groups funneling hundreds of millions of dollars into the relentless campaign to repeal health care. Now, these groups are counting on Congressional Republicans to ignore the will of the American people and amp up attacks on Medicaid and the Affordable Care Act. This time, they want an even more destructive bill – one that would slash Medicaid, repeal expansion, and decimate the insurance markets, all while giving insurance and pharmaceutical companies even bigger tax breaks. This would make health coverage far more expensive, kick millions off care, not to mention it would be political suicide for Republicans. It’s time for Jim DeMint and his cronies to get another hobby and give up their obsession with taking away our care.”