WHAT’S HAPPENING WITH THE CHILDREN’S HEALTH INSURANCE PROGRAM? Our experts break it down on Facebook Live Friday, Sept. 22 at 12 p.m. ET. KHN Chief Washington Correspondent Julie Rovner and Bruce Lesley, a Capitol Hill veteran who heads First Focus, a bipartisan children’s health advocacy group, will chat about the state of play on CHIP reauthorization and other congressional issues. You can send questions here and tune in here.
In This Edition:
From Kaiser Health News:
The Trump administration has dramatically trimmed money for the groups that help people enroll in marketplace plans, but those navigators say federal officials have unrealistic assessments of the tasks involved. (Michelle Andrews, 9/19)
Despite a lack of medical training, relatives increasingly are assigned complex, risky medical tasks at home, such as maintaining catheters. If done incorrectly, blood clots, infections, even death can result. (Melissa Bailey, 9/19)
Kaiser Health News provides a fresh take on health policy developments with "Political Cartoon: 'Aha Moment?'" by Bob Englehart, CagleCartoons.com.
Here's today's health policy haiku:
AFTER A PATIENT’S DISCHARGE, FAMILIES TAKE ON COMPLEX MEDICAL RESPONSIBILITIES
When care moves back home
After a hospital stay
Pressure comes with it.
If you have a health policy haiku to share, please Contact Us and let us know if you want us to include your name. Keep in mind that we give extra points if you link back to a KHN original story.
Summaries Of The News:
The measure from Sens. Bill Cassidy (R-La.) and Lindsey Graham (R-S.C.) includes deeper spending cuts and covers fewer people than the bill in July.
The New York Times: Obamacare Repeal, Thought Dead In July, May Be Revived In Senate
Congressional efforts to repeal the Affordable Care Act sprang back to life on Monday as Senate Republicans pushed for a showdown vote on new legislation that would do away with many of the health law’s requirements and bundle its funding into giant block grants to the states. (Pear and Kaplan, 9/18)
The Associated Press: Senate GOP Musters Final Push To Erase Obama Health Care Law
Senate Republicans expressed growing hope Monday for a final push to scuttle President Barack Obama's health care law, an effort that still faces an uphill climb and just a two-week window to pass. Adding more risk, senators would be in the dark about the bill's impact on Americans, since the Congressional Budget Office says crucial estimates won't be ready in time for a vote. (Fram, 9/18)
The Washington Post: The New GOP Health-Care Measure Goes Further Than The Failed One
The latest Obamacare overhaul bill gaining steam on Capitol Hill slashes health-care spending more deeply and would likely cover fewer people than a July bill that failed precisely because of such concerns. What’s different now is the sense of urgency senators are bringing to their effort to roll back the Affordable Care Act, with only a dozen days remaining before the legislative vehicle they’re using expires. (Winfield Cunningham, 9/18)
The Washington Post: New Push To Replace Obamacare Reflects High Stakes For Republicans
The latest proposal would give states control over billions in federal health-care spending, repeal the law’s key mandates and enact deep cuts to Medicaid, the federally funded insurance program for the poor, elderly and disabled. It would slash health-care spending more deeply and would probably cover fewer people than the July bill — which failed because of concerns over those details. The appearance of a new measure reflected just how damaging Republicans consider their inability to make good on a key campaign promise of the past seven years: to repeal and replace President Barack Obama’s signature domestic policy achievement. (Sullivan and Snell, 9/18)
Bloomberg: McCain Holds Out As GOP Wages Last-Gasp Push To Repeal Obamacare
Because the measure strives to equalize Medicaid funding between states, some Republicans from Medicaid expansion states in the House could find it hard to support. That includes states like New York and California, which stand to lose federal funds under Graham-Cassidy. Those states have only Democratic senators, but have some GOP House members. (Litvan and Wasson, 9/18)
Bloomberg: Senate GOP Has 12 Days To Repeal Obamacare And No Room For Error
They need to act by Sept. 30 to use a fast-track procedure that prevents Democrats from blocking it, but the deadline doesn’t leave enough time to get a full analysis of the bill’s effects from the Congressional Budget Office. The measure would face parliamentary challenges that could force leaders to strip out provisions favored by conservatives. Several Republicans are still withholding their support or rejecting it outright. (Litvan, Kapur and Wasson, 9/19)
The Hill: Finance To Hold Hearing On ObamaCare Repeal Bill
The Senate Finance Committee will hold a hearing Monday on the latest effort to repeal ObamaCare as Republicans eye a potential vote next week. “A hearing will allow members on both sides of the aisle to delve deeper into its policy and gain a better understanding of what the authors hope to achieve,” Finance Chairman Orrin Hatch (R-Utah) said in a statement. (Carney, 9/18)
Nashville Tennessean: Latest ACA Repeal Bill Could Hit Those With Pre-Existing Conditions
The latest Obamacare repeal-and-replace bill in the U.S. Senate raises the possibility that Tennesseans with pre-existing diseases could see increased costs or change in coverage. The legislation would hand states broad authority to determine coverage parameters, including the decision to waive community ratings and the essential health benefits. Known as the "Graham-Cassidy" bill, the measure was crafted by Sens. Bill Cassidy, R-La., and Lindsey Graham, R-S.C. (Fletcher, 9/18)
Meanwhile, some are already speaking out against it —
The Hill: March Of Dimes, American Heart Association Oppose New Senate Repeal-And-Replace Bill
The American Cancer Society Cancer Action Network, the American Heart Association and the March of Dimes on Monday came out in opposition to the latest Senate GOP bill to repeal and replace ObamaCare. They are among 16 groups that released a joint statement criticizing the bill, which Republican sponsors say is nearing the 51 votes necessary for passage. (Sullivan, 9/18)
The Hill: Top Louisiana Health Official Rips Cassidy Over ObamaCare Repeal Bill
Louisiana’s top health official sent a scathing letter to Sen. Bill Cassidy (R-La.) blasting his new bill to repeal and replace ObamaCare, saying “the harm to Louisiana from this legislation far outweighs any benefit.” “The legislation you’ve introduced this past week gravely threatens health care access and coverage for our state and its people,” Secretary of the Louisiana Department of Health Rebekah Gee wrote. (Carter, 9/18)
Despite growing support for the Cassidy-Graham Bill, there are two senators likely to oppose the measure. One more would halt the latest proposal to repeal and replace the Affordable Care Act.
Politico: Momentum Builds For Obamacare Repeal
Three “no” votes would kill the bill, but in an encouraging sign for repeal proponents, no one is stepping forward yet to deliver that final nail. Instead, wavering senators remain on the sidelines. Conservative Sen. Mike Lee of Utah is warming to the legislation, which would turn federal health care funding into block grants for states and eliminate Obamacare’s coverage mandate, while Alaska Sen. Lisa Murkowski is undecided. (Everett and Haberkorn, 9/18)
The Wall Street Journal: Republicans Press Graham-Cassidy Repeal Effort
Mr. Graham said Thursday that Vice President Mike Pence had called him to say the administration is “100%” on board with the bill. A White House statement earlier last week said only that the president “sincerely hoped” Messrs. Graham and Cassidy had found a solution on health care. House Speaker Paul Ryan (R., Wis.) also appeared to support the proposal Friday. “I appreciate Senators Graham and Cassidy continuing to work on a plan to pass the Senate. I’ll take federalism over Obamacare any day,” he said in a tweet. (Armour and Hackman, 9/18)
The Hill: Graham: Trump Trying To Sell Governors On Latest ObamaCare Repeal Plan
President Trump is calling governors to try to get their support for a last-ditch ObamaCare repeal effort taking place in the Senate, says Sen. Lindsey Graham (R-S.C.). "He’s on the phone as I speak getting governors who are a little nervous about this, saying we’re not going to let you fail, we’re going to give you the flexibility over time and we’re going to empower you unlike anything you’ve ever seen," Graham told Breitbart News over the weekend. (Hellmann, 9/18)