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Protect Our Care Releases Agenda for The Health Care Congress: Lowering Cost, Expanding Coverage, Strengthening Consumer Protections

After Election Decided on Health Care, Leading Advocacy Group Launches Health Care Agenda and Campaign to Pass It

Washington DC — For over a year, health care has been the dominant issue for Americans of all backgrounds, and the millions of Americans across the country who went to the polls in the 2018 midterms to voice their outrage over the Republican war on health care confirmed it.  The mandate is clear: voters elected a “Health Care Congress” to lower costs and improve care. Today, Protect Our Care is releasing a comprehensive agenda for congressional action: The Health Care Congress: Cost, Coverage, Consumer Protections and kicking off a campaign in states and congressional districts across the country to pass it.

“This agenda is rooted in the voices of millions of Americans who took to the polls demanding affordable health care with strong protections for people with pre-existing conditions,” said Leslie Dach, chair of Protect Our Care. “Health care was the dominant issue in the 2018 midterms and is the number one issue voters want Congress to fix in 2019. Americans want common-sense solutions that lower costs of drugs, stop surprise medical bills, and end junk insurance plans. Americans want Republicans to stop putting the interests of drug and insurance companies above the people’s interest. Now is the time to roll back Republican sabotage and move forward.”

“This agenda outlines how Americans in overwhelming numbers rejected the war on health care being waged by President Trump and his Republican allies,” said Brad Woodhouse, executive director of Protect Our Care. “The Republican repeal and sabotage agenda, that has defined the Republican party for almost a decade, cost them scores of seats during the midterm election and paved the way for Democrats to protect our care. Now as we enter this new ‘Health Care Congress,’ Protect Our Care is poised to hold Republicans accountable, both in DC and in their home districts, all while promoting our own agenda. Voters sent a clear message in November, now we must remain focused on health care to expand coverage, increase protections and make care affordable.”

We hope the policy prescriptions outlined in this agenda will serve as the blueprint for action in 2019. Protect Our Care will distribute this agenda to every member of Congress and will launch campaigns in states and congressional districts across the country to get it passed. Employing the same tactics it used to defeat repeal, Protect Our Care will conduct events, stage protests, host town hall meetings, engage grassroots activists and mount digital and paid advertising campaigns in support of this health care agenda and the efforts of health care champions in the House and Senate to pass it.

Read the full report here. A summary of the agenda from the report can be found below.

 

Do Everything Possible to Overturn the Federal Court Decision that Struck Down the Affordable Care Act

  • Oppose the Texas ruling by a conservative federal judge in the Northern District of Texas that overturned the entire Affordable Care Act by passing a Senate Resolution to similar to the House measure that authorizes the House legal counsel to intervene in the lawsuit and oppose the Republican attorneys general, governors, and Trump Administration who are continuing the war on health care through the courts.

End the War on People with Pre-Existing Conditions

  • Stop insurance companies from selling junk health insurance that allows them to deny quality, affordable coverage to people with pre-existing conditions.  These kinds of short term plans should be limited to three-months with no option for renewal.
  • Guarantee protections for pre-existing conditions and essential health benefits. Require all health plans to cover the “essential health benefits” included in the law, ensure guaranteed issue and community rating, and prohibit insurance companies from imposing lifetime and annual limits on the amount of care a patient can receive.

Lower Costs

  • Lower the costs of prescription drugs. Pass legislation to allow Medicare to negotiate drug prices for all beneficiaries; end price gouging by requiring drug manufacturers to give notice and justify significant price increases; and require transparency of rebate amounts.
  • End surprise medical bills. 57 percent of Americans have received a surprise bill. Too many  people go to a hospital or Emergency Room that is in their network, but get billed for services provided out-of-network, subjecting them to huge bills, as much as six figures. Congress should pass legislation to end surprise medical bills and limit the amount a provider can charge to a negotiated rate.  
  • Expand financial assistance by expanding the eligibility for premium tax credits above 400 percent of the federal poverty limit and increase the size of the tax credit for all income brackets.
  • Expand services before deductibles, examples would include three primary care visits and one specialist visit that are not subject to a plan’s deductible.

End Republican Sabotage

  • Fully support Open Enrollment by restoring funding to the pre-Trump levels and making all information about ways to sign up for coverage easily accessible for everyone.
  • Oppose waivers that undermine the ACA and allow states to skirt key provisions of the law.

Strengthen Medicaid and Medicare

  • Improve Medicare’s affordability by adding an out-of-pocket maximum after which beneficiaries would be protected from additional costs; including prescription drugs in the limit on out-of-pocket spending; adding coverage for vision, hearing, and dental; and making cost-sharing more affordable.
  • Extend and increase federal funding for Medicaid expansion.

Conduct Oversight on Trump Administration Actions that Undermine The Affordable Care Act

  • Topics to conduct oversight on include the Trump Justice Department’s decision not to defend all of the Affordable Care Act in federal court, cuts to outreach and navigator funding, rules opening the door to junk insurance, 1332 guidance that allows federal funds to be used to purchase skimpy health plans, relationships between Administration political appointees and regulated industries, the administration’s push to encourage states to impose work requirements on Medicaid coverage, drug prices and pharmaceutical profits.

Trump, GOP War on Health Care Throws Children Under the Bus Study Finds

Washington DC — For the first time in a decade, the number of uninsured children nationwide has increased, up to 5 percent from 4.7 percent in 2016, according to a recent report released by Georgetown University Center for Children and Families. This historic reversal of progress comes on the heels of the Trump Administration’s continued sabotage of health care, plus Republican state officials’ stubborn refusal to expand Medicaid, despite widespread support. In response to the study, Brad Woodhouse, executive director of Protect Our Care, said:

“President Trump has led a Republican war on health care that has claimed many victims, but most shocking and appalling of all is its impact on our nation’s most vulnerable Americans: our children. After decades of progress, last year more than a quarter million more children were uninsured than in 2016 due to President Trump and the GOP’s repeal and sabotage agenda.  This is an outrageous display of the Trump Administration’s total disregard for Americans’ health care. Whether by voting to expand Medicaid or by voting to replace pro-repeal Republicans with health care champions, the American people have made it crystal clear that they don’t want to give up an inch of progress on health care anymore and they are demanding an end to the Republican war on health care.”

 

Key Reasons for the decline in children’s coverage:

Divergent State Policies Have Led To Vastly Different Changes In The Children’s Uninsured Rate Across States — For Instance, The Uninsured Rate For Children Increased At Triple The Rate In States That Did Not Expand Medicaid As It Did In States That Expanded Medicaid. “In previous years, states have moved in similar but not uniform directions, reflecting the many ways state policy decisions can impact eligibility and enrollment in Medicaid and the Children’s Health Insurance Program (CHIP). The absence of significant progress across the country suggests that even states with the best intentions were unable to withstand strong national currents to protect children from losing health coverage…Three-quarters of the children who lost coverage between 2016 and 2017 live in states that have not expanded Medicaid coverage to parents and other low-income adults. The uninsured rates for children increased at almost triple the rate in non-expansion states than in states that have expanded Medicaid.”

Trump And His Republican Allies Have Repeatedly Tried To Repeal And Sabotage The Affordable Care Act And Have Slashed Funding For Outreach. “These national currents include a lengthy and ultimately unsuccessful congressional effort to repeal the Affordable Care Act (ACA) and cap federal Medicaid funding, as well as an unprecedented delay by Congress that allowed CHIP funding to lapse temporarily. In addition, Congress repealed the ACA’s individual mandate and the Trump Administration made numerous efforts to undermine the ACA Marketplaces, including dramatically cutting outreach and enrollment grants and shortening the open enrollment period.

Trump’s Punitive Immigration Policy Deter Children From Enrolling In Medicaid And CHIP. “Finally, one-quarter of all children under 18 living in the United States have a parent who is an immigrant. Several policies targeting immigrant communities are likely deterring parents from enrolling their eligible children in Medicaid or CHIP despite the fact that most of these children are U.S. citizens.

“All of these changes in the national political and policy realm mark a sharp reversal after many years of successful efforts to reduce the uninsured rate for children and families.”

New Census Report: Trump-GOP Halts Progress of Improved Health Coverage

Things Will Go From Bad to Worse as Trump-GOP Doubles Down on Its Repeal-and-Sabotage Agenda

Washington, D.C. – The Trump Administration and Congressional Republicans have remained consistent in their crusade against access to affordable health care, and the latest Census data confirms that after annual declines between 2013 and 2016, it has stopped hard-won progress in reducing the number of uninsured Americans in its tracks. And with GOP House Whip Steve Scalise today joining Vice President Mike Pence and Congressional Republicans in pledging to bring health care repeal back for a vote the minute they get a chance, it’s clear that Trump-GOP sabotage will only continue to wreak havoc on seniors, children, people with disabilities, women and working families across America.

Leslie Dach, chair of Protect Our Care, issued the following statement in response:

“Make no mistake, the Trump Administration and GOP have actively tried to rip health coverage away from millions of Americans and his alarming data will only get worse over time.  Republicans sabotaged open enrollment, created chaos in the insurance markets, and raised health care costs for millions.and pledge to continue to take health care away from millions moving forward. As long as the Trump-GOP war on health care continues, the American people will once again be left to suffer.”