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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 Congressional Republicans and President Trump repealed the mandate in 2017, although the penalty does not disappear until the 2019 tax year.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]

Welcome To Washington’s 116th Congress

“The New Democratic House Of Representatives Will Be Relentless In Defending Protections For People With Pre-existing Conditions And Affordable Health Care For Every American.” – Speaker Nancy Pelosi

Since regaining control of the House, Democrats who ran and won the midterm election on protecting health care have wasted no time doing just that. On day one, under Speaker Pelosi’s leadership, Democrats voted to defend the Affordable Care Act and protect people with pre-existing conditions, and they are just getting started.

 

Speaker Nancy Pelosi: “The New Democratic House Of Representatives Will Be Relentless In Defending Protections For People With Pre-existing Conditions And Affordable Health Care For Every American.” “The new Democratic House of Representatives will be relentless in defending protections for people with pre-existing conditions and affordable health care for every American…Republicans should end their assault on health care and join us to do the right thing for the American people.” [The Hill, 1/3/19]

U.S. News & World Report: “The Chamber That Once Led The Fight To Undo Obamacare Will Now Be Fighting For Its Survival In The Courts.” “Democrats are making it brazenly clear they are back in power in the House of Representatives, providing a critical roadblock to the GOP agenda in an already-gridlocked government…The chamber that once led the fight to undo Obamacare will now be fighting for its survival in the courts. The old committee to examine global warming will be reconstituted – and renamed, more ominously, the Select Committee on the Climate Crisis.” [U.S. News & World Report, 1/4/19]

House Democratic Caucus Chairman Hakeem Jeffries (D-NY): In 116th Congress, “Nancy Pelosi will fight to lower healthcare costs, strengthen the affordable care act, protect people with pre-existing conditions.” “But Nancy Pelosi is just getting started. In the 116th Congress, she will continue to fight hard For The People. Nancy Pelosi will fight to lower healthcare costs, strengthen the affordable care act, protect people with pre-existing conditions, increase pay for everyday Americans, enact a real infrastructure plan, clean up corruption, defend the dreamers, fix the voting rights act and end the era of voter suppression once and for all.” [Hakeem Jeffries Website, 1/3/19]

Politico: “House Democrats In Power For The First Time In Nearly A Decade Are Opening A Sustained Campaign To Hammer Republicans On Obamacare.” “House Democrats in power for the first time in nearly a decade are opening a sustained campaign to hammer Republicans on Obamacare, seeking to force the GOP’s hand on popular policies like protecting patients with pre-existing conditions…Those votes are just opening salvos from House Democrats, who also plan to go after the Trump administration policies that they say have purposefully undermined Obamacare by depressing enrollment, cutting subsidies, promoting skimpy alternative health coverage, and even having the Department of Justice take the unusual move of supporting key elements of a lawsuit against the federal health law.” [Politico, 1/4/19]

Washington Post: “House Democrats Used Their New Majority On Thursday To Squeeze Republicans On Health Care.” “House Democrats used their new majority on Thursday to squeeze Republicans on health care, taking the first step to intervene in a court case in which a Texas judge has ruled the Affordable Care Act unconstitutional. That move will be followed by a vote next week designed to force GOP lawmakers into a political corner: agree to defend a law many members have spent years reviling or appear to oppose popular ACA protections for millions of Americans with preexisting medical conditions that many have pledged to uphold.” [Washington Post, 1/3/19]

CNN: “In Their First Hours In Control Of The House Of Representatives, Democrats Filed A Motion To Intervene In An Ongoing Lawsuit That Threatens To Bring Down The Affordable Care Act.” “In their first hours in control of the House of Representatives, Democrats filed a motion to intervene in an ongoing lawsuit that threatens to bring down the Affordable Care Act…As part of its rules package for the 116th Congress, the Democrats granted themselves authorization to intervene in the lawsuit that threatens to bring down the landmark health care law. It directed the House’s Office of General Counsel to represent lawmakers in any litigation involving the act and authorizes hiring of outside counsel. The House late Thursday voted in the rules package, which the majority party — now the Democrats — adopts at the start of a new Congress. The newly empowered Democratic leadership also scheduled a vote for next Wednesday on a standalone resolution affirming the House’s authorization to intervene in the lawsuit. This would put Republicans on the record voting specifically for or against defending Obamacare and its protections for those with pre-existing conditions.” [CNN, 1/4/19]

Rep. Jim McGovern (D-MA), Chairman On The Rules Committee: “We’re On Offense” On Health Care. “We’re on offense…The American people made it very clear in the last election that health care is important, and they don’t want Republicans screwing around with it. And we’re going to have their backs.” [Politico, 1/4/19]

CNN: “House Democrats Are Moving Quickly To Defend The Affordable Care Act Once They Retake Control Of The Chamber Thursday.” “House Democrats are moving quickly to defend the Affordable Care Act once they retake control of the chamber Thursday. As part of its rules package for the 116th Congress, the party is granting itself authorization to intervene in the lawsuit that threatens to bring down the landmark health reform law. It directs the House’s Office of General Counsel to represent lawmakers in any litigation involving the act and authorizes hiring of outside counsel…Supporting the Affordable Care Act, including its popular provisions that protect those with pre-existing conditions, helped Democrats retake the House in the midterm elections in November. Since then, the party’s leaders have repeatedly said they will swiftly work to uphold the law.” [CNN, 1/2/19]

CNBC: House Democrats Set Up Framework To Intervene In Federal Court Case Striking Down Obamacare. “Democrats about to take over control of the House of Representatives have moved to defend Obamacare from a court challenge that threatens to kill the landmark health-care reform law. In an action Tuesday night, Democratic leaders said they will authorize their next speaker, likely Nancy Pelosi, to intervene in a pending federal case, Texas v. United States, in which a judge has ruled Obamacare unconstitutional. Democrats regain control of the House when Congress returns for the 116th congressional session Thursday.” [CNBC, 1/2/19]

Washington Post: Democratic Wishlist Includes “Health Care (With A Focus On Prescription Drug Prices And Protecting People With Preexisting Conditions).” “At the top of the list is a sweeping political reform package linked to a new Voting Rights Act. Taking on the ‘special interests,’ she said, will ‘give people confidence’ in the rest of the Democratic wish list that includes health care (with a focus on prescription drug prices and protecting people with preexisting conditions), workforce training and ‘building the infrastructure of America in a green way.’ For the longer term, Democrats would be looking for ways to expand health coverage by strengthening the Affordable Care Act.” [Washington Post, Dionne Jr., 1/2/19]

The Hill: House To Vote Next Week On Intervening To Defend ObamaCare In Court. “A spokesman for House Minority Leader Nancy Pelosi (D-Calif.) said the vote on having the House formally intervene in court to defend ObamaCare will come next week, in addition to a vote on Thursday on intervening in the lawsuit as part of the larger package of rules for the new session of Congress. Holding the separate additional vote next week will put Republican lawmakers on record, highlighting the political pressure that Democrats hope to put on vulnerable GOP lawmakers who campaigned last year pledging to support protections for people with pre-existing conditions. Democrats say if GOP lawmakers vote against defending ObamaCare, they will be showing that they don’t actually support protections for people with pre-existing conditions contained in the health law.” [The Hill, 1/2/19]

Daily Mail: Nancy Pelosi’s First Move As Speaker Will Be A Public Stand On Saving Obamacare By Intervening In Court Case Where Judge Struck It Down As Unconstitutional. “Incoming likely speaker Nancy Pelosi is laying down a marker that newly-empowered Democrats will go to court to protect Obamacare, in one of the first acts of the Democratic-run House. Pelosi, who stands for election on Thursday, has assembled a new rules package that specifically commits the House to a legal case that has once again thrown President Obama’s signature health plan into jeopardy. Pelosi helped marshall through Obamacare during her first term as speaker. Now, the new rules package that the Democratic House will codify in their traditional first legislative action, will specifically authorize the House to intervene in the case.” [Daily Mail, 1/2/19]

Despite Democrats making monumental gains to become a pro-health care Congress, Republicans are touting a bill that would have ripped coverage from millions of Americans and decimated important consumer protections, continuing their tone-deaf message despite voters’ strong rejection of the GOP’s repeal and sabotage agenda:

In Her Speech Nominating Rep. Kevin McCarthy (R-CA) For Speaker Of The House, Rep. Liz Cheney (R-WY) Boasted About Republican Effort To Repeal The Affordable Care Act. “Leader McCarthy has led us through the 115th Congress in unmatched historic productivity, including passage of the historic Tax Cuts and Jobs Act, because we know, Madam Clerk, that the American people know better than the government how to spend their money…Leader McCarthy also led to ensure that we passed the American Health Care Act to expand access and options and put patients and families in the driver’s seat, not government bureaucrats.” [Cheney Floor Speech, 1/3/19]