Trump’s ACA Sabotage, Executive Order Will Gut Protections, Force Sickest to Pay Skyrocketing Prices, Destabilize Health Care for New Hampshire Families
Following an Executive Order that will increase junk insurance plans, news follows that President Trump will immediately end cost-sharing payments and destabilize health insurance markets
Concord, NH — Yesterday, President Trump issued a new executive order that will expand the availability of junk insurance plans in a direct attempt to trigger the collapse of the entire private health insurance market and destroy the Affordable Care Act (ACA). Last night, the Trump administration signaled that it would also immediately end cost-sharing reduction payments to insurance companies, which analysts and advocates agree will destabilize health insurance markets in New Hampshire and across the nation.
The Congressional Budget Office estimated back in August that ending cost-sharing reductions would increase insurance premiums by 20% next year alone, effectively kick a million Americans off insurance, and add $194 billion to the deficit.
“These partisan, political acts are part of Trump’s relentless campaign to sabotage the ACA by forcing premium increases, creating instability in the market, actively interfering with the ability of consumers to sign up for coverage, and rolling back the contraceptive coverage mandate,” said Granite State Progress Executive Director Zandra Rice Hawkins. “These actions threaten the collapse of the entire individual health insurance market and leave our sick and most vulnerable to pay the price.”
“For years, Trump and Congressional Republicans have called for the repeal of the health care law without offering any viable replacement. Trump is now bent on destroying the one health care law that allowed millions of Americans to gain health insurance and improved coverage for essential health care benefits like maternity, mental health, and prescription drugs. Trump is stripping these important consumer protections and ending critical payments that help millions of lower-income Americans afford coverage. Any problems in our health care system from here on out rest solely at the feet of President Trump and other politicians who have created instability and skyrocketing premiums, and allowed the sale of junk plans without the essential health coverage people need when they are sick,” Rice-Hawkins added.
“Last night, Trumpcare became a reality. By refusing to continue cost-sharing reduction payments, President Trump has committed his most shameful act of sabotage on the insurance markets, threatening the health and wellbeing of millions of Americans and making premiums skyrocket for millions more,” said Raymond Buckley, Chair of the NH Democratic Party. “Governor Sununu’s self-proclaimed closeness with Trump and his administration hasn’t yielded any help for New Hampshire. Instead, Sununu’s constant praise and support of Trump is starting to look like blind flattery.”
Buckley continued, “Make no mistake, Governor Sununu has precipitated Trump’s sabotage by fueling the flames of ACA repeal, opposing Medicaid expansion, supporting various forms of Trumpcare, proposing Medicaid block grants, rejecting a reinsurance program, and refusing to join a bipartisan group of governors in calling for the protection of key health care protections. Rather than actively campaigning against dangerous Republican health care ideas, Sununu has either stayed silent or belatedly voiced his opposition once and disappeared. That is not leadership. Sununu is engaging in political calculation when Granite Staters need its governor the most.”
In a letter to President Trump in August, Governor Chris Sununu called for Trump to continue the cost sharing reduction payments. One of the main requests in the letter:
“Commit to funding CSR reimbursements for 2017 and 2018: Carriers calculate their rates far in advance, so continued uncertainty about the reimbursements fuel dramatic increases and could lead them to exit the market. This hurts consumers – most of all, those who cannot get coverage through work and do not qualify for federal subsidies. While I am sympathetic to the argument that these payments are a subsidy, to withhold them at this late date as carriers are trying to calculate rates is resulting in significant instability and further rate increases and fewer options.”
“Despite the American people’s rejection of the Affordable Care Act repeal, this new order is part of a concerted effort by the Trump administration to unravel the law’s patient protections and to destabilize healthcare marketplaces,” said Senator Shaheen. “This order only introduces more unnecessary chaos into our healthcare system, which undermines the healthcare that Granite Staters, and all Americans, depend on. The President must abandon these political efforts to destabilize the ACA, and finally prioritize working with Congress to address and fix this manufactured crisis. There are Republicans and Democrats who are ready to move forward with bipartisan legislation that will provide stability in the insurance marketplace, increase access to care and lower cost sharing.”
Senator Shaheen is leading efforts in the Senate to provide marketplace stability by permanently continuing and increasing eligibility for cost-sharing reduction payments. Her bill, the Marketplace Certainty Act, would make cost-sharing reduction payments permanent and expand eligibility to more working Americans.
“By deciding to stop payments for so-called cost-sharing reductions – which help lower deductibles, co-pays, and other out-of-pocket expenses – President Trump is cruelly and intentionally raising health care costs for millions of Americans,” said Senator Maggie Hassan. “The non-partisan Congressional Budget Office found that stopping these payments would cause health insurance premiums to skyrocket for millions of Americans while also ballooning the federal deficit, yet the President moved forward with this plan out of political spite. I have pushed for months to get Congress to act to provide certainty around these payments and help block the Trump Administration’s blatant sabotage attempts, and now is the time to finally stop this madness.”
Congresswoman Carol Shea-Porter said that Trump should be “ashamed” for his actions that “will torpedo the individual insurance market”
“He is right to be so ashamed of this spiteful action he would only announce it in the dead of night. Stopping these payments won’t just hurt the lower-income people whose out-of-pocket costs are defrayed by CSRs, it will also hurt every one of the millions of Americans who buy their own coverage. That’s because insurance companies say they are going to charge everyone more to make up for the lost funding. Congress must act immediately to fund CSRs and protect our constituents from Trump’s vengeful and destructive actions.”
Congresswoman Annie Kuster also spoke out against the order.
“President Trump’s announcement today sadly continues to take us in the wrong direction on health care. During the last several months, I have been encouraged by conversations with both Republicans and Democrats about how we can address the ongoing challenges with the Affordable Care Act. I believe that there are areas where we can all agree on solutions to fix issues faced by some Americans. Today’s executive order simply reverts back to the failed repeal and replace mantra. This executive order will result in higher costs to consumers and less access to health care for Granite State families. I will continue to work with my Democratic and Republican colleagues to look for commonsense solutions to stabilize the individual marketplace and strengthen our health care system.”
This executive order is not about helping people gain insurance coverage it is outright sabotage. Millions of hard working Americans will be harmed by this executive order. Some will lose their coverage. Some will be force to go without coverage because the costs are too high. Some will be forced to pay outrageously high premiums as they have no other option for coverage.
The American People spoke out loud and clear against the Republican healthcare plan. The Senate rejected the measure over and over because even some Republicans know that this plan will due massive harm to the American people. But President Trump does not care about the will of the people, he is running the country like a unhinged tyrant.
UPDATED to include statement from NH Democratic Leadership
Senate Democratic Leader Jeff Woodburn, Senate Deputy Democratic Leader Donna Soucy, House Democratic Leader Steve Shurtleff and House Deputy Democratic Leader Cindy Rosenwald issued the following joint statement:
“President Trump’s decision to end cost-sharing reduction payments will dramatically hurt New Hampshire families’ ability to afford and access the health insurance they need. The Trump administration’s varied attempts to dismantle the Affordable Care Act and its protections are shameful and it is abundantly clear that this effort is an attempt to settle a political score rather than act in the best interest of the American people.
Today, we are calling on Governor Sununu and New Hampshire’s Republican legislative leaders to pass a reinsurance program to provide as much relief as possible to Granite Staters who will see premiums go up an average of 20% next year as a result of President Trump’s decision to cancel CSR payments. We are also calling on New Hampshire’s Attorney General Gordon MacDonald to join Attorneys General across the country who are promising to sue the Trump administration to protect cost-sharing reductions. We will work with anyone, anywhere to make sure Granite Staters continue to see the protections and guarantees they have received under the Affordable Care Act and fight back against President Trump’s destructive sabotage.”