News

Sen. Tammy Baldwin, Gov. Tony Evers, State Sens. Sarah Anthony, Darrin Camilleri, and Paula Hicks-Hudson, Youngstown Mayor Jamael Tito Brown Will Headline “Lower Costs, Better Care” Events in Four States

Watch All Bus Tour Stops Live Here.

Washington, D.C. — On the second week of Protect Our Care’s 8,000-mile “Lower Costs, Better Care” bus tour, “Care Force One” will make stops in four states to demonstrate how recent victories by President Biden and Democrats in Congress are already “Driving Down Health Care Costs” by thousands of dollars a year — with even more savings on the way. During the events, speakers will discuss how the Inflation Reduction Act and other health care measures will improve care and lower costs for the American people. Over four weeks, Care Force One will travel to more than 16 states, make more than 30 stops, and travel nearly 8,000 miles.

The “Lower Costs, Better Care” tour promotes the work of lawmakers who are fighting tirelessly to improve health care and hold Republicans accountable for trying to roll back this progress, hike costs, and rip away protections from the American people. Drug companies and Republican lawmakers are doing everything in their power to roll back this progress in order to put profits over people. August marks the first anniversary of the Inflation Reduction Act and the savings it continues to deliver. 

MONDAY

Youngstown, Ohio:

WHO:
Mayor Jamael Tito Brown
Laura Packard, cancer survivor and health care advocate
Alan Bannister

WHERE: DoubleTree by Hilton Youngstown Downtown, 44 East Federal St, Youngstown, OH 44503

WHEN: Monday, August 07, 2023 at 10:00 AM EDT

Toledo, Ohio:

WHO:
State Sen. Paula Hicks-Hudson
Doni Miller, President & Chief Executive Officer, Neighborhood Health Association
Dorene Sherman, storyteller
Laura Packard, cancer survivor and health care advocate
Alan Bannister

WHERE: UAW Local 12, 2300 Ashland Ave, Toledo, OH 43620

WHEN: Monday, August 07, 2023 at 2:30 PM EDT

TUESDAY

Trenton, Michigan: 

WHO:
State Senator Darrin Camilleri
Carlie Wilson, RN
Jeremy Lapham, FNP
Laura Packard, cancer survivor and health care advocate 

WHERE: Trenton City Hall, 2800 3rd Street, Trenton, MI 48183

WHEN: Tuesday, August 08, 2023 at 9:30 AM EDT

Lansing, Michigan: 

WHO:
State Senator Sarah Anthony
Dr. Farhan Bhatti
Laura Ross, Michigan League for Public Policy
Eric Schneidewind, storyteller
Laura Packard, cancer survivor and health care advocate 

WHERE: East Side of State Capital, 100 N Capitol Ave, Lansing, MI 48933

WHEN: Tuesday, August 08, 2023 at 2:00 PM EDT

WEDNESDAY

LaCrosse, Wisconsin:

WHO:
Senator Tammy Baldwin
Sue S., Onalaska Senior, Storyteller
Amy, La Crosse resident, Storyteller

WHERE: Gunderson Pharmacy, 111 Sand Lake Rd, Onalaska, WI 54650

WHEN: Wednesday, August 09, 2023 at 1:30 PM CDT // 2:30 PM EDT

THURSDAY

Green Bay, Wisconsin:

WHO:
Governor Tony Evers
Laura Packard, cancer survivor and health care advocate 

WHERE: Leicht Memorial Park, 128 Dousman St, Green Bay, WI 54303

WHEN: Thursday, August 10, 2023 at TBA

FRIDAY

St. Paul, Minnesota:

WHO:
Attorney General Keith Ellison
Laura Packard, cancer survivor and health care advocate

WHERE: Minnesota State Capitol, 75 Rev Dr Martin Luther King Jr Boulevard., St Paul, MN 55155

WHEN: Friday, August 11, 2023 at 10:00 AM CDT // 11:00 AM EDT

Protect Our Care’s Care Force One will make stops in: 

Manchester, New Hampshire on Monday, July 31, 2023
Portsmouth, New Hampshire on Monday, July 31, 2023
Syracuse, New York on Tuesday, August 1, 2023
Kingston, New York on Tuesday, August 1, 2023
Westchester, New York on Wednesday, August 2, 2023
New York City, New York on Wednesday, August 2, 2023
Philadelphia, Pennsylvania on Thursday, August 3, 2023
Uniontown, Pennsylvania on Friday, August 4, 2023
Youngstown, Ohio on Monday, August 7, 2023
Toledo, Ohio on Monday, August 7, 2023
Trenton, Michigan on Tuesday, August 8, 2023
Lansing, Michigan on Tuesday, August 8, 2023
La Crosse, Wisconsin on Wednesday, August 9, 2023
Green Bay, Wisconsin on Thursday, August 10, 2023
St. Paul, Minnesota on Friday, August 11, 2023
Las Vegas, Nevada on Monday, August 14, 2023
Bakersfield, California on Tuesday, August 15, 2023
Los Angeles, California on Tuesday, August 15, 2023
Orange County, California on Wednesday, August 16, 2023
Palm Springs, California on Wednesday, August 16, 2023
Phoenix, Arizona on Thursday, August 17, 2023
Tucson, Arizona on Thursday, August 17, 2023
Albuquerque, New Mexico on Friday, August 18, 2023
Atlanta, Georgia on Monday, August 21, 2023
Macon, Georgia on Monday, August 21, 2023
Charlotte, North Carolina on Tuesday, August 22, 2023
Greensboro, North Carolina on Tuesday, August 22, 2023
Raleigh, North Carolina on Wednesday, August 23, 2023
Norfolk, Virginia on Wednesday, August 23, 2023
Richmond, Virginia on Thursday, August 24, 2023
Wilmington, Delaware on Thursday, August 24, 2023
Allentown, Pennsylvania on Friday, August 25, 2023

For more information on Protect Our Care’s “Lower Cost, Better Care” tour, click here. 

U.S. Sen. Kirsten Gillibrand (D-NY), Lt. Gov. Antonio Delgado (D-NY), Lt. Gov. Austin Davis (D-PA), and More Headlined “Lower Costs, Better Care” Bus Tour Events

On the first week of Protect Our Care’s 8,000-mile “Lower Costs, Better Care” bus tour, “Care Force One” made stops in three states to demonstrate how recent victories by President Biden and Democrats in Congress are already “Driving Down Health Care Costs” by thousands of dollars a year — with even more savings on the way. During each stop, national and local elected officials, health care advocates and storytellers discussed how the Inflation Reduction Act and other health care measures will improve care and lower costs for the American people. August marks the first anniversary of the Inflation Reduction Act. Next week, the tour continues in Ohio, Michigan, Wisconsin, and Minnesota. Over four weeks, Care Force One will travel to more than 16 states, make more than 30 stops, and travel nearly 8,000 miles.

Watch All Bus Tour Stops Here

Manchester, New Hampshire
Protect Our Care’s Care Force One was joined by State Senate Minority Leader Donna Soucy, and health care advocates at Veteran’s Memorial Park in Manchester to highlight how the Inflation Reduction Act’s measures will lower premiums and prescription drug costs for millions of Americans. 

Watch the event here and a personal video with health care advocate Jennifer Coffey here.

Portsmouth, New Hampshire
Protect Our Care’s Care Force One was joined by State Senator Rebecca Perkins Kwoka, State Representative Robin Vogt, and health care advocates at Prescott Park in Portsmouth to highlight how the Inflation Reduction Act’s measures will lower premiums and prescription drug costs for millions of Americans. 

Watch the event here.

Syracuse, New York
Protect Our Care’s Care Force One was joined by State Senators John Mannion, Rachel May, and health care advocates at Clinton Square in Syracuse to highlight how the Inflation Reduction Act’s measures will lower premiums and prescription drug costs for millions of Americans. 

Coverage:

• CBS 5
• NBC 3

Watch the event here and a personal video with health care advocate Bill Spreter here.

Kingston, New York
Protect Our Care’s Care Force One was joined by Lieutenant Governor Antonio Delgado, State Senator James Skoufis, Ulster County Executive Jen Metzger, and health care advocates at Academy Green Park in Kingston to highlight how the Inflation Reduction Act’s measures will lower premiums and prescription drug costs for millions of Americans. 

Coverage:

• Daily Freeman: In Kingston, New York Democrats blast efforts to repeal drug pricing controls
• MidHudson News: Protect Our Care group brings bus tour to Ulster County

Watch the event here, remarks by Lieutenant Governor Antonio Delgado here, and a personal video with health care advocate Deborah Scarborough here.

Westchester, New York
Protect Our Care’s Care Force One was joined by Majority Leader Andrea Stewart-Cousins, Senate Health Chair Gustavo Rivera, Former Representative Mondaire Jones, and health care advocates at SUNY Westchester Community College to highlight how the Inflation Reduction Act’s measures will lower premiums and prescription drug costs for millions of Americans. 

Coverage:

• News 12 Westchester

Watch the event here.

New York, New York
Protect Our Care’s Care Force One was joined by Senator Kirsten Gillibrand, and health care advocates at Senator Gillibrand’s office in New York City to highlight how the Inflation Reduction Act’s measures will lower premiums and prescription drug costs for millions of Americans. 

Coverage:

• PIX 11 Manhattan

Watch the event here and a personal video with 1199 SEIU United Healthcare Workers Representative Nicole Frith, LPN, here.

Philadelphia, Pennsylvania
Protect Our Care’s Care Force One was joined by State Representative Tarik Khan, and health care advocates at 1500 Race Street in Philadelphia to highlight how the Inflation Reduction Act’s measures will lower premiums and prescription drug costs for millions of Americans. 

Watch the event here.

Uniontown, Pennsylvania
Protect Our Care’s Care Force One was joined by Lieutenant Governor Austin Davis, and health care advocates at Teamsters #491 in Uniontown to highlight how the Inflation Reduction Act’s measures will lower premiums and prescription drug costs for millions of Americans. 

Coverage:

• Daily Courier: Davis Headlines Lower Costs, Better Care Stop In Uniontown

Watch the event here and remarks by Lieutenant Governor Austin Davis here.

Senator Gillibrand, Lt. Gov. Delgado, Majority Leader Stewart-Cousins, State Sens. Mannion, May, Rivera, Skoufis, Former Rep. Mondaire Jones, Ulster County Executive Metzger Headline “Lower Costs, Better Care” Bus Tour Stops in New York

During the first week of Protect Our Care’s 8,000-mile “Lower Costs, Better Care” bus tour, “Care Force One” made four stops across the state of New York to demonstrate how recent victories by President Biden and Democrats in Congress are already “Driving Down Health Care Costs” by thousands of dollars a year — with even more savings on the way. During each stop, national and local elected officials, health care advocates and storytellers discussed how the Inflation Reduction Act and other health care measures will improve care and lower costs for New Yorkers. As “Care Force One” pulled into the destinations, speakers held Republicans like Representatives Williams, Molinaro, Lawler, D’Esposito, and Santos accountable for trying to raise health care costs and putting profits over people.

August marks the first anniversary of the Inflation Reduction Act. Next week, the tour continues in Ohio, Michigan, Wisconsin, and Minnesota. Over four weeks, Care Force One will travel to more than 16 states, make more than 30 stops, and travel nearly 8,000 miles.

Watch All Bus Tour Stops Here

Syracuse, New York
Protect Our Care’s Care Force One was joined by State Senators John Mannion, Rachel May, and health care advocates at Clinton Square in Syracuse to highlight how the Inflation Reduction Act’s measures will lower premiums and prescription drug costs for millions of Americans. 

Coverage:

• CBS 5
• NBC 3

Watch the event here and a personal video with health care advocate Bill Spreter here.

Kingston, New York
Protect Our Care’s Care Force One was joined by Lieutenant Governor Antonio Delgado, State Senator James Skoufis, Ulster County Executive Jen Metzger, and health care advocates at Academy Green Park in Kingston to highlight how the Inflation Reduction Act’s measures will lower premiums and prescription drug costs for millions of Americans. 

Coverage:

• Daily Freeman: In Kingston, New York Democrats blast efforts to repeal drug pricing controls
• MidHudson News: Protect Our Care group brings bus tour to Ulster County

Watch the event here, remarks by Lieutenant Governor Antonio Delgado here, and a personal video with health care advocate Deborah Scarborough here. 

Westchester, New York
Protect Our Care’s Care Force One was joined by Majority Leader Andrea Stewart-Cousins, Senate Health Chair Gustavo Rivera, Former Congressman Mondaire Jones, and health care advocates at SUNY Westchester Community College to highlight how the Inflation Reduction Act’s measures will lower premiums and prescription drug costs for millions of Americans.

Coverage:

• News 12 Westchester

Watch the event here.

New York, New York
Protect Our Care’s Care Force One was joined by Senator Kirsten Gillibrand (D-NY), 1199 SEIU United Healthcare Workers Representative Nicole Frith, LPN, and health care advocates at Senator Gillibrand’s office in New York City to highlight how the Inflation Reduction Act’s measures will lower premiums and prescription drug costs for millions of Americans. 

Coverage:

• PIX 11 Manhattan

Watch the event here and a personal video with 1199 SEIU United Healthcare Workers Representative Nicole Frith, LPN, here.

Watch All Bus Tour Stops Live Here.

Washington, D.C. — Today, on the first week of Protect Our Care’s 8,000-mile “Lower Costs, Better Care” bus tour, Senator Kirsten Gillibrand (D-NY), and New York Senate Majority Leader Andrea Stewart-Cousins will join health care advocates and “Care Force One” in Westchester and New York City to demonstrate how recent victories by President Biden and Democrats in Congress are already “Driving Down Health Care Costs” by thousands of dollars a year — with even more savings on the way. During the events, speakers will discuss how the Inflation Reduction Act and other health care measures will improve care and lower costs for the American people. Over four weeks, Care Force One will travel to more than 16 states, make more than 30 stops, and travel nearly 8,000 miles.

The “Lower Costs, Better Care” tour promotes the work of lawmakers who are fighting tirelessly to improve health care and hold Republicans accountable for trying to roll back this progress, hike costs, and rip away protections from the American people. Drug companies and Republican lawmakers are doing everything in their power to roll back this progress to put profits over people. August marks the first anniversary of the Inflation Reduction Act and the savings it continues to deliver. 

WESTCHESTER, NEW YORK:

WHO:
Andrea Stewart-Cousins, New York State Senate Majority Leader
Mondaire Jones, Former U.S. Representative
Gustavo Rivera, New York State Senator
Ken Jenkins, Westchester Deputy County Executive
Laura Packard, cancer survivor and health care advocate

WHERE: SUNY Westchester Community College, Parking Lot 11, Greenburgh, NY 10603

WHEN: Wednesday, August 02, 2023, at 10:30 AM EDT

NEW YORK, NEW YORK: 

WHO:
Senator Kirsten Gillibrand (D-NY)
Nicole Frith, 1199 The National Health Care Workers’ Union Representative, LPN
Dara Kass, Regional Director for Region 2 of the U.S. Department of Health and Human Service
Regina McBride, storyteller
Pastor Shaun Wills, storyteller
Laura Packard, cancer survivor and health care advocate 

WHERE: 780 Third Ave, NY, NY 10017

WHEN: Wednesday, August 02, 2023, at 2:00 PM EDT

Protect Our Care’s Care Force One will make stops in: 

Manchester, New Hampshire on Monday, July 31, 2023
Portsmouth, New Hampshire on Monday, July 31, 2023
Syracuse, New York on Tuesday, August 1, 2023
Kingston, New York on Tuesday, August 1, 2023
Westchester, New York on Wednesday, August 2, 2023
New York City, New York on Wednesday, August 2, 2023
Philadelphia, Pennsylvania on Thursday, August 3, 2023
Uniontown, Pennsylvania on Friday, August 4, 2023
Youngstown, Ohio on Monday, August 7, 2023
Toledo, Ohio on Monday, August 7, 2023
Detroit, Michigan on Tuesday, August 8, 2023
Lansing, Michigan on Tuesday, August 8, 2023
La Crosse, Wisconsin on Wednesday, August 9, 2023
Green Bay, Wisconsin on Thursday, August 10, 2023
St. Paul, Minnesota on Friday, August 11, 2023
Las Vegas, Nevada on Monday, August 14, 2023
Bakersfield, California on Tuesday, August 15, 2023
Los Angeles, California on Tuesday, August 15, 2023
Orange County, California on Wednesday, August 16, 2023
Palm Springs, California on Wednesday, August 16, 2023
Phoenix, Arizona on Thursday, August 17, 2023
Tucson, Arizona on Thursday, August 17, 2023
Albuquerque, New Mexico on Friday, August 18, 2023
Atlanta, Georgia on Monday, August 21, 2023
Macon, Georgia on Monday, August 21, 2023
Charlotte, North Carolina on Tuesday, August 22, 2023
Greensboro, North Carolina on Tuesday, August 22, 2023
Raleigh, North Carolina on Wednesday, August 23, 2023
Norfolk, Virginia on Wednesday, August 23, 2023
Richmond, Virginia on Thursday, August 24, 2023
Wilmington, Delaware on Thursday, August 24, 2023
Mansfield Twp, New Jersey on Friday, August 25, 2023

For more information on Protect Our Care’s “Lower Cost, Better Care” tour, click here. 

Republican-Led States Like Texas See Hundreds of Thousands Lose Coverage

Tracking from the Kaiser Family Foundation shows that nearly four million Americans have lost their Medicaid coverage as a result of the unwinding of the public health emergency requirement that states allow Medicaid enrollees to remain continuously enrolled in the program. In states reporting specific data, the majority of people who lost Medicaid were disenrolled due to bureaucratic red tape and paperwork requirements, and roughly one third of disenrollments were children. 

At the beginning of the COVID-19 pandemic, Congress passed legislation to ensure children and families counting on Medicaid would not be disenrolled during the public health emergency, but this provision expired on April 1. Experts fear that as many as 15 million people nationwide could lose their health coverage, disproportionately impacting children and people of color. It didn’t have to be this way — roughly three-quarters of those who have lost coverage so far have lost it due to administrative factors, not because they are now ineligible.

It’s no surprise that red states that have demonstrated hostility to affordable health care by refusing to expand Medicaid are among those who are racing to terminate Medicaid coverage.  The Republican-led states of Texas and Florida together have terminated coverage for over 900,000 Medicaid enrollees, and Georgia and South Carolina are among the top states with the highest rate of terminations for administrative reasons (rather than a verified loss of eligibility). Florida’s unwinding process is especially egregious: the state is the only state that has refused to adopt zero of the recommendations and flexibilities provided by the Centers for Medicare and Medicaid Service to help states minimize coverage losses. Instead of doing everything in their power to keep people covered, Republican governors like Greg Abbott, Brian Kemp, and Ron DeSantis are using this opportunity to slash their Medicaid rolls.

The Washington Post: Nearly 4 Million In U.S. Cut From Medicaid, Most For Paperwork Reasons. “[N]early 4 million Americans…have been lopped off Medicaid since the end of a pandemic-era promise that people with the safety-net health coverage could keep it, requiring every state to begin a herculean undertaking of sorting out who still belonged on the rolls. The 3.8 million — the most thorough tally — is an undercount, reflecting only people who have lost coverage so far in 38 states that have voluntarily made public their data from this sorting process, known as the Medicaid unwinding. Most of those people have been dropped from Medicaid for reasons unrelated to whether they actually are eligible for the coverage, according to KFF, a health-policy organization, which has been compiling this data. Three-fourths have been removed because of bureaucratic factors. Such ‘procedural’ cutoffs — prompted by renewal notices not arriving at the right addresses, beneficiaries not understanding the notices, or an assortment of state agencies’ mistakes and logjams — were a peril against which federal health officials had cautioned for many months as they coached states in advance on how best to carry out the unwinding.” [The Washington Post, 7/28/23]

• Paperwork Issues Led To Arkansas Couple Losing Medicaid Coverage, Skipping Prescriptions. “The notice arrived in an envelope stamped ‘important information,’ telling Kristin Fortner she needed to prove that she and her husband still deserved Medicaid. She filled out the form within a week of receiving it this past winter and mailed it back. So she was perplexed by a phone call almost three months later from the Arkansas Department of Human Services alerting her that she had neglected to renew the couple’s Medicaid and, unless she sent the paperwork, their health insurance would end. Fortner quickly resubmitted the same form, this time in person. Except Arkansas already had cut them off. She discovered in May that her insurance had vanished as she tried to pick up a prescription for Suboxone, the medicine that helps her stay off opioids, from a Walgreens near her Fayetteville, Ark., home. Suddenly, she owed $380. Her Medicaid coverage, the pharmacy’s records showed, had expired April 30. A 33-year-old waitress earning $3 an hour plus tips, Fortner walked out of the drugstore without the pills.” [The Washington Post, 7/28/23]

AP News: Paperwork Problems Drive Surge In People Losing Medicaid Health Coverage. “The nation’s top health official implored states to do more to keep lower-income residents enrolled in Medicaid, as the Biden administration released figures Friday confirming that many who had health coverage during the coronavirus pandemic are now losing it. […] Though the federal government hasn’t released data from the most recent reports, information gathered by The Associated Press and health care advocacy groups show that about 3.7 million people already have lost Medicaid coverage. That includes about 500,000 in Texas, around 400,000 in Florida and 225,000 in California. Of those who lost coverage, 89% were for procedural reasons in California, 81% in Texas and 59% in Florida, according to the AP’s data.” [AP News, 7/28/23]

Texas Tribune: Texas Family Scrambles After Their Disabled Child Loses Medicaid. “Around 5 million Texans rely on Medicaid, which mainly provides health coverage for children, but some adults with disabilities and pregnant women can also receive benefits from it. The state intended to remove people who are now ineligible, including children who turned 18, aging them out of qualifying, and women months out of their pregnancies. But many eligible Texans have also lost coverage for reasons including procedural errors like not sending in renewal applications on time, jeopardizing their ability to access consistent care. But according to a letter addressed this week to the executive commissioner of the state agency that manages Medicaid for Texans, the Texas Health and Human Services Commission, approximately 80,000 eligible people have ‘lost coverage erroneously’. The letter, obtained by The Texas Tribune, was written by HHSC employees who did not name themselves, signing off only as ‘Concerned Texans and Dedicated Employees.’” [Texas Tribune, 7/28/23]

• Medicaid Unwinding Revoked Life-Saving Treatments For A Texas Three-Year Old. “Jodi Whites glanced through tears in the rearview mirror at her 3-year-old daughter, Amelia, who was slumped in her car seat, pale-faced, lethargic and unresponsive. The 37-year-old mom of five repeated the same words loudly to her daughter as she tried to keep her awake. They were going to the hospital. They would figure it out. Everything would be fine. That day in April, emergency room doctors explained that an absence seizure, in which the patient is unresponsive, had caused Amelia to lose consciousness and start choking at school. They sent her home with medicine to prevent another. In the three months since, Amelia wakes up crying almost every hour of the night. Amelia presses and taps her hands on her forehead to try and calm down. Whites sleeps in Amelia’s room, feeling helpless beyond rubbing her daughter’s back or giving her another pillow to help her fall back asleep. […] But her daughter Amelia can’t see her doctors anymore. She can’t undergo scheduled brain tests because the Medicaid coverage that provided access to all her treatment — for her six congenital heart defects, her cerebral palsy and her autism — was revoked. Amelia is one of half a million Texans booted from Medicaid — the federal health insurance program for low-income individuals — after three years of continuous coverage during the pandemic, when federal regulations prohibited moving anyone off of the rolls.” [Texas Tribune, 7/28/23]
• Medicaid Unwinding Is Leading To Bankruptcy, Home Foreclosure, Car Foreclosure, and More In Texas. “Terri Carriker, one of its board members, said Protect TX Fragile Kids has heard from dozens of families like the Whiteses going through the same situation since before the pandemic and she has seen families ‘file for bankruptcy, lose their homes, lose their cars and everything.’ The pandemic emergency rules allowed a break from feeling ‘on edge’ about the need to constantly requalify for coverage. Carriker’s own daughter has medical issues and has aged out of her own Medicaid waiver program and is now transferring to an adult waiver program. Waiver programs cover groups of people with specific sets of health needs so they can receive tailored health care. ‘My daughter would wind up in the hospital for something and I would almost feel relieved because at least here’s evidence that she still needs services,’ Carriker said. ‘It’s awful.’ […] Carriker said few other options remain for families in desperate need, but many are ‘stressful’ and ‘humiliating.’ One option includes taking a child for nursing home admission to one of the few facilities in the state that provide crisis care, and if the child meets multiple, strict health-related restrictions and spends one night in the nursing home, they can leave with Medicaid coverage.” [Texas Tribune, 7/28/23]

Georgia Recorder: More Than 63,000 Georgia Kids Lost Medicaid Access To Doctor Last Month Snared In Red Tape. “Children accounted for about two-thirds of the nearly 96,000 Georgians who lost their Medicaid coverage last month as part of the nationwide unwinding of a pandemic-era federal policy. And most of the children – 63,481 of them – had their health insurance terminated for procedural reasons, according to information provided by the state Department of Community Health in response to a request from the Georgia Recorder. […] Of the 67,454 total children whose Medicaid coverage was terminated last month, about 4,000 were ruled no longer eligible, according to the department’s data. But the state agencies responsible for the unwinding say some of the enrollees whose coverage was marked as being ensnared in a bureaucratic process were likely also no longer eligible. Information on file with the state suggested that about 20,000 of the 89,000 total adults and children who were disenrolled last month after not completing the renewal process in time would be ineligible for Medicaid today, according to DCH. For example, they may now earn too much money, live in another state or be too old for the state’s program for children. […] In Georgia, which has one of the highest uninsured rates in the country, as many as 545,000 people could lose their coverage, according to an estimate from last year. A significant number of Georgia children – 40% – are covered by Medicaid, according to Georgetown’s Center for Children and Families. Last month’s unwinding data represents the first large group of people to go through the process in Georgia, and it showed that more people lost coverage than kept it. When the state reported that monthly data earlier this month, the status of about 60,000 people was still pending – more than half of them children.” [Georgia Recorder, 7/31/23]

Missouri Independent: Missouri Kicked 32,000 Residents Off Medicaid In June. Half Were Kids. “More than 32,000 Missourians — half of them children — lost Medicaid coverage in June during Missouri’s first round of eligibility checks after the COVID public health emergency. According to a Department of Social Services announcement Thursday, out of the roughly 116,000 Medicaid recipients who had their eligibility checked in June, around 43% retained coverage, 28% lost coverage and 29% have their determinations pending. June was the first month of eligibility reviews as the state works through all of the roughly 1.5 million Medicaid enrollees on its books. About one-quarter of the state’s population is enrolled in Medicaid, the government health insurance program for low-income residents, called MO HealthNet in Missouri. As part of the federal government’s COVID relief measures, states were barred from removing Medicaid participants from their rolls in most cases from March 2020 to May 2023, regardless of whether they no longer qualified due to income or other eligibility limits. The public health emergency ended in May and states have begun the process of ‘unwinding’ the continuous coverage rule. In Missouri, the process will play out over 12 months, and then regular annual renewals will resume. The majority of those who lost coverage in June — around 72%, or 23,000 Missourians — were not directly found ineligible but were instead disenrolled because of what are called ‘procedural reasons,’ meaning the state was unable to determine whether they were eligible or not.” [Missouri Independent, 7/31/23]

Montana State News Bureau: More Than 34,200 Lose Medicaid Coverage In First 2 Months Of ‘Unwinding’. “Even more people were removed from Medicaid coverage in Montana during the second month of a massive process to re-determine the enrollment qualifications of everyone on the program. The pace of removals and data showing most of those who lost coverage ended up there because they failed to provide requested information to the state health department triggered two groups to ask the federal government to address their concerns and push the state to consider pausing or slowing the rate of the process called ‘unwinding.’ The state health department reported that 19,244 people were removed from Medicaid in May, compared to 14,960 in April when the unwinding started. That means nearly half of those in the first two rounds of reviewing coverage qualifications have lost their health insurance, or a total of 34,204 people. […] More than 64% of those who lost coverage did so not because the state determined they were ineligible, but because they failed to return information asked for by the Department of Public Health and Human Services. It’s unclear how many of those people would have remained qualified for Medicaid if they returned the paperwork. About a quarter of the population reviewed so far (that the state was able to gather information for) was determined ineligible for continued coverage. The unwinding process is set to take 10 months total.” [Montana State News Bureau, 7/28/23]

Paperwork Challenges Are Exacerbating Losses of Coverage From Medicaid Unwinding In Montana. “Marilyn Gomez, an eligibility specialist with All Nations, said many of her clients arrive to her confused about paperwork they’ve received, perplexed by the forms the state needs filled out or after learning their coverage was already terminated. ‘I’ve had multiple clients come in saying they verified their address and were waiting for paperwork in the mail and now in the month of June or July, they go to the pharmacy to pick up medications and they tell them you’re closed (meaning their coverage has ended),’ Gomez said. Other patients are waiting through the 45-day window for their reapplications to be processed after a denial. ‘If somebody’s diabetic and they need to get their medicine, I can’t tell them ‘Oh, Medicaid is pending but you can go get your insulin,’’ Gomez said. People can also be intim[id]ated by the sheer amount of information mailed to them, Gomez said, along with the process to apply online. There’s a dual-verification requirement to establish someone’s identity, and without a laptop or cellphone it’s not possible to submit. ‘A lot of the people I’m working with are not technologically savvy,’ Gomez continued. She had to get a work-issued smartphone to help people navigate the verification process, which requires the ability to take and submit a photo online.” [Montana State News Bureau, 7/28/23]

Lt. Gov. Antonio Delgado (D-NY) Will Headline “Lower Costs, Better Care” Event in New York

Watch All Bus Tour Stops Live Here.

Washington, D.C. — Today, on the first week of Protect Our Care’s 8,000-mile “Lower Costs, Better Care” bus tour, “Care Force One” will make two stops in New York to demonstrate how recent victories by President Biden and Democrats in Congress are already “Driving Down Health Care Costs” by thousands of dollars a year — with even more savings on the way. During the events, speakers will discuss how the Inflation Reduction Act and other health care measures will improve care and lower costs for the American people. Over four weeks, Care Force One will travel to more than 16 states, make more than 30 stops, and travel nearly 8,000 miles

The “Lower Costs, Better Care” tour promotes the work of lawmakers who are fighting tirelessly to improve health care and hold Republicans accountable for trying to roll back this progress and hike costs and rip away protections from the American people. While drug companies and Republican lawmakers are doing everything in their power to roll back this progress in order to put profits over people. August marks the first anniversary of the Inflation Reduction Act and the savings it continues to deliver. 

SYRACUSE, NEW YORK: 

WHO:
NY State Senator John Mannion
NY State Senator Rachel May
Helen Hudson, health care storyteller
Bill Spreter, Alliance for Retired Americans
Katelyn Kriesel, Manlius Town Councilor
Laura Packard, cancer survivor and health care advocate 

WHERE: Clinton Square: 161 Genesee St, Syracuse, NY 13202

WHEN: Tuesday, August 1, 2023 at 10 AM EDT

KINGSTON, NEW YORK: 

WHO:
Lt. Gov. Antonio Delgado (D-NY)
State Sen. James Skoufis
Jen Metzger, Ulster County Executive
Deborah Scarborough, health care advocate
Laura Packard, cancer survivor and health care advocate 

WHERE: Academy Green Park: 238 Clinton Ave, Kingston, NY 12401

WHEN: Tuesday, August 1, 2023 at 3:30 PM EDT

Protect Our Care’s Care Force One will make stops in:
Manchester, New Hampshire on Monday, July 31, 2023
Portsmouth, New Hampshire on Monday, July 31, 2023
Syracuse, New York on Tuesday, August 1, 2023
Kingston, New York on Tuesday, August 1, 2023
Westchester, New York on Wednesday, August 2, 2023
New York City, New York on Wednesday, August 2, 2023
Wilkes-Barre, Pennsylvania on Thursday, August 3, 2023
Philadelphia, Pennsylvania on Thursday, August 3, 2023
Uniontown, Pennsylvania on Friday, August 4, 2023
Youngstown, Ohio on Monday, August 7, 2023
Toledo, Ohio on Monday, August 7, 2023
Detroit, Michigan on Tuesday, August 8, 2023
Lansing, Michigan on Tuesday, August 8, 2023
La Crosse, Wisconsin on Wednesday, August 9, 2023
Green Bay, Wisconsin on Thursday, August 10, 2023
St. Paul, Minnesota on Friday, August 11, 2023
Las Vegas, Nevada on Monday, August 14, 2023
Bakersfield, California on Tuesday, August 15, 2023
Los Angeles, California on Tuesday, August 15, 2023
Orange County, California on Wednesday, August 16, 2023
Palm Springs, California on Wednesday, August 16, 2023
Phoenix, Arizona on Thursday, August 17, 2023
Tucson, Arizona on Thursday, August 17, 2023
Albuquerque, New Mexico on Friday, August 18, 2023
Atlanta, Georgia on Monday, August 21, 2023
Macon, Georgia on Monday, August 21, 2023
Charlotte, North Carolina on Tuesday, August 22, 2023
Greensboro, North Carolina on Tuesday, August 22, 2023
Raleigh, North Carolina on Wednesday, August 23, 2023
Norfolk, Virginia on Wednesday, August 23, 2023
Richmond, Virginia on Thursday, August 24, 2023
Wilmington, Delaware on Thursday, August 24, 2023
Mansfield Twp, New Jersey on Friday, August 25, 2023

For more information on Protect Our Care’s “Lower Cost, Better Care” tour, click here.

This week we highlight the anniversary of the Americans with Disabilities Act, important new proposed rules aimed at combating discrimination and reducing health inequities, and reports highlighting how Medicaid and other federal policies can be leveraged to reduce health disparities. A condemnation by the United Nations for staggering Black maternal health outcomes and new studies highlighting access challenges for rural populations, administrative red tape for lower-income Americans, underrepresentation of Latinos in health professions, care barriers for trans Americans, and the effect of redlining on Black health outcomes underscore the urgency of efforts to address inequities in health.

Protect Our Care is dedicated to making high-quality, affordable and equitable health care a right, and not a privilege, for everyone in America. We advocate for policies that lower health care costs and strengthen coverage, which are critical to expanding access to quality health care and, ultimately, achieving better health outcomes, particularly for people of color, rural Americans, LGBTQI+ individuals, people with disabilities, and more. Our strategies are driven by a broader commitment to tackling systemic inequities that persist due to racism and discrimination and the reality that multi-sector policies are needed to address basic conditions that affect health and related outcomes, particularly for marginalized communities.

INITIATIVES

Spectrum News 1: Looking Ahead for Disability Care Anniversary of the Americans With Disabilities Act. “It’s been 33 years since the landmark Americans with Disabilities Act was signed into law, paving the way for people with disabilities to gain more access to work, schools, transportation and other aspects of public life. It has been a long journey toward accessibility, but there are still changes to come. The ADA has helped protect people with disabilities in many areas of public life, areas such as voting and parking.Advocates took a moment Wednesday to recognize the anniversary, while also highlighting areas in which it could improve. [New York’s] Department for People With Developmental Disabilities rolled out ‘I Am,’ a new initiative aimed at breaking down the stigma surrounding developmental disabilities. A new documentary is also streaming on the state Developmental Disabilities Planning Council’s website, highlighting the 50th anniversary of the expose on the deplorable conditions at the Willowbrook State School, a former institution on Staten Island that housed children with intellectual disabilities. Such initiatives keep the conversation alive, which advocates say is invaluable.” [Spectrum News 1, 7/26/23]

The Department of Health and Human Services: HHS Announces Rule to Advance Nondiscrimination in Health Programs for the LGBTQ+ Community. “This NPRM further builds on HHS’ efforts to ensure access to health and human services in furtherance of President Biden’s Executive Orders on Preventing and Combating Discrimination on the Basis of Gender Identity and Sexual Orientation and Advancing Equality for Lesbian, Gay, Bisexual, Transgender, Queer, and Intersex Individuals. The proposed HHS Grants Rule, if finalized, would clarify and reaffirm the prohibition on discrimination on the basis of sexual orientation and gender identity in federal statutes administered by HHS, consistent with the Supreme Court’s decision in Bostock v. Clayton County, 140 S. Ct. 1731 (2020). The proposed rule would confirm non-discrimination protections in HHS programs, including Head Start, as well as services and grants that provide aid to refugees, assistance to people experiencing homelessness, substance abuse treatment and prevention, community mental health services, maternal and child health services, and community services.” [The Department of Health and Human Services, 7/11/23]

The Centers for Medicare and Medicaid Services: Physician Payment Rule is Addressing Inequities in Care. “Building on the agency’s commitment to health equity, and the Biden-Harris Administration’s Executive Order to support caregivers, CMS is proposing coding and payment for several new services to help underserved populations, including addressing unmet health related social needs that can potentially interfere with the diagnosis and treatment of medical problems. First, CMS is proposing to pay for certain caregiver training services in specified circumstances, so that practitioners are appropriately paid for engaging with caregivers to support people with Medicare in carrying out their treatment plans. CMS is also proposing separate coding and payment for community health integration services, which would include person-centered planning, health system coordination, promoting patient self-advocacy, and facilitating access to community-based resources to address unmet social needs that interfere with the practitioner’s diagnosis and treatment of the patient. These are the first Physician Fee Schedule services designed to include care involving community health workers, who link underserved communities with critical health care and social services in the community and expand equitable access to care, improving outcomes for the Medicare population.” [The Centers for Medicare and Medicaid Services, 7/13/23]

National Academies: HHS Holds Webinar on Committee’s Study Researching Racial, Ethnic, and Tribal Health Inequities. “The Department of Health and Human Services Office of Minority Health commissioned the National Academies to convene an interdisciplinary committee to conduct an analysis of federal policies that contribute to preventable and unfair differences in health status and outcomes experienced by all U.S. racial and ethnic minority populations. The resulting report, “Federal Policy to Advance Racial, Ethnic, and Tribal Health Equity,” identifies how past and current federal policies operate in ways that create, maintain, and amplify racial, ethnic, and tribal health inequities; identifies key features of policies that have served to reduce inequities; and makes recommendations to not only further reduce and eliminate inequities but also achieve racial, ethnic, and tribal health equity.” [National Academies, 7/27/23]

Stat: New Study Shows How Medicaid Can Reduce Inequities in Health Care. “Medicaid is an essential source of maternal and postpartum care for low-income Americans, covering 42% of births in the U.S. People who give birth receive maternity care until at least two months after delivery, or longer depending on state or local policies. In states with no coverage for recently documented and undocumented immigrants, 20% of low-income postpartum immigrants didn’t receive any care, compared to 12% of low-income postpartum non-immigrants. But in states where access was granted to all immigrants, the situation reversed, and more low-income immigrants accessed postpartum care (89.5%) than non-immigrants (87.7%). The study also suggests that lack of coverage for immigrant parents is linked to worse maternal care coverage for non-immigrants, too. In ‘no coverage’ states, access to postpartum services was 4% lower even among non-immigrants compared to ‘full coverage’ states.” [Stat, 7/18/23]

The Hill: AHIP Adds Health Care Expert to Lead Health Equity Initiatives. “Dr. LaShawn McIver joined AHIP as chief health equity officer. Dr. McIver was previously the director of the Office of Minority Health at the Centers for Medicare & Medicaid Services (CMS). Before that, she was the senior vice president of government affairs at the American Diabetes Association, where her advocacy work focused on health disparities among people with diabetes and securing more funding for diabetes research and programs.” [The Hill, 7/26/23]

CHALLENGES

The Washington Post: UN Calls Out Black Maternal Mortality Crisis in the Americas. “Black women in the Americas bear a heavier burden of maternal mortality than their peers, but according to a report released Wednesday by the United Nations, the gap between who lives and who dies is especially wide in the world’s richest nation — the United States. Of the region’s 35 countries, only four publish comparable maternal mortality data by race, according to the report, which analyzed the maternal health of women and girls of African descent in the Americas: Brazil, Colombia, Suriname and the United States. And while the United States had the lowest overall maternal mortality rate among those four nations, the report said Black women and girls were three times more likely than their U.S. peers to die while giving birth or in the six weeks afterward. Between 2016 and 2020, maternal deaths increased 15 percent in Latin America and the Caribbean, and by 17 percent in North America, according to the report from the U.N. Population Fund, which is the United Nations’ sexual and reproductive health agency.” [The Washington Post, 7/12/23]

CNN: Black People in Redlined Neighborhoods Are At Higher Risk of Heart Failure. “Black adults living in zip codes historically impacted by redlining have an 8% higher risk of developing heart failure than Black adults in non-redlined areas, a study published Monday in the American Heart Association’s scientific journal Circulation says. Researchers analyzed data on more than 2.3 million residents who were enrolled in Medicare between 2014 and 2019 by linking it with residential ZIP codes across the US. The analysis included 801,452 participants who identified as Black adults and nearly 1.6 million participants who self-identified as non-Hispanic White adults. Unlike Black adults, the study found that White adults living in communities with a high proportion of redlining did not have a higher risk of heart failure.” [CNN, 7/17/23]

The New York Times: Health Insurers Deny Frequently Deny Doctor-Requested Medical Care for Poor Americans. “Private health insurance companies paid by Medicaid denied millions of requests for care for low-income Americans with little oversight from federal and state authorities, according to a new report by U.S. investigators published Wednesday. Doctors and hospitals have increasingly complained about what they consider to be endless paperwork and unjustified refusals of care by the insurers when they fail to authorize costly procedures or medicines. The companies that require prior authorization for certain types of medical services say these tools are aimed at curbing unnecessary or unproven treatments, but doctors claim it often interferes with making sure patients receive the services they need. The for-profit insurance companies, including Aetna, Elevance Health, Molina Healthcare and UnitedHealthcare, operated some Medicaid plans that denied medical care under requests for prior authorization of services by rates that were greater than 25 percent in 2019, the report found. About 2.7 million people were enrolled in these plans at the time. Another 8.4 million were enrolled in plans with above-average denial rates from 15 to 25 percent. Molina, based in Long Beach, Calif., operated seven plans with denial rates greater than 25 percent, according to the report. Its Illinois plan denied 41 percent of requests.” [The New York Times, 7/19/23]

Los Angeles Times: HHS Announces Civil Rights Investigation Into California Hospital in Order to Address Care Inequities for Black Mothers. “Cedars-Sinai Medical Center is facing a federal civil rights investigation over how the Los Angeles hospital treats Black women who give birth there, an official with the U.S. Department of Health and Human Services confirmed. The investigation comes after allegations of racism and discrimination emerged in the years after the death of Kira Dixon Johnson. The Times obtained a copy of a letter the federal agency sent to Charles Johnson in March indicating that it was aware of the allegations involving the hospital’s level of care for Black women. The letter noted that based on the allegations and the fact that Cedars-Sinai receives federal funding, the agency is reviewing whether the hospital is complying with federal civil rights laws. Cedars-Sinai helps nearly 7,000 women deliver their babies each year, according to the hospital’s website. The National Center for Health Statistics reported in March that 1,205 pregnant women died in the United States in 2021, a 40% increase over 2020, when 861 deaths occurred. The total was 754 in 2019. Pregnant Black women continued to have the highest risk of dying, according to the report. In 2021, the maternal mortality rate for Black women was 69.9 deaths per 100,000 live births, 2.6 times the rate for white women at 26.6 deaths. Among Hispanic women, the report found there were 28 deaths per 100,000 live births.” [Los Angeles Times, 7/11/23]

Axios: Rural Americans More Likely to Not Seek Needed Health Care Due to Costs. “The U.S. outranks other developed nations in the percentage of rural adults who skip medical care because they can’t afford it, per a new Commonwealth Fund analysis of 11 high-income countries. About 15%, or nearly 46 million people, live in outlying areas in the U.S., and rural Americans have poorer health outcomes than their urban counterparts, in part due to access issues. More than a third of rural Americans reported skipping needed care because of costs — more than twice the rate of rural residents in six of the other countries in the analysis. Telehealth, increased primary care access and recruitment of health workers to underserved areas are some strategies other countries have employed to even out the disparity, per the Commonwealth Fund.” [Axios, 7/25/23]

Mississippi Today: Half of Rural Hospitals in Mississippi At Risk of Closing. “The report from the Center for Healthcare Quality and Payment Reform shows that 34 of Mississippi’s 74 rural hospitals are struggling financially and at risk of closure. Twenty-five of those are at risk of closing immediately, or within the next couple of years. The new data puts Mississippi third in the country — behind New York and Alabama — for states with the highest percentage of rural hospitals at risk of immediate closure. Harold Miller, CEO of the Center for Healthcare Quality and Payment Reform, said Mississippians should be concerned about the new data. He attributed the hospitals’ worsening financial state to poor payments from private insurers. Miller’s organization advocates for hospital payment reform. Blue Cross insures the majority of Mississippians with private insurance. The company went head to head with the state’s largest public hospital, the University of Mississippi Medical Center, for months last year over its reimbursement rates. An analysis by Mississippi Today and The Hilltop Institute at the University of Maryland, Baltimore County showed that during the throes of the dispute, Blue Cross’ negotiated rates were largely lower than other major private insurance companies for several common procedures.” [Mississippi Today, 7/24/23]

George Washington University: Latinos Are Underrepresented in Health Professionals With Advanced Degrees. “The study revealed that Mexican Americans, despite being the largest Latino subpopulation in the United States, are greatly underrepresented in the health professions that require an advanced degree. One out of ten people in the United States are Mexican American yet in five of the eight professions requiring advanced education included in the study, Mexican Americans represent one-quarter or less of the professions. This study suggests they and other Latinos in the study face many barriers to occupations in the healthcare field that require an advanced degree such as doctor, nurse or pharmacist. Latino representation in the health workforce did show improvement during the time frame studied from 2016-2020: For example, Latino representation among recent graduates went from 6.7 to 13.5% for health professions requiring a bachelor’s degree. However, the researchers note that Latinos represented more than 21% of the population ages 20-35.” [George Washington University, 7/5/23]

Axios: Trans Patients Are Facing Barriers to Access Hormone Therapy Due to Drug Shortages. “The worst drug shortage in a decade is disrupting gender-affirming care, as scarce supplies of injectable estrogen prevent some transgender women from obtaining hormone therapy. Shortages of cancer drugs and other life-saving medications have already forced doctors to develop workarounds. A lack of access to estrogen products can affect trans patients in different ways: putting some through early onset menopause, reversing certain physical changes from their transition or causing them to experience anxiety and depression. Because injectable estrogen is seldom used outside of trans health care, “manufacturers have little incentive to produce this medicine,” which leads to shortages, according to the University of California, San Francisco Gender-Affirming Health Program. Pfizer — the sole supplier — said that the disruption has been caused by a change in its manufacturing process. The Food and Drug Administration does not have either form of injectable estrogen on its drug shortage database. Under federal law, manufacturers are required to notify to the FDA when there are changes in drug productions that could affect their availability. However, suppliers often don’t.” [Axios, 7/21/23]