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HEADLINES: The Senate Version of the GOP Tax Scam Gets Worse By the Day

As Senate Republicans Race to Pass Their “Big, Ugly, Bill,” the Nonpartisan Congressional Budget Office Confirmed That Republicans Are Cutting $1 Trillion from Medicaid and Ripping Health Care From 17 Million To Fund Tax Breaks for Billionaires

As Senate Republicans worked through the weekend to push their “Big, Ugly Bill” to a vote, nationwide coverage continues to demonstrate just how devastating and unpopular this bill is for the American people. The House’s version of the bill was bad for health care and for ordinary Americans, but Senate Republicans managed to make it even worse, expanding the health care cuts and kicking even more hardworking Americans off their health care. New analysis from the nonpartisan CBO found that 17 million Americans would lose their health care – one million more than under the House’s version – and more than $1 trillion would be cut from Medicaid, confirming that Senate Republicans made the bill even worse for hospitals and Americans’ health care. 

Not only does this weekend’s coverage highlight how unpopular the bill is across the political spectrum, it calls out Republicans for their continued lies about what this bill would do. This bill gives billionaires and big corporations massive tax breaks by ripping health care from millions of children, seniors, people with disabilities, people fighting cancer or addiction, and hardworking families who don’t get coverage through their employers. Not only will people lose their care, hundreds of hospitals and nursing homes will shut down and middle-class and low-income Americans will face higher costs. The pressure is on so-called moderates like Senators Lisa Murkowski and Susan Collins to listen to the outcry from their states and  reject this devastating bill.

NATIONAL HEADLINES

New York Times: G.O.P. Bill Has $1.1 Trillion in Health Cuts and 11.8 Million Losing Care, C.B.O. Says 

  • Republicans’ marquee domestic policy bill that is making its way through the Senate would result in deeper cuts and more Americans losing health insurance coverage than the original measure that passed the House last month, according to new estimates from the Congressional Budget Office. According to a report published late Saturday night, the legislation would mean 11.8 million more Americans would become uninsured by 2034. Federal spending on Medicaid, Medicare and Obamacare would be reduced by more than $1.1 trillion over that period — with more than $1 trillion of those cuts coming from Medicaid alone.

Washington Post: Senate GOP Tax Bill Includes Largest Cut To U.S. Safety Net In Decades

  • The Senate Republican tax bill speeding to passage includes the biggest reduction of funding for the federal safety net since at least the 1990s, targeting more than $1 trillion in social spending. Although the legislation is still estimated to cost more than $3 trillion over the next decade, the Senate GOP tax bill partially pays for its large price tag by slashing spending on Medicaid and food stamps, which congressional Republicans maintain are rife with fraud.

KFF Health News: In a First, Trump and GOP-Led Congress Prepare To Swell Ranks of U.S. Uninsured

  • More than 26 million Americans lacked health insurance in the first six months of 2024, according to the Centers for Disease Control and Prevention. The uninsured are mostly low-income adults under age 65, and people of color, and most live in the South and West. The uninsured rate in the 10 states that, like Georgia, have not expanded Medicaid to nearly all low-income adults was 14.1% in 2023, compared with 7.6% in expansion states, according to KFF, a health information nonprofit that includes KFF Health News. Health policy researchers expect the number of uninsured to swell as the second Trump administration and a GOP-controlled Congress try to enact policies that explicitly roll back health coverage for the first time since the advent of the modern U.S. health system in the early 20th century. Under the “One Big Beautiful Bill Act” — budget legislation that would achieve some of President Donald Trump’s priorities, like extending tax cuts mainly benefiting the wealthy — some 10.9 million Americans would lose health insurance by 2034, according to estimates by the nonpartisan Congressional Budget Office based on a House version of the budget bill. A Senate version of the bill could result in more people losing Medicaid coverage, with reductions in federal spending and rules that would make it harder for people to qualify.

The Bulwark: A $1 Trillion Medicaid Cut Is THIS Close to Happening. Here’s What It’d Look Like 

  • Enid Rodriguez Medicaid can make, because it’s made a huge difference for her. […] “Medicaid has literally been a lifesaver,” she told me this week, when we met at the Community Care Clinic of Rowan County, where she used to get care. But there was a tinge of anxiety in her voice, because, she said, she is worried the cuts in Republicans’ One Big Beautiful Bill will leave her without coverage. “I wouldn’t be able to see the cardiologist who makes sure my heart is okay, the gastroenterologist who’s treating my gastrointestinal problems, the weight-loss specialist,” Rodriguez said. Medicaid isn’t perfect, she said, and she doesn’t expect government programs to provide everything she and her husband need. But, she said, “we shouldn’t have to work fifty-, sixty-hour weeks to pay our bills, and still struggle to take care of ourselves when it comes to our medical expenses.” But worry she must. Medicaid coverage for millions of Americans like Rodriguez is in jeopardy. In fact, it could be doomed in a matter of days.

Semafor: Senate Republicans Set Up Surprise Vote On Obamacare’s Medicaid Expansion

  • Senate Republicans are setting up a surprise vote within the next 24 hours that could effectively end Obamacare’s expansion of Medicaid for future recipients, with Majority Leader John Thune backing it. Thune’s endorsement aligns with key Senate conservatives who want even more aggressive Medicaid cuts in President Donald Trump’s party-line tax and spending cuts bill. The vote can pass with only three GOP defections — and if it succeeds, it could prompt a rebellion against the bill among House Republican moderates.

New York Times: Why a G.O.P. Medicaid Requirement Could Set States Up for Failure

  • The strict Medicaid work requirement at the center of the Republicans’ major policy bill wouldn’t just require millions of poor Americans to prove they are employed to sign up for health insurance. It would also require dozens of states to quickly build expensive and complex software systems to measure and track who is eligible. This new responsibility for states, whose existing Medicaid computer systems are often outdated, would be accompanied by reduced federal funding through other changes in the bill. The result, according to state officials, software developers and policy experts, could be major failures in state systems for enrolling people in Medicaid.

Politico: Trump Pollster Warns Senate GOP Against Deeper Medicaid Cuts

  • Jim McLaughlin, one of President Donald Trump’s top pollsters, said Hill Republicans should nix Senate Republicans’ deeper Medicaid cuts in the megabill or risk deep backlash from voters. “The Senate needs to go back to the House version on Medicaid in the [One Big Beautiful Bill Act], just like the president wants,” Jim McLaughlin, who runs McLaughlin & Associates, told POLITICO Saturday. He continued: “The working class Americans who gave President Trump his overwhelming victory as well as majorities in the House and Senate deserve nothing less.”

Politico: Louisiana Hospitals Warn Mike Johnson Of ‘Devastation’ From Megabill

  • Every major health system in Louisiana is warning Speaker Mike Johnson and the rest of the state’s congressional delegation that the Senate GOP’s planned Medicaid cuts “would be historic in their devastation.” The group sent the warning in a letter that also went to Majority Leader Steve Scalise and GOP Sen. Bill Cassidy, a physician who has also raised concerns about the cuts. The health systems said the Senate’s revised text hits states like Louisiana even harder than previous iterations and would slash more than $4 billion in Medicaid funding for the state’s health care providers.

IN THE STATES

ALASKA

  • New York Times: Opinion: Alaska Cannot Survive This Bill
  • Alaska Public Media: Legislators Argue Cuts In GOP Megabill Would Mean ‘Chaos’ For Alaska
  • Alaska Public Media: Advocates Worry ‘Big, Beautiful’ GOP Bill Would Push Alaskans Off Medicaid
  • Alaska Beacon: Alaska Becomes A Focus Of Last-Minute Changes To Big Federal Bill, As U.S. Senate Starts Debate
  • The Alaska Memo: The ‘Big, Beautiful’ Bill Is Big And Ugly For Alaska
  • Anchorage Daily News: Opinion: The Proposed Medicaid Cuts Would Be A Disaster For Alaska Health Care 
  • Anchorage Daily News: Opinion: Medicaid Isn’t Just For ‘Them.’ It’s A Lifeline For All Of Us. 

ARIZONA

  • ABC 15: Local Medicaid Recipient Reacts To Potential Cuts From Trump’s One Big, Beautiful Bill
  • Arizona Daily Star: Local Opinion: Medicaid Saved My Mother’s Life
  • Tucson Sentinel: GOP Leaders In U.S. Senate Struggle To Lessen Pain Of Medicaid Cuts For Rural Hospitals 
  • Arizona Copper Courier: Arizona Advocates Warn Against Republican Cuts To Kids’ Healthcare, Food Programs

KENTUCKY

MAINE

  • Newsweek: Susan Collins Gets Warning From Maine Voters – Poll
  • Maine Morning Star: Calling Medicaid A ‘Lifeline’ For Mainers, Health Advocates Urge Collins To Oppose GOP Budget Bill  
  • Maine Public: Health Care Advocates Say Medicaid Cuts Will Have Severe Impacts In Maine 
  • Fox23Maine / KIMA: State Rep. Urges Sen. Collins to Vote Against ‘Big, Beautiful Bill’ 
  • Maine Morning Star: Gov. Mills Warns Maine Cannot Absorb Cuts In Republicans’ ‘Big, Beautiful Bill’
  • News Center Maine: Sen. Susan Collins Votes To Move Trump’s ‘Big, Beautiful Bill’ Forward 
  • WGME: Maine Restauranters Speak Out Against GOP’s ‘Big, Beautiful Bill’ 
  • Bangor Daily News: Opinion: Rural Maine Can’t Afford Hospital Losses That Republican Reconciliation Bill Would Bring
  • Maine Public: Health Care Advocates Say Changes To ACA Marketplace Plans Threaten Maine’s Healthcare System
  • Portland Press Herald: Maine’s Hospitals Say They’re Under Threat By Proposed Medicaid Cuts

WEST VIRGINIA

  • Public News Service: Report: WV Small Business Labor Force At Risk From Medicaid Cuts 
  • WVVA: Two Local Hospitals Could Close Under ‘Big Beautiful Bill’, Study Says

Protect Our Care Launches Senate Accountability Effort in Key States

POC State Teams Will Target GOP Senators in ME, CO, NC, IA, AZ, GA, OH and AK in effort to Protect People with Pre-existing Conditions, Lower Health Care Costs, and Hold the Line Against Health Care Repeal and Sabotage

Washington, DC — Protect Our Care (POC), the group which successfully fended off the efforts of President Trump and Republicans to repeal the Affordable Care Act and then led the campaign to make it the defining issue of the 2018 elections, is launching its Senate accountability efforts. The program will focus on key states that are critical to holding the line against repeal and holding Republicans accountable for repeated attempts to sabotage health care.

Over the past two years, Protect Our Care maintained a significant presence in eighteen states and scores of congressional districts, where it used numerous tactics to lift up the success of the health care law and to defeat repeal including hundreds of events, protests and rallies; paid ads on television and social media; promoting the real health care stories of citizens; and a nationwide bus tour.

As the new congressional term gets underway with a Democratic majority in the House elected on the issue of health care, POC is kicking off its Senate accountability work in eight states — Alaska, Arizona, Colorado, Georgia, Iowa, Maine, North Carolina, and Ohio. POC’s state teams will work with in-state coalition partners and allies to put pressure on Republicans through earned media events, digital organizing, grassroots mobilization, rallies, protests, paid ads and other proven tactics. We will also mobilize the voices of people with pre-existing conditions, healthcare storytellers, and policy experts, so that these Republican Senators continue to hear from constituents from their home states.

“Health care is still the number one issue on the minds of voters and we’re going to continue to hold Republicans accountable for a repeal and sabotage agenda they simply can’t or won’t give up,” said Brad Woodhouse, executive director of Protect Our Care. “Whether these members have voted repeatedly for repeal, refuse to oppose President Trump’s sabotage of the law or voted for the tax scam bill which undermined the health care law while lining the pockets insurance and drug companies, we are going to make sure their constituents hear about it – loud and clear. Scores of Republicans paid the price in November for their anti-health care agenda yet those who remain are committed to repealing American health care or are turning a blind eye to the Trump administration’s sabotage of the law – and they simply must be held to account and that’s exactly what we intend to do.”

Over the last few weeks our state teams have:

State Leaders Praise Protect Our Care’s Agenda For “The Health Care Congress”

Health care activists and elected officials from across the country are praising Protect Our Care’s agenda for the 116th Congress that will lower costs and improve care for all Americans. Leaders in Arizona, Colorado, Iowa, North Carolina and Ohio are among those who have weighed in on the opportunity Congress has to build on the current health care law by making access to health care more affordable and accessible to all Americans.

 

Arizona Republic: Gallego, Kirkpatrick Call For ‘Health Care Congress’ To Fight For ACA. “The partisan battle over health care continued Tuesday as the liberal group ‘Protect Our Care Arizona’ demanded that Congress keep fighting for the Affordable Care Act amid ongoing attacks by President Donald Trump’s administration. Joined by Reps. Ruben Gallego and Ann Kirkpatrick, the Democratic coalition known for defending former President Barack Obama’s signature health-care-reform law — which critics on the right dubbed ‘Obamacare’ — called for the new 116th Congress to right the wrongs they say Republicans have done in the health-care realm. [AZCentral,1/30/19]

Tucson Weekly: Reps. Gallego And Kirkpatrick Talk Health Care.Ruben Gallego (CD-7) and Ann Kirkpatrick (CD-2), two Democratic representatives in U.S. Congress joined Alicia Held, an Arizona healthcare advocate, to talk about the state of health coverage in Arizona. They discussed what citizens can expect in the future during a press call hosted by Protect Our Care Arizona. Rep. Gallego said more than 20 million Americans have healthcare because of the Affordable Care Act, while Republicans have ‘waged a war’ against it. He said Democrats need to fight back in order to keep coverage for those who need it most. ‘Americans shouldn’t have to choose between paying for healthcare and buying groceries,’ he said.” [Tucson Weekly, 1/29/19]

Denver Westword: Attacking Outrageous Health-Care Costs In Colorado And Beyond.A new report released today suggests ways for the U.S. Congress to fight rising health-care costs. Meanwhile, Colorado Governor Jared Polis just signed an executive order creating what’s been dubbed the Office of Saving People Money on Health Care. Anne Shoup, communications director for Protect Our Care, a coalition in Washington, D.C. (with staff assigned to Colorado), that put out the report, ‘The Health Care Congress: Cost, Coverage, Consumer Protections,’ sees these efforts as both timely and complementary. As Shoup notes, ‘We’re calling on Congress to enact cost-saving measures for people, but it’s hard to say what we can actually get done…it’s encouraging to see a state like Colorado step forward to find ways to lower costs for its constituents.’” [Westword, 1/24/19]

Daily Iowan, Iowa Starting Line, Iowa State Daily: This Must Be The Health Care Congress. “Iowans and Americans have demanded access to quality, affordable coverage at the ballot box and millions in our state and across the country deserve to have this year’s Congress be the ‘Health Care Congress. What would that mean, for this to be the Health Care Congress? First,Congress should do everything possible to overturn last year’s federal court decision that struck down the ACA, which President Trump has repeatedly celebrated and which has faced virtually no opposition from Senator Ernst and other Republican members of Congress…the Health Care Congress also has to end the Republican war on people with pre-existing conditions…the Health Care Congress can and should strengthen Medicaid and Medicare. Aside from extending and increasing federal funding for Medicaid expansion, they can improve Medicare’s affordability by adding an out-of-pocket maximum for older Americans.” [The Daily Iowan, 1/24/19]

BlueNC: Protect Our Care Announces Health Care Agenda for New Congress. “This week, Protect Our Care unveiled their health care agenda for the new Congress. The agenda is detailed in a new report, which calls for bold Congressional action to defend the Affordable Care Act against Republican attacks, strengthen Medicaid and Medicare, lower costs, and enact further protections for individuals with pre-existing conditions. Congressman David Price and State Sen. Jay Chaudhuri joined Protect Our Care North Carolina on a press call yesterday discussing the report – The Health Care Congress: Cost, Coverage, Consumer Protections – and what it means for North Carolina. ‘The voters want us to protect their health care,’ Representative David Price said. ‘They want us to protect the Affordable Care Act…and they want us to do whatever it takes to bring affordable, good health care to all of our people.’ ‘In November…affordable health care was the top issue for North Carolinians,’ State Sen. Jay Chaudhuri said. ‘Republicans…have two options for how they will govern – they can work with Democrats to find common ground, or they can continue to carry out a highly partisan agenda.’” [BlueNC, 1/25/19]

Gongwer News Service: Advocates Urge Congress To Expand Health Care Access. “During a Columbus press conference, representatives from Protect Our Care Ohio and several allied groups touted the organization’s January report laying out the group’s health care priorities for Congress. Titled ‘The Health Care Congress: Cost, Coverage, Consumer Protections,’ the paper outlines several steps advocates argue would shore up health care options and lower treatment costs for residents of the Buckeye State. The group’s report comes a day after Gallup found that the percentage of U.S. adults without health insurance increased 1.3 percentage points in the fourth quarter of 2017 compared to a year before, representing the largest single-year increase measured by the polling firm and Sharecare since they began tracking the rate in 2008. ‘There are many things this Congress could be doing to improve care and lower costs,’ Protect Our Care spokeswoman Amanda Wurst said. ‘Republicans in the Congress need to end their continued attack on the Affordable Care Act and join their Democratic colleagues in protecting our care.’” [Gongwer, 1/28/19]

Hannah Report: Groups Urge Congress to Protect the Affordable Care Act, Health Care. “Advocates who favor the Affordable Care Act (ACA), also known as Obamacare, urged Congress Friday to take steps to protect health care for Americans, including for those with pre-existing conditions and people who enrolled in Medicaid thanks to the ACA’s expanded requirements. The groups, which include For Our Future, Protect Our Care Ohio, ProgressOhio, and the Universal Health Care Action Network (UHCAN) Ohio, said the biggest threat to health care is a federal lawsuit originating in Texas that saw a federal judge rule the ACA was unable to stand on its own after Congress eliminated the tax penalty for not having health insurance. But they said there are other threats to the law as well, including efforts by the Trump administration to weaken it. Amanda Wurst, the Ohio director of Protect Our Care, said at a press conference held Friday in Columbus that Congress can take other steps to help lower the cost of health care in addition to preserving protections for those with preexisting conditions.” [Hannah Report, 1/25/19]

Breaking: State-based Exchanges Break Enrollment Record

Washington DC — As reported by health care analyst Charles Gaba, the state-based exchanges have broken an all-time enrollment record despite the Trump administration’s relentless attempts to sabotage access to coverage. Brad Woodhouse, executive director of Protect Our Care, issued the following statement in response:

“Millions of Americans rely on the Affordable Care Act for quality coverage and today’s announcement is evidence that the American people want and need coverage through the exchanges despite constant sabotage from the Trump administration. The fact that states who manage their own marketplaces saw record-breaking numbers this year while federal marketplaces saw a substantial decline is all the evidence one needs to prove that President Trump’s repeal-and-sabotage agenda is hurting millions of Americans.”

 

BREAKING: State-based exchanges collectively break all-time enrollment record!

ACA Signups // Charles Gaba // January 30, 2019

 

 

With Covered California releasing their final, official 2019 Open Enrollment Period data, and the latest updates from New York (which still has 2 days to go) and Massachusetts (which wrapped up last week), I now nearly all 2019 OEP data on hand.

I say nearly all because there are still three numbers missing:

  • Vermont has yet to release any 2019 enrollment data. This is the 3rd year in a row that they’ve been radio silent. Assuming they’re close to last year (28,763 QHP selections), they should add around 28,000 to the national total.
  • New York still has 2 days left for people to #GetCovered. I’m going to assume they’ll tack on perhaps 5,000 more people today and tomorrow.
  • The District of Columbia hasn’t posted any updates since December 11th, which means not only do they still have 2 days for people to sign up, they’re actually missing a whopping 51 days worth of enrollment data. Again, assuming they wrap up close to last year, that should mean another 1,400 or so from DC.

Between the three, I’d expect another ~34,000 QHP selections to be tacked onto the totals below.

However, even without that, the 12 state-based exchanges have collectively broken their all-time record for ACA Open Enrollment, racking up more than 3,018,000 QHP selections this season.

Here’s what that looks like visually…and the contrast between the Federal Exchange and the State-Based Exchanges is dramatic:

  • After a dramatic enrollment increase in 2015 and a lesser increase in 2016, the 39 states hosted by HC.gov have seen a gradual, steady decline each year since. They closed out the 2019 Open Enrollment Period with 1.3 million fewer people having signed up than at their peak in 2016. Perhaps 200,000 or so of this was due to Louisiana and Virginia expanding Medicaid in recent years, but that does nothing to explain the other 1.1 million drop-off, which is almost certainly due to having the HC.gov marketing & outreach budgets being slashed to the bone, the Open Enrollment Period being cut in half and so forth.
  • Meanwhile, the 12 states which operate their own full ACA exchanges (and which have their own marketing/outreach budgets) saw less-dramatic increases in 2015 & 2016…but they’ve collectively stayed virtual dead even for every year since then. In fact, when the dust settles on the 2019 Period, I expect the 12 state-based exchanges to reach around 3.05 million QHP selections, which would be 1.5% higher than last year and 1.3% higher than their collective all-time high in 2017.

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]