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Elections Have Consequences: State and Local Leaders are Protecting and Expanding Health Care Even as President Trump and Republicans Continue Their Repeal and Sabotage Agenda Nationally

Last year, health care was the number one issue that drove people to the polls and fueled the new Democratic majority in the U.S. House of Representatives.  And, even as President Trump and Republicans continue to pursue their repeal and sabotage agenda, elected leaders at the local and state level are fighting back and responding to voters by taking action to protect and expand coverage, and lower costs for their constituents. Elections do indeed have consequences.

(CA) Gov. Gavin Newsom Moves To Expand Access To Health Care In California. “Gov. Gavin Newsom proposed a broad overhaul of health care on his first day in office Monday, promising to throw the state’s financial power into an effort to lower prescription drug costs, expand Obamacare so middle-class families can receive subsidies to buy insurance, and offer Medi-Cal coverage to undocumented immigrants up to age 26. Newsom aides said the expansion of Affordable Care Act subsidies would be funded by a California version of the individual mandate, the former federal requirement that people either carry health insurance or pay a penalty on their taxes. Congressional Republicans and President Trump repealed the mandate in 2017, although the penalty does not disappear until the 2019 tax year. Newsom would reinstate it on the state level.” [San Francisco Chronicle, 1/7/19]

(CO) Colorado Democrats Introduce Public Option Health Care. “Creation of a public option health care plan is one of the most ambitious changes Colorado Democrats proposed Friday as they kicked off a new session of the General Assembly in control of both chambers for the first time in four years. The first five bills introduced in each chamber — indicators of lawmakers’ top priorities for the year — largely relate to health care and education costs. A Senate bill would create a public option health insurance plan that Coloradans who live in the highest-cost areas — mainly the Western Slope — could buy instead of their current insurance starting in the fall of 2019. A House bill would expand that program to the entire state by the fall of 2020.” [The Denver Post, 1/4/19]

(ME) On First Day In Office, Gov. Janet Mills Signs Executive Order Directing State To Implement Medicaid Expansion. “Medicaid expansion is finally advancing in Maine, more than a year after voters approved it at the ballot box. Newly sworn in Gov. Janet Mills, a Democrat who campaigned on broadening access to health insurance, used her first executive order to direct the Maine Department of Health and Human Services to begin implementation of Medicaid expansion.” [CNN, 1/3/19]

(NM) In New Mexico, Democrats Plan To Introduce A Bill To Create A Medicaid Buy-in Program. “New Mexico Democrats eye creating the nation’s first Medicaid buy-in program, one of many blue-state efforts expected this year to expand health insurance coverage.” [Politico, 1/9/19]

(WA) Gov. Jay Inslee Proposes Public Option For Washington. “Gov. Jay Inslee and Democratic lawmakers Tuesday announced proposed legislation for a new “public option” health-care plan under Washington’s health-insurance exchange. The proposal, which Inslee said is the first step toward universal health care, is geared in part to help stabilize the exchange, which has wrestled with double-digit premium increases and attempts by Republicans in Congress and President Donald Trump to dismantle the Affordable Care Act. ‘We are proposing to the state Legislature that we have a public option that is available throughout the state of Washington so that we can increase the ability to move forward on the road to universal health care in the state of Washington,’ said the governor, who is considering a run for president in 2020.” [The Seattle Times, 1/8/19]

(WI) Gov. Tony Evers Signs Executive Orders To Direct State To Develop Plan For Expanding Medicaid, Find Ways To Protect ACA’s Consumer Protections. “In his second day on the job, Gov. Tony Evers signed executive orders Tuesday to study expanding health coverage and providing insurance protections for people with pre-existing conditions…One order directs the state Department of Health Services to develop a plan to expand the state’s BadgerCare Plus health care program for low-income people under the Affordable Care Act, known as Obamacare. Republican lawmakers have fiercely opposed the idea. The issue is expected to come to a head this year as Evers and lawmakers work on a state budget that will determine whether the state taps into additional federal aid through Obamacare. The second order tells state agencies to prepare plans to find ways to protect coverage for people with pre-existing conditions, bolster consumer protections, improve the public’s understanding of insurance, and require insurers to make their costs and terms easily understandable. Evers has said the best way to protect coverage for those with pre-existing conditions is to keep the Affordable Care Act in place. He campaigned on getting Wisconsin out of a multistate lawsuit challenging the law.” [Milwaukee Journal-Sentinel, 1/8/19]

(NY) Governor Cuomo and the legislature to pursue reproductive rights protections. “Gov. Andrew Cuomo called Monday for including abortion rights in the New York Constitution, calling it an unprecedented opportunity to protect a woman’s right to choose… Cuomo took his call a step further, vowing to push an amendment that would enshrine a woman’s right to choose in the state Constitution. Such a move would make it more difficult for future governors and lawmakers to reverse: A constitutional amendment has to be approved by successively elected Legislatures and approved by a vote of the public. [Rochester Democrat and Chronicle, 1/7/19]

(NYC) New York City Mayor Bill de Blasio To Fund Health Care For All, Including Undocumented. “New York Mayor Bill de Blasio proposed a $100 million plan that he said would provide affordable ‘healthcare for all,’ reaching about 600,000 people, including undocumented immigrants, low-income residents not enrolled in Medicaid and young workers whose current plans are too expensive. The plan, which de Blasio dubbed ‘NYC Care,’ will offer public health insurance on a sliding price scale based on income, the mayor said during an interview Tuesday morning on MSNBC. It will begin later this year in the Bronx and will be available to all New Yorkers in 2021, and would cost at least $100 million once it reaches full enrollment, according to the mayor’s office.” [Bloomberg, 1/8/19]

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

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

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

What does Medicaid expansion mean for Virginians?

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

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

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

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

What spurred this change?

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

Was this mindset limited to just Virginia?

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

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

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

protectourcare
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TOMORROW: Senator Murphy and Attorney General Herring Join Protect Our Care to Discuss District Court Ruling to Repeal the Affordable Care Act

Ruling Means:

Medicaid Expansion is Gone

Protections for Preexisting Conditions are Gone

Seniors Forced to Pay More for Prescription Drugs

Millions to Lose Health Care

 

Washington, DC – On Monday, December 17, 2018 at 11:00 AM ET, Protect Our Care will hold a press conference call featuring U.S. Senator Chris Murphy (D-CT) and Attorney General Mark Herring (D-VA) to discuss the shocking decision by U.S. District Judge Reed O’Connor to unleash “chaos” in our health system by overturning critical Affordable Care Act protections. With this decision, Republicans have done through the courts what they couldn’t do in Congress: repeal the ACA, raise costs, end protections, and take health care away from millions of Americans with pre-existing conditions.

View Protect Our Care’s statement in response to the ruling here.

 

WHAT:

Press call to discuss Judge O’Connor’s ruling in Texas, et. al. vs. United States, et. al.

 

WHO:

U.S. Senator Chris Murphy

Attorney General Mark Herring

Leslie Dach, chair, Protect Our Care

Brad Woodhouse, executive director, Protect Our Care

 

WHEN:        

Monday, December 17, 2018

11:00 AM ET

 

CONTACT:

Please RSVP to [email protected] for the call-in number

 

ADDITIONAL BACKGROUND:

If Judge O’Connor’s ruling takes effect, critical Affordable Care Act protections essentially vanish overnight, unleashing — as the Trump Administration itself admitted in his court — “chaos” in our entire health care system.

  • Seventeen million more people could lose their coverage in a single year, leading to a 50 percent increase in the uninsured rate
  • Protections for 130 million people with pre-existing conditions, if they buy coverage on their own, are gone
  • The Medicaid expansion, currently covering 15 million people, could vanish.
  • Improvements to Medicare, including reduced costs for prescription drugs, are eliminated
  • No longer will kids be allowed to stay on their parents’ insurance until age 26
  • The ban on annual and lifetime limits are gone
  • The ban on insurance discrimination against women and people over age 50 is gone
  • Limits on out-of-pocket costs are eliminated
  • Small business tax credits are gone
  • Marketplace tax credits for up to 9 million people are gone
ashoup
In Stories, News

“Misguided and Wrong”: Those Who Know Health Care the Best Say That the Judge’s Ruling Against the Affordable Care Act is the Worst

Last night, Judge Reed O’Connor ruled that the entire Affordable Care Act was unconstitutional and should be struck down. This ruling would end protections for those with pre-existing conditions, re-implement an age tax, no longer let children stay on their parents’ insurance until age 26, implement an age tax on seniors, and kick millions of Americans off of their insurance. Those who know health care the best – patients groups, medical associations, insurance companies – have been unanimous in their rejection of this ruling:

THE AMERICAN MEDICAL ASSOCIATION CRITICIZED THE RULING:

American Medical Association: “An Unfortunate Step Backward For Our Health System.” “The American Medical Association called the ruling ‘an unfortunate step backward for our health system’ and warned the decision could ‘destabilize health insurance coverage.’ ‘No one wants to go back to the days of 20 percent of the population uninsured and fewer patient protections, but this decision will move us in that direction,’ AMA president Barbara L. McAneny said in a statement.” [CNBC, 12/14]

THE NATION’S LEADING PATIENT GROUPS CALLED FOR THIS DECISION TO BE REVERSED:

American Cancer Society Cancer Action Network, American Diabetes Association, American Heart Association, American Lung Association,  And National Multiple Sclerosis Society: “We Are Hopeful The United States Court Of Appeals For The Fifth Circuit Will Support Individuals With Chronic Diseases And Preserve Health Care For Millions Of Americans.” “If the ruling stands, anyone with a pre-existing condition could be charged more for health coverage or denied access to coverage altogether. Health plans would no longer be required to offer essential benefits necessary to prevent and treat a serious condition and could once again impose arbitrary annual and lifetime limits on coverage… The court should have respected the will of Congress, instead of ruling to invalidate the law at the expense of the 27 million Americans who will lose their health care by 2020, according to Congressional Budget Office estimates. In the event of an appeal, we are hopeful the United States Court of Appeals for the Fifth Circuit will support individuals with chronic diseases and preserve health care for millions of Americans.” [American Lung Association, 12/15]

American Psychiatric Association: “This Decision Must Be Appealed And Reversed.” “‘This ruling has an unconscionable result,’ said APA President Altha Stewart, M.D. ‘Should this ruling stand, millions of our patients will lose their health care. We cannot afford to go back to the days when Americans were denied coverage due to pre-existing conditions or when insurance companies would not cover mental health and substance use disorders.’ ‘This harmful ruling must be appealed and overturned,’ said APA CEO and Medical Director Saul Levin, M.D., M.P.A. ‘The court’s decision to invalidate the ACA, including pre-existing conditions protections and the Medicaid expansion will hurt our patients with mental illness and all illnesses. This decision must be appealed and reversed.” [APA, 12/15]

INSURERS WERE QUICK TO BLAST THE DECISION:

America’s Health Insurance Plans: “The District Court’s Decision Is Misguided And Wrong.” “The district court’s decision is misguided and wrong. This decision denies coverage to more than 100 million Americans, including seniors, veterans, children, people with disabilities, hardworking Americans with low-incomes, young adults on their parents’ plans until age 26, and millions of Americans with pre-existing conditions. We argued in an amicus brief before the court that provisions of the Affordable Care Act (ACA) affecting patients with pre-existing conditions, and those covered by Medicaid and Medicare should remain law regardless of what the court ruled on the individual mandate. Unfortunately, this ruling harms all of these Americans.” [AHIP, 12/14]

Blue Cross Blue Shield: “We Are Extremely Disappointed In The Court’s Ruling.” “Yesterday’s federal district court ruling in a case challenging the Affordable Care Act is the first step in what we expect will be a lengthy legal process…While we are extremely disappointed in the court’s ruling, we will continue to work with lawmakers on a bipartisan basis to ensure that all Americans can access the consistent, quality health coverage they need and deserve.” [Blue Cross Blue Shield, 12/15]

HOSPITALS REJECTED THE RULING:

American Federation Of Hospitals: “The Judge Got It Wrong.” “‘The judge got it wrong,’ said Charles N. ‘Chip’ Kahn III, president of the Federation of American Hospitals. ‘This ruling would have a devastating impact on the patients we serve and the nation’s health-care system as a whole. . . . Having this decision come in the closing hours of open enrollment also sows seeds of unnecessary confusion.’” [Washington Post, 12/14]

American Hospital Association: “America’s Hospitals And Health Systems Are Extremely Disappointed.” “America’s hospitals and health systems are extremely disappointed with today’s federal district court ruling on the constitutionality of the Affordable Care Act. The ruling puts health coverage at risk for tens of millions of Americans, including those with chronic and pre-existing conditions, while also making it more difficult for hospitals and health systems to provide access to high-quality care…We join others in urging a stay in this decision until a higher court can review it and will continue advocating for protecting patient care and coverage.” [American Hospital Association, 12/14]

MEDICAL COLLEGES REJECTED IT, TOO:

American Association of Medical Colleges: “This Ruling Puts Millions Of Americans, Including The Most Vulnerable Patients, At Risk.” “Dismantling the ACA will be disastrous for the nation’s health care system. Patients—particularly those with preexisting and complex conditions—require stability and continuity in their care. Without access to affordable meaningful coverage, many would forego or delay necessary medical care. This ruling puts millions of Americans, including the most vulnerable patients, at risk.” [American Association of Medical Colleges, 12/15]

AND SO DID SMALL BUSINESSES:

Small Business Majority: Court “Made A Grave Error… Ending The ACA Would Be An Unmitigated Disaster.” “The U.S. District Court for the Northern District of Texas made a grave error in the case of Texas v. United States when it recklessly decided the Affordable Care Act (ACA) is unconstitutional… Prior to the enactment of the healthcare law, small businesses and their employees represented a disproportionate share of uninsured workers, and small business owners paid 18 percent more on average for coverage than their big business counterparts. Since 2010, however, the growth in small business healthcare costs slowed dramatically, following regular double-digit increases prior to the law’s enactment. And because the law makes it much easier for the self-employed to obtain their own coverage, many more aspiring entrepreneurs have escaped ‘job lock’ and been willing to go out on their own to start new ventures. In fact, more than 5.7 million small business employees or self-employed workers are enrolled in the ACA marketplaces, and more than half of all ACA marketplace enrollees nationwide are small business owners, self-employed individuals or small business employees… Ending the ACA would be an unmitigated disaster for America’s entrepreneurs: It would cause a rapid rise in healthcare costs and create substantial economic instability. For the good of America’s job creators, the constitutionality of the ACA must be upheld, and we hope this decision is immediately appealed.” [Small Business Majority, 12/15]

THE RULING WAS PRAISED BY ONE PERSON, HOWEVER. WHO WAS THAT?

President Donald Trump: “Great News For America!” “Wow, but not surprisingly, ObamaCare was just ruled UNCONSTITUTIONAL by a highly respected judge in Texas. Great news for America!” [Donald Trump Twitter, 12/14]

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Court Sides with Trump and Republicans and Rules to Overturn the Affordable Care Act: Here are the Facts

For the past two years, Republicans have been waging a relentless war on health care trying to repeal the Affordable Care Act (ACA). Last night, Republicans got their wish when U.S. Northern Texas District Court Judge Reed O’Connor sided with Republican lawmakers in 20 states and invalidated the ACA in its entirety. With this decision, Republicans are close to doing through the Courts what they failed to do legislatively: repeal our health care, which will rip coverage from millions of Americans, raise costs, end protections for people with pre-existing conditions, put insurance companies back in charge, and force seniors to pay more for prescription drugs.

The ruling is legally wrong and must be overturned. If not, this ruling will, as the Trump Administration itself admitted in Court, unleash “chaos” in our entire health care system.

Thanks To The Republican Lawsuit, 17 Million People Could Lose Their Coverage

Republicans Convinced The Court To Put Insurance Companies Back In Charge, Ending Protections For The 130 Million People With A Pre-Existing Condition

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

Republicans Convinced The Court To Give Insurance Companies The Power To Deny Or Drop Coverage Because Of A Pre-Existing Condition

Before the Affordable Care Act, insurance companies routinely denied people coverage because of a pre-existing condition or canceled coverage when a person got sick. Now insurance companies have license to do this again.

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

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

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

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

Republicans Convinced The Court To Give Insurance Companies The Power To Charge You More

  • More than 100 Million People With A Pre-Existing Condition Could Be Forced to Pay More. An analysis by Avalere finds that “102 million individuals, not enrolled in major public programs like Medicaid or Medicare, have a pre-existing medical condition and could therefore face higher premiums or significant out-of-pocket costs” thanks to the Republican lawsuit to repeal the Affordable Care Act.
  • Premium Surcharges Can Once Again Be In The Six Figures. Thanks to the Republican lawsuit, insurance companies can charge people more because of a pre-existing condition. The House-passed repeal bill had a similar provision, and an analysis by the Center for American Progress found that insurers could charge up to $4,270 more for asthma, $17,060 more for pregnancy, $26,180 more for rheumatoid arthritis and $140,510 more for metastatic cancer.
  • Women Can Be Charged More Than Men For The Same Coverage. Prior to the ACA, women, for example, were often charged premiums on the nongroup market of up to 50 percent higher than they charged men for the same coverage.
  • People Over The Age of 50 Can Face A $4,000 “Age Tax.” Thanks to the Republican lawsuit, insurance companies can charge people over 50 more than younger people. The Affordable Care Act limited the amount older people could be charged to three times more than younger people. If insurers were to charge five times more, as was proposed in the Republican repeal bills, that would add an average “age tax” of $4,124 for a 60-year-old in the individual market, according to the AARP.
  • Nine Million People In The Marketplaces Will Pay More For Coverage. Thanks to the Republican lawsuit, consumers no longer have access to tax credits that help them pay their marketplace premiums, meaning roughly nine million people who receive these tax credits to pay for coverage will have to pay more.
  • Seniors Will Have To Pay More For Prescription Drugs. Thanks to the Republican lawsuit, seniors will have to pay more for prescription drugs because the Medicare “donut” hole got reopened. From 2010 to 2016, “More than 11.8 million Medicare beneficiaries have received discounts over $26.8 billion on prescription drugs – an average of $2,272 per beneficiary,” according to a January 2017 Centers on Medicare and Medicaid Services report.

Republicans Convinced The Court To Give Insurance Companies The Power To Limit The Care You Get, Even If You Have Insurance Through Your Employer

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

Republicans Convinced The Court To End Medicaid Expansion

  • Fifteen million people have coverage through the expanded Medicaid program.
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“If The Trump Administration’s Argument Were to Prevail, Insurers Could Once Again Be Able to Flat-Out Deny Americans Insurance Based On Their Health Status”: Reactions to Judge Ruling to Fully Repeal Affordable Care Act

Tonight, hand-picked, conservative, right-wing federal District Court Judge Reed O’Connor ruled the entire Affordable Care Act unconstitutional. His decision would end protections for people with pre-existing conditions, re-institute lifetime limits on coverage, implement an age tax on older Americans, end Medicaid expansion, and take away coverage from tens of millions of Americans. In short, an absolute disaster for Americans and their health care.

His decision would cause irreparable harm to the nation’s health care system:

New York Times: 17 Million Americans Would Lose Their Health Insurance. “If Judge O’Connor’s decision ultimately stands, about 17 million Americans will lose their health insurance, according to the Urban Institute, a left-leaning think tank. That includes millions who gained coverage through the law’s expansion of Medicaid, and millions more who receive subsidized private insurance through the law’s online marketplaces” [New York Times, 12/14/18]

Vox: Americans Could Once Again Be Denied Coverage For Pre-Existing Conditions. “Usually, a presidential administration defends current law, but the Trump administration took a different approach in this case. It agreed with the conservative states that the mandate and, with it, the law’s rules that prohibits insurers from denying people health insurance or charging them higher rates, should be found unconstitutional…. If the Trump administration’s argument were to prevail, insurers could once again be able to flat-out deny Americans insurance based on their health status. No amount of federal subsidies would protect them. Medicaid expansion would remain, but the private insurance market would no longer guarantee coverage to every American.” [Vox, 12/14/18]

Texas Tribune: Ruling “Could Throw The Nation’s Health Care System Into Chaos.” “In a ruling that could throw the nation’s health care system into chaos, Fort Worth-based U.S. District Judge Reed O’Connor on Friday ruled that a major provision of the Affordable Care Act is unconstitutional — and that the rest of the landmark law must fall as well…Legal scholars — even some conservatives who oppose the law — have nonetheless called Texas’ argument unconvincing.” [Texas Tribune, 12/14/18]

Larry Levitt, Kaiser Family Foundation: “If Upheld, This Would Throw Out Not Only The law’s Pre-Existing Condition Protections, But Also Everything Else.” “If upheld, this would throw out not only the law’s pre-existing condition protections, but also everything else — premium subsidies, expanded Medicaid, preventive services, and much more.” [Larry Levitt Twitter, 12/14/18]

His decision came following midterm elections in which health care carried Democrats to elected office across the country:

Politico: Decision Comes After Midterm Elections Which Partially Served “As A Rebuke To Republican Efforts To Tear Down Obamacare.” “The invalidation of the landmark 2010 law is certain to send shock waves through the U.S. health system and Washington after a midterm election seen in part as a rebuke to Republican efforts to tear down Obamacare.” [Politico, 12/14/18]

CNN: “Protecting Those With Pre-Existing Conditions Became A Central Focus Of [Midterm] Races.” “The lawsuit entered the spotlight during the midterm elections, helping propel many Democratic candidates to victory. Protecting those with pre-existing conditions became a central focus of the races. Some 58% of Americans said they trust Democrats more to continue the law’s provisions, compared to 26% who chose Republicans, according to a Kaiser Family Foundation election tracking poll released in mid-October.” [CNN, 12/14/18]

His decision came as open enrollment wraps up, underscoring the GOP’s obsession with sabotaging America’s health care system:

Bloomberg: Decision “Underscores A Divide Between Republicans Who Have Long Sought To Invalidate The Law And Democrats Who Fought To Keep It In Place.” “The decision Friday finding the Affordable Care Act unconstitutional comes just before the end of a six-week open enrollment period for the program in 2019 and underscores a divide between Republicans who have long sought to invalidate the law and Democrats who fought to keep it in place.” [Bloomberg, 12/14/18]

Washington Examiner: The Decision Came The Day Before The End Of Open Enrollment, Cementing the Trump Administration’s Sabotage Of The Marketplace. “The decision came just a day ahead of when the open enrollment for Obamacare’s marketplaces are set to close across most of the U.S. Enrollment in these marketplaces has been lagging, with some critics arguing that the zeroing out of the fine is partially to blame.” [12/14/18]

Axios: “Republicans Have Never Come Up With A Replacement Plan That Would Offer The Same Level Of Protection As The ACA.” “In an interview with “Axios on HBO,” President Trump said he’d reinstate protections for pre-existing conditions if the lawsuit gutted the ACA. But as Axios’ Sam Baker notes, Republicans have never come up with a replacement plan that would offer the same level of protection as the ACA.” [Axios, 12/14/18]

And his decision was written on questionable legal grounds:

The Hill: “Legal Experts In Both Parties Have Denounced [The Judge’s] Argument.” “In a controversial move, the judge added that because the mandate is ‘essential’ to the rest of the law, without the mandate, the entire law is invalid. Legal experts in both parties have denounced that argument, saying it is obvious that Congress wanted the rest of the Affordable Care Act to remain when it repealed only the mandate penalty last year.” [The Hill, 12/14/18]

Washington Post: “Many Health-Law Specialists Have Viewed Its Logic As Weak.” “A federal judge in Texas threw a dagger on Friday into the Affordable Care Act, ruling that the entire health-care law is unconstitutional because of a recent change in federal tax law….Since the suit was filed in January, many health-law specialists have viewed its logic as weak but nevertheless have regarded the case as the greatest looming legal threat to the 2010 law, which has been a GOP whipping post ever since and assailed repeatedly in the courts.” [Washington Post, 12/14/18]

Jonathan Cohn, HuffPost: “This Is A Breathtaking Ruling In Favor Of A Lawsuit That Even Conservative Legal Experts Have Trashed.” [Jonathan Cohn Twitter, 12/14/18]

Paul McLeod, Buzzfeed: When It Comes To Judicial Activism, “You Can’t Come Up With A Clearer Example Than This.” “Can’t stress enough that when we hear about ‘judicial activism’ you can’t come up with a clearer example than this. This judge overturned the will of Congress (technical details of why/how are in the story.) But legal experts I talked to described this interpretation as ludicrous.” [Paul McLeod Twitter, 12/14/18]

Experts were incredulous:

Nicholas Bagley, University Of Michigan Health Law Professor: “This Is Insanity In Print.” “The court’s decision is NOT limited to guaranteed issue and community rating. In the court’s view — and this is *absolutely* insane — the entire Affordable Care Act is unconstitutional…If you were ever tempted to think that right-wing judges weren’t activist — that they were only “enforcing the Constitution” or “reading the statute” — this will persuade you to knock it off. This is insanity in print, and it will not stand up on appeal.” [Nicholas Bagley Twitter, 12/14/18]

Timothy Jost, Washington And Lee University Law Professor: “It’s Timed To Cause Maximum Chaos.” “This is breathtaking in its sweep & I think O’Connor has no idea what he’s doing..This is going to get thrown out. But I also think it’s timed to cause maximum chaos.” [Emma Platoff, Texas Tribune Reporter, 12/14/18]

And here’s what elected officials said:

Speaker-Designate Nancy Pelosi (D-CA): “Tonight’s District Court Ruling Exposes The Monstrous Endgame Of Republicans’ All-out Assault On People With Pre-existing Conditions.” “Tonight’s district court ruling exposes the monstrous endgame of Republicans’ all-out assault on people with pre-existing conditions and Americans’ access to affordable health care. The GOP Congress tried and failed to destroy the Affordable Care Act and protections for pre-existing conditions.  Then, in the midterm election, the American people delivered a record-breaking margin of almost 10 million votes against House Republicans’ vile assault on health care. Now, the district court ruling in Republicans’ lawsuit seeks to subvert the will of the American people and sow chaos in the final day of HealthCare.gov open enrollment.” [Office Of The Speaker-Designate, 12/14/18]

House Ways & Means Ranking Member Richard Neal (D-MA), Energy and Commerce Ranking Member Frank Pallone, Jr. (D-NJ), and Education and the Workforce Committee Ranking Member Bobby Scott (D-VA): “It Is An Ideological Decision In A Case That Has No Legal Merit.” “This reckless court decision endangers the lives of millions of Americans who are going to lose their health care. It is an ideological decision in a case that has no legal merit.  Last month’s election results showed how important access to health coverage and protections for pre-existing conditions are for American families, and we are calling for an emergency stay of this heartless ruling. We will take immediate action in the new Congress to intervene in this case and appeal this decision. House Democrats will do whatever it takes to make sure the protections enshrined in the Affordable Care Act endure. The lives and wellbeing of millions of Americans – including those living with pre-existing conditions – are on the line.” [Ways and Means Democrats, 12/14/18]

Senate Minority Leader Chuck Schumer (D-NY): “If This Awful Ruling Is Upheld In The Higher Courts, It Will Be A Disaster For Tens Of Millions Of American Families.” “If this awful ruling is upheld in the higher courts, it will be a disaster for tens of millions of American families, especially for people with pre-existing conditions. The ruling seems to be based on faulty legal reasoning and hopefully it will be overturned. Americans who care about working families must do all they can to prevent this district court ruling from becoming law.” [Sen. Chuck Schumer Twitter, 12/14/18]

Sen. Chris Murphy (D-CT): “This Is A Five Fire Alarm — Republicans Just Blew Up Our Health Care System.” “This is a five alarm fire — Republicans just blew up our health care system. The anti-health care zealots in the Republican Party are intentionally ripping health care away from the working poor, increasing costs on seniors, and making insurance harder to afford for people with preexisting conditions…Don’t be fooled, this rests one hundred percent on the shoulders of President Trump and Republicans in Congress who empower him. Trump took the extraordinary step of sending his lawyers to argue to end health coverage for 20 million people and he got his wish. Not a single Senate Republican challenged him, and now they own this disaster as much as he does.” [Sen. Chris Murphy, 12/14/18]

Senate Finance Committee Ranking Member Ron Wyden (D-OR): “A Deliberate, Ideological Move To Sabotage The Affordable Care Act At The Expense Of Families’ Health Care.” “Today’s ruling is an assault on all Americans’ basic health care rights and judicial overreach at its worst. Trump and Republicans in Congress will achieve their long-sought goals if this ruling stands: the elimination of pre-existing condition protections and Medicaid coverage for millions of vulnerable Americans. Seniors will pay more for their prescriptions and middle-class families will lose tax breaks that keep their health care affordable. This judge chose to deliver his ruling the day before the end of open enrollment – a deliberate, ideological move to sabotage the Affordable Care Act at the expense of families’ health care.” [Sen. Ron Wyden, 12/14/18]

protectourcare
In News, Stories, Statement

Protect Our Care Statement on Introduction of the CURE High Drug Prices Act

Washington, D.C. – Today, Senators Richard Blumenthal (D-CT), Amy Klobuchar (D-MN), Kamala Harris (D-CA), and Jeff Merkley (D-OR) introduced the CURE High Drug Prices Act, which would give the Department of Health and Human Services (HHS) the power to stop drug company price gouging for common drugs like insulin. Leslie Dach, chair of Protect Our Care, issued the following statement in response:

 

“Senators Blumenthal, Klobuchar, Harris and Merkley’s bill takes direct aim at the ability of drug companies to charge excessive prices for common drugs like insulin – a critical issue impacting millions of Americans and they should be commended for their action today. The Trump administration and its Republican allies in Congress gave billions of dollars in tax breaks to big drug companies, and in response, their profits have soared while drug prices have gone through the roof. Voters sent a clear message in the midterm elections: they want Congress to reduce drug prices and take their side – not the side of the drug companies.”

protectourcare
In Stories, News

The Reviews Keep Coming: Health Care Wins Big

As Democrats swept the House, governorships, and state legislative seats across the country, one common theme emerged: health care won big. Candidates who ran on health care saw much success. Voters in three conservative states elected to expand Medicaid, voters elected governors in Maine and Kansas who ran on Medicaid expansion, and  Wisconsin voters elected a governor who vowed to put an end to efforts that would restrict access to Medicaid.

Health care’s big night did not go unnoticed. Check out how it was covered:

Associated Press: Obama’s Health Insurance Overhaul A Winner In Midterms. “The personality looming over the 2018 midterms was President Donald Trump. The issue was health care, the top concern for voters as they decided how to cast their ballots. This week’s election showed a nation increasingly — if belatedly — in step with former President Barack Obama’s approach to it. Health care was the top issue for about one-fourth of voters, ahead of immigration and jobs and the economy, according to VoteCast, a nationwide survey of more than 115,000 voters and about 22,000 nonvoters conducted for The Associated Press by NORC at the University of Chicago.” [Associated Press, 11/8/18]

Bloomberg Editorial: A Wave Election For Health-Care Reform. “After an election campaign centered largely on health care, voters delivered their most emphatic message on the issue — not to Congress, but to the governments of red states. Expand Medicaid to cover a bigger share of the low-income population.” [Bloomberg, 11/8/18]

Mother Jones: “Biggest Winner: Obamacare.” “Biggest Winner: Obamacare. Democrats ran on health care and won. Several red states passed Medicaid expansion. The GOP’s lies about pre-existing conditions obviously didn’t stick. And Obamacare itself is now safe for another two years from Republican attempts to repeal it. I hesitate to say this since I’ve said it before, but I think this is the final hoorah. By 2020, Obamacare will be six years old. Republicans will have tried multiple times to repeal it and failed. They will have taken on pre-existing conditions and pre-existing conditions will have walloped them.” [Mother Jones, 11/7/18]

Vox: “Republicans Lost Their House Majority In The 2018 Midterm Elections, And They Can Thank Their Own Obamacare Repeal Efforts.” “Republicans lost their House majority in the 2018 midterm elections, and they can thank their own Obamacare repeal efforts. Democrats campaigned hard against Republicans for backing legislation last year that would unwind the law’s protections for preexisting conditions, and health care came in as the No. 1 issue for voters, according to exit polls…The president went along with the establishment Republican agenda, but repeal proved devastatingly unpopular when the GOP actually tried to pass it, and voters made them, and Trump, pay the price on Election Day. It seems an issue Trump doesn’t care all that much about and doesn’t even really seem to understand very well broke the GOP’s iron grip on Washington…That’s what Trump chose to spend his precious political capital on — an ideologically motivated crusade to cut federal benefits for millions of Americans, a policy platform that almost always leads to electoral disaster.” [Vox, 11/7/18]

Washington Post: On Tuesday Night, GOP Faced “Moment Of Reckoning” On Issue Of ACA. “The GOP faced a moment of reckoning on an issue that helped them ascend to power in 2010 and which some now believe has been part of their downfall…In television ads, stump speeches and debates, Democrats called out Republicans for trying to undo the ACA. They focused attention on the law’s protections for people with preexisting medical conditions and urged voters to envision the consequences of losing those safeguards.” [Washington Post, 11/7/18]

Alyssa Milano: “The American People Sent House Lawmakers A Message: When You Attack Our Health Care, We Will Kick You Out Of Office.” “On Tuesday night, the American people sent House lawmakers a message: When you attack our health care, we will kick you out of office. For nearly two years, Republicans in Congress and the White House repeatedly sabotaged black, white and brown Americans’ access to health care: They thought they could get away with attacking the Affordable Care Act and protections for people with pre-existing conditions, and they were wrong. Let’s be clear: The Republican Party attacked Americans’ access to health care — and it cost them the House of Representatives.” [CNN, 11/7/18]

Vox: “Medicaid Had A Stunning Victory At The Polls Last Night. “Medicaid had a stunning victory at the polls last night. Three red states — Idaho, Nebraska, and Utah — passed ballot initiatives that will expand the public health insurance programs. Two states — Kansas and Maine — elected governors that are likely to join the Medicaid expansion, too. And one state, Wisconsin, put a Democratic governor in office who could roll back plans to require Medicaid recipients to work.” [Vox, 11/7/18]

NPR: Medicaid Expansion — “A Winning Idea.” “Voters in three traditionally Republican states supported ballot measures to extend Medicaid benefits to more low-income adults. The results highlight the divide between voters, even in conservative states, who generally support providing health benefits to the poor, and conservative politicians who have rejected the expansion, which is a central part of the Affordable Care Act.” [NPR, 11/7/18]

Politico: Tuesday’s Big Winner: Obamacare’s Medicaid Expansion. “Tuesday’s election will likely bring Obamacare’s Medicaid expansion, which nearly two-thirds of states have adopted, to the most conservative parts of the country. It could soon come to Kansas, where Democratic Gov.-elect Laura Kelly defeated Republican Kris Kobach, a close ally of President Donald Trump. Kansas lawmakers approved Medicaid expansion last year, but then-Gov. Sam Brownback vetoed it.” [Politico, 11/7/18]

HuffPost: “Republicans Fought The Health Care Law And The Health Care Law Won.” “Republicans fought the health care law and the health care law won….And it was the GOP’s repeal effort specifically that ended up causing the party so many problems, in no small part because Democrats did everything they could to make it an issue. In district after district, state after state, Republicans came under withering attack for trying to take away Medicaid and, especially, for trying to take away protections for people with pre-existing conditions.” [HuffPost, 11/7/18]

Politico: “Democrats Ran On Obamacare And, Finally, Sailed To Victory.” “Democrats ran on Obamacare and, finally, sailed to victory. The party that bet on surging enthusiasm for the Affordable Care Act flipped control of the House Tuesday night in what could amount to a major reset of the political direction on health care. Democrats also made gains at the state level, wins in gubernatorial races that could prompt new expansions of Medicaid and energize lawmakers, who can claim they have a mandate to further build on a law that serves as the bedrock of their domestic agenda. Voters in three states also approved Medicaid expansion through the ballot, defying Republican officials who long refused the program. But Republicans kept – and enlarged – their Senate majority.” [Politico, 11/6/18]

ashoup
In News, Stories

Sen. Angus King, Pennsylvania Attorney General Josh Shapiro, AFT President Randi Weingarten, and Health Care Advocate Laura Packard Among Superstar Headliners on the Next Leg of Protect Our Care’s Nationwide Bus Tour

 

Care Force One Continues 11,505 Mile Bus Tour with Stops This Week in Maine, New York, New Jersey, Pennsylvania, and Ohio

Washington, D.C. – This week, Protect Our Care will continue the first week of its nationwide bus tour, a 48-stop, 23-state bus tour highlighting the Republican war on health care and its impact on Americans from coast to coast. Following yesterday’s launch event in Bridgeport, Connecticut, Care Force One travels to Maine, New York, New Jersey, Pennsylvania, and Ohio.

The tour will continue highlighting that the Republican war on health care is very much alive, with GOP officials using legislation, regulations, and the courts to continue their attacks on protections for the 130 million Americans with pre-existing conditions, for women and older Americans, and on Medicaid and Medicare. Thanks to the Republicans’ tax bill and junk plan regulations, a typical family of four could see their health insurance premiums increase by $3,110 next year.

The week continues this morning in Portland, Maine:

WHO: U.S. Sen. Angus King

U.S. Rep. Chellie Pingree

State Rep. Heather Sanborn

State Rep. Matt Moonen

Laura Packard, cancer survivor

WHERE: Portland City Hall
 389 Congress Street, Portland, ME

WHEN: Monday, September 24

10:00 AM ET

LIVESTREAM: The event will be streamed on the Protect Our Care Facebook page

Later in the week, Care Force One will travel to Pittsburgh:

WHO: Pennsylvania Attorney General Josh Shapiro

Dr. Geoffrey L. Ruben, Ruben, Doctors for America

Lisa Frank, Service Employees International Union

Laura Packard, cancer survivor

Joe DiFazio, Pennsylvanian with health care story and concerns over GOP actions

Michelle Boyle, registered nurse

WHERE: Pittsburgh City-County Building

401 Grant Street, Pittsburgh, PA

WHEN: Thursday, September 27

10:00 AM ET

LIVESTREAM: The event will be streamed on the Protect Our Care Facebook page

And as the week comes to an end, Care Force One will visit Columbus:

WHO: American Federation of Teachers President Randi Weingarten

Columbus City Attorney Zach Klein, who recently filed a lawsuit against the Trump Administration’s health care sabotage

Laura Packard, cancer survivor

John Ost, Ohioan with health care story and concerns over GOP actions

WHERE: Street address forthcoming.

WHEN: Friday, September 28

3:00 PM ET

LIVESTREAM: The event will be streamed on the Protect Our Care Facebook page

Check out https://protectourcarebustour.com/ for the latest information on the tour. The remaining schedule of Care Force One appearances is below:

Portland, ME on Monday, September 24, 2018

Bangor, ME on Monday, September 24, 2018

Kingston, NY on Tuesday, September 25, 2018

Binghamton, NY on Tuesday, September 25, 2018

Burlington County, NJ on Wednesday, September 26, 2018

Harrisburg, PA on Wednesday, September 26, 2018

Pittsburgh, PA on Thursday, September 27, 2018

Erie, PA on Thursday, September 27, 2018

Cleveland, OH on Friday, September 28, 2018

Columbus, OH on Friday, September 28, 2018

Parkersburg, WV on Monday, October 1, 2018

Morgantown, WV on Monday, October 1, 2018

Charleston, WV on Monday, October 1, 2018

Cincinnati, OH on Tuesday, October 2, 2018

Indianapolis, IN on Tuesday, October 2, 2018

Lansing, MI on Wednesday, October 3, 2018

Kalamazoo, MI on Wednesday, October 3, 2018

South Bend, IN on Wednesday, October 3, 2018

Milwaukee, WI on Thursday, October 4, 2018

Green Bay, WI on Thursday, October 4, 2018

Madison, WI on Friday, October 5, 2018

Cedar Rapids, IA on Friday, October 5, 2018

Des Moines, IA on Monday, October 8, 2018

Minneapolis, MN on Monday, October 8, 2018

Fargo, ND on Tuesday, October 9, 2018

Bismarck, ND on Tuesday, October 9, 2018

Billings, MT on Wednesday, October 10, 2018

Butte, MT Thursday, October 11, 2018

Missoula, MT on Friday, October 12, 2018

Reno, NV on Monday, October 15, 2018

Las Vegas, NV on Tuesday, October 16, 2018

Phoenix, AZ on Wednesday, October 17, 2018

Tucson, AZ on Wednesday, October 17, 2018

Denver, CO on Friday, October 19, 2018

Kansas City, MO on Monday, October 22, 2018

Springfield, MO on Monday, October 22, 2018

St. Louis, MO on Tuesday, October 23, 2018

Memphis, TN on Tuesday, October 23, 2018

Nashville, TN on Wednesday, October 24, 2018

Richmond, VA on Thursday, October 25, 2018

Raleigh, NC on Thursday, October 25, 2018

Atlanta, GA on Friday, October 26, 2018

Sarasota, FL on Monday, October 29, 2018

Orlando, FL on Monday, October 28, 2018

Miami, FL on Wednesday, October 31, 2018

St. Lucie, FL on Thursday, November 1, 2018

West Palm, FL on Friday, November 2, 2018

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ashoup
In News, Stories

Senators, Cabinet Secretaries, Activists to Headline Protect Our Care’s Bus Tour

Kicking off With Sens. Chris Murphy and Angus King, Care Force One Will Travel to 23 States, Engaging Americans in the Fight Against the GOP War on Health Care

Washington, D.C. – Today, Protect Our Care is excited to announce that Senators Chris Murphy (D-CT) and Angus King (I-ME), former Secretary of Health and Human Services Kathleen Sebelius, former Acting Administrator of the Centers for Medicare and Medicaid Services Andy Slavitt and Center for American Progress President Neera Tanden will speak during Protect Our Care’s bus tour, joining health care advocate Laura Packard on the 1,303 mile journey across the United States. Sen. Chris Murphy will kick off the tour on Sunday, September 23 in Bridgeport, Connecticut, before Care Force One heads north to Portland, Maine with Sen. Angus King. Protect Our Care’s Founder and Chair Leslie Dach and its Executive Director Brad Woodhouse will join this all-star lineup at select stops.

“We’re thrilled to have such incredible health care champions joining us,” said Woodhouse. “Each of these leaders have spent years in the trenches working to expand access to quality, affordable health coverage, and resisting Republican repeal-and-sabotage at every turn.”

The tour will highlight for the public that the Republican war on health care is very much alive, with Republican officials using legislation, regulations, and the courts to continue their attacks on protections for the 130 million Americans with pre-existing conditions, for women and older Americans, and on  Medicaid and Medicare. Thanks to the Republicans’ tax bill and junk plan regulations, a typical family of four will see their health insurance premiums increase by $3,110 next year.

Check out when “Care Force One” is slated to come to you, and visit protectourcare.org/bus-tour/ for the latest information:

Bridgeport, CT on Sunday, September 23, 2018

Portland, ME on Monday, September 24, 2018

Bangor, ME on Monday, September 24, 2018

Albany, NY on Tuesday, September 25, 2018

Binghamton, NY on Tuesday, September 25, 2018

Harrisburg, PA on Wednesday, September 26, 2018

Pittsburgh, PA on Thursday, September 27, 2018

Erie, PA on Thursday, September 27, 2018

Cleveland, OH on Friday, September 28, 2018

Columbus, OH on Friday, September 28, 2018

Parkersburg, WV on Monday, October 1, 2018

Morgantown, WV on Monday, October 1, 2018

Charleston,WV on Monday, October 1, 2018

Cincinnati, OH on Tuesday, October 2, 2018

Indianapolis, IN on Tuesday, October 2, 2018

Lansing, MI on Wednesday, October 3, 2018

Grand Rapids, MI on Wednesday, October 3, 2018

South Bend, IN on Wednesday, October 3, 2018

Milwaukee, WI on Thursday, October 4, 2018

Green Bay, WI on Thursday, October 4, 2018

Madison, WI on Friday, October 5, 2018

Cedar Rapids, IA on Friday, October 5, 2018

Des Moines, IA on Monday, October 8, 2018

Minneapolis, MN on Monday, October 8, 2018

Fargo, ND on Tuesday, October 9, 2018

Minot, ND on Tuesday, October 9, 2018

Billings, MT on Wednesday, October 10, 2018

Butte, MT Thursday, October 11, 2018

Missoula, MT on Friday, October 12, 2018

Reno, NV on Monday, October 15, 2018

Las Vegas, NV on Tuesday, October 16, 2018

Phoenix, AZ on Wednesday, October 17, 2018

Tucson, AZ on Wednesday, October 17, 2018

Denver, CO on Friday, October 19, 201

Kansas City, MO on Monday, October 22, 2018

Springfield, MO on Monday, October 22, 2018

St. Louis, MO on Tuesday, October 23, 2018

Memphis, TN on Tuesday, October 23, 2018

Nashville, TN on Wednesday, October 24, 2018

Richmond, VA on Thursday, October 25, 2018

Raleigh, NC on Thursday, October 25, 2018

Atlanta, GA on Friday, October 26, 201

Miami, FL on Wednesday, October 31, 2018

West Palm, FL on Thursday, November 1, 2018

West Palm, FL on Friday, November 2, 2018

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