Senate's bill would jeopardize Medicaid

Posted July 03, 2017

The panel's local providers and clinic administrators said the preventative care made possible by the ACA saves both lives and millions of dollars each year in costly illness and injuries down the road. With nursing home costs averaging almost $90,000 per year, without Medicaid, millions of older adults and families would be financially overwhelmed.

The Senate GOP health proposal, the Better Care Reconciliation Act, would end that requirement in 2019 and let states decide whether to continue such limits and rebates.

In another risky move, the Senate bill would also cut federal funding for Planned Parenthood, which would jeopardize the ability of clinics to deliver preventive health services, including HIV testing and transition-related care. We did this because we felt a moral obligation to the San Joaquin and Stanislaus patients, families and communities we serve, so that they will be able to maintain access to quality, affordable health care. If you pull on one side, say subsidies, it tightens the strings of who can afford coverage, if it can be afforded at all. Michael Bennet and Cory Gardner and ask them not to vote for any legislation that cuts or places caps on the funding for Medicaid that people with intellectual and developmental disabilities need.

Although he emphasized the importance of access to care via Medicaid, Humble added that long-term success against opioid addiction will require policy development and regulations that encompass the scope of health care institutions, outpatient treatment clinics and prescription practices. Any bill must keep the individual mandate. Providing choices for Americans in a free market health care system has slowly eroded under Obamacare's weight.

About one-third of Orange County residents are on Medicaid, including 50 percent of children.

The federal government in the fiscal year starting July 1 will pay 95 percent of the health insurance costs of that group. In an analysis of the proposal aimed at replacing the Obama administration's Affordable Care Act, the nonpartisan Congressional Budget Office said the measure would leave 22 million more people without insurance. The effect, he said, "would provide even less to those in need than the House bill".

"We will not retreat", he said.

Critics have said the cost-cutting bill would slash health insurance, especially for low-income people. That was somewhat to be expected as many of these are individuals who were previously uninsured and lacked a primary care physician. But it does mean that according to CBO's best estimates BCRA will undershoot by $772 billion what it costs to provide the same Medicaid services to the people now deemed eligible.

Less Medicaid coverage would strain the finances of struggling hospitals, particularly small ones in rural areas, and put some out of business - to the detriment of all patients, not just those on Medicaid.

Health insurance coverage works. I'm not sure why Lance doesn't see how all of his votes over the past seven years will inevitably lead to the middle class, the poor, the sick and disabled, the elderly in his district being punished.

RA: We would have to go back to a time when we were reacting to healthcare needs in our community rather than proactively working to help improve the health of our community. The state will be forced to make hard choices regarding which Minnesotans should receive care and what type of care they should receive.

Thankfully, the Senate bill is a work in progress. Other states that have expanded Medicaid and eligibility, like Kentucky and Iowa, will have the advantage and may receive more federal funding. When Arkansas wants to make significant changes to its Medicaid program, it typically must seek a waiver from the federal authorities to do so.

After weeks of secrecy, the Senate proposal unveiled last week by Republican Majority Leader Mitch McConnell is just as radical, reckless, and unsafe as the bill passed by House Republicans in May.