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ashoup
In News

Advocates Nationwide Highlight How Medicaid Supports People with Disabilities

Throughout the fourth and final week of Medicaid Awareness Month, advocates across the country highlighted the significant role Medicaid plays in supporting Americans with disabilities, and spoke out against Republican proposals to weaken and cut Medicaid.

How does Medicaid help Americans with disabilities? Here are some of the many ways:

  • 8.7 million nonelderly adults with disabilities depend on Medicaid for care. Nearly 8.7 million adults enrolled in Medicaid have a disability. Of this group, only 43 percent qualify for social security income.
  • More than 1 in 3 adults under age 65 enrolled in Medicaid lives with at least one disability. Nearly 45 percent of adults with disabilities have Medicaid coverage. Medicaid covers 45 percent of nonelderly adults with disabilities, including adults with physical disabilities, developmental disabilities, brain injuries, and mental illness.
  • Medicaid covers nearly a third of adults with disabilities. 31 percent of U.S. adults with disabilities have Medicaid coverage.
  • More than half of adults with disabilities covered through Medicaid earn less than 100 percent of the federal poverty line (FPL). A majority, 52 percent, of adults with disabilities who have Medicaid coverage earn annual incomes of less than l 00 percent of the FPL, $12,060 for an individual, and could not afford needed care without the program.
  • Medicaid helps people who need long-term care to stay in their communities. Of nonelderly people with disabilities who rely on Medicaid for long-term care, 80 percent receive community-based care, while only 20 percent receive institutional care.

At the Main State House, Nancy Cronin, the Executive Director of the Maine Developmental Disabilities Council, Sara Squires, the Public Policy Director of Disability Rights Maine, and Rebecca London, the State Director of Protect Our Care Maine, held a press conference to discuss how Medicaid benefits Americans with disabilities.

Dawn Alford, Public Policy Director, Georgia Council on Developmental Disabilities, posted Medicaid: A Lifeline to the Community on Community Catalyst’s Health Policy Hub to highlight the importance of Medicaid to Georgians with disabilities.

A new survey from Public Policy Polling found that voters nationally strongly support Medicaid and are opposed to cutting it, especially to fund tax breaks. Among its findings:

  • 66% of voters oppose cutting Medicaid, as opposed to just 19% who support cuts. 74% of Democrats and Independents oppose cutting Medicaid, while a plurality of Republicans, 49%,  also oppose cuts. In fact, only 34% of Republicans support cutting Medicaid.
  • 71% of voters overall say they are opposed to cutting Medicaid to fund the GOP tax scam which passed last year, including 82% of Democrats, 70% of Independents, and 60% of Republicans.
  • A majority of voters (52%) want to see Medicaid expanded, compared to just 35% who don’t.
  • Learning that Medicaid covers 6 in 10 nursing home residents and 40 percent of costs for long-term care that seniors depend on made voters 63% less likely to support cuts. Voters were 53% less likely to support cuts after learning that if Medicaid funding is cut, 1 in 5 Americans – seniors, children, and individuals with disabilities – will be at risk of losing access to healthcare.

Leading advocates hosted press calls across the country to convey just how important Medicaid is to those with disabilities in communities across the country. In Nevada, parents from the organization Positively Kids spoke of the role it plays for their children with disabilities; in Tennessee, community leaders discussed how Medicaid supports Tennesseans with disabilities; and in Ohio, local physicians and health care experts called out gubernatorial candidate Mike DeWine’s refusal to clarify his Medicaid position and explained the problems which would occur should the state’s expansion be rolled back.

And as Medicaid Awareness Month wraps up, the Conway Daily Sun published a comprehensive overview about the importance of Medicaid to New Hampshire communities and shared information about how to enroll.

Sean England
In News

A Year Ago Today: Remember in November

Just a year ago, Republicans in Congress voted to take away 23 million Americans’ health care. Click to share the tweets below with the hashtag #RememberInNovember!

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ashoup
In News

Republicans Continue Plotting Repeal

Washington, D.C. – The conservative Washington Examiner reports that repeal of the Affordable Care Act “may be closer than you think.” In response, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“If it’s a day that ends in Y, Republicans are scheming to take away our health care. Today’s report confirms that Mike Pence and Mitch McConnell will stop at nothing to take us back to the days when insurance companies called the shots. The bill they seek to revive would force millions off coverage, make health care even more expensive, get rid of protections for people with pre-existing conditions, re-implement lifetime coverage caps, and slash Medicaid. Enough is enough – it’s time for the GOP to end its war on our health care.”

Obamacare repeal may be closer than you think
Washington Examiner // Quin Hillyer // April 26, 2018

Time and opportunity still exist to replace Obamacare.

Senate Majority Leader Mitch McConnell, R-Ky., ought to make it a priority, and should make clear he is open to pushing through a budget resolution next month to make it happen.

It can’t happen without the budget resolution, because that’s the only way they can avoid a bill-killing filibuster and pass the healthcare reform with a bare majority of 50 votes (plus Vice President Mike Pence) in the Senate.

I reported in January that a number of conservative groups, under the leadership of former Sen. Rick Santorum, was working hard to craft a new Obamacare replacement that could both pass Congress and work well in the real world. Behind the scenes, those groups (indeed, representatives from a growing number of groups) have continued to meet and tweak their plan, and they seem just a few weeks away from being able to unveil it.

When they unveil it, expect a host of such groups to make a concerted effort to rally grassroots support and give courage to House and Senate members to pass it. This is an amazing, even unprecedented project, truly growing up from activists and thinkers rather than being the usual top-down, elected-official-led exercise in sausage-making.

I listened in on a March 21 conference call among numerous interested parties, and received further updates within the past week from Santorum.

The White House has been quietly but constructively supportive of the project, I am told, and should provide strategic and communications support this time that is well planned, rather than the more seat-of-the-pants effort we all saw last year. Pence, in particular, has been personally engaged.

Politically, the now-defunct assessment had been that passing a health-policy overhaul would scare too much of the public in an election year, making it a nonstarter. The growing understanding, though, is that Republicans are already at risk of losing to a “blue wave” this fall anyway, and that bold action to energize conservative grassroots might be the only way to stop the wave.

The Left is going to be energized this fall regardless of what Congress does, and those parts of professional suburbia that just won’t vote for Republicans under Trump also aren’t going to become even more anti-GOP than they already are. Indeed, as this is exactly the demographic that suffers the most under Obamacare, it might be slightly less likely, not more, to oppose the GOP if Republicans do actually pass reform.

But giving conservative voters a “win” on Obamacare would surely drive up Republican turnout.

Substantively, the bill design has evolved since January. It still uses the basic template of last year’s Graham-Cassidy bill, but only in the sense that it would remain a system of block grants to the states. As in January, it still envisions a significant expansion of health savings accounts — indeed, from January’s thought of doubling the existing number of HSAs, the new plan now may quadruple them — and also a guarantee that individuals served by state-government-run plans can opt-out and use the money in private markets instead.

A key development, however, has emerged since January. It should help garner the votes of previously recalcitrant Senate Republicans. Under the original Graham-Cassidy bill, the formula for the block grants was seen by some as disfavoring states that already expanded Medicaid coverage under Obamacare. The new formula phases in the grants in a way that ensures those particular states will not see what amounts to short-term cuts in federal funding.

This might make the new plan slightly more expensive in the short run, but still well within budgetary parameters, and still better than deficit-neutral. Moreover, the bill’s designers keep tweaking it to produce better risk-mitigation concepts and other ways to keep premiums lower.

Politically, the effort got a huge boost when Democrats (ironically) killed efforts to include an Obamacare insurance bailout within the recent budget agreement and spending bills. With that effort dead, key players such as Sen. Lamar Alexander, R-Tenn., have indicated renewed willingness to go for a “big fix” because their smaller efforts to patch existing law are now dead.

In the end, this is not just about budgetary bean-counting or an attempt to gain political bragging rights. This is about better serving patients, giving them more options and making healthcare more affordable.

Organizers hope Americans sick of the broken Obamacare system will start calling their members of Congress now, urging them to try again. It’s a worthy undertaking.

ashoup
In News

This Week in the War on Health Care

While cabinet officials were coming and going this week, Republicans continued their unprecedented assault on the American health care system. Here’s what happened this week in the war on health care – and two reminders of what its consequences will be:

TRUMP TARGETS NATIVE AMERICANS’ HEALTH CARE

This week, Politico reported the Trump Administration may impose work requirements on Native Americans who have Medicaid coverage. These requirements are burdensome, unnecessary, and expensive to administer, representing nothing more than another form of health care sabotage.

Medicaid is vital to the health and well-being of vulnerable populations, and imposing additional barriers upon Native Americans to access health care is mean-spirited and wrong. It’s time for Congress and the American people to speak out against President Trump’s ongoing war on health care and ensure that policies like these are reversed or don’t see the light of day in the first place.

THOSE WHO KNOW BEST BLAST SHORT-TERM PLANS

Monday represented the final day of the comment period for the Trump Administration’s proposed short-term junk insurance plans. Those who know health care the best – a variety of health care experts, including doctors, insurance exchange operators, insurance companies, analysts, and more than 100 patient groups – blasted the plans. Among those who urged their rejection:

  • American Medical Association: The proposed rule “would result in substandard, inadequate health insurance coverage.” [Forbes, 4/22]
  • American Academy Of Family Physicians: “Short-term, limited-duration plans will not provide meaningful insurance coverage.” [AFP, 4/18]
  • Alliance Of Community Health Plans: “the proposed rule will undermine consumer protections.” [ACHP, 4/19]
  • 21 Patient Groups: “Given the history of discrimination and inadequate coverage within short-term limited-duration plans, we are deeply concerned that the proposed rule could seriously undermine the key principles of access, adequacy, and affordability that are the underpinnings of current law – and put those we represent at enormous risk. [ACS-CAN, 4/23]

The full list of health care experts who expressed their oppositions can be found here.

SEN. SCHUMER PUTS GOP ON NOTICE FOR UPCOMING HIKES

Today on the Senate floor, Minority Leader Chuck Schumer put Republicans on notice: as preliminary rate hikes for next year begin to roll out, Democrats will speak out loudly and often about how President Trump and Congressional Republicans’ repeal-and-sabotage campaign against Americans’ health care will leave working families holding the bill.

President Trump and his Republican allies in Congress have undertaken a deliberate, aggressive campaign to sow chaos in the health insurance marketplace, and the consequences of their actions will soon become clear. Every American who sees rate hike announcements can thank one group of people: President Trump and Republicans in Congress. And results at the polls are showing just how thankful folks are…

HEALTH CARE PLAYS DECISIVE ROLE IN ARIZONA SPECIAL ELECTION

On Tuesday night, a telephone exit poll surveyed survey of voters who cast ballots in Arizona’s 8th Congressional District special election. Here’s what polling in this overwhelmingly Republican district found:

  • Health care was a top issue to voters. Health care was ranked as a top issue for 58% of voters, and Democrat Hiral Tipirneni won big especially among these voters, 65-33.
  • Voters said Tipirneni better reflected their health care views. Among all voters, Tiperini won by 2 points, 45-43. Among independents, that gap widened to 30 points, with 57% saying Tipirneni health care views were more in line with theirs to only 27% for Debbie Lesko.
  • Voters were less likely to support Lesko because of the GOP health care agenda. Lesko’s support of the Republican health care agenda made 40% of voters less likely to vote for her and only 33% more likely to support her.
  • Voters favored ACA improvements over repeal. Voters disapproved of the Republican efforts to repeal the Affordable Care Act by 5 points, 49-44, and just 41% of voters said the best path forward on health care is to repeal the ACA, while 54% said it should be improved.

As Vox’s Dylan Scott noted, “Republicans should be terrified of health care in the 2018 midterm elections.”

ashoup
In News

Schumer Puts Trump, Republicans On Notice for Upcoming Rate Hikes

Washington, D.C. – Today on the Senate floor, Minority Leader Chuck Schumer (D-NY) put Republicans on notice: as preliminary rate hikes for next year begin to roll out, Democrats will speak out loudly and often about how  President Trump and Congressional Republicans’ repeal-and-sabotage campaign against Americans’ health care will leave working families holding the bill.

In response, Protect Our Care Campaign Director Brad Woodhouse said: “Sen. Schumer hit the nail on the head – President Trump and his Republican allies in Congress have undertaken a deliberate, aggressive campaign to sow chaos in the health insurance marketplace, and the consequences of their actions will soon become clear. Every American who sees rate hike announcements as soon as next week can thank one group of people: President Trump and Republicans in Congress.”

TRANSCRIPT

“Finally, on another matter, health care. Next week, health insurance companies will begin to announce their initial proposed rates for 2019 in each state across the country. And when they do, every American should remember that President Trump and Congressional Republicans have spent the past year and half trying to sabotage our health care system in a way that could increase costs and decrease access to quality health care.

“It’s true that last summer, the Senate Republican effort to repeal our current health care system and gut Medicaid — an effort that would have left tens of millions uninsured and raised costs on millions more — ended, thankfully for the American people, in failure.

“Despite that legislative failure, President Trump, his administration, and Congressional Republicans have committed several other acts of sabotage, raising premiums and hurting health care, all, it seems to me, for a political vendetta.

“For a long time, the president refused to guarantee that the administration will honor the cost-sharing program, which reduces premiums and out-of-pocket expenses for low-income Americans. He eventually cancelled payments for that program, causing major uncertainty and confusion in the markets.

“Then, Republicans repealed the health care coverage requirement as a part of their tax bill and put nothing in its place. The CBO projects that repealing the coverage requirement could cause rates to increase by as much as 10% and result in millions more people without insurance, so if you can’t get insurance, Mr. or Mrs. American, or if your premiums are going up you’ll know who caused it: the president, and Congressional Republicans by sabotaging a law that the majority of Americans want to see stay on the books.

“And making things worse, earlier this week, the comment period ended for a proposed Trump administration rule that is perhaps that most radical sabotage of our health care system yet — a rule that would expand the availability of junk insurance plans. These junk insurance plans would force higher premiums on people with pre-existing conditions, impose an “age tax” on older Americans, and once again could subject Americans to the devastating effects of medical bankruptcy, which too many people go through now. Many plans might not cover essential services like prescription drugs, maternity care, and mental health services.

“Each of these actions taken by President Trump and Republicans in Congress will raise costs and reduce access. We are truly living under “Trumpcare” today, with no effort by the president or Congressional Republicans to make it better.

“And, unfortunately, starting next week, the American people could see the devastating consequences of a year and half of health care sabotage reflected in the 2019 rates.”

ashoup
In News, Stories

Exit Poll of AZ-08 Shows Health Care Made Race Close

From: Tom Jensen, Public Policy Polling

To: Interested Parties

Subject: Exit Poll of AZ-08 Shows Health Care Made Race Close

Date: April 24, 2018

Public Policy Polling conducted a telephone exit poll election survey of voters who cast ballots in Arizona’s 8th Congressional District special election yesterday. Voters who voted in the contest were asked about the role of health care in their decision.

In this overwhelmingly Republican district, the exit poll shows that health care was a top priority issue to voters and that they believed Democrats’ views were more in step with theirs on the issue. That’s a big part of why the race was so much closer than expected based on the history of the district.

In 2016, voters in this district backed Donald Trump by 21 points and, in 2012, they backed Mitt Romney by 25 points. GOP Governor Doug Ducey won the district by 27 points in 2014.

–Health care was a top issue to voters. Health care was ranked as a top issue for 58% of voters (20% saying it was the most important issue and another 38% saying it was very important). Only 17% said it was not that important or not important at all.

  • Hiral Tipirneni won big especially among voters for whom health care was a top priority. Among voters who said health care was the most important issue for them, Tipirneni beat Lesko 65-33.

–On health care, voters said Tipirneni better reflected their views by 2 points (45% to 43%) over Lesko. With independents, that gap widened to 30 points with 57% saying Tipirneni’s health care views were more in line with theirs to only 27% for Lesko.

–Voters were less likely to support Lesko because of the Republican health care agenda. Lesko’s support of the Republican health care agenda made 40% of voters less likely to vote for her and only 33% more likely to support her.

–Voters in this heavily Republican district disapproved of the Republican efforts to repeal the Affordable Care Act by 5 points (49% to 44%).

  • Only 41% of voters think the best path forward on health care is to repeal the Affordable Care Act, to 54% who think it should be kept in place with fixes made to it as necessary.

PPP surveyed 516 AZ-08 voters on April 24th. The margin of error is +/- 4.3%. This survey was a project of Protect Our Care.

ashoup
In News, Stories

Trump Administration Targets Native Americans As GOP War on Health Care Continues

Washington, D.C. – This week, Politico reported that the Trump Administration may impose work requirements on Native Americans who have Medicaid coverage. Protect Our Care Campaign Director Brad Woodhouse released the following statement in response:

“Medicaid work requirements are yet another form of health care sabotage: nothing more, nothing less.  They serve no purpose but to shrink Medicaid enrollment, a goal that President Trump and Republicans continue to pursue through administrative sabotage as well as their efforts to repeal the Affordable Care Act. These requirements are burdensome, unnecessary, and expensive to administer, and now the Trump Administration has decided to target Native Americans’ coverage, marking a new low in their war on health care.  

“Enough already. Medicaid is vital to the health and well-being of vulnerable populations – children, seniors, Americans with disabilities, and Native Americans – who frequently face unique barriers to high-quality health care, and imposing additional barriers upon Native Americans to access health care is mean-spirited and wrong. We urge Congress and the American people to speak out against President Trump’s ongoing war on health care and ensure that policies like these are reversed or don’t see the light of day in the first place.”  

BACKGROUND

This Is Not The Trump Administration’s First Attack On Native Americans’ Health: “The Trump administration also targeted the Indian Health Service for significant cuts in last year’s budget, though Congress ignored those cuts in its omnibus funding package last month, H.R. 1625 (115). The White House budget this year proposed eliminating popular initiatives like the decades-old community health representative program — even though tribal health officials say it is essential.” [Politico, 4/22/18]

Caitrin McCarron Shuy, Indian National Health Board: “It’s Very Troublesome.” “‘It’s very troublesome,’ said Caitrin McCarron Shuy of the National Indian Health Board, noting that Native Americans suffer from the nation’s highest drug overdose death rates, among other health concerns. ‘There’s high unemployment in Indian country, and it’s going to create a barrier to accessing necessary Medicaid services.’” [Politico, 4/22/18]

Sean England
In News

POLL: Voters Strongly Support Medicaid, Oppose Any Cuts

To: Interested Parties

From: Jim Williams, Public Policy Polling

Subject: Voters Strongly Support Medicaid,  Oppose Any Cuts

Date: 4-24-18

A new national Public Policy Polling survey finds that voters nationally strongly support Medicaid and are opposed to cutting it, especially to fund tax breaks. 66% of voters oppose cutting Medicaid, as opposed to just 19% who support cuts.  

  • 74% of Democrats and Independents oppose cutting Medicaid, while a plurality of Republicans, 49%,  also oppose cuts.
  • Only 34% of Republicans support cutting Medicaid.

71% of voters overall say they are opposed to cutting Medicaid to fund the Republican tax plan passed last year – including 82% of Democrats, 70% of Independents and 60% of Republicans. Rather than cut Medicaid, a majority of voters (52%) want to see it expanded, compared to just 35% who don’t.

  • Learning that Medicaid covers 6 in 10 nursing home residents, and 40 percent of costs for long-term care that seniors depend on, made voters 63% less likely to support cuts.
  • Voters were 53% less likely to support cuts after learning that if Medicaid funding is cut, 1 in 5 Americans—seniors, children, and individuals with disabilities—will be at risk of losing access to healthcare.

When it comes to the Affordable Care Act, 66% say they want to keep what works about the law and fix what doesn’t, while just 29% say they want to repeal it and start over with a new healthcare law. 82% of Democrats and 68% of Independents want to keep and fix the law and , 44% of Republicans want to keep what works about the ACA.  

Public Policy Polling interviewed 741 national registered voters on April 18-19, 2018. The margin of error for the survey is +/-2.1%. This survey was conducted using automated telephone interviews. The poll was conducted jointly for Protect our Care and SEIU.

ashoup
In News

The People Who Know Health Care the Best Say Short-Term Plans Are the Worst

Yesterday marked the deadline for comments to be submitted on the Trump Administration’s proposed short-term scam insurance. A wide variety of health care experts – including doctors, insurance exchange operators, insurance companies, analysts, and more than 100 patient groups – continue to make clear their strong opposition to the Administration’s proposal. Here’s what they had to say:

American Medical Association: Proposed Rule “Would Result In Substandard, Inadequate Health Insurance Coverage.” “We believe the proposed rule, however, would culminate in plans being offered that fall far short of maintaining crucial state and federal patient protections, disrupt and destabilize the individual health insurance markets, and result in substandard, inadequate health insurance coverage.” [Forbes, 4/22/18]

American Cancer Society Cancer Action Network, American Heart Association, American Liver Foundation, American Lung Association, Arthritis Foundation, Autism Speaks, Chron’s & Colitis Foundation, Cystic Fibrosis Foundation, Epilepsy Foundation, Family Voices, Hemophilia Federation of America, Leukemia & Lymphoma Society, Lutheran Services in America, March of Dimes, Mended Little Hearts, NAMI, National Health Council, National Multiple Sclerosis Society, National Organization for Rare Disorders, National Patient Advocacy Foundation, National Psoriasis Foundation: “Given The History Of Discrimination And Inadequate Coverage Within Short-term Limited-duration Plans, We Are Deeply Concerned That The Proposed Rule Could Seriously Undermine The Key Principles Of Access, Adequacy, And Affordability That Are The Underpinnings Of Current Law – And Put Those We Represent At Enormous Risk.” “Given the history of discrimination and inadequate coverage within short-term limited-duration plans, we are deeply concerned that the proposed rule could seriously undermine the key principles of access, adequacy, and affordability that are the underpinnings of current law – and put those we represent at enormous risk. We urge the Departments to withdraw the proposed rule until the needs of our populations are met and instead, to focus on stabilizing the individual insurance markets and lowering premiums for QHPs.” [ACS-CAN, 4/23]

American Academy Of Family Physicians: “Short-Term, Limited-Duration Plans Will Not Provide Meaningful Insurance Coverage.” “The AAFP strongly opposes the proposed rule since it allows plans to sell low-value insurance policies that could subject patients to catastrophic medical bills and medical bankruptcy. We oppose efforts to exempt short-term, limited-duration plans from consumer protections such as covering preexisting conditions or essential health benefits (EHBs). Furthermore, we oppose allowing any plans to establish caps on annual benefits since limiting benefits can expose patients to extraordinarily high out-of-pocket costs… The AAFP has significant concerns with these proposals since short-term, limited-duration plans will not provide meaningful insurance coverage. While these plans could increase the availability and affordability of services, we do not think doing so should come at the expense of meaningful insurance coverage.” [AFP, 4/18]

America’s Health Insurance Plans: “Not A Replacement For Comprehensive Coverage.” “‘We are concerned that this proposed rule will lead to more people being uninsured and under-insured, and to higher costs in the long run,’ AHIP chief executive Matt Eyles said. ‘Short-term plans can provide an important temporary bridge for Americans who are transitioning between plans. But they are not a replacement for comprehensive coverage.’” [Forbes, 4/23]

Alliance Of Community Health Plans: “The Proposed Rule Will Undermine Consumer Protections.” “The proposed rule will undermine consumer protections because short-term, limited duration plans do not require coverage of essential health benefits or coverage of pre-existing conditions. There is a substantial risk that consumers will not understand the coverage limitations that accompany short term plans. Contracts for medical coverage can be quite complex, and consumers may assume that essential health benefits are covered by short-term, limited duration plans, but for a shorter period of time. This could lead to consumers purchasing health insurance that is inadequate for their medical needs, potentially resulting in personal bankruptcy and an increase in uncompensated care for hospitals and other facilities. There is evidence of this connection between coverage and personal financial status: A Consumer Reports study found that increased health care coverage over the past several years was associated with a reduction by half in the number of personal bankruptcy filings. With the increased use of short-term, limited duration plans, we anticipate a troubling reversal of this trend.” [ACHP, 4/19/18]

American Cancer Society-Cancer Action Network: “We Believe That The Proposed Rule Should Be Withdrawn.” “We are very concerned about policies that would expand access to STLD policies because these products are exempt from important consumer protections, such as prohibitions on lifetime and annual dollar limits, limits on the use of pre-existing condition exclusions, and the prohibition on medical underwriting. These protections are key to ensuring that individuals with cancer (including those in active treatment and survivors) have access to quality health care needed to treat their disease. Without these protections, individuals could find themselves enrolled in policies that fail to provide coverage of medically necessary services. We believe this proposed rule should be withdrawn unless the needs of the patient community have been met.” [ACS CAN, 4/20/18]

American Hospital Association And Federation Of American Hosptials: “Concerned That The Result Will Be Increased Uncompensated Care.” “The American Hospital Association and the Federation of American Hospitals said the proposed rule, if finalized, would drain hospitals’ resources. The federation, which represents investor-owned hospitals, said its members ‘are concerned that the result will be increased uncompensated care, particularly for patients who need uncovered services or treatment for preexisting conditions.’” [Modern Health Care, 4/23]

Association for Community Affiliated Plans: Rule WIll Harm Consumers And Health Care Providers. “The Association for Community Affiliated Plans, a group representing safety-net plans that cover Medicaid, Medicare special-needs and marketplace members, warned that finalizing the rule as proposed would harm consumers and healthcare providers. The group warned that sellers of short-term plans have been known to rescind coverage as soon as an individual becomes ill and files a substantial claim. The space has been riddled with patient lawsuits over unpaid medical bills. ACAP pointed to the recent 42-state investigation into the business and marketing practices of Tokio Marine’s HCC Life subsidiary, a short-term medical insurer. Earlier this month, HCC Life reached a settlement to pay a fine of $5 million. The insurer is also prohibited from selling short-term plans for at least five years. ACAP also warned that skimpy short-term plan benefits would lead to increased uncompensated care.” [Modern Health Care, 4/23]

Heather Korbulic, Silver State Health Insurance Exchange Director: “Deeply Concerned” About Proposed Rule. “The head of Nevada’s health insurance exchange is ‘deeply concerned’ about a proposed federal rule change that would extend the length of short-term health plans, saying in a Friday letter to the Centers for Medicare and Medicaid Services that the policy will likely result in higher premiums for people who purchase insurance on the exchange… Korbulic is just one of many in the health-care field nationwide who has expressed concern that approving the federal rule will siphon off the healthiest individuals from the individual market, leaving behind a sicker, more expensive population. In the letter to CMS, Korbulic wrote that individuals with pre-existing conditions or who anticipate needing medical care will likely remain on the exchange where they can purchase plans with comprehensive health benefits but will likely face premium increases.” [Nevada Independent, 4/23]

American Heart Advocacy: Patients “Will Suffer If This Rule Becomes Law.” “Today is the deadline to tell HHS not to extend short-term health plans. The outcome is clear — Patients living with CVD, stroke survivors and others with pre-existing conditions will suffer if this rule becomes law.” [American Heart Advocacy, 4/23/18]

Matt Slonaker, Utah Health Policy Project Executive Director: Short-Term Plans Designed To Weaken ACA. “Matt Slonaker is the executive director of the Utah Health Policy Project. He said the new plans are a way to weaken the health law. ‘Unfortunately what is happening here is the short-term insurance idea is being used as a guise to erode some of the protections of the Affordable Care Act,’ Slonaker said.” [KUER, 4/23]

Tanji Northrup, Assistant Commissioner of the Utah Insurance Department: Short-Term Plans Could Increase Premiums By Double-Digits. “Tanji Northrup is the Assistant Commissioner of the Utah Insurance Department. She says these new plans will pull people out of ACA plans and make them more expensive. ‘There will definitely be increases because of pulling those healthy people out of the traditional market,’ Northrup said… Northrup says if these short-term plans go through, Affordable Care Act rates could increase by double-digits. She says no insurers in Utah have contacted her department yet to develop these new plans.” [KUER, 4/23]

Mario Molina, Former CEO of Molina Healthcare: Hopefully You Already Have Kids Because Maternity Care Won’t Be Covered. “Hopefully, you had kids already, because under the short-term health plan expansion encouraged by an executive order signed last year, covered maternity care vanishes in 100% of plans analyzed by [the Kaiser Family Foundation]” [Mario Molina, 4/23/18]

Blue Cross Blue Shield Association: Significant Concerns. “[BCBS] has significant concerns that allowing consumers to stay on these plans for a full year ‘would cause rates to increase for those who need or want comprehensive health insurance coverage.'” [Washington Post, 4/24/18]

Larry Levitt, Kaiser Family Foundation Senior Vice President: “These Short-Term Policy Brochures Read Like An Obstacle Course Of Exclusions.” [Washington Post, 4/23/18]

Kaiser Family Foundation: Analysis: Most Short-Term Health Plans Don’t Cover Drug Treatment or Prescription Drugs, and None Cover Maternity Care. “A new Kaiser Family Foundation analysis of short-term, limited duration health plans for sale through two major national online brokers finds big gaps in the benefits they offer. Through an executive order and proposed new regulations, the Trump Administration is seeking to encourage broader use of short-term, limited duration health plans as a cheaper alternative to individual market plans that comply with the Affordable Care Act’s requirements. Repeal of the individual mandate penalty – which currently applies to people buying short-term plans – is also expected to boost enrollment starting next year. The analysis examines 24 distinct short-term insurance products currently marketed in 45 states and the District of Columbia through eHealth or Agile Health Insurance. It finds: 43 percent do not cover mental health services; 62 percent do not cover substance abuse treatment; 71 percent do not cover outpatient prescription drugs; and none of the plans cover maternity care.” [Kaiser Family Foundation, 4/23]

Washington Post: Trump Proposal Could Mean Healthy People Save On Insurance While Others Get Priced Out. “The Trump administration’s proposal to build up short-term health insurance plans as a ‘lifeline’ for people who can’t afford Affordable Care Act coverage could split the insurance market in two, siphoning young, healthy people into cheaper, more minimal plans — while those who remain in ACA plans face premiums that spiral upward even faster… The effects of that policy change, combined with zeroing out the individual mandate’s financial penalty in 2019 will be harmful to the most vulnerable patients, according to more than 100 patient groups and many health policy wonks.” [Washington Post, 4/23]

Las Vegas Sun: Health Experts Concerned About Risks Of Limited-duration Health Plans. “People would be able to stay on a type of sub-par temporary health plan longer under a proposed Trump administration rule, sparking a concern that the plans won’t give consumers sufficient coverage. The proposal would lift the cap on short-term limited duration plans from six months to just under a year to give more options to consumers who cannot afford the rising cost of health care, according to the Department of Health and Human Services and other agencies involved. The plans can be much cheaper, but do not carry Obamacare-required benefits such as coverage for preexisting conditions.” [Las Vegas Sun, 4/23]

The Hill: Insurer Group Issues Warning On Trump Administration’s Short-Term Health Plan Proposal. “The nation’s largest trade group for health insurance companies is sounding the alarm on a proposal from the Trump administration that would expand the sale of plans that cover fewer services.  America’s Health Insurance Plans (AHIP) says the proposal could lead to more people being uninsured or underinsured and result in higher health-care costs in the long run.” [The Hill, 4/23]

Forbes: Health Insurers: Trump’s Short-Term Plans Will Trigger Loss Of Coverage. “The Trump administration’s proposed cheaper short-term plans may not provide adequate coverage and would trigger an increase in the number of uninsured and under-insured Americans, say health insurers that would be expected to sell such coverage. Through their lobby, America’s Health Insurance Plans, companies Monday were the latest to weigh in on the Trump administration’s proposed rule on short-term plans… Health insurance companies Monday morning issued their critique of the Trump administration’s proposal, joining a parade of doctor groups concerned about any effort to reduce coverage or pare benefits.” [Forbes, 4/23]

Healthcare Dive: Payer Trade Groups Slam Short-term Health Plan Proposal. “The Alliance of Community Health Plans (ACHP) and America’s Health Insurance Plans (AHIP) both slammed CMS’ proposal to expand short-term, limited duration (STLD) insurance plans, saying the proposed rule would undermine key consumer protections, lead to higher premiums in the individual market and jeopardize market stability.  The proposed rule, pushed by the Trump administration as a way to increase access to cheaper plan alternatives and sidestep the Affordable Care Act, would allow consumers to purchase plans for up to 12 months that do not adhere to federal rules for individual health insurance. STLD plans can charge those with pre-existing conditions more and may not cover ACA essential health benefits such as prescription drug coverage. The insurance lobbies argued that other policy mechanisms would be more effective at improving the individual health insurance market.” [Healthcare Div, 4/23]

Washington Times: Insurers’ Lobby Asks Trump To Curtail Short-term Insurance Plan. “Health insurers’ main lobbying group urged the Trump administration Monday to curtail its push to let Americans get around Obamacare by purchasing cheap ‘short-term’ plans for a full year, saying consumers will be left with skimpy coverage. Matt Eyles, the incoming president and CEO of America’s Health Insurance Plans, also said the plan — if it proceeds — should not be enacted until 2020, so insurers have time to plan for a reconfigured marketplace.” [Washington Times, 4/23]

Washington Examiner: Trump-Backed Short-Term Health Plans Have Big Gaps In Benefits, Analysis Finds. “Short-term health insurance plans that the Trump administration wants to expand don’t offer the same benefits of Obamacare plans, a new analysis found. A study from the health research firm Kaiser Family Foundation looked at how short-term plans cover the same benefits as Obamacare. The healthcare law requires plans sold on Obamacare’s insurance exchanges to cover 10 essential health benefits that include mental health services, prescription drug coverage, and maternity care. The Trump administration is seeking to expand the duration of the short-term plans from 90 days to nearly 12 months. These plans are cheaper than Obamacare plans because in part they do not have to cover as many benefits.” [Washington Examiner, 4/23]

Forbes: Doctors Attack Trump’s Short-Term Health Plans Ahead Of Comment Deadline. “An effort by the Trump administration to introduce cheaper short-term health insurance plans is under attack by physician groups who see the plans eliminating benefits and putting patient health at risk. The American Academy of Family Physicians and other doctor groups have unleashed detailed critiques of Trump’s effort to introduce cheaper health insurance with skimpier benefits ahead of a Monday deadline at 5 pm to provide public comments to the administration.” [Forbes, 4/22]

Vox: If You Need Prescriptions Or Maternity Care, You Won’t Like Trump’s Short-term Insurance Plans. “Short-term plans are much less likely to cover mental health and substance abuse treatment or prescription drugs — all of which must be covered by ACA plans. What is insurance, you might ask, if it doesn’t cover medications? This is also a setback for the ongoing effort to have mental health and substance abuse treated as equal to other physical health needs.” [Vox, 4/23/18]

Healthcare Dive: Report Finds Most Short-term Plans Don’t Cover Maternity, Substance Misuse Care. “A Kaiser Family Foundation report argues that recent efforts to promote short-term plans could have an adverse effect on the Affordable Care Act-compliant individual market, creating higher premiums for compliant plans and potentially leaving a greater number of people uninsured.  The expansion of short-term plans, along with the elimination of the individual mandate penalty, could also make it difficult for people who need behavioral health services and substance misuse treatment, which aren’t typically covered benefits under those plans. The Trump administration’s plans for short-term expansion would primarily impact the middle class, as lower-income people are protected from premium increases through the use of federal subsidies, KFF said.” [Healthcare Dive, 4/24]

Insurance News Net: Trump Administration Implored To Curtail Short-Term Plan. “Health insurers, patient groups and Senate Democrats implored the Trump administration Monday to curb or cancel its push to let Americans get around Obamacare by using cheaper, short-term health plans for a full year, saying the plan would destabilize the insurance markets and increase the number of uninsured… More than 100 patient-advocacy groups protested the proposal Monday, the final day to submit comments to HHS, noting the full-year plans could duck Obamacare rules requiring robust coverage or preventing insurers from denying sicker patients or charging them more than healthy ones.” [Insurance News Net, 4/24]

Modern Health Care: Insurers, Hospitals Warn Short-term Plans Aren’t The Answer. “Several health insurance and hospital associations urged HHS to spike the proposed rule to expand access to short-term, limited-duration health insurance, warning it would lead to higher premiums for Affordable Care Act-compliant plans and more uncompensated care delivered at hospitals. Meanwhile, stakeholders in the short-term insurance market encouraged HHS to finalize the proposed rule allowing the sale of short-term plans with durations of up to 12 months, saying the extension would lead to lower premiums and more options for consumers. It is clear those stakeholders would see more customers and higher revenue if the proposed rule is finalized.” [Modern Health Care, 4/23]

Washington Examiner: Healthcare Groups Plea With Trump Administration To Nix Short-Term Insurance Plan Rule.  “A wide array of doctor, insurer, and other major healthcare groups pleaded with the Trump administration to nix plans to expand short-term insurance plans… Healthcare groups say in comments to the proposed regulation, which were due Monday, the plans are no better than “junk insurance” that erode patient protections. The regulation would expand the duration of the short-term plans from 90 days to nearly 12 months.” [Washington Examiner, 4/23]

47 Senators: The Proposed Rule Will “Increase Costs And Reduce Access To Quality Coverage For Millions Of Americans, Harm People With Pre-Existing Conditions, And Force Premium Increases On Older Americans.” “If finalized, the rule could increase costs and reduce access to quality coverage for millions of Americans, harm people with pre-existing conditions, and force premium increases on older Americans. This rule expands the sale and marketing of “junk plans” that exclude basic benefits including hospitalization, prescription drugs, mental health services, substance abuse treatment, and maternity care. We urge you not to finalize the proposed rule and instead work with us to ensure that all American families have choices of affordable, meaningful health care coverage.” [State of Reform, 4/23]

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Trump Admin Should Listen to Overwhelming Opposition & Scrap Its Junk Plan Proposal

Washington, D.C. – As an outpouring of public opposition marked today’s junk plan proposal comment deadline, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“Over the past two months, Americans have clearly rejected the Trump Administration’s junk plan proposal because it would move our health care in exactly the wrong direction. We don’t want to go back to the days when insurance companies could charge more for pre-existing conditions or deny coverage altogether and when junk plans didn’t have to cover basic medical services. This rule has drawn criticism from over one hundred prominent disease groups, from the AARP, from doctors and providers, and from thousands of everyday Americans. The National Association of Insurance Commissioners has confirmed that it would raise rates on the one-in-four Americans with a pre-existing condition. The Trump Administration should listen to the experts, doctors, insurance commissioners, and individual advocates who have together formed a tidal wave of opposition to junk plans, and withdraw this dangerous proposal.”

EXPERTS REJECT PROPOSAL

113 Groups Plead For Congress To Block Trump Administration’s Expansion Of Short-Term Health Plans: “While short-term plans can offer less expensive coverage, they are not required to adhere to important standards, including the ten essential health benefit categories, guaranteed issue, out-of-pocket maximums, age-rating protections, and many other critical consumer protections,” the groups, including the American Heart Association, Susan G. Komen, and Justice in Aging, said in an April 17 letter (PDF) to congressional leaders. [Fierce Healthcare, 4/18/18]

AARP Warning: Short-Term Health Plans = Higher Premiums for Older Adults: You might have thought that efforts to unravel the Affordable Care Act (ACA) were over, but newly proposed regulations and legislation are once again threatening to have similar harmful effects for older adults ages 50-64 who rely on individual market coverage. [AARP Blog, 3/21/18]

National Association of Insurance Commissioners Report: “Risk pool segmentation has the obvious effect of driving up premiums in the health plans that protect individuals from health status discrimination.” [NAIC, 3/22/18]

American Academy of Family Physicians: “Insurers could reduce or eliminate certain essential health benefits to avoid vulnerable, expensive patients by excluding specific services.” [Forbes, 4/22/18]

American Medical Association: “We believe the proposed rule, however, would culminate in plans being offered that fall far short of maintaining crucial state and federal patient protections, disrupt and destabilize the individual health insurance markets, and result in substandard, inadequate health insurance coverage.” [Forbes, 4/22/18]

America’s Health Insurance Plans (AHIP): “Because many short-term plans are offered to consumers only after submitting information about their health status or prior medical conditions, we must also recognize that short-term plans will not meet the needs of many Americans with pre-existing health conditions.” [AHIP letter, 4/20/18]

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