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The Republican Sabotage Of Healthcare

We can all agree that the Affordable Care Act is not perfect but it was a monumental step in the right direction at a time when insurance companies were raking in record profits, jacking up rates by double digits, making the cost of insurance unaffordable for millions of Americans.

Since the ACA passed, Republicans have been trying to repeal it. Over the last eight years, Republicans have made more than 60 attempts to repeal the bill and only in the last six months have they ever offered any type of replacement.

Their latest replacement plan, that was ironically killed by three moderate Republicans in the Senate, would have kicked an estimated 32 million Americans off of their healthcare plans and would have transitioned Medicaid into a block grant system.  Ending Medicaid would have left millions of children, seniors, and the disabled without out any coverage at all.

Medicaid is the largest single provider of insurance in the country.  Nearly 40% of all child births in New Hampshire are covered by Medicaid.  Medicaid covers the cost for millions of disabled Americans who use funds to live in their own homes.  This is why dozens of ADAPT (Americans Disabled Attendant Programs Today) members protested during the Senate hearing on the Graham-Cassidy bill.

“Graham-Cassidy is the worst bill yet that Republicans have come up with to repeal Obamacare. This wasn’t what they campaigned on; they didn’t campaign to strip away the services that disabled people and seniors rely on to live in the community,” said Bruce Darling, an organizer with ADAPT. “They campaigned on fixing Obamacare and I don’t understand why they continue to target our community with cuts that will steal disabled lives instead of actually fixing anything.”

Cuts to Medicaid funding will fall first and hardest on community based services, forcing disabled people into institutions which will be underfunded hives of abuse, neglect, and human misery.

“The cuts to Medicaid funding are cruel and un-American,” said Dawn Russell, ADAPT organizer from Denver Colorado. “Forcing disabled people and seniors into institutions just to pay for tax cuts, which is what this bill does, is not equality. It’s not liberty. Graham-Cassidy is a policy for a much crueler and meaner country than this one, and the people who support it should be ashamed of themselves.”

Recently, Senator Hassan shared the story of Bodhi Bhattari, a Concord boy who experiences spinal muscular atrophy and needs hundreds of thousands of dollars in life-saving drugs every year. Bodhi’s mother, Deodonne Bhattarai, told WMUR that under the Graham-Cassidy Trumpcare proposal, “If we sold our house, we could probably keep him alive for another year.”

Now, the New Hampshire Department of Insurance estimates that 25,000 people, who get their insurance from the healthcare exchange, will see a 52% increase.

“Among 97,000 people in the individual insurance market, the 74 percent who either get federal subsidies or are part of the expanded Medicaid program will likely see their premiums drop or remain flat in 2018. But the 26 percent who pay the full cost will see sharp increases,” wrote Holly Ramer of the Associated Press.

The news of this dramatic increase on those trying to provide healthcare for their families, outraged legislators.

“I am outraged that some middle-class New Hampshire families will suffer huge premium hikes next year because of the chaos D.C. Republicans have created in the individual insurance market,” said Congresswoman Carol Shea-Porter.  “This is exactly why I spent the past year urging my colleagues to pass bipartisan marketplace stabilization legislation, which would have provided insurers with needed certainty, and also why Congress should pass my bill, the Medicare You Can Opt Into Act, and make sure every American has an affordable option that’s not vulnerable to profit-driven rate hikes.”

“That said, let me be clear: thanks to the Affordable Care Act and its Medicaid expansion, New Hampshire’s uninsured rate is at an all-time low, and I will not allow Republican state officials to use the disruption their party has caused in the individual market as justification to jeopardize that progress by ending an essential program that covers over 50,000 people in New Hampshire,” Shea-Porter added.

In the US Senate, Senator Shaheen has been working to avoid these rate hikes. Earlier this year, Senator Shaheen introduced the Marketplace Certainty Act to permanently appropriate payments for cost-sharing reductions to help stabilize state marketplaces and expand eligibility for hard-working Americans who need help paying their premiums.

“These rate increases for next year would be devastating, yet have always been avoidable,” said Senator Jeanne Shaheen. “This administration has followed through on President Trump’s threat to sabotage healthcare marketplaces as leverage to repeal the Affordable Care Act. New Hampshire families are now forced to pay the price for the Trump administration’s shameful behavior. I have been pleading with Republican leadership to allow bipartisan efforts to stabilize the healthcare marketplace to move forward, but instead, they chose to use this valuable time to make another attempt at repealing the Affordable Care Act—a law that has helped tens of thousands of Granite Staters gain access to healthcare coverage. Republicans must return to the negotiating table and work with Democrats to craft bipartisan legislation that would stabilize the marketplaces. We need to work together to mitigate the harm caused by the Administration and help working families access quality and affordable insurance.”

As a member of the Senate Health, Education, Labor, and Pensions (HELP) Committee, Senator Maggie Hassan participated this month in bipartisan health care hearings focused on stabilizing the individual health insurance market and lowering costs.

At a press conference after the defeat of the Graham-Cassidy bill, Senator Hassan said:

“We know that there is more to do on health care. There isn’t a Democrat here who doesn’t know that there are improvements we need to make. I am committed to working with members of both parties on the HELP Committee and throughout the United States Senate to come together and find ways in the short-term to stabilize our markets and lower costs. We have to address pharmaceutical costs. We have to address health care outcomes. But as long as there is this threat out there of another Trumpcare attempt, it’s going to be harder for us to do that, and it’s going to cause disruption in the very lives of the people we were sent here to represent.”

In the U.S. House, Congresswoman Annie Kuster, who also saw the possibility of massive rate hikes looming, has been working to stabilize the marketplace. Earlier this year, Kuster and nine House Democrats unveiled a five-part plan to improve upon the Affordable Care Act and stabilize the individual marketplace.

“I’ve discussed with Republican colleagues various proposals to stabilize the individual marketplace and rein in costs. I genuinely believe that there are many areas of agreement that can be reached to improve our healthcare system and I’m hopeful that my colleagues on both sides of the aisle will come to the table in good faith to get this done for the American people,” said Kuster.

Not only has the President and the Republican leadership actively worked to repeal the ACA, they have been ensuring its failure by slashing funding to the program.

Congresswoman Shea-Porter pushed back by calling on the President to release funding allocated for the exchange “navigators” program.

“Navigators are an essential resource for the American people, and the Navigator program is critical to the success of Open Enrollment. We urge you to unfreeze these funds immediately,” Shea-Porter wrote. “Americans already face a number of new hurdles to enrolling in coverage during the upcoming Open Enrollment period, including an enrollment timeframe that has been cut in half and a 90% cut to the outreach budget that could have informed consumers about this significant change. Destabilizing the Navigator program could further compound the challenges consumers will face in understanding when and how to enroll.”

Shea-Porter also submitted an amendment that would save the Navigator grant program from elimination in House Republicans’ Fiscal Year 2018 omnibus appropriations bill.

We have known for a while that the ACA needs adjustments, but you would not toss out your car because of a loose spark plug.  We need to stop this ideological and political attack on the ACA and do what is really needed to help working families.

Of course there are many among us who believe the best way to solve the entire insurance issue is to eliminate private insurance all together and move to a national single player system.

Shea-Porter To Trump: Release Promised ACA Navigator Funding

Shea-Porter Leads 31 House Democrats in Urging Trump Administration to Release Promised Navigator Funding

WASHINGTON, DC – Congresswoman Carol Shea-Porter (NH-01) led 31 House Democrats today in sending a letter urging the Trump administration to release promised funding for the Affordable Care Act’s Navigator enrollment assistance grant program.

“Navigators are an essential resource for the American people, and the Navigator program is critical to the success of Open Enrollment. We urge you to unfreeze these funds immediately,” Shea-Porter and other Members wrote. “Americans already face a number of new hurdles to enrolling in coverage during the upcoming Open Enrollment period, including an enrollment timeframe that has been cut in half and a 90% cut to the outreach budget that could have informed consumers about this significant change. Destabilizing the Navigator program could further compound the challenges consumers will face in understanding when and how to enroll.”

The letter, addressed to Department of Health and Human Services (HHS) Secretary Tom Price and Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma, notes that on Friday, September 1st, HHS unexpectedly froze committed funding for the Navigator grant period that was scheduled to begin on Saturday, September 2nd. As of Monday, September 11th, grantees had received no update on when they should expect to receive this essential funding. The letter urges that funds be released immediately with a retroactive date of September 2nd.

The Members noted Navigators’ significance in keeping the Marketplaces stable, writing: “Helping Americans sign up for Marketplace coverage has many benefits, including strengthening the risk pool of the individual health insurance market. Conversely, discouraging enrollment could weaken the market and drive up premiums.”

Last week, Shea-Porter submitted an amendment that would save the Navigator grant program from elimination in House Republicans’ Fiscal Year 2018 omnibus appropriations bill.

2017.09.12 - HEA - Navigator Grants

Congresswoman Shea-Porter Submits Amendment to Save ACA’s Navigator Program

Congresswoman Defends New Hampshire
Enrollment Assistance Jobs

WASHINGTON, DC – Congresswoman Carol Shea-Porter (NH-01) today submitted an amendment that would save the Affordable Care Act’s Navigator enrollment assistance grant program from elimination in this week’s House omnibus appropriations bill.

“Navigators provide an essential, free service to people in New Hampshire and around the country who need help finding the best plan for their needs and budget,” said Shea-Porter. “Comparing coverage options can be confusing, especially for people who haven’t had insurance in the past. I’ve seen New Hampshire Navigators’ skill and compassion firsthand, which is why I’m fighting to protect this essential community program from partisan Washington attacks.”

The enrollment assistance program, which provided $600,000 for New Hampshire grantees to hire Navigators last year, faces escalating threats from the Trump administration and House Republicans. On Friday, the Trump administration proposed cutting the Navigator program by $23 million, while this week’s House Republican Omnibus bill would completely eliminate the program by prohibiting any funding for Navigator grants during the upcoming fiscal year. Shea-Porter’s amendment strikes this prohibition and instructs the Administration to return $3 million to the Navigator program. Earlier this year, the Center for Consumer Information and Insurance Oversight (CCIIO), which administers the Navigator program, transferred $3 million in Navigator funding to conduct an anti-ACA study.

“Without local Navigator support, individuals and their families may lack information to make a thoughtful decision on insurance coverage options,” said Tess Stack Kuenning, President and CEO of Bi-State Primary Care Association, one of New Hampshire’s Navigator grantees. “Navigators are an ongoing community resource to help ensure that New Hampshire families have the coverage they need to stay healthy.”

Since its inception, the Navigator program has helped educate over 9 million consumers about their coverage options. In New Hampshire, Navigators who work through the Bi-State Primary Care Association and the state’s Community Health Centers to provide impartial information about Marketplace plans, help consumers understand and evaluate all their options and apply for federal tax subsidies to lower the cost of premiums and out-of-pocket costs, and assist residents throughout the enrollment process.

Tomorrow afternoon, the House Rules Committee will decide whether Shea-Porter’s amendment is in order for a House floor vote later in the week.

40% Increase In Premiums Highlight Need For A Better Healthcare System

Below is the press release from the NH Department of Insurance explain the massive spike in healthcare premiums, specifically on those who get insurance through the ACA marketplace.  Below that is my opinion on what we can do to fix this problem. 


Federal Government Announces 2018 Rate Increases

CONCORD, NH – NH Department Of Insurance Press Release  The federal government today published information on proposed rate increases for New Hampshire’s health insurance exchange in 2018, showing that consumers in the individual market may face increases of more than forty percent.

“Today’s news about rates is alarming, especially for the 94,000 New Hampshire residents who obtain their insurance through the individual market, but unfortunately, it does not come as a surprise,” said Insurance Commissioner Roger Sevigny. “A number of factors have led to rate increases for 2018 in New Hampshire and across the country, most notably the continued uncertainty at the federal level. My staff and I have been actively engaged to identify options to lessen the impact on the thousands of families who rely on health insurance through the state exchange.”

The 2018 rate information released today by the federal government details proposed increases to benefit plans that are submitted by insurance companies operating on the exchange.  (The New Hampshire Insurance Department is prohibited by law from releasing rate information until Nov. 1.)  A benefit plan is a specific plan that a New Hampshire resident would select for enrollment, such as a bronze, silver, or gold level metal plan.

Three companies have announced their intentions to offer plans on the 2018 exchange in New Hampshire: Ambetter, Anthem, and Harvard Pilgrim. A fourth, Minuteman Health, also has proposed rate increases listed on the federal site, but those plans will not be available to consumers, as the company announced in June that it would stop offering plans in 2018.

The information published today by the federal government shows that some of the state’s insurers have submitted benefit plans for the individual market with substantial increases. The New Hampshire Insurance Department looks at premiums each year from a market-wide perspective, comparing the median premium for a silver-level plan covering a 40-year-old non-tobacco-user.  For 2017, the median premium at this level was $335; the median premium at this level for 2018 would be $479, based on the carriers’ initially proposed rates.  If these rates are ultimately approved, this would represent a 43% increase between next year’s and this year’s median premium in the individual market.

Today, the Department issued guidance permitting insurers to assume the federal government will not be funding Cost Sharing Reductions (CSRs) in 2018.  In response, insurers might adjust silver level plan rates before the deadline for amending rate filings.

The New Hampshire Insurance Department has taken action in recent months to call policymakers’ and consumers’ attention to the impending rate increases and the possibility that companies might withdraw from the exchange in 2018. In June, the Legislature authorized the Department to create a market stabilization plan, and last month, the Department publicly shared its plan to reduce rates and promote stability in the individual market in 2018. Today, the Joint Health Care Reform Oversight Committee authorized the Insurance Department to pursue federal waivers in support of a market stabilization plan, but without relying on an assessment of health insurance carriers.


A completely new healthcare system for all Americans

The above press release from the NH Department of Insurance shows that our current system of private insurance is unsustainable.  A 40% increase in one year. Seriously WTF?  What we do not even know yet is how much out of pocket costs will also increase next year.  Out of pocket expenses include co-pays, co-insurance deductibles, and prescription costs.  These can cost people thousands of dollars on top of their thousands of dollars in premiums.

There is no doubt that Republicans are going to blame Democrats and President Obama for this increase while Democrats will blame Republicans for failing pass meaningful changes to the ACA to stabilize the marketplace.

But while I blame both of them for failing to do what is best for America, the majority of the blame falls directly on the private insurance corporations.  They are raking in obscene profits, continually increasing premiums to maximize their profits.  Anthem Blue Cross Blue Shield reported $1 Billion in profits during the first quarter of 2016. That is a 44% increase in profits.

The corporations are shelling out hundreds of millions to lobbyists and politicians to prevent them from passing meaningful legislation that would help solve our problems.  For example, Congress has failed to pass legislation allowing medicare to negotiate lower prescription drug prices, which other countries do, saving them billions annually.  In 2016, the health products, insurance and pharmaceuticals industries spent a combined $400 million on their lobbying efforts.

Are you still surprised that Congress cannot pass meaningful healthcare reform?

This 40% increase combined with the insurance companies record breaking profits last year make it glaringly obvious that we need to move to a single payer system.  With a less than 2% overhead, Medicare is one of the most efficient programs in the government. With additional changes, like allowing Medicare to negotiate prescription drug prices, the cost of healthcare would drop dramatically.

It is time for America to move to a national universal healthcare system. It is time for Medicare For All.

Shaheen, Hassan Introduce Bill to Improve New Hampshire’s Health Care Marketplace & Lower Premiums

 

(Washington DC) – U.S. Senators Jeanne Shaheen (D-NH) and Maggie Hassan (D-NH) joined Senators Tom Carper (D-DE), Tim Kaine (D-VA), and Bill Nelson (D-FL) to introduce theIndividual Health Insurance Marketplace Improvement Act to help stabilize the individual health care marketplace and lower premiums. The legislation would provide certainty in the marketplace by creating a permanent reinsurance program for the individual health insurance market, similar to the successful programs used to lower premiums and spur competition in the Medicare Part D program.

This reinsurance program would provide funding to offset larger than expected insurance claims for health insurance companies participating in the state and federal insurance marketplaces, encouraging them to offer more plans in a greater number of markets, improving competition and driving down costs for patients and families. Additionally, the bill would provide $500 million a year  from 2018 to 2020 to help states improve outreach and enrollment for the health insurance marketplaces, drawing in new members and educating the public about the need to be insured.  This outreach funding prioritizes counties where there are limited insurers left in the marketplace.

“The Affordable Care Act isn’t perfect but there’s no doubt that it’s made New Hampshire healthier,” said Shaheen. “This legislation would inject stability into the individual insurance market through a program included in the original ACA, which sunset in 2016, that helps lower premiums and spur competition. I continue to urge colleagues across the aisle to work with Democrats to improve the Affordable Care Act though legislation like this, not wholesale repeal a law that is working.”

“We must work together across party lines to help ease the burden of health care costs that are squeezing far too many hard-working Granite Staters and Americans,” Hassan said.“This common-sense legislation will help lower premiums for middle class Americans and stabilize the individual market, which the Trump Administration has been working to sabotage. I continue to stand ready to work with anyone who is serious about improving upon the Affordable Care Act and lowering health care costs for Granite State families, and this bill is an important first step.”

The Individual Health Insurance Marketplace Improvement Act would:

  • Lower premiums, which would also decrease the cost of Advance Premium tax credits,
  • Increase competition among insurers,
  • Provide funding to states to improve outreach and enrollment in the health insurance marketplaces,
  • And provide additional marketplace stability for insurers, providers, and patients.

The reinsurance program would increase stability in the individual health insurance marketplaces by providing federal funding to cover 80 percent of insurance claims between $50,000 and $500,000 from 2018-2020. Starting in 2021, federal funding would cover 80 percent of insurance claims between $100,000 and $500,000.

View full text of the Individual Health Insurance Marketplace Improvement Act, here.

Senator Hassan Joins Effort To Improve The Affordable Care Act And Lower Costs To Granite Staters

Legislation Improves Affordable Care Act &
Would Help Lower Costs for Older Granite Staters
 

WASHINGTON – Today, Senator Maggie Hassan (D-NH) joined Senators Dianne Feinstein (D-CA), Elizabeth Warren (D-MA), Tammy Baldwin (D-WI), and Kamala Harris (D-CA) in introducing a bill to help make health care coverage more affordable for hard-working, middle class Granite Staters.

The common-sense legislation helps improve the Affordable Care Act by eliminating the cliff that currently blocks many middle-class individuals and families from receiving financial help to purchase insurance through the marketplace.

“We need to work together to strengthen the Affordable Care Act and bring health care costs down for hard-working people,” said Senator Maggie Hassan. “This bill is a common-sense step that will help to bring down the cost of premiums for middle class Granite Staters on the exchange, allowing more people to access affordable coverage and making our people and our communities stronger.”

Under current law, individuals and families making just one dollar more than 400 percent of the federal poverty level ($47,520 for an individual, $80,640 for a family of three) receive no financial assistance in purchasing health insurance in the marketplace. This sharp cut-off contributes to affordability issues in individual markets nationwide.

This legislation would make it so no individual or family in New Hampshire would pay more than 9.69 percent of their monthly income toward health insurance premiums. Currently, 9.69 percent of monthly income is the maximum contribution households are required to make toward their health plan if they make between 300 and 400 percent of the federal poverty level.

“While President Trump and Congressional Republicans seek to take away health care from 23 million Americans, real health care champions like Senator Maggie Hassan are seeking ways to strengthen the Affordable Care Act and make coverage more affordable for Granite State families,” said Zandra Rice-Hawkins, Executive Director of Granite State Progress. “We need more elected officials like Sen. Hassan seeking solutions instead of the politicians promoting a failed Trumpcare 2.0 agenda that targets those with pre-existing conditions and puts at risk coverage for our families and small businesses.”

“We thank Senator Hassan for her work to ensure all Americans have access to the quality, affordable health care coverage they need to be healthy and economically secure,” Rice-Hawkins added.

The senators’ proposal would be particularly beneficial to individuals aged 50 to 64, given that plans are more expensive for older individuals.

850% Increase To Seniors Healthcare: NH Congressional Delegation Responds To New CBO Report

Yesterday the non-partisan, Congressional Budget Office (CBO) released their report on the American Healthcare Act of 2017 (AHCA) and the news is horrifying to seniors and low income families.

The CBO reports:

  • An estimated 23 million people would lose healthcare coverage over the next ten years.
  • The cost of an individual plan would skyrocket by 20% in 2018, and an additional 5% in 2019.
  • Those 50-64 would be forced to pay drastically higher premiums, as much as 60% of their income.

VOX reports that this would be an 850% increase over what they would pay under the current ACA law.  You can see the breakdown of premiums based on 175% of the Federal Poverty Level ($26,500 per individual) and 450% of FPL ($68,200).

This new law makes healthcare completely unaffordable for millions of Americans, specifically older Americans.  These are just what people would be forced to pay to get “access” to healthcare. This does not include deductibles, co-pays, and co-insurance.   Nobody could possibly afford to pay 60% of their income to have the freedom to access healthcare.

“Today’s CBO report confirms that the Republican healthcare repeal bill is not only reckless, it would be devastating to Granite Staters’ health and wellbeing,” said Senator Jeanne Shaheen (D-NH).”Throwing 23 million Americans off their insurance is not a successful healthcare plan. The Republican leadership’s repeal bill would result in many patients paying more and receiving less coverage, while eliminating protections that prevent insurance companies from discriminating against patients with pre-existing conditions such as a history of cancer, heart disease, diabetes, or postpartum depression. The repeal bill would be particularly harmful to New Hampshire’s response to the opioid epidemic, eliminating Medicaid expansion that has helped Granite Staters get the substance misuse treatment they need. I urge my Republican colleagues to commit to working in a bipartisan manner to improve the Affordable Care Act and ensure that more Americans have affordable, accessible care.”

“The non-partisan Congressional Budget Office has confirmed what we already knew: Trumpcare would be devastating for hard-working people across New Hampshire and America, leading to higher costs for worse health coverage,” said Senator Maggie Hassan (D-NH). “If you buy your own health care, Trumpcare means you will face 20% higher premiums in 2018, with especially high premium hikes for older Americans. And if you have a pre-existing condition, which under Trumpcare includes cancer, asthma or diabetes, you could once again be discriminated against with higher costs. Trumpcare would also lead to 23 million more uninsured Americans, and it would undermine our efforts to combat the heroin, fentanyl, and opioid crisis – despite President Trump’s promises to take action against this crisis. I will continue to do everything in my power to stop this harmful Trumpcare bill.”

“Today’s estimate by the independent Congressional Budget Office confirms that the health care repeal bill Republicans pushed through the House earlier this month would kick a devastating number of Americans – 23 million people – off of their coverage, strip protections from people with pre-existing conditions, and raise their premiums,” said Congresswoman Carol Shea-Porter (NH-01) who voiced her opposition to this bill on the House floor.

“This estimate caps off a disturbing week where President Trump proposed devastating cuts to Medicaid, children’s health care coverage, and Social Security disability insurance, while continuing to destabilize insurance markets by denying insurers certainty about whether his Administration will honor its obligations. President Trump has broken his promise of ‘insurance for everybody,’” Shea-Porter added.

“This report affirms what we already knew, that the American Health Care Act would be a disaster for access to healthcare in New Hampshire and across the country,” said Congresswoman Annie Kuster (NH-02). “It would take away protections for those with preexisting conditions, allow Americans over 50 to be charged more, hurt access to healthcare for seven million veterans, and jeopardize our response the opioid epidemic. I urge my Republican colleagues to abandon this legislation and come to the table in good faith to work on bipartisan solutions to improve access to healthcare for all Americans.”

No doubt the Republicans will try to say that the CBO confirms that this new healthcare bill will save taxpayers “$116 billion dollars” over the next decade.  But at what cost?  They are gutting Medicaid upwards of $800 billion with an addition $276 billion in tax giveaways to wealthiest Americans.

This new healthcare bill is a complete disaster. The Senate is our only hope to somehow fix this.  If the Senate passes this bill as it is now, people will die.  People will no longer be able to afford healthcare and they will no longer be able to afford their medications and they will die.

Alliance for Retired Americans: House Health Care Vote is Appalling for Retirees, Older Americans

Raid of Medicare, cuts to Medicaid among the most problematic parts of the AHCA

The following statement was issued by Richard Fiesta, Executive Director of the Alliance for Retired Americans, in response to the House vote today to repeal and replace the Affordable Care Act with the American Health Care Act.

“Retirees and older Americans who are not yet eligible for Medicare are simply appalled by today’s American Health Care Act vote.

“This bill decimates Medicaid, with more than $800 billion in cuts. Medicaid pays for the nursing home care of millions of seniors and health care for people with disabilities. The $8 billion that the GOP added to their plan at the last minute is a mere drop in the bucket compared to their cuts.

“It also robs the Medicare Trust Fund to pay for tax breaks for millionaires and billionaires. That transfer of wealth from the sick to the wealthy is unconscionable.

“The House leadership’s decision to rush the floor action means that lawmakers voted on the bill without even obtaining updated figures from the Congressional Budget Office (CBO).

“CBO estimated that the original bill would leave 24 million more Americans without health insurance after a decade, due to repeal of the subsidies and the rollback of the ACA’s Medicaid expansion in states that adopted it. We cannot rule out the possibility that more than 24 million people would lose coverage under this version of the bill.

“Despite the wheeling and dealing and vote trading, the GOP repeal bill still drops the coverage guarantee for people with pre-existing conditions, strips coverage from millions and drives up costs for millions more.

“Among people ages 55 to 64, 84 percent had at least one pre-existing condition in 2014. That has not changed since the last vote.

“It is difficult to say what the cruelest aspect of this vote is, but raiding Medicare and cutting Medicaid surely remain at the top of the list.”

Senator Hassan Joins Colleagues, Advocates for Disability Community in Speaking Out Against Trumpcare

Senator Highlights Devastating Impact Cuts to Medicaid Would Have on Critical Services for Granite Staters Who Experience Disabilities

WASHINGTON – Today, Senator Maggie Hassan (D-NH) joined Senators Bob Casey (D-PA), Senator Debbie Stabenow (D-MI), Senator Chris Van Hollen (D-MD), former Senator Tom Harkin, members of the disability community, and advocates for a press conference outside the U.S. Capitol highlighting the devastating impact Trumpcare would have on Granite Staters and Americans who experience disabilities.

“Trumpcare hurts people who experience disabilities with drastic cuts to the traditional Medicaid program,” Senator Hassan said to advocates outside the Capitol. “This plan changes Medicaid into per capita caps or a block grant system – and that is just code for a massive cut to the federal support states receive…[If Trumpcare passes], states will be faced with cutting services that people with disabilities depend on, such as personal care, prescription drugs, and rehabilitation services.”

“We can’t afford to go back to the days where we marginalize or don’t assist some of our most vulnerable people, so I’ll will stand strong with the people of New Hampshire, and my colleagues in fighting against this dangerous bill that would pull us backward,” Senator Hassan added.

Senator Hassan emphasized the importance of building a stronger, more inclusive society where all citizens can be engaged and active in our economic and civic life. The Senator also urged attendees to continue speaking out against Trumpcare, underscoring the importance of advocacy efforts in impacting real change on a local and federal level.

Watch video of the press conference here.

On The House Floor, Shea-Porter Pushes Amendment To Require Insurance Coverage Of Opioid Use Disorder Treatment

As Congress Debates Health Care Legislation, Congresswoman Highlights New Hampshire Heroin, Fentanyl, and Prescription Opioid Crisis 

WASHINGTON, DC Congresswoman Carol Shea-Porter (NH-01) today offered and the House voted on a Motion to Recommit that would require association health plans to provide coverage for substance use disorder treatment. As Congress this week considers the American Health Care Act, which would cause 24 million Americans to lose their coverage, Shea-Porter called on her colleagues to work together to improve access to quality, affordable health care.

“Today, Members of Congress can say to my constituents in New Hampshire and their constituents across this great nation: we hear you. We know your sons and daughters, your nieces and nephews, your neighbors and friends are struggling, and we have your back,” said Shea-Porter. “We believe all Americans deserve good health insurance they can count on when they need it most. We aren’t going to pull the rug out from under people who are about to turn their lives around.”

Shea-Porter’s remarks highlighted the fact that much-needed treatment facilities, such as Hope on Haven Hill in Rochester, which she recently visited, have been able to open because more Americans now have insurance that covers treatment thanks to the Affordable Care Act and its Medicaid expansion. 

177 Democrats and 2 Republicans voted for Shea-Porter’s motion.

SHEA-PORTER’S FULL HOUSE FLOOR REMARKS

“I rise today on behalf of the families and communities across this nation that are confronting a public health threat of our time: the heroin, fentanyl, and prescription opioid crisis. 

“This motion would simply ensure that the health insurance plans that today’s bill would permit must still cover substance use disorder treatment, including for opioids, as an essential health benefit.

“Under current law, we require insurers to cover this treatment. Before the Affordable Care Act, many insurers either didn’t cover treatment at all or imposed onerous requirements that blocked people from getting needed care.

“H.R.1101 would roll back that guarantee. It would allow association health plans to return to the kind of skimpy coverage that left so many people struggling with an opioid disorder in dire straits at critical moments. We know there’s often a narrow window of opportunity — after an overdose, for example — for someone to commit to treatment, and these are the moments when being able to make a single phone call can make all the difference. 

“This week’s debate about health care is extremely important. Will we decide to work together to improve the American people’s access to quality, affordable health care or weaken benefits and kick 24 million or more of our constituents off their plans? We all need to speak up on behalf of those whose lives have been turned around because they can now access care.

“As I talk to families, medical professionals, and law enforcement officials in my district, I hear stories that highlight the dramatic impact that improved access to coverage has had in making treatment a real option for people with substance use disorder.

“This week, we see that base of coverage is under serious threat. In fact, experts estimate that repealing the Affordable Care Act’s coverage provisions would cause about 2.8 million Americans with a substance use disorder to lose some or all of their coverage.

“And the quality of that coverage is also at risk. Thanks to the Affordable Care Act, insurance now must cover treatment for behavioral health and substance use disorder, just the same as it would cover any other medical service. These parity protections mean insurers must cover treatment for substance use disorder with comparable cost-sharing — no more surprises, like annual visit limits, higher copays, or frequent pre-authorization requirements and medical necessity reviews.

“Badly needed facilities are opening because plans now cover these services. I recently visited a recovery home for pregnant women and new mothers that was able to open its doors this year in my hometown only because it could rely on Medicaid expansion. Legislation like H.R.1101 would cause fewer people to have this coverage, meaning fewer facilities can open.

“Many of you know that my home state of New Hampshire is on the front lines of the heroin, fentanyl, and prescription opioid crisis. Our communities are struggling, and helping people get treatment is key to turning the tide. I have met the people who couldn’t be in a recovery facility without Medicaid expansion. 

“Today, Members of Congress can say to my constituents in New Hampshire and their constituents across this great nation: we hear you. We know your sons and daughters, your nieces and nephews, your neighbors and friends are struggling, and we have your back. We believe all Americans deserve good health insurance they can count on when they need it most. We aren’t going to pull the rug out from under people who are about to turn their lives around.

“I urge my colleagues to support this motion, which would not delay passage of the underlying bill. Thank you.”

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