Idaho Archives — Protect Our Care

Results are In: Medicaid Wins

Idaho, Nebraska, Utah to Expand Medicaid

Maine, Wisconsin, Kansas Elect Governors Buoyed by Support of Medicaid Expansion


Washington, DC – With voters demanding an expansion of Medicaid through referenda in all three states where it was presented, and electing champions of Medicaid Expansion to governor’s seats in others, Brad Woodhouse, executive director of Protect Our Care, issued the following statement:  

“Pro-health care Democrats winning the House of Representatives over health care repealers was a resounding victory for health care, but that Medicaid will now be extended to hundreds of thousands of people who need it is just as important.  Even in conservative Idaho, Utah and Nebraska, voters delivered a sharp rebuke of the Republican war on health care by demanding that Medicaid finally, at long last, be expanded to the hardworking people in their state who need affordable coverage the most.” 

Leslie Dach, founder and chair of Protect Our Care, added: “In state after state Medicaid was on the ballot in 2018 and in state after state Medicaid won. This is a tremendous victory for Americans who will now have the added security of Medicaid expansion. Only one conclusion can be drawn from last night’s results, and that’s that the Republican war on health care has been soundly rejected.”  


By huge margins, Idaho, Utah and Nebraska voters elected to expand Medicaid through ballot initiatives.

  • Idaho voters approved Medicaid expansion with more than 61% of the vote.
  • Nebraska passed it with 53%.
  • Utah approved it with 54%.


In Maine, Democrat Janet Mills Positioned Herself Opposite Her Predecessor By Running On Medicaid Expansion, Saying “Medicaid Expansion Is Good For Business And Good For The People Of Maine.” “Mills accused LePage of ‘obstructing the will of the people…My opponent, Shawn Moody, has said that he will work to repeal the law. I agree with the Maine State Chamber of Commerce that Medicaid expansion is good for business and good for the people of Maine,’ Mills said. ‘It will improve the health of Mainers. It will inject millions of dollars into our economy. It will create jobs, lower health care costs for Maine people and keep our rural hospitals open.’” [Portland Press Herald, 10/30/18]

In Wisconsin, Democratic Challenger Tony Evers Targeted Scott Walker For Not Taking Federal Medicaid Expansion. “Evers made health care the focus of his only television ad to date, faulting Walker for not taking the federal Medicaid expansion and pointing out that the cost of an average health insurance plan sold on the private market this year in Wisconsin was more expensive than in Minnesota. Walker argues the ad is misleading and health insurance costs will decrease in Wisconsin once a recently approved reinsurance program takes effect.” [Minneapolis Star Tribune, 9/7/18]

In Kansas, Democrat Lauren Kelly Pledged To Expand Medicaid. “Medicaid expansion could also come to one other traditionally conservative state, Kansas. The state legislature approved legislation to expand the program last year, only to have Republican Gov. Kris Kobach veto it. On Tuesday, Kobach lost his re-election bid to Democrat Laura Kelly. She has pledged to approve an expansion bill within her first year of office.” [HuffPost, 11/7/18]

In Michigan, Gretchen Whitmer Ran As a Champion of Medicaid Expansion. “As attorney general, [her opponent AG Bill] Schuette joined at least nine lawsuits fighting the Affordable Care Act. In a 2017 fundraising mailer, he said he opposed the law, ‘including the ‘free’ federal Medicaid dollars from Obama that leave Michigan taxpayers on the hook for more!’ ‘He has been the chief advocate against Healthy Michigan in our state ever since we started the bipartisan negotiations on it,” Whitmer told The Detroit News. ‘The biggest threat to health care in Michigan is Bill Schuette.’” [Detroit News, 9/18/19]

Why Idahoans’ Insurance Is Getting Even More Expensive:  The Trump Administration and Washington Republicans Keep Sabotaging Health Care

Washington, D.C. – As preliminary Idaho rate filings for 2019 individual-market health insurance indicated potential premium increases as high as 24.55 percent due to Washington Republicans’ repeal-and-sabotage agenda, Brad Woodhouse, executive director of Protect Our Care, released the following statement:

“For the past year and a half, President Trump and his Republican allies in Congress have engaged in a deliberate, aggressive campaign to sabotage health care and now families in Idaho are paying the price in increased premiums. Costs are going up for hardworking Idahoans, but the Republican tax bill gave insurance companies its record tax breaks and soaring profits. Until we stop Republicans’ war on health care, health care experts predict that rates will keep rising by double digits. Washington Republicans should stand up to the Trump Administration’s sabotage campaign and start working on bipartisan solutions to make coverage more affordable.”

Insurance Companies In Idaho Blame the Trump Administration and Congressional Republicans for Higher Premiums:

PacificSource: GOP Repeal Of Individual Mandate Driving Premiums Up. “Next, we estimate the change in market morbidity between 2017 and 2019. Some of the lowest morbidity members are expected to exit the Individual ACA market due to the repeal of the individual mandate.” [PacificSource, accessed 8/2]

Blue Cross Blue Shield: Potential Federal Changes In Federal Laws Driving Premiums Up. “The morbidity in the 2019 projected population is expected to be differ from the experience period population. Reasons for the difference include… Anticipated changes in state and federal laws and regulations.” [BCBS, accessed 8/2]

Why Idahoans Insurance Is Getting Even More Expensive: The Trump Administration and Washington Republicans Keep Sabotaging Health Care

While spending most of last year trying to repeal the Affordable Care Act (ACA) and waging a war on our health care, President Trump and Republicans in Congress have also used their control of Washington to actively sabotage our health care every chance they get – leading insurance companies to raise premiums for 2018 and 2019  Republicans’ goal is simple: sabotage and undermine the Affordable Care Act, then blame everyone but themselves for the consequences of their actions. President Trump keeps rooting for disaster, saying that “The best thing we can do…is let Obamacare explode” and “Let it be a disaster because we can blame that on the Democrats.

Now, initial rate filings in Idaho forecast double-digit rate hikes again this fall because of Republican sabotage.

Republicans never ended their war on our health care. After Congress failed to repeal the Affordable Care Act, the Trump Administration is aggressively sabotaging our health care system and refusing to work to make coverage better and more affordable.

  • Experts from AARP, the Congressional Budget Office, and a wide range of other nonpartisan organizations agree that Republican actions are forcing up health care costs.
  • Republicans in Congress are supporting the Administration’s many actions to undermine health care, despite widespread opposition from patient and disease groups, doctors, nurses, hospitals, plus health care and consumer advocates.
  • The Trump Administration officials keep rewriting the rules to let big insurance companies cover fewer and fewer services while charging people more and more. The sabotage doesn’t stop there: last year the Administration fired many of the community assisters who help people enroll in health care; this year they are planning more enrollment cuts, making it even harder to sign up for coverage.
  • And now, Republicans are encouraging insurance companies to sell more junk plans that don’t have to cover basic care like hospitalization and prescription drugs, and that are allowed to charge people with pre-existing conditions more or even deny them coverage altogether. In Idaho, no short-term plans available have to cover maternity care, and only 0 percent of plans cover prescription drugs.

This could have been avoided: if Republicans had stopped sabotaging health care, American families wouldn’t be facing another huge increase this fall.

  • Even the Trump Administration has admitted that the Affordable Care Act’s insurance marketplaces had been stabilizing prior to them coming into office.
  • The nonpartisan Congressional Budget Office had predicted only modest rate increases if Republicans hadn’t sabotaged the markets.
  • Even Senate Republicans admitted this fall’s upcoming rate hikes were “avoidable,” but then they torched bipartisan stabilization talks at the last minute, prioritizing partisan politics over their last opportunity to help American families afford health care next year.

The Trump Administration’s sabotage will punish Americans by jacking up premiums again, compounding the damage done last year, when Republican sabotage pushed rates up by a national average of 37%.

  • The Republican tax bill’s repeal of a key Affordable Care Act provision and the Trump Administration’s junk plan proposal will increase individual market premiums in Idaho by an average 17.5 percent this fall, according to a recent Urban Institute study.
  • This sabotage-driven rate hike will make the damage Republicans inflicted last year through repeal attempts and sabotage even worse.
  • Higher premiums will mean fewer working families can afford coverage: during the first year of the Trump Administration, millions more Americans joined the ranks of the uninsured – the highest increase since Gallup started tracking the uninsured rate.

Despite Republican sabotage, the Affordable Care Act has improved Idahoans’ care.

  • 94,507 Idahoans signed up for Marketplace coverage this year.
  • Thanks to the Marketplace, Idaho’s uninsured rate fell by 6.6 percent between 2013 and 2016 as Idahoans have gained access to affordable coverage.
  • Before today’s announcement, the Urban Institute predicted that Idaho premiums for 2019 could rise 17.5 percent more because of the Trump Administration’s junk plan proposal and the Republican tax bill’s repeal of a key Affordable Care Act coverage incentive.
  • Even despite sabotage, Affordable Care Act subsidies help keep coverage affordable for 61 percent of Idaho Marketplace consumers, whose average 2018 premium is $83 per month.
  • But because of the Republican sabotage agenda, many middle-income Idahoans could pay hundreds or thousands of dollars more than they would have otherwise.

Idahoans won’t forget that Republicans and the Trump Administration keep forcing up health care costs to score political points.


  • Health care costs are a top issue in nearly every major issue-ranked poll in 2018.
  • Voters overwhelmingly trust Democrats over Republicans on health care costs.
  • In poll after poll, voters resoundingly reject President Trump and Congressional Republicans’ repeal-and-sabotage campaign against the Affordable Care Act.





America’s Health Insurance Plans: Administration’s DOJ Decision Would “Cause Rates To Go Even Higher For Older Americans And Sicker Patients.” “Zeroing out the individual mandate penalty should not result in striking important consumer protections, such as guaranteed issue and community rating rules that help those with pre-existing conditions. Removing those provisions will result in renewed uncertainty in the individual market, create a patchwork of requirements in the states, cause rates to go even higher for older Americans and sicker patients, and make it challenging to introduce products and rates for 2019. Instead, we should focus on advancing proven solutions that ensure affordability for all consumers. [AHIP, 6/8/18]

Associated Press: Administration’s Decision Could “Nudge Premiums Even Higher.” “The Trump administration’s decision to stop defending in court the Obama health law’s popular protections for consumers with pre-existing conditions could prove risky for Republicans in the midterm elections — and nudge premiums even higher.” [CNBC, 6/8/18]

Timothy Jost, Washington & Lee University Law Professor: Administration’s Decision Could Leave Millions Of Americans Facing “Denial Of Coverage Or Higher Premiums.” “Yesterday, the Trump administration’s Department of Justice dropped a bombshell in a rural Texas federal courthouse. The administration stated in a court filing (and also in letters to Congressional leaders) that it would not defend three key provisions of the Affordable Care Act (ACA). If the judge in the case agrees, millions of Americans with preexisting conditions could face denial of coverage or higher premiums.” [Commonwealth Fund, 6/8/18]

Ceci Connolly, Alliance Of Community Health Plans: Administration’s Decision Decision Could Spark Fresh Market Instability. “Ceci Connolly, president of the Alliance of Community Health Plans, called the legal position ‘troubling’ and warned it could spark fresh market instability. ‘At the very least it adds uncertainty at exactly the moment when plans are trying to set rates for next year,’ Connolly said in a statement. ‘At the worst, it could strip away guaranteed coverage for those with pre-existing conditions. We don’t want to return to the days when people who needed the care the most could be turned away because of their health status.’” [Modern Healthcare, 6/8/18]

Fortune: If Administration’s Decision Is Implemented, “There’s A Strong Change Insurers Would Begin Charging Sicker People Significantly More.” “To date, many low-income people have been shielded from those increases since federal subsidies to help pay premiums rise in tandem with the spikes. Middle-class families who don’t qualify for the subsidies are left either swallowing the higher premiums or forgoing coverage. If the protections for people with pre-existing conditions are ultimately shot down, there’s a strong chance insurers would begin charging sicker people significantly more for their coverage while younger and healthier Americans would see lower prices.” [Fortune, 6/11/18]

Former HHS Secretary Tom Price: GOP Actions Responsible For Premium Increases. “President Trump’s former top health official on Tuesday said the Republican tax law would raise the cost of health insurance for some Americans because it repealed a core provision of the Affordable Care Act. Tom Price, Trump’s first secretary of the Department of Health and Human Services, said people buying insurance on government-run marketplaces will face higher prices because the tax law repealed the ACA’s individual mandate. The mandate had forced most Americans to have health coverage or face a financial penalty. ‘There are many, and I’m one of them, who believes that that actually will harm the pool in the exchange market, because you’ll likely have individuals who are younger and healthier not participating in that market, and consequently that drives up the cost for other folks within that market,’ Price said at the World Health Care Conference in Washington.” [Washington Post, 5/1/18]

America’s Health Insurance Plans: Republican Sabotage Will “Drive Up The Rate Of Premium Increases.” “Policies that disproportionately draw healthy consumers away from the individual market, like expanding access to short-term plans, will likely have an even more devastating effect on affordability, choice and competition. This will further result in adverse selection, drive up the rate of premium increases, and exacerbate affordability issues for many other people.” [America’s Health Insurance Plans Letter to HHS, 4/20/18]

Cynthia Cox, Kaiser Family Foundation: “In The Absence Of Efforts To Undermine The Market, We Would Be Seeing A Period Of Relatively Small Premium Increases.” “‘In the absence of efforts to undermine the market, we would be seeing a period of relatively small premium increases, driven mostly by the underlying growth in health care costs,’ said Cynthia Cox, the lead author of the Kaiser Family Foundation report. ‘I wouldn’t be surprised if we’re in for another year of double-digit premium increases. And if that does happen, it would be in large part due to policy changes that are happening.’” [Huffington Post, 5/18/18]

Kris Haltmeyer, Blue Cross Blue Shield Association Vice President: “With The Repeal Of The Individual Mandate And The Failure Of Congress To Enact Stabilization Legislation, We Are Expecting Premiums To Go Up Substantially.” Kris Haltmeyer, a vice president at the Blue Cross Blue Shield Association, told reporters that the premium increases were in part due to the repeal of ObamaCare’s individual mandate in the Republican tax reform bill in December. He also cited lawmakers’ failure to pass a bill aimed at shoring up the market, which fell apart earlier this year amid a partisan dispute over abortion restrictions. ‘With the repeal of the individual mandate and the failure of Congress to enact stabilization legislation, we are expecting premiums to go up substantially,’ Haltmeyer said. He estimated that average premium increases nationwide will be in the ‘low teens,’ but that there will be major variation across areas, ranging from the low single digits to up to 70 or 80 percent.” [The Hill, 5/23]

New York Times Editorial Board: “The Administration’s Health Care Sabotage Efforts Have Already Had A Big Impact”: A 30-Percent Premium Increase. “The administration’s health care sabotage efforts have already had a big impact — but not the kind of impact officials promised. Insurance companies raised average premiums for 2018 A.C.A. policies by 30 percent. This has mostly hurt middle-class families who have to pay full freight for health insurance because they make too much money to qualify for subsidies and don’t get coverage through their employer. Few experts were surprised when the Commonwealth Fund found that the percentage of American adults who did not have health insurance jumped to 15.5 percent this year, from 12.7 percent before Mr. Trump took office. Experts say those numbers could climb higher still when the penalty for not having insurance goes away next year.” [NYT, 5/3/18]

Commonwealth Fund: Rollback Of Health Insurance Gains Spurred By “Actions By The Current Administration.” “The marked gains in health insurance coverage made since the passage of the Affordable Care Act (ACA) in 2010 are beginning to reverse, according to new findings from the latest Commonwealth Fund ACA Tracking Survey. The coverage declines are likely the result of two major factors: 1) lack of federal legislative actions to improve specific weaknesses in the ACA and 2) actions by the current administration that have exacerbated those weaknesses. These include the administration’s deep cuts in advertising and outreach during the marketplace open-enrollment periods, a shorter open enrollment period, and other actions that collectively may have left people with a general sense of confusion about the status of the law. Signs point to further erosion of insurance coverage in 2019: the repeal of the individual mandate penalty included in the 2017 tax law, recent actions to increase the availability of insurance policies that don’t comply with ACA minimum benefit standards, and support for Medicaid work requirements.” [Commonwealth Fund, 5/1/18]

Center For American Progress: “Combined, The Recent Tax Law’s Repeal Of The Individual Mandate And The Administration’s Short-Term Plan Rule Will Undermine The Individual Insurance Market And Increase Premiums For ACA-Compliant Coverage.” “Last year, as part of the tax law, Congress eliminated the Affordable Care Act’s individual mandate penalty. Given the mandate’s important role in encouraging healthier people to enroll in the marketplaces, the Congressional Budget Office (CBO) estimates that, in 2019, this will increase average premiums in the individual market by 10 percent. Furthermore, in February 2018, the Trump administration proposed a rule to expand short-term health insurance plans… Along with the repeal of the individual mandate penalty, this expansion of short-term plans will drive up average premiums for ACA-compliant coverage in the individual market. Recent preliminary rate filings in Virginia demonstrate that these actions are contributing to significant premium increases for marketplace coverage in 2019. In fact, some Virginia insurers specifically cited the individual mandate repeal and short-term plan rule as major factors in their rate filings… Combined, the recent tax law’s repeal of the individual mandate and the administration’s short-term plan rule will undermine the individual insurance market and increase premiums for ACA-compliant coverage.” [CAP, 5/18]

New York Times: “Rather Than Trying To Eliminate Obamacare In One Fell Swoop, [Republicans Are] Trying To Undermine It With Multiple Acts Of Sabotage – While Hoping Voters Won’t Realize Who’s Responsible For Rising Premiums And Falling Coverage.” “At the beginning of 2017, Republicans promised to release the kraken on Obamacare — to destroy the program with one devastating blow. But a funny thing happened: Voters realized that repealing the Affordable Care Act would mean taking health insurance away from tens of millions of Americans. They didn’t like that prospect — and enough Republicans balked at the backlash that Obamacare repeal fizzled. But Republicans still hate the idea of helping Americans get health care. So instead of releasing the kraken, they’ve brought on the termites. Rather than trying to eliminate Obamacare in one fell swoop, they’re trying to undermine it with multiple acts of sabotage — while hoping voters won’t realize who’s responsible for rising premiums and falling coverage.” [NYT, 5/8/18]

Washington Post Editorial Board: “The Numbers Suggest That [The ACA’s] Critics’ Sabotage Efforts Are To Blame. “The effects of the president’s underinformed instincts, enabled by the ideologues in his administration, are beginning to show up in some of the numbers, representing real pain that Americans are suffering for Mr. Trump’s deficient leadership… Obamacare critics regularly describe all problems as the inevitable result of a poorly designed law. But the numbers suggest that the critics’ sabotage efforts are to blame. After impressive declines during President Barack Obama’s second term, the fund found that the uninsured rate increased in both of the years Mr. Trump has been in office. During the campaign, Mr. Trump regularly complained that the Affordable Care Act (ACA) left too many Americans uncovered. The result of nearly a year and a half of Mr. Trump’s leadership is 4 million people added to that group.” [Washington Post, 5/8/18]

Horizon Blue Cross Blue Shield of New Jersey: 2018 Premium Increase Was Due To Federal Policy.Three factors connected to federal policy decisions are responsible for 14.7% of the 24.3% total average individual premium increase: Weakened enforcement of the Individual Mandate…Elimination of federal funding for Cost Sharing Reductions (CSR), [and] 2018 reinstatement of Health Insurance Tax…Were it not for the three factors within the control of the Federal Government, Horizon BCBSNJ’s individual premiums would have an average increase of 9.6%.” [Horizon Blue Cross Blue Shield of New Jersey, 10/17/17]

CEO of CareFirst Blue Cross Blue Shield: Things Are “Materially Worse” Under Trump. “Continuing actions on the part of the administration to systematically undermine the market and make it almost impossible to carry out the mission…If continued efforts at the federal level undermine the marketplaces, I would think the board would have to examine what they would want — that’s very much on their mind.” [Washington Post, 5/1/18]

Lindsey Graham: Republicans “Own The Outcome” On Health Care. “Sen. Graham told Breitbart News, ‘In October, premiums are going up. Obamacare cannot be fixed. It’s going to continue to collapse, and then, we own the outcome. By repealing the individual mandate, which is a step forward in the eyes of the public, we own the issue. We have a responsibility to do something about the collapsing Obamacare system. I believe that we’re going to get blamed more than Democrats because we stopped trying to repeal Obamacare, and to suggest that we don’t own it is just simply politically naive.’ Graham continued, ‘It can hurt us in 2018. It can hurt by our base feeling like we betrayed them. It can hurt us from people suffering from Obamacare, like we don’t have a solution. It will energize Democrats. It can undercut everything we did on the tax cut side.’” [Breitbart, 2/6/18]

Rep. Charlie Dent: “We, The Republican Party…Own” Health Care Now. “Rep. Charlie Dent (R-Pa.) argued Friday that President Trump was ‘ill-advised’ to end key ObamaCare payments, warning that the GOP now ‘owns’ whatever happens to ObamaCare. ‘I think the president is ill-advised to take this course of action because … we, the Republican Party, will own this,’ Dent, a key House moderate who is retiring from Congress at the end of his term, said on CNN. Asked about Trump’s previous comments blaming problems with ObamaCare on former President Barack Obama, Dent pointed out that Republicans currently control the White House and have majorities in both chambers of Congress. ‘Barack Obama is a former president. President Trump is the president and he’s a Republican, and we control the Congress,’ Dent said. ‘So we own the system now. We’re going to have to figure out a way to stabilize this situation … This is on us.’” [The Hill, 10/13/17]

Washington Post: “The Pottery Barn Rule Comes To Mind: You Break It, You Own It.” “This is not ‘letting’ Obamacare fail. Many nonpartisan experts believe that these active measures are likely to undermine the pillars of the 2010 law and hasten the collapse of the marketplaces. The Pottery Barn rule comes to mind: You break it, you own it. Yes, the plate you just shattered had some cracks in it. But if you dropped it on the ground, the store is going to blame you.” [Washington Post, 10/13/17]

Washington Post: “Trump’s Not Going To Be Able To Avoid Blame For Kneecapping Obamacare.” [Washington Post, 10/13/17]

“After Months Of Pinning The Blame For Obamacare’s Shortcomings On Democrats And Watching His Own Party Fail To Act, President Donald Trump Just Took Ownership Of A Struggle That’s Consumed Republicans For Seven Years.” “After months of pinning the blame for Obamacare’s shortcomings on Democrats and watching his own party fail to act, President Donald Trump just took ownership of a struggle that’s consumed Republicans for seven years. Trump’s decision late Thursday to end government subsidies to insurers to help lower-income Americans afford to use their coverage under the Affordable Care Act was the most drastic step he’s taken to undermine his predecessor’s signature achievement. It also lobbed a live bomb into the laps of Republicans lawmakers 13 months before congressional elections after he publicly berated the party’s Senate leadership for being unable to keep a longstanding promise to repeal the law.” [Bloomberg, 10/13/17]

The American People Agree: President Trump And Congressional Republicans Are Playing Politics With People’s Health Care.  A poll conducted last September found that 61 percent of voters believed President Trump was “trying to make the Affordable Care Act fail,” and 64 percent of voters said Trump is “playing politics with people’s health care.” The poll also found that the American people seriously disapprove of how Republicans in Congress are treating health care: 80 percent of voters disapprove while only 20 percent approve. [Hart Research, 9/5/17]

Medicaid Expansion, Junk Plan Bans, and a Law to Shore Up the Marketplace: the ACA Has a Banner Week in the States

While congressional Republicans and their cheerleaders, like former U.S. Senator Rick Santorum, are on the verge of making another run at health care repeal, legislators and everyday citizens in states across the country this week took actions to expand health care access and shore up their marketplaces. Here’s what happened this week, from Virginia to California:

In Virginia, the state Senate joined with the House of Delegates, sending a measure to expand Medicaid to Gov. Ralph Northam to sign into law. The expansion will extend health insurance to 400,000 Virginians.

Richmond Times-Dispatch: Virginia Set To Expand Medicaid As Senate And House Back Budget Deal. “Six years after the U.S. Supreme Court left the decision to states on whether to expand their Medicaid programs under the Affordable Care Act, Virginia is about to extend health care coverage to hundreds of thousands of Virginians without it… [Republican State Senators Ben Chafin and Jill Vogel] defended their decisions as necessary to invest in core public services, while expanding health coverage to people who need it and the hospitals that provide it. ‘I came to the conclusion that ‘no’ just wasn’t an answer anymore,’ he said.” [Richmond Times-Dispatch, 5/31]

In New Jersey, the legislature acted to stabilize the state’s insurance marketplace by implementing a state-level individual mandate, following in the footsteps of Maryland, which passed stabilization measures last month. Congressional Republicans repealed the federal mandate in December’s tax bill, which, combined with the Trump Administration’s short-term plan regulations, had been projected to increase premiums in New Jersey by nearly 11%.

NJ.com: Phil Murphy Signs Law Protecting Obamacare From Trump With N.J. Mandate To Have Health Insurance. “Gov. Phil Murphy on Wednesday signed a law preserving a critical yet controversial part of the Affordable Care Act that President Donald Trump’s administration repealed last year… State Sen. Joseph Vitale, D-Middlesex, one of the prime sponsors of the law, said keeping the mandate ‘was needed to maintain a foundation for the insurance market and to allow the success of the ACA to continue.’ Trump’s actions ‘will usher in an era of higher health insurance costs for everyone and lower health coverage rates. We want to protect New Jersey from the negative impact,’ said state Sen. Troy Singleton, D-Burlington, also a sponsor. About 800,000 people obtained insurance coverage under the law — 500,000 through Medicaid and about 300,000 through a commercial plan.” [NJ.com, 5/30]

In Illinois, the state legislature is expected to implement a six-month limit on the Administration’s proposed short-term junk plans, restoring them to their original intention and protecting Illinoisans’ health and the state’s insurance marketplace. The move follows similar legislative actions in Hawaii and California, which is considering banning short-term plans entirely.

Chicago Tribune: Illinois Groups Push To Restrict Short-term Insurance, As Trump Administration Seeks To Expand It. “Dozens of Illinois advocacy groups, under the umbrella of the Protect Our Care Coalition, are supporting a bill that would impose a six-month limit on the use of short-term insurance plans — coverage originally meant to serve as a stopgap for consumers between health insurance plans, such as people changing jobs who can’t afford continued coverage under a previous employer’s plan or students taking a semester off school… Short-term plans can leave consumers in a lurch because they often don’t cover things like maternity care, pre-existing conditions, mental health or prescription medications. In addition to the six-month time limit, the bill would require warnings about what the plans do not cover to be read aloud to consumers buying the plans or featured on websites where they’re sold. The state Senate on Friday unanimously passed the bill.” [Chicago Tribune, 5/25]

Speaking of Medicaid expansion, Utah and Idaho both advanced ballot measures to expand Medicaid, too:

The Hill: Medicaid Expansion Qualifies For Ballot In Utah. “A measure to expand Medicaid under ObamaCare in Utah will appear on the ballot in November after it was certified as having enough signatures. Liberal groups hailed the announcement from the state’s lieutenant governor as they hope to make the deep-red state the 33rd to expand the health insurance program for the poor under the health law. Medicaid expansion would extend coverage to about 150,000 people in the state.” [The Hill, 5/30]

Associated Press: Medicaid Expansion Moves Closer To Possible Referendum. “A Medicaid expansion proposal has passed the signature threshold, officials confirmed on Thursday, but said further review is needed before it gets on the November ballot. Ada County Chief Deputy Clerk Phil McGrane says county clerks across the state have verified roughly 58,000 signatures that organizers submitted earlier this month.” [US News & World Report, 5/24]

In Maine, the Bangor Daily News Editorial Board called for the legislature to fund the state’s Medicaid expansion, which passed overwhelmingly in a referendum last fall:

Bangor Daily News: Lawmakers Must Fund Medicaid Expansion, Which Is The Law, ‘Not A Suggestion.’ “By expanding Medicaid, Maine will make insurance coverage available to as many as 80,000 Mainers. These are people who work but can’t afford health insurance or their employer doesn’t offer it. They are not poor enough or do not have a disability to qualify for Medicaid without an expansion. Under the Affordable Care Act, the federal government covers 90 percent of the cost. Maine is estimated to receive more than $525 million per year for a state investment of about $55 million annually, beginning in 2021, the first full year of implementation. Expanding Medicaid means thousands of Mainers who don’t have insurance will be able to access preventative care, vaccinations, addiction treatment, counseling and other needed care. It will also help stabilize the state’s hospitals, many of which are struggling financially.” [Bangor Daily News, 5/31]

And in Alabama, Jim Carnes, Policy Director of Alabama Rise, eloquently made the case for Medicaid expansion in an op-ed published by the Anniston Star:

Anniston Star: Expanding Medicaid Would Improve Alabama’s Health, Budgets And Economy. “The new Urban Institute report estimates that 314,000 Alabamians would enroll in Medicaid if Alabama extended eligibility to low-income workers. That would mean an additional $1.54 billion in federal funding surging into Alabama’s economy each year under the 9-to-1 federal match rate. It also would mean rural hospitals – like the one in Jacksonville that announced in May that it plans to close – would no longer be bleeding red ink through services to uninsured patients… In any other industry, the prospect of such gains would have political candidates of all stripes blowing trumpets and leading parades. And those other economic development plans wouldn’t have the added advantage that this one brings: giving people a new lease on life by helping them get the health care they need. Isn’t it time we broke the partisan gridlock on the coverage gap? Isn’t it time we demanded that anyone seeking to lead our state offer a vision of a healthier Alabama – and a path to getting there?” [Anniston Star, 5/29]

So while President Trump continued peddling lies about health care in Washington, D.C., states across the country continued the work of expanding health care access to hundreds of thousands of Americans. The ACA remains the law of the land, and its staying power shows it has become woven into the fabric of our nation’s health care system.

Protect Our Care Statement on Idaho Medicaid Expansion Ballot Question Success

Washington, D.C. – After Idaho health care advocates announced that they have collected more than enough signatures to get Medicaid expansion on the ballot this November, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“While Idaho Governor Butch Otter was working to sabotage the Affordable Care Act, the people of Idaho were quietly working to secure a vote on covering 62,000 more of their neighbors by expanding Medicaid. Today they succeeded. Republican-governed states would do well to take heed: when you actively work to make your constituents’ health coverage worse, citizens take matters into their own hands. Congratulations to the people of Idaho, and especially to the committed grassroots activists who secured today’s success. I couldn’t imagine a better way to cap off this year’s Medicaid Awareness Month.”

REACTION ROUNDUP: Despite “Wildly Illegal” Affordable Care Act End-Run, Trump Administration Urges Idaho to Continue Sabotage

Yesterday, the Trump Administration confirmed that Idaho’s Affordable Care Act end-run is wildly illegal. Even so, CMS encouraged Idaho to explore other ways to sabotage the law.

Here’s a roundup of reactions to the Trump Administration’s continuing bad faith on protecting Idahoans’ health care:

Idaho Statesman: “With Some Modifications, The Noncompliant Plans Could Be Turned Into Short-term Plans For Customers.”

“Verma said her agency was sympathetic to Idaho officials’ concerns, and said President Trump is ‘committed to doing everything in his power to increase competition, choice, and access to lower-priced, high-quality health care options for all Americans.’ ‘As you know, the Patient Protection and Affordable Care Act (PPACA) is failing to deliver quality health care options to the American people and has damaged health insurance markets across the nation, including Idaho’s,’ Verma wrote, noting that premium rates for coverage through the Idaho health insurance exchange have increased by more than 91 percent from 2014 to 2018, while insurance companies continue to incur losses. Verma also outlined some options that she believes Idaho could legally take under a recently proposed federal rule. That rule would expand the availability of short-term, limited duration health insurance by allowing consumers to buy short-term plans that would cover them for just under a year. She said that with some modifications, the noncompliant plans could be turned into short-term plans for customers.” [Idaho Statesman, 3/8/18]

Sen. Ron Wyden: “While They Claim To Be Upholding The Law, They Are Explicitly Inviting Idaho And Other States To Sell Short-term, Junk Insurance — The Exact Opposite Of The Protections Put In Place By The Affordable Care Act.”

“ObamaCare supporters were pleased but not overly impressed by the CMS move. ‘The Trump administration is talking out of both sides of their mouth,’ said Sen. Ron Wyden (D-Ore.). ‘While they claim to be upholding the law, they are explicitly inviting Idaho and other states to sell short-term, junk insurance — the exact opposite of the protections put in place by the Affordable Care Act.’” [The Week, 3/8/18]

New York Times: “Verma Said That Idaho Had Other Options And Could Perhaps Achieve Much Of What It Wanted To Do Under A Regulation Proposed Last Month By Mr. Trump.”

“While rejecting the Idaho plan in its current form, Ms. Verma encouraged the state to keep trying, and she suggested that ‘with certain modifications,’ its proposal might be acceptable… Ms. Verma said that Idaho had other options and could perhaps achieve much of what it wanted to do under a regulation proposed last month by Mr. Trump.” [New York Times, 3/8/18]

Washington Post: “‘We Sincerely Appreciate Your Dedication To The People Of Idaho And Your Efforts To Address The Damage Caused By The [ACA],” Said The Letter.”

“The four-page letter to Idaho Gov. C. L. “Butch” Otter (R) and Cameron, made public early Thursday evening, straddles the Trump administration’s antipathy for the ACA with its need to enforce the sprawling 2010 health-care law that is a path to insurance coverage for millions of Americans. ‘We sincerely appreciate your dedication to the people of Idaho and your efforts to address the damage caused by the [ACA],” said the letter, signed by CMS Administrator Seema Verma. The letter said the president is eager to give states ‘as much flexibility as possible under the law to address the unique needs of their health insurance markets.’” [Washington Post, 3/8/18]

Rep Frank Pallone: “The Administration Continues Its Many Efforts To Undermine The Law And Chip Away At Its Protections, Including By Encouraging Idaho To Sell Junk Plans In Another Way.”

“Democrats cheered the Trump administration’s decision, but they still criticized other actions HHS has taken in recent months to weaken the law. ‘Make no mistake, however, while this is the right decision, the Administration continues its many efforts to undermine the law and chip away at its protections, including by encouraging Idaho to sell junk plans in another way,’ said Rep. Frank Pallone of New Jersey, the top Democrat on the House Energy and Commerce Committee.” [Politico, 3/8/18]

Talking Points Memo: “Verma Notes In The Letter That Enforcing The ACA Is ‘Certainly Not Our Preference.”

“Verma notes in the letter that enforcing the ACA is “certainly not our preference,” and encourages Idaho to find ways within the letter of the law to accomplish the same goals. She specifically advises the state to look into creating short-term health insurance plans—which recently received the Trump administration’s blessing to be sold in violation of the ACA’s regulations. [TPM, 3/8/18]

Bloomberg: “The White House Has Suggested To Congress That People Should Be Able To Renew Short-term Plans Without Being Subject To Medical Underwriting, The Process By Which Insurers Can Exclude Or Charge More For Pre-Existing Conditions.”

“Idaho’s proposal has put the Trump administration in a position it has found itself in before: charged with upholding a law it wants to get rid of, and that it has taken active steps to dismantle. Verma left open the possibility that plans like the state was proposing could be sold in a different form. If they were offered as short-term policies instead of annual coverage, they might be allowable, she said. The administration has pushed short-term plans as a way to offer consumers less expensive, less comprehensive options. In her letter to Idaho authorities, Verma said that ‘with certain modifications, these state-based plans could be legally offered’ as short-term plans. The White House has suggested to Congress that people should be able to renew short-term plans without being subject to medical underwriting, the process by which insurers can exclude or charge more for pre-existing conditions.” [Bloomberg, 3/8/18]

CNN: “Verma [Said] That She Wanted To Work With Idaho And Other States To Repair The ‘Damage’ Caused By The Affordable Care Act.”

“However, Verma did say that she wanted to work with Idaho and other states to repair the ‘damage’ caused by the Affordable Care Act. She suggested that Idaho could legally implement many of its proposals through short-term health insurance plans, which don’t have to adhere to all of Obamacare’s rules. The Trump administration is on course to allow insurers to offer these plans for up to a year, rather than just three months.” [CNN, 3/8/18]

Modern Health Care: “Secretary Alex Azar Told Insurers Thursday That The Trump Administration Will Do What It Can ‘Within The Law’ To Let Insurers Offer More Affordable Plans That Don’t Meet ACA Requirements.”

“The Trump administration on Thursday unexpectedly shot down Idaho’s effort to let insurers sell health plans that don’t comply with the Affordable Care Act’s coverage mandates, thwarting conservative efforts to unravel the law’s consumer protections directly for now. But CMS Administrator Seema Verma indicated that Idaho and other states could achieve the same goal by refashioning such noncompliant health plans as short-term products, which the administration would allow under a controversial proposed rule. HHS Secretary Alex Azar told insurers Thursday that the Trump administration will do what it can ‘within the law’ to let insurers offer more affordable plans that don’t meet ACA requirements. In a letter to Idaho Republican Gov. Butch Otter and state Insurance” [Modern Health Care, 3/8/18]

Washington Times: Verma: “This Is Certainly Not Our Preference.”

“‘If a state fails to substantially enforce the law, the Centers for Medicare & Medicaid Services (CMS) has a responsibility to enforce these provisions on behalf of the State,’ Ms. Verma added. ‘This is certainly not our preference.’ She said Idaho, with some tweaks, might be able to offer similar plans under Mr. Trump’s bid to offer short-term plans for up to a year. There is a GOP effort to codify this change and let people renew these plans, setting up a parallel market for healthier people that could siphon valuable enrollees from Obamacare’s exchanges.” [Washington Times, 3/8/18]

Business Insider: Verma: Idaho’s Attempt “Was Admirable.”

“Verma said that while Idaho’s desire to bring down costs — the stated reason for the policy — was admirable, it was also illegal. ‘CMS is committed to working with states to give them as much flexibility as permissible under the law to provide their citizens the best possible access to healthcare,’ Verma said.” [Business Insider, 3/8/18]

The Hill: “Verma’s Letter Offered Alternatives To The State.”

“Verma’s letter offered alternatives to the state, including embracing a Trump administration move to allow different kinds of cheaper, skimpier insurance plans, known as short-term plans.” [The Hill, 3/8/18]

Vox: “The CMS Letter Did Include A Caveat That Provides Some Consolation To Republican Officials – In Washington And Boise – Who Want To Unwind Obamacare.”

“It is a victory for the rule of law, given how openly Idaho was defying the ACA. But the CMS letter did include a caveat that provides some consolation to Republicans officials — in Washington and in Boise — who want to unwind Obamacare. The state could conceivably tweak its proposal, Verma noted, to align with the Trump administration’s own proposed regulations to expand short-term insurance plans — which also do not have to comply with the ACA’s insurance regulations. It would be a back door to achieve the same end (providing an escape hatch from Obamacare for healthier customers, one that is likely to lead to higher premiums for those left behind in the law’s markets) and would be more clearly in line with the administration’s agenda.” [Vox, 3/8/18]

Idaho Reactions: Will Secretary Azar Uphold His Oath or Allow State to Blatantly Violate Federal Law?

Today, Blue Cross of Idaho announced that it will follow Republican Governor Butch Otter’s lead and violate federal law by offering insurance plans that don’t conform to the consumer protections mandated by the Affordable Care Act. Blue Cross of Idaho is leading the charge to take people back to a time when insurance companies could decide whether they were taken care of when they got sick, and it’s now incumbent upon the Trump Administration, specifically Health and Human Services Secretary Alex Azar, to uphold the law of the land – just as he swore to do upon assuming his Cabinet position. How is this announcement being treated so far?

American Cancer Society Cancer Action Network, American Diabetes Association, American Heart Association, American Liver Foundation, American Lung Association, Cystic Fibrosis Foundation, Epilepsy Foundation, Hemophilia Federation of America, Leukemia & Lymphoma Society, Lutheran Services in America, March of Dimes, Mended Little Hearts, Muscular Dystrophy Association, National MS Society, National Organization for Rare Disorders: “The Federal Government Must Uphold The Requirements Of Federal Law.” “Idaho’s insurance bulletin would allow insurers to sell individual market plans that do not comply with federal law. Because the Idaho Bulletin purports to authorize the issuance of insurance coverage that is prohibited by federal law, it is legally invalid… The federal government must uphold the requirements of federal law that protect patients, their families, and the health system against these consequences. On behalf of our patients, and all Americans, we urge you to make clear that Idaho cannot authorize the issuance of health insurance coverage that violates federal law, and that any insurer that issues such plans risks enforcement action and serious penalties.” [ACS-CAN, 2/14/18]

Los Angeles Times: “Not A Good Sign For The Rule Of Law.” “If he is serious about his duty to uphold the Affordable Care Act, Azar has no real option other than to nip the Idaho venture in the bud. He could have taken a strong stand during his appearance on Capitol Hill Wednesday, but failed. That’s not a good sign for the rule of law.” [LA Times, 2/14/18]

Business Insider: “HHS Is Required By The ACA To Step In And Take Over Regulation Of Any State That Does Not Meet Regulatory Standards.” “Blue Cross of Idaho announced Wednesday it would take advantage of the state’s new loophole for Affordable Care Act regulations, prompting questions over how the Trump administration will respond… HHS is required by the ACA to step in and take over regulation of any state that does not meet regulatory standards, and the department has done so in four states already.” [Business Insider, 2/14/18]

The Hill: The Proposed Plans Contain Features “Not Allowed.” “[The] proposal is legally questionable and has drawn backlash from Democrats who say he is simply ignoring federal law. The [plans] would charge people with pre-existing conditions more and have a limit of $1 million in claims per year, according to the Idaho Statesman. Both of those features are not allowed under ObamaCare… Democrats have been pressuring Secretary of Health and Human Services Alex Azar to step in to stop Idaho’s plan and enforce the law.” [The Hill, 2/14/18]

Washington Examiner: Proposed Plans “Put Pressure On The Federal Government To Step In And Enforce Rules.” “Many experts have questioned whether this would survive a legal challenge, because Obamacare requires plans sold on the law’s insurance marketplaces, which offer coverage on the individual market, to meet certain benefit requirements… Idaho’s action has put pressure on the federal government to step in and enforce rules that the Trump administration has pushed to repeal.” [Washington Examiner, 2/14/18]

Bloomberg: Proposed Policies “Are Specifically Forbidden.” “[The policies proposed] are specifically forbidden by the 2010 law. The move sets up a potential conflict with the federal government. While President Donald Trump has said he opposes the law and has taken steps to undermine it, the administration will have to decide whether to enforce legal requirements that remain on the books.” [Bloomberg, 2/14/18]

Washington Times: The Trump Administration “Is Responsible For Enforcing [The Law].” “The Idaho situation is a key test for the Trump administration, which still wants to repeal and replace Obamacare but is responsible for enforcing the 2010 law while it remains on the books… Obamacare’s defenders say the Idaho plan skirts the law completely, however, so HHS must act to preserve hard-won consumer protections. ‘It’s cruel, and it’s an illegal attempt to repeal our health care,’ Save My Care, a pro-Obamacare coalition, says in new ads running in Boise, Idaho, and the nation’s capital. ‘Call Health and Human Services Secretary Alex Azar. Tell him to block Governor Otter’s attack on our health care.’” [Washington Times, 2/14/18]

As a reminder, here’s what legal experts are saying about Idaho:

Tim Jost, Washington and Lee University School of Law Emeritus Professor: “What They’re Doing Is Completely Illegal.” “Both in terms of federal penalties and in terms of potential private lawsuits, they are taking on tremendous liabilities here. What they’re doing is completely illegal. It’s kind of jaw-dropping.” [Bloomberg, 2/14/18]

Larry Levitt, Kaiser Family Foundation Senior Vice President: “This Is Simply Not Allowed.” “Idaho is allowing health insurance plans that charge sick people more than healthy people, have an annual limit on coverage, and don’t cover maternity care. That’s simply not allowed under the ACA. If a state like Idaho is not enforcing the ACA’s insurance protections, the federal government is obligated to step in and enforce the rules…. If HHS does not step in and enforce the ACA’s insurance rules in Idaho, it won’t just be about Idaho. Other conservative states will no doubt then start to allow insurance plans that don’t comply with the ACA.” [Twitter, 2/14/18]

Will Secretary Azar follow the oath he swore to uphold just weeks ago? Or will he allow states to violate the very laws he pledged to uphold?

Protect Our Care Calls On Azar to Stand Up for Idahoans’ Coverage

After HHS Secretary Alex Azar dodged questions posed by the House Ways and Means Committee about an Idaho insurance company that intends to sell plans that violate Affordable Care Act minimum quality standards and protections for people with pre-existing conditions, saying “I’m not aware that our opinions or views have been solicited,” Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“Dodging the question won’t cut it: Secretary Azar needs to stand up and protect health care for the people of Idaho by stopping the state’s illegal plan to allow pre-Affordable Care Act coverage. This morning we learned that Blue Cross Idaho is trying to take Idahoans back to the days of coverage caps, when people with insurance still lived one illness or injury away from bankruptcy. Even worse, the company is planning to charge people higher premiums based on their medical history, bringing Idaho back to the days when insurers could discriminate against people with pre-existing conditions like asthma or cancer. Medical bankruptcy and coverage denials are exactly the kind of insurance company abuses the Affordable Care Act was designed to stop, and it has done so with popular provisions that most Republicans claim to support. Now, it’s time for Secretary Azar to stand up for the people of Idaho and enforce the law that’s designed to protect their care.”

Ignoring Obamacare Rules, Idaho ‘Freedom’ Plans Come With Limits

Bloomberg // Zachary Tracer // February 14, 2018

After Idaho’s Republican governor promised to find creative ways to get around Obamacare, one health plan in the state plans to offer skimpy coverage that may violate many of the law’s protections for patients.

Blue Cross of Idaho said Wednesday that it will offer insurance plans that don’t comply with some Affordable Care Act requirements. The plans, branded as “Freedom Blue” coverage, have limits on annual medical spending and will charge sicker people higher premiums or deny them coverage in some cases — policies specifically forbidden by the 2010 law.

The move sets up a potential conflict with the federal government. While President Donald Trump has said he opposes the law and has taken steps to undermine it, the administration will have to decide whether to enforce legal requirements that remain on the books.

“Both in terms of federal penalties and in terms of potential private lawsuits, they are taking on tremendous liabilities here,” said Tim Jost, an emeritus professor at the Washington and Lee University School of Law who has been critical of efforts to unwind the law. “What they’re doing is completely illegal. It’s kind of jaw-dropping.”

Trump’s Secretary of Health and Human Services, Alex Azar, said during a Senate hearing last year that he’d uphold the ACA as long as it remains law. Azar is testifying before Congress Wednesday. The department didn’t immediately respond to a request for comment.

Ways Around Law

In early January, Idaho Governor Butch Otter directed the state’s insurance regulator to find “creative ways” for health insurers in the state to offer more affordable coverage. Otter said the state planned to use flexibility offered by the Trump administration in an executive order, and that it had authority to do so. The insurance regulator issued guidelines for the plans later that month.

“The door is open for states to pursue our own reasonable solutions,” Otter said. “We believe Idaho will lead the way in states taking back control of their insurance markets.”

“Our Freedom Blue plans bring more choices and lower prices to consumers,” Blue Cross Idaho Chief Executive Officer Charlene Maher said in a statement.

The plans have a $1 million annual per-person limit to how much care the insurer will pay for. Some also don’t have to cover services like maternity care, and can charge more to people who are sicker after asking them extensive questions about their health.

While such policies were banned by the Affordable Care Act, Idaho plans to use the law as a backstop. If individuals end up with medical expenses that exceed the $1 million limit in the non-Obamacare plans, Idaho will require insurers to help them move into ACA plans, which don’t have limits on medical spending.


This Week In the War on Health Care — January 29 – February 2, 2018

While Washington focused on the State of the Union, the Trump Administration continued its unprecedented assault on the American health care system. Here’s what happened this week in Republicans’ war on health care – and why they’re losing battles to the American people:


During his State of the Union address, President Trump doubled down on the war on health care his administration and his Republican allies in Congress waged last year, saying he “repealed the core of disastrous Obamacare” — a widely debunked lie. He also failed to mention that:

The President then pivoted to the opioid crisis, attempting to take credit for addressing the epidemic. But in reality, Trump has done nothing to facilitate treatment for Americans struggling with addiction. In fact, his attacks on critical federal health care and opioid response programs stand to make the situation worse:

  • His public health emergency declaration speech freed up just $57,000, pathetically short of the billions experts say are desperately needed.
  • His Administration sabotaged Medicaid, which pays for one-fifth of all substance abuse treatment nationwide.
  • He proposed a 95% cut to the Office of National Drug Control Policy, which coordinates the federal opioid response – and he did so for the second year in a row.

Sadly, the Trump Administration is not only offering a pathetic response to the nation’s most urgent public health crisis, it’s actively sabotaging communities that are fighting to turn the tide on this deadly epidemic.


On Monday, former Big Pharma lobbyist Alex Azar was sworn in as the new secretary of Health and Human Services. Azar lied about the Trump Administration’s sabotage throughout his confirmation process, choosing to embrace the Republican agenda that takes coverage from millions of Americans, raises costs for millions more, and protections for people with pre-existing conditions.

Whether Azar upholds the oath he swore will soon be tested because of…


Negative reactions continued as experts digested Idaho Governor Butch Otter’s illegal proposed assault on the Affordable Care Act. University of Michigan law professor and former Department of Justice attorney Nicholas Bagley called such an action “crazypants illegal,” noting that Idaho, “appears to be claiming they do not have to adhere to federal law.”

What Secretary Azar does with this will be an excellent indicator of whether he plans to truly support the health of the American people, like he claimed, of if he will merely be another foot soldier in the Administration’s war on health care.


A new report from the Kaiser Family Foundation highlights massive increases in out-of-pocket medical costs for Medicare beneficiaries – costs that are projected to keep skyrocketing.

While President Trump has claimed he wants to lower costs, the reality is the opposite: he has consistently supported proposals making health care more expensive, from repeal legislation allowing insurance companies to charge people over 50 an ‘age tax’ with rates five times higher to the GOP tax scam set to raise premiums double digits. Seniors should rightly be furious, as are…


As GOP Members of Congress retreated to West Virginia, they were greeted by protesters furious about the ongoing war on health care:


And finally, yesterday was the scheduled final day of open enrollment. Despite the widespread attempts at sabotage by the Trump Administration, from cutting the sign-up period in half to dropping advertising by ninety percent, we have already reached 96% of last year’s enrollment total:

  • Nearly 8.8 million people signed up for coverage through HealthCare.gov.
  • Demand from new consumers outpaced new enrollments every single week of last year, with 2.5 million new people signing up for coverage.
  • Almost 6.3 million returning consumers actively renewed their coverage or were automatically re-enrolled compared to 6.2 million people last year.

This Week in the War on Health Care — January 22-26, 2018

This week, Washington was focused on shutdown drama, while in the background, the Trump Administration and Republicans across the country continued their unprecedented assault on the American health care system.

Here’s a what happened this week in Republicans’ war on health care – plus, read down to see how some states are fighting back.


This week, Senator Ted Cruz (R-Texas) told reporters Republicans need to “finish the job” and repeal the Affordable Care Act through budget reconciliation, and that he has been lobbying GOP senators who opposed repeal in 2017.

Apparently those efforts aren’t bearing much fruit: when asked about Cruz’s call to action, Senator Lisa Murkowski (R-Alaska) told reporters, “I don’t think we should be spending time trying to do repeal and replace of ObamaCare” in 2018.


Yesterday, Idaho Governor Butch Otter announced his (plainly illegal) intent to let insurance companies in Idaho sell bare-bone plans that don’t include the essential health benefits now required by the Affordable Care Act and again discriminate against people with pre-existing conditions. Experts were … confused:

And in Virginia, a State Senate committee rejected legislation to expand Medicaid on a party-line vote. Just two months ago, Virginians delivered sweeping victories to pro-Medicaid expansion candidates up-and-down the ballot, putting Ralph Northam in the governor’s mansion and flipping delegate seats across the state. A Washington Post exit poll found that 39% of Virginia voters listed health care as the number one issue in their vote. The Virginia GOP may have chosen to keep ignoring the will of the people, but thankfully, this week was only the beginning of Virginia’s fight for Medicaid expansion in 2018.


On Wednesday, Alex Azar became the Trump Administration’s new HHS Secretary. Throughout his confirmation process, Azar refused to acknowledge the Trump Administration’s ongoing Affordable Care Act sabotage, let alone promise to stop it and stand up for Americans’ health care. Instead, he embraced the Republican agenda to take coverage from millions of Americans, raise costs for millions more, and gut protections for people with pre-existing conditions. Right out of the gate, newly-confirmed Secretary Azar faces a major test: will he block Idaho’s attack against the law of the land, or drive HHS even further away from its mission to protect Americans’ health?

Meanwhile, in the wake of HHS’s quiet renewal of its public health emergency declaration, with little to show for the first 90 days, a member of Trump’s Opioid Commission said the Administration’s efforts to address the epidemic are “tantamount to reshuffling chairs on the Titanic.” Other leading advocates joined him to speak out against the Administration’s failure to address to the nation’s most pressing public health crisis:

CNN: Opioid commission member: Our work is a ‘sham’

The Republican-led Congress has turned the work of the president’s opioid commission into a “charade” and a “sham,” a member of the panel told CNN. “Everyone is willing to tolerate the intolerable — and not do anything about it,” said former Democratic Rep. Patrick Kennedy, who was one of six members appointed to the bipartisan commission in March. “I’m as cynical as I’ve ever been about this stuff.”

Vox: Trump has had a year to confront the opioid epidemic. He’s done almost nothing.

There has been no move by Trump’s administration to actually spend more money on the opioid crisis. Key positions in the administration remain unfilled, even without nominees in the case of the White House’s drug czar office and the Drug Enforcement Administration (DEA). And although Trump’s emergency declaration was renewed last week, it has led to essentially no action since it was first signed — no significant new resources, no major new initiatives.


On Tuesday night, Oregon residents issued a stern rebuke to the GOP’s war on health care. Oregonians went to the polls to vote on Measure 101, an initiative Republicans worked to get on the ballot, which could have denied health care to thousands of their fellow citizens. Instead, Oregonians “overwhelmingly approved” continuing the state’s successful Medicaid expansion. Oregon sent a clear message to the rest of the country: Republicans who continue sabotaging health care should be wary.

And in a sign of how dramatically the politics around health care have shifted, Wisconsin Governor Scott Walker, once an outspoken foe of the Affordable Care Act, has embraced a plan he says will strengthen the law in his state. The about-face comes soon after a national Protect Our Care poll showed that health care is a top priority for most voters going into the 2018 election cycle.

Idaho Republicans Attempt Illegal Health Care Sabotage

Washington, DC – In response to the news that Idaho intends to allow insurance companies to sell plans excluding essential health benefits mandated by the Affordable Care Act and again allow companies to discriminate against pre-existing conditions, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“With this proposal, Governor Butch Otter has put partisan politics and fealty to the insurance industry above the interests of the people of Idaho. This proposal opens the door for insurance companies to once again charge premiums based on Idahoans’ medical history, returning to the days of discrimination against those with pre-existing conditions. It also waives the Affordable Care Act requirement that insurers must cover essential health benefits, which include maternity care, prescription drug coverage and hospitalization. These consumer protections are not only critical components of the Affordable Care Act, they are among its most popular provisions. Since Republicans began their war on health care, election result after election result has shown the American people don’t want more restrictions on their health care. This move is cruel, short-sighted and illegal. If newly-confirmed HHS Secretary Alex Azar cares about health of the American people, as he claimed during his confirmation hearing, he must block Idaho’s attack against the law of the land, the Affordable Care Act.”