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STATEMENT: After Fourteen Years, the Affordable Care Act Is Stronger and More Popular Than Ever

As MAGA Republicans Refuse to Give Up on Their War on Health Care, A Record Number of People Rely on the ACA

Washington, D.C. — Fourteen years ago tomorrow, President Barack Obama signed the Affordable Care Act (ACA) into law, and millions of Americans gained access to quality, affordable health care as a result. Thanks to the tireless work of President Biden and Democrats in Congress, the 2024 open enrollment period was the most successful in history — a record-breaking 21.4 million Americans signed up for coverage. Coupled with the health law’s expansion of Medicaid, protections for people with pre-existing conditions, and cost-saving measures, the ACA has touched the lives of nearly every person in the nation. Read Protect Our Care’s ACA anniversary fact sheet here

The ACA has survived countless repeal attempts, and now it’s stronger than ever. President Biden has shown what it means to make health care more affordable — he has lowered prescription drug costs for seniors, helped millions of families afford coverage, and taken on big drug companies and other corporate interests. Over 100 million Americans now rely on marketplace and Medicaid for coverage. Yet, Republicans still want to destroy the ACA and all of its protections for over 100 million people with pre-existing conditions. Just this week, they once again introduced a budget that would strip away protections for people with pre-existing conditions, increase insurance premiums and prescription drug costs, and put Medicaid coverage for millions in jeopardy. Presumptive GOP presidential nominee Donald Trump sabotaged affordable health care and pre-existing condition protections while he was in office, and has renewed his calls to “terminate” the ACA at least seven times over the last several months.

“Fourteen years in, the law is now woven into the fabric of America and is only getting stronger,” said Protect Our Care Chair Leslie Dach. “Thanks to the ACA, millions of people with pre-existing conditions like diabetes or asthma are protected from being refused coverage or charged more for it, over 45 million people who get insurance on their own have affordable coverage thanks to premium tax credits and Medicaid expansion, and over 150 million patients have access to free cancer screenings and other preventive care. We’ve seen people’s health and financial security improve. The ACA has been essential to reducing inequities in health care and has laid a strong foundation to do more to ensure everyone — no matter who they are or where they live — has access to the health care they need.” 

“On the ACA’s 14th anniversary, it’s important not to lose sight of Republicans’ war on health care,” said Protect Our Care Executive Director Brad Woodhouse. “They want to raise costs on families, they want to go back to a time where people with pre-existing conditions paid more, and they want to put big pharmaceutical and insurance companies back in charge. While President Biden and Democrats in Congress are working tirelessly to build on the ACA and expand affordable, quality health care to every American, the MAGA-Republicans are still fighting in Congress and in the courts to gut the ACA and undermine the law’s protections. Some things never change: Republicans want to gut health care, only taking us backwards and throwing the entire health care system into chaos.

Statement: Braidwood v. Becerra Appeal Aims To Rip Away Guaranteed Free Preventive and Reproductive Health Services From More Than 150 Million Americans

On March 4, Fifth Circuit Court of Appeals to Hear Oral Arguments in Braidwood Case 

Extremists aiming to strike down a key portion of the Affordable Care Act (ACA) are scheduled to give oral arguments before a panel of judges at the Fifth Circuit Court of Appeals on March 4. The plaintiffs are challenging a provision of the ACA that requires insurers to cover lifesaving preventive services for free, and they are dissatisfied with a lower court’s ruling last year that overturned a narrow set of services recommended by the U.S. Preventive Services Task Force (USPSTF) after the passage of the ACA, blocked required coverage of USPSTF’s future recommendations, and allowed employers to refuse to cover certain preventive services on religious grounds. The plaintiffs now want the appeals court to go further and eliminate guaranteed free coverage of vaccines and women’s preventive services like cancer screenings, prenatal care, and contraception.

“Lifesaving preventive care under the ACA is at risk,” said Protect Our Care Chair Leslie Dach. “More than 150 million Americans rely on these benefits to get no-cost access to routine screenings for cancer, diabetes, mental health, and heart disease, recommended vaccinations, contraception and pregnancy-related care, and more. If the MAGA-backed plaintiffs get their way, it will put Americans at the mercy of insurance companies and employers once again, empowering them to charge high out-of-pocket costs and refuse to cover certain preventive benefits entirely. As a result, more Americans will suffer because their cancers will be detected too late or they won’t receive the mental health or prenatal care they need.” 

Background

Last March, District Judge Reed O’Connor – the same Federal District Court judge whose decision invalidating the entire ACA was reversed by the Supreme Court in 2021 – struck down a portion of the ACA’s preventive health services mandate, invalidating key, no-cost services recommended by the USPSTF after the ACA’s enactment. The government immediately appealed the decision, and the Fifth Circuit paused the ruling and temporarily reinstated the requirement that insurers cover those preventive services, but the Fifth Circuit could choose to revoke the stay at any time.

The ACA’s elimination of out-of-pocket costs for these lifesaving screenings and services has transformed how preventive care is delivered, saved countless lives, improved health outcomes, reduced disparities in care, and cut consumer health care costs. Guaranteed no-cost coverage of preventive services, including screenings for chronic disease, is a key factor in expanding access to these services – which together with actions to address other social and structural determinants of health – are advancing health equity. 

The Braidwood case is driven by extremist, longtime foes of the ACA, abortion rights and reproductive freedom, marriage equality, vaccination mandates, and diversity policies – but the stakes are even higher than before. The case, which was originally decided by the same judge whose decision invalidating the entire ACA was reversed by the Supreme Court in 2021, will now be decided by two extreme Trump appointees. These radical judges could strike down coverage for these essential preventive services at any time, removing the current stay on the lower court’s ruling and putting free preventive services on the chopping block for more than 150 million Americans covered through private health insurance

Here are just some of the lifesaving, no-cost benefits that could be invalidated by MAGA judges on the Fifth Circuit if the panel lifts the stay and allows the district court ruling to stand:

  • GONE – Free, Guaranteed Cancer & Health Screenings. O’Connor’s ruling struck down ACA provisions requiring insurers to cover screenings for serious health issues including breast cancer, colorectal cancer, lung cancer, Hepatitis C, and HIV
  • GONE – Free, Guaranteed Preventive Medication For Cardiovascular Disease. O’Connor’s ruling struck down ACA provisions requiring insurers to cover drugs that can lower cholesterol for certain adults at risk of developing cardiovascular disease.
  • GONE – Free, Guaranteed Substance Use Screenings. O’Connor’s ruling struck down the ACA requirements that insurers cover screenings for unhealthy drug use
  • GONE – Free, Guaranteed Preventive Treatment for Pregnancy Complications. O’Connor’s ruling struck down the ACA requirements that insurers cover medications used to prevent life-threatening complications in pregnancy like preeclampsia as well as mental health interventions for pregnancy-related depression
  • GONE – Free, Guaranteed PrEP. O’Connor’s ruling struck down the ACA requirements that guarantee access to pre-exposure prophylaxis (PrEP), a drug proven to substantially reduce the risk of contracting HIV. PrEP has been associated with a significant decrease in the number of new HIV diagnoses.

If the Fifth Circuit agrees with the plaintiffs, they will eliminate the following additional services:

  • GONE – Free, Guaranteed Vaccinations. The ACA requires that over a dozen vaccinations, ranging from meningitis and pneumonia to flu shots, be covered free of charge for adults and children.
  • GONE – Free, Guaranteed Contraception & STI Counseling. The ACA guarantees women access to contraception without cost sharing, screenings for HIV, and counseling for sexually transmitted infections (STIs). Over 58 million women have benefited from free access to contraceptives, saving billions of dollars in out-of-pocket spending. 
  • GONE – Free, Guaranteed Pregnancy Screenings & Treatments. The ACA requires free access to a variety of preventive services related to pregnancy, including preeclampsia screenings, breastfeeding equipment like pumps and bottles, folic acid, and screenings for perinatal diabetes, in order, to support healthy pregnancies and fight the maternal mortality crisis.
  • GONE – Free, Guaranteed Routine Infant & Child Health Care. Under the ACA, all newborns have access to free, universal newborn screening and young children. As they grow, children are required to have free access to essential health screenings, behavioral assessments, growth measurements, behavioral assessments, routine childhood vaccinations, vision and dental screenings, and other essential preventive services.
  • GONE – More Free, Guaranteed Health Screenings. The ACA requires plans to cover screenings and counseling for a wide array of health issues, including risk factors for heart disease – the leading cause of death in the U.S. – like high blood pressure, high cholesterol, diabetes, and obesity.
  • GONE – Free, Guaranteed Mental Health & Substance Use Screenings. Under the ACA, insurers are required to cover a wide range of preventive assessments and treatments related to mental health and substance use, including depression, anxiety in adolescent and adult women, alcohol misuse, tobacco use, and adolescent drug use.

What Happens Next

The appeal is being made before the Fifth Circuit Court of Appeals, a circuit “where law goes to die” packed with MAGA appointees and ultra-conservative judges that have relentlessly chased an extreme agenda threatening health care access. If the Fifth Circuit approves a full reversal of the preventive services requirement, it would set off a massive disruption in the American health care system putting more than 150 million Americans at risk of losing access to no-cost preventive care when their insurance renews. 

Two of the three judges deciding the case, Don Willett and Cory Wilson, are extreme Trump appointees with long records of opposition to affordable health care, green-lighting abortion bans, medical misinformation campaigns, and anti-vaccine cases. Read more about these extreme MAGA judges here. Regardless of the outcome, the case will almost certainly end up at the Supreme Court.

Who Is Behind It?

The Braidwood v. Becerra Plaintiffs Have Repeatedly Sued To Overturn Parts Of The ACA. Plaintiff John Kelley filed an earlier and similar class action lawsuit against the ACA’s contraceptive mandate in DeOtte v. Azar. Kelley, his company Kelley Orthodontics, and Joel Starnes – all plaintiffs in Braidwood v. Becerra – brought a similar suit again in 2020 in Kelley v. Azar. Another plaintiff, Braidwood Management, owned by Dr. Steven Hotze, was also a plaintiff in DeOtte and has previously brought and lost challenges to other parts of the ACA. In addition to being a plaintiff in previous efforts to overturn the ACA, Hotze is a vocal advocate for multiple far-right conspiracy theories, claiming COVID-19 was an invention of the “deep state,” suggesting equal rights for LGBTQ+ individuals would lead to child molestation, and bankrolling election fraud vigilantism after making false claims regarding voter fraud in the 2020 election. 

The Lead Attorney For The Plaintiffs In Braidwood v. Becerra Is One of the Key Authors of SB8, Texas’ Vigilante Anti-Abortion Law. The lead attorney for the plaintiffs is Jonathan Mitchell, “who helped craft the Texas abortion law that was designed to evade judicial review by leaving enforcement to private citizens instead of government officials.”

  • Mitchell Filed Briefs Arguing the Supreme Court Should Overrule its Decisions Protecting Marriage Equality and Invalidating Anti-Sodomy Laws. Mitchell filed a brief in the Dobbs case urging the Supreme Court to overturn Roe v. Wade–and criticized Mississippi for suggesting that the Court could leave in place its 2015 ruling in Obergefell v. Hodges, holding that same-sex couples have the right to marry in all states. He said that Obergefell and Lawrence v. Texas, the 2003 ruling that invalidated all remaining state anti-sodomy laws, “are judicial concoctions, and there is no other source of law that can be invoked to salvage their existence.” Mitchell has also referred to PrEP, a life-saving medication that prevents HIV infection as a drug that would “facilitate and encourage homosexual behavior, prostitution, sexual promiscuity, and intravenous drug use.” 

The Plaintiffs In Braidwood v. Becerra Are Also Represented By The Trump-Aligned America First Legal Foundation. The plaintiffs are “represented by America First Legal Foundation, a nonprofit led by senior members of President Donald Trump’s administration, including Trump senior adviser Stephen Miller.” 

  • America First Legal Has Supported Suits To Overturn Vaccine Mandates And Block “Critical Race Theory.” America First Legal is involved in numerous hot-button conservative legal actions. AFL has supported suits seeking to overturn vaccine mandates and sued companies that have policies to increase diversity in their workforces. The group has also filed suits alleging that pandemic aid for minority farmers is “racist” and trying to force the Biden administration to stop allowing immigrant children into the country.
  • America First Legal Was Established By Former Trump Aide Stephen Miller “To Make Joe Biden’s Life Miserable.” America First Legal was founded by former Trump aide and white nationalist Stephen Miller who was “looking to use it to make Joe Biden’s life miserable.” He was also the architect of the Trump administration’s harshest immigration policies and a supporter of the forced sterilizations committed by ICE in Georgia.

Why The Plaintiffs’ Legal Arguments Are Wrong

The plaintiffs make three primary legal arguments – all are wrong. The plaintiffs will likely raise these arguments as the case is appealed.

The Plaintiffs’ First Argument: Plaintiffs argue that the law violates the Appointments and Vesting Clauses of the Constitution because members of the United States Preventive Services Task Force (USPSTF), Advisory Committee on Immunization Practices (ACIP), and Health Resources and Services Administration (HRSA) have not been nominated by the President or confirmed by the Senate and, according to the plaintiffs, can “unilaterally determine” the preventive care that must be covered by insurers and plans. 

Why The Plaintiffs Are Wrong: Congress made a conscious decision to require coverage of preventive services — specifying bodies that utilized well-established standards to guide their decisions — and ensured each entity in question (USPSTF, ACIP, and HRSA) is overseen by federal agencies whose heads have been appointed by the President and who all report to a senior official appointed by the President and confirmed by the Senate (the Secretary of Health and Human Services [HHS]). USPSTF members are appointed by the head of the Agency for Healthcare Research and Quality, who reports to the Secretary of HHS. The HRSA Administrator reports to the Secretary of HHS. The members of ACIP are appointed by the CDC Director who reports to the Secretary of HHS. HRSA is a component of HHS.

The Plaintiffs’ Second Argument: The preventive services provision violates the nondelegation doctrine because it delegates legislative power to the USPSTF, ACIP, and HRSA without providing an “intelligible principle” to guide their exercise of discretion. 

Why The Plaintiffs Are Wrong: Congress required the coverage of evidence-based and preventive services, and it specified bodies that applied well-established standards to guide their decisions. By specifying those bodies, Congress plainly endorsed and incorporated the standards that they utilized, and those standards provide a sufficient “intelligible principle” to limit discretion and govern the recommendations and guidelines that must be covered under the ACA.

The Plaintiffs’ Third Argument: The plaintiffs claim they have religious objections to paying for one of the preventive services mandated by the ACA — PrEP, a drug essential to HIV prevention – and that requiring coverage of this medication is a violation of the Religious Freedom Restoration Act (RFRA).

Why The Plaintiffs Are Wrong: As the Department of Justice explains in its court filings, the plaintiffs have not shown that their religious beliefs are burdened because they failed to prove that the availability of PrEP medications encourages behavior inconsistent with their beliefs or that the PrEP requirement causes an increase in their cost for health insurance. In addition, preventing the spread of HIV, a potentially fatal, infectious disease, is a compelling government interest–which is a separate basis for rejecting the RFRA claim.

Here’s What Health Experts Have Said About The Case

  • Over 100 Public Health Experts: If Successful, Plaintiffs’ Appeal “Would Result in Serious Illness and Deaths That Otherwise Would Have Been Prevented.” A coalition of 107 public health deans and professors—led by the American Public Health Association—urged the court not to end guaranteed preventive coverage because it “would result in serious illnesses and deaths that otherwise would have been prevented,” and, “would eliminate guaranteed cost-free access to preventive services in the other three statutory categories—immunizations; preventive treatments for infants, children, and adolescents; and preventive services for women.”
  • American Medical Association et al.: Invalidating the Preventive Health Services Mandate “Will Result In Worse Health Outcomes And Impose Higher Costs On The Health System.” A coalition of 20 leading medical organizations—led by the American Medical Association—warned that striking no-cost coverage of preventive services would threaten public health: “[A]pproximately 233 million people are currently enrolled in health plans that must cover preventive services without cost-sharing. That means that, in addition to the preventive services for adults covered by the USPSTF recommendations…millions of people now have access to no-copay vaccinations. And women and children have access to the specific preventive care recommended for their populations, allowing these individuals to avoid acute illness, identify and obtain treatment for chronic conditions, and improve their health. These recommendations have been critical to improving public health. […] Deterring patients from receiving these vital services will result in worse health outcomes and impose higher costs on the health system.”
  • The National Women’s Law Center: Millions of Women Who Rely on the ACA’s No-Cost-Sharing Coverage To Access Preventive Care Will Be Harmed. The National Women’s Law Center submitted an amicus brief in support of the government, writing, “[P]roviding these services without cost-sharing has helped to remedy discrimination in women’s health care and coverage and increased overall uptake of these services, improving women’s health and economic security and reducing racial disparities in both the use of these services and in health outcomes for populations facing multiple and intersecting forms of discrimination […] Further, the health and well-being of the millions of women who rely on the ACA’s no-cost- sharing coverage to access preventive care and who benefit from the resulting improvements to their health and economic security will be harmed.”
  • American Cancer Society et al.: Reducing Insurance Coverage For Preventable Services Will Lead To Worsening Patient Outcomes, Preventable Deaths, and Higher Medical Costs. A coalition of 16 patient advocacy organizations—led by the American Cancer Society—urged the court not to end guaranteed preventive coverage because, “Detecting severe diseases early allows for less invasive, more effective, and lower-cost treatment options, and substantially improves patient outcomes. Reducing insurance coverage for preventive services will lead to the opposite result—worsening patient outcomes, leading to preventable deaths, and creating higher long-term medical costs.”
  • American Lung Association et al.: Patients Could Discontinue Life-Saving Medications Despite Health Risks if Insurers Resume Cost-Sharing on Preventive Services. A coalition of 12 patient advocacy organizations–led by the American Lung Association–warned the court of “the demonstrated, severe public health effects of cost barriers” that invalidating guaranteed preventive coverage would “ameliorate,” writing: “If insurers impose cost-sharing requirements for patients to receive these life-saving medications, research suggests that patients could discontinue use despite the health risks.”

STATEMENT: Drug Company CEOs Must Face the American People About Their Outrageous Profits at the Expense of Patients

Senate HELP Committee Chair Bernie Sanders Calls On Merck and J&J to Explain Sky-High Prices for American Patients 

Washington, D.C. — Today, U.S. Senator Bernie Sanders (I-VT) is holding a press conference calling on Merck and J&J CEOs to testify in front of the Senate HELP Committee about high drug prices. The news comes as the HELP Committee is scheduled to vote on a subpoena for both CEOs next week. To date, these companies have refused to testify despite producing some of the most expensive prescription drugs on the market. Both companies are suing the federal government to stop Medicare from negotiating lower drug prices for seniors in a blatant effort to protect their massive profits. In response, Protect Our Care Chair Leslie Dach issued the following statement: 

“We commend Senator Sanders for his tireless efforts to bring down drug prices for patients. While companies like Merck and J&J are raking in billions, Americans are routinely skipping doses and cutting pills in half because of the outrageous cost of lifesaving medications. Merck and J&J’s Janssen are in court right now to stop Medicare from negotiating lower prices in order to keep prices high for patients. We are all sick and tired of being ripped off by big drug companies, and these CEOs owe it to the American people to testify.” 

Background:

GREED WATCH: Johnson and Johnson Touts Strong Earnings As They Sue to Protect Their Profits By Blocking Medicare From Negotiating Lower Prices

GREED WATCH: Merck Announces Over One Billion More Revenue This Quarter Than Last Year

STATEMENT: Trump’s Victory in New Hampshire Puts Health Care At the Forefront of the Presidential Race

With Trump Marching Toward the GOP Nomination, Health Care is Once Again on the Chopping Block

Washington, D.C. — This evening, Donald Trump secured another victory in the 2024 primary, bringing him one step closer to the GOP nomination. Already, Trump has reignited his calls to repeal the Affordable Care Act (ACA), which would hike health care costs, throw millions of Americans off their coverage, and rip away vital protections from millions more. Once again, the issue is front and center leading up to this election. In response, Protect Our Care Executive Director Brad Woodhouse issued the following statement: 

“Trump’s victory in New Hampshire shows he is marching toward the GOP nomination, threatening the health and livelihoods of millions of households across the nation. We’re at a crossroads: While President Biden has delivered real relief to the American people by lowering costs and expanding affordable coverage, Trump has vowed to take all of this progress away and throw the health care system into chaos. Trump’s relentless calls for repealing the ACA demonstrate that the issue of health care will be front and center as voters head to the polls in November. Repealing the ACA would rip away protections for millions of Americans with pre-existing conditions, hike health care costs for working families, and throw millions of people off their health insurance. At a time when more Americans are enrolling in the ACA than ever before, it is outlandish that the likely GOP nominee is even considering another attempt at repeal. Sadly, the threat to American health care is as real as ever.” 

If the Affordable Care Act is repealed:

  • GONE: 2.3 million adult children will no longer be able to stay on their parents’ insurance. 
  • GONE: Insurance companies will be able to charge women more than men.
  • GONE: Ban on insurance companies having annual and lifetime caps on coverage.
  • GONE: Requirements that insurance companies cover prescription drugs and maternity care.
  • GONE: Protections for 135 million Americans with pre-existing conditions, including 54 million people with a pre-existing condition that would make them completely uninsurable.
  • GONE: Medicaid expansion, which covers more than 22 million people. 
  • GONE: Quality, affordable coverage that over 15.5 million people who buy insurance on their own.
  • GONE: Premium tax credits that make premiums affordable for 80 percent of people who purchase health care on the marketplace.
  • GONE: 50 million seniors will have to pay more for prescription drugs because the Medicare ‘donut hole’ will be reopened.
  • GONE: Critical funding for rural hospitals. 
  • GONE: 61.5 million Medicare beneficiaries will face higher costs and disruptions to their medical care. 

Protect Our Care Statement on Supreme Court Decision to Overturn Roe v. Wade

Washington, DC — Today, the Supreme Court issued a ruling overturning the landmark Roe v. Wade decision and revoking health care rights for millions of women across the nation. In response, Protect Our Care Chair Leslie Dach issued the following statement: 

“Today, the highest court in the land solidified its attack on fundamental human rights. By voting to overturn Roe, the Trump-appointed justices lied to the American people, disregarded the Constitution, and created a health care crisis. This decision will kickstart a wave of laws banning abortion, stripping millions of control of their own bodies and their right to safe access to care. 

“Every Republican lawmaker who voted for these justices owns this decision, and Americans will hold them accountable. The elected officials who want to ban abortions are the same people who refuse to support the Momnibus legislation, which would combat infant and maternal mortality crisis, oppose Medicaid expansion, which has proven to improve health outcomes for mothers and their babies, and are fighting common sense reforms to lower the cost of health care for working families. We won’t give up the fight until access to safe, quality health care — including reproductive care — is a right for every American.

Protect Our Care Statement on Draft Supreme Court Decision to Overturn Roe v. Wade

Washington DC — Last night, after obtaining a leaked draft opinion, Politico reported that the Supreme Court appears to have enough votes to overturn the landmark Roe v. Wade decision. While abortion remains legal today, the decision threatens to open the floodgates for Republican states to ban abortion. In response, Protect Our Care Executive Director Brad Woodhouse issued the following statement: 

“This is a dark day in American history. After lying to the U.S. Senate and to the American people, far-right justices on the highest court in the land are poised to upend established law, disregard the Constitution, and attack fundamental human rights. If the leaked draft is accurate, we will face a health care crisis and millions of women will be stripped from their right to safe abortion access. The court is owned by the party of Trump, and we’re only beginning to see the true consequences. Every Republican who voted for these justices owns this decision and the American people will hold them accountable for their negligence. We won’t stop fighting until health care, including reproductive freedom, is a right for every American.

Protect Our Care Statement on the Retirement of Health Care Champion Senator Patrick Leahy 

Washington, D.C. — Today, Senator Patrick Leahy (D-VT) announced his intention to retire after serving for 46 years in the U.S. Senate. During his time on Capitol Hill, Senator Leahy played an essential role in passing and protecting the Affordable Care Act, fighting for a future where every American has access to quality, affordable health care. 

“During his long and distinguished tenure in the United States Senate, Senator Leahy was a relentless defender of health care and of the Affordable Care Act,” said Protect Our Care Chair Leslie Dach. “I had the privilege to work for Senator Leahy as a member of his committee staff nearly 35 years ago, and his passion, integrity and commitment to justice and to the country left an indelible mark. America, and all of us who learned by seeing him do his job, owe him a debt of gratitude.”

“Senator Leahy is a true health care champion, and his leadership will be sorely missed in the Senate,” said Protect Our Care Executive Director Brad Woodhouse. “For 46 years, Senator Leahy has fought tirelessly to expand and protect health care for Vermonters and all Americans, including playing a leading role in working to protect the Affordable Care Act at the Supreme Court last year. We wish the senator all the best in his retirement, and we will keep up the fight to ensure health care is a right for every American.” 

 

Statement from Protect Our Care on the Build Back Better Framework 

Washington, DC — Today, under the leadership of President Joe Biden, House Speaker Nancy Pelosi and Senate Majority Leader Chuck Schumer, Democrats reached a historic agreement to pass the most significant expansion of American health care in more than a decade. The framework includes reducing health care premiums for people who buy health insurance on their own, extending coverage to millions by closing the Medicaid coverage gap, expanding Medicare benefits to cover hearing, and investing $150 billion to expand home care for seniors and people with disabilities. Health care remains a fundamental part of the Build Back Better agenda, and the proposals to reduce costs and expand care are overwhelmingly popular with voters across the political spectrum. In response, Protect Our Care Chair Leslie Dach issued the following statement: 

“Thanks to the leadership of President Biden, Democrats are going to pass the most significant expansion to health care since the Affordable Care Act. The framework announced today will increase coverage and lower costs for millions of Americans, and working families will now have the health care they need. Today’s announcement shows President Biden and Democrats in Congress are working to deliver on a future where health care is a right, not a privilege. 

“The Build Back Better Act will lower health insurance premiums for more than nine million Americans who buy health care on their own and provide coverage for millions of families. Closing the Medicaid coverage gap is the single most important step Congress can take to reduce racial inequities in health care, and it will save lives and strengthen families. Expanding hearing benefits in Medicare and investing in home care will significantly improve the health and well-being of seniors and people with disabilities nationwide. 

“The failure to include any measures to lower prescription drug prices is a victory for Big Pharma and a profound loss for the American people. As a result of millions of dollars in campaign contributions, and the actions of a handful of pro-Pharma lawmakers, the current framework would allow drug companies to continue to charge outrageous prices, and Americans will continue to struggle to pay for the medications they need to survive. We pledge to keep fighting for lower drug costs and urge others to do the same as the bill is considered by the House and Senate.”

Protect Our Care Statement on the Coming Supreme Court Fight: This Is a Health Care Election

Washington, DC — On November 10, 2020 — one week after the election — the U.S. Supreme Court hears oral arguments in California v. Texas, a case that could overturn the entire Affordable Care Act, including protections for 135 million Americans with pre-existing conditions and throw our entire health care system into chaos. Following the death of Justice Ruth Bader Ginsburg, Protect Our Care Executive Director Brad Woodhouse issued a statement on the upcoming fight for the future of Americans’ health care access:

“Donald Trump is before the Supreme Court right now trying to strike down the Affordable Care Act in its entirety, including protections for 135 million Americans with pre-existing conditions. Trying to dismantle the health care law and all the protections it affords to Americans is extremely unpopular with voters, but President Trump was depending on the fact that relatively few voters know about the case. With the national spotlight now on the Supreme Court, President Trump won’t be able to hide behind his health care lies anymore. Voters will know that Donald Trump is fighting to take away protections for people with pre-existing conditions and that he and every Republican on the ballot are trying to rip health care away from millions in the middle of a pandemic. This is a health care election. Period.” 

BACKGROUND:

If the Affordable Care Act is struck down:

  • GONE: Protections for 135 million Americans with pre-existing conditions. The uninsured rate will increase by 65 percent. 
  • GONE: Medicaid expansion, which covers 16 million people. 
  • GONE: Nearly 12 million seniors will have to pay more for prescription drugs because the Medicare ‘donut hole’ will be reopened.
  • GONE: 2.3 million adult children will no longer be able to stay on their parents’ insurance. 
  • GONE: Insurance companies will be able to charge women 50 percent more than men.
  • GONE: Financial assistance that helps 9 million people purchase health care in the marketplace.
  • GONE: Key support for rural hospitals. As Americans lose coverage, already struggling hospitals will be hit even harder as their costs increase.
  • GONE: Ban on insurance companies having lifetime caps on coverage.
  • GONE: Requirements that insurance companies cover prescription drugs and maternity care.

View the full fact sheet on Trump-Republican lawsuit to overturn the ACA HERE.

Protect Our Care Statement on Senate Health Care Legislation

Washington, DC — Today, leaders of the Senate HELP Committee unveiled health care legislation to address, among other things, surprise medical bills. In response, Protect Our Care executive director Brad Woodhouse issued the following statement:

“So long as Senate Republicans remain Trump’s top lieutenants in his war on America’s health care, they should not receive credit for solving a problem they have made worse for the American people. Surprise medical billing is a serious issue for patients navigating our health care system, and while it’s encouraging that the Senate is addressing the problem, Republicans do not deserve a pat on the back while they continue supporting the destruction of America’s health care. If Republicans actually cared about patients and improving our health care system, they would denounce Trump’s disastrous Texas lawsuit, disavow junk plans and call for an end to the relentless repeal and sabotage agenda he and they continue to pursue.”