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Protect Our Care Fact Sheet on Health Repeal in Senate Tax Bill

Senate Republicans just passed a tax bill that repeals your health care to pay for another massive tax break for the wealthiest and corporations. What this means is simple: while the wealthy and corporations get a tax break, middle-class families will get double digit premium increases, 13 million people will lose their coverage, older Americans will get an age tax and $25 billion in Medicare funding will be cut.

SENATE REPUBLICANS JUST VOTED TO REPEAL HEALTH CARE — RAISING PREMIUMS BY DOUBLE DIGITS FOR MIDDLE CLASS FAMILIES, RIPPING AWAY COVERAGE FOR 13 MILLION AMERICANS, IMPOSING AN AGE TAX ON OLDER AMERICANS AND GUTTING MEDICARE BY $25 BILLION — ALL TO PAY FOR SPECIAL TAX BREAKS FOR MILLIONAIRES AND BIG CORPORATIONS

Congressional Budget Office: Republican Tax Bill Will Result In 13 Million More Uninsured People. “The number of people with health insurance would decrease by 4 million in 2019 and 13 million in 2027.” [CBO, 11/8/17]

CBO: Average Premiums Will Increase By 10 Percent In Most Years Of The Next Decade Due To The Republican Tax Bill. “Average premiums in the nongroup market would increase by about 10 percent in most years of the decade (with no changes in the ages of people purchasing insurance accounted for) relative to CBO’s baseline projections.” [CBO, 11/8/17]

CBO: Healthier People Less Likely To Purchase Health Coverage, Raising Costs For Everyone Else. “Those effects would occur mainly because healthier people would be less likely to obtain insurance and because, especially in the nongroup market, the resulting increases in premiums would cause more people to not purchase insurance.” [CBO, 11/8/17]

AARP: Premiums For People Over 50 Would Increase Up To $1,500 Because Of Health Care Repeal In The Republican Tax Bill. “The Tax Cuts and Jobs Act as reported by the Senate Finance Committee on Nov. 16, 2017 includes a new provision that would both reduce health care coverage and increase costs for millions of Americans. Older adults ages 50–64 would be at particularly high risk under the proposal, facing average premium increases of up to $1,500 in 2019 as a result of the bill.” [AARP, 11/21/17]

CBO: Republican Tax Bill Would Trigger A $25 Billion Cut To Medicare. “Without enacting subsequent legislation to either offset that deficit increase, waive the recordation of the bill’s impact on the scorecard, or otherwise mitigate or eliminate the requirements of the PAYGO law, OMB would be required to issue a sequestration order within 15 days of the end of the session of Congress to reduce spending in fiscal year 2018 by the resultant total of $136 billion. However, the PAYGO law limits reductions to Medicare to four percentage points (or roughly $25 billion for that year), leaving about $111 billion to be sequestered from the remaining mandatory accounts.” [CBO, 11/14/17]

Sen. Marco Rubio (R-FL): Republicans Need To Cut Medicare Next To Pay For Tax Cuts. “‘I analyze this very differently than most,’ Rubio told the crowd. ‘Many argue that you can’t cut taxes because it will drive up the deficit. But we have to do two things. We have to generate economic growth which generates revenue, while reducing spending. That will mean instituting structural changes to Social Security and Medicare for the future,’ the senator said.” [Financial Advisor Magazine, 11/30/17]

Center On Budget And Policy Priorities: “Senate Tax Bill Would Add 13 Million To Uninsured To Pay For Tax Cuts Of Nearly $100,000 Per Year For The Top 0.1 Percent.” “The savings from eliminating the mandate would come entirely from reducing health coverage. For example, the federal government would spend less on premium tax credits because fewer people would sign up for marketplace coverage, less on Medicaid because fewer people would enroll, and less on the tax exclusion for employer-sponsored health insurance because fewer employees would enroll in job-based coverage. These savings are what let Senate leaders make their full corporate rate cut permanent…The benefits of corporate rate cuts go overwhelmingly to high-income households.” [CBPP, 11/15/17]

PASSING ALEXANDER-MURRAY AFTER VOTING FOR REPEAL IS LIKE INSTALLING GUARDRAILS ON THE HIGHWAY AFTER YOUR CAR HAS GONE OVER THE CLIFF

CBO: Passing Alexander-Murray After The Repeal Of The Individual Responsibility Provision Would Not Undo The Damage. “In your letter of November 21, 2017, you asked about the combined effects of simultaneously passing the BHCSA and legislation that would repeal the requirement that most U.S. citizens and noncitizens who lawfully reside in the country have health insurance meeting specified standards. Specifically, you asked if legislation that combined the provisions would change the agencies’ previous estimates of the number of people with insurance coverage or premiums in the nongroup insurance market. In the estimate for the BHCSA, the agencies wrote that, relative to the Summer 2017 baseline, the legislation would not substantially change the number of people with health insurance coverage, on net.” [CBO, 11/29/17]

There Is No Guarantee Alexander-Murray Would Pass The House, Let Alone Become Law. There is no guarantee Alexander-Murray would pass the House, let alone become law. Speaker Ryan dodged questions about its fate in the House. House conservatives called it a “nonstarter.” And President Trump has been all over the map on this issue his word cannot be trusted.

THE LEADING EXPERTS — PATIENT GROUPS, INSURERS, DOCTORS AND HOSPITALS — AND MORE THAN 2,400 FAITH LEADERS AND THE AMERICAN PEOPLE OPPOSE HEALTH REPEAL

American Cancer Society Cancer Action Network, American Diabetes Association, American Heart Association, And 16 More Leading Patient Groups: People With “Serious Health Care Needs” And With Pre-Existing Conditions “May Not Be Able To Afford Coverage.” “Many individuals with serious health care needs, including patients with chronic or major health conditions, who by definition, have a pre-existing condition, may not be able to afford coverage.” [The Hill, 11/28/17]

America’s Health Insurance Plans, American Academy Of Family Physicians, American Hospital Association, American Medical Association, Blue Cross Blue Shield Association, Federation Of American Hospitals: Leading Industry Groups Warn Of “Serious Consequences” Should The Mandate Be Repealed. “As providers of healthcare and coverage to hundreds of millions of Americans, we are committed to assuring everyone has access to a range of high quality, affordable coverage options so they can access the care they need, regardless of pre-existing conditions. To achieve this critical goal, we are urging you to maintain the individual mandate unless and until Congress can enact a package of reforms to adequately assure a balanced risk pool and prevent extraordinary premium increases.” [Letter, 11/14/17]

More Than 2,400 Faith Leaders: “That The Number Of Uninsured Individuals Would Increase By 13 Million By 2025…Violates Our Faith Teaching.” “The individual mandate is critical to keeping individual market coverage affordable and keeping the individual market stable. By repealing the individual mandate, legislation will cause catastrophic losses in health coverage. The CBO estimates that the number of uninsured individuals would increase by 13 million by 2025, which violates our faith teaching.” [Letter, 11/29/17]

Protect Our Care Statement on Senate Passage of Motion to Proceed

In response to the Senate voting to proceed on the GOP tax bill, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“Senate Republicans, with the enthusiastic support of President Trump, just voted to advance a bill that would rip away health coverage from 13 million people, raise premiums on millions more, impose an age tax on older Americans and slash Medicare by $25 billion,” said Woodhouse. “They are doing so to give tax breaks to golf resorts, private jet owners, the idle rich and multi-national corporations, all while raising taxes on the middle class. This bill is beyond terrible policy — it will devastate the lives of millions. This sneaky health care repeal scam is opposed by a coalition of nineteen leading patient groups and more than 2,400 faith leaders, as well as the vast majority of Americans. As this bill moves forward in the Senate, we will hold Members accountable for repealing the health care of the American people to give tax breaks to billionaires and big corporations.”

Protect Our Care Statement on CBO Analysis Confirming That Alexander-Murray Will Not Solve the…

In response to new findings from the nonpartisan Congressional Budget Office which determine that Alexander-Murray will have little effect on the country’s health care marketplace if the GOP goes through with their sneaky repeal, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“This confirms what every policy expert has been saying for weeks,” said Woodhouse. “Alexander-Murray means nothing if health care is repealed, and make no mistake, the GOP tax bill would do just that. Sneaky repeal would be disastrous, unnecessarily harming middle-class Americans, wrecking the country’s health care marketplace and cutting Medicare all to provide a tax cut to the wealthiest and corporations.

“Passing Alexander-Murray after voting for repeal is like installing guardrails on the highway after your car has gone over the cliff. It’s useless. Every Senator who doesn’t want to harm our nation’s health should vote against it.”

Will Alexander-Murray Become Law? Not According to GOP Elected Officials

Some GOP Senators, notably Susan Collins (R-ME) and Lisa Murkowski (R-AK), have begun floating the notion that their support of the GOP tax bill — which will kick 13 million people off of their insurance, raise premiums by double digits for millions more and trigger a $25 billion cut to Medicare all to give a tax breaks to the wealthiest and corporations — is contingent on Alexander-Murray being signed into law. However, the nonpartisan Congressional Budget Office found that pairing the Alexander-Murray bill with the repeal of the individual responsibility provision will still result in 13 million fewer people with coverage and double-digit premium increases. Moreover, it’s important to note who has expressed doubt this will happen: a lot of Republicans whose support is necessary for it to be signed into law.

House Republicans, from Speaker Paul Ryan on down, have voiced their opposition to Alexander-Murray. GOP Senators have expressed skepticism that Alexander-Murray could pass the House. And President Trump, who now claims to support it, previously opposed it, which he clarified after hinting at his support, which came after his initial opposition.

The tax bill might be voted on with a promise that Alexander-Murray will become law. Does that really seem like a promise that can be kept?

HOUSE REPUBLICANS HAVE VOICED OPPOSITION AT THE ALEXANDER-MURRAY BILL

House Speaker Paul Ryan (R-WI): “The Speaker Does Not See Anything That Changes His View That The Senate Should Keep Its Focus On Repeal And Replace Of Obamacare.” “‘The speaker does not see anything that changes his view that the Senate should keep its focus on repeal and replace of Obamacare,’ Ryan spox Doug Andres says.” [Tweet, 10/18/17]

Rep. Mark Meadows (R-NC): CSRs Without Full Repeal “Pretty Much A Nonstarter.” “Still, some Republicans are skeptical of any bill that isn’t repeal. ‘It depends on what it is,’ said House Freedom Caucus Chairman Mark Meadows (R-N.C.). ‘The biggest thing I see with most of what they’re talking about is just extending … [subsidy] payments. And … [subsidy] payments without a transition to something that lowers premiums is pretty much a nonstarter.’” [Politico, 9/28/17]

Rep. Mark Walker (R-NC): “This Bailout Is Unacceptable.” “Rep. Mark Walker of North Carolina, chairman of the conservative Republican Study Committee in the House, quickly denounced the deal over Twitter: ‘The GOP should focus on repealing & replacing Obamacare, not trying to save it. This bailout is unacceptable.’” [Associated Press, 10/17/17]

Rep. Dave Brat (R-VA): “No Way.” “Rep. Dave Brat (R-VA), a member of the hardline House Freedom Caucus, told The Daily Beast in a phone interview. ‘[Alexander-Murray], as it is? No way. It’s not even in the ballpark.’” [The Daily Beast, 10/19/17]

Rep. Dave Brat (R-VA): “Right Now It’s A Nonstarter.” “House conservatives appear united in opposition to the health care stabilization proposal crafted by Sens. Lamar Alexander and Patty Murray. ‘Right now it’s a nonstarter,’ House Freedom Caucus member Dave Brat said Tuesday during a Conversations with Conservatives press event.” [Roll Call, 10/24/17]

Reps. Jim Jordan (R-OH), Scott Perry (R-PA), Mark Walker (R-NC), Matt Gaetz (R-FL): All Oppose Alexander-Murray Agreement. “Brat, Freedom Caucus members Jim Jordan and Scott Perry, Republican Study Committee Chairman Mark Walker and Rep. Matt Gaetz all spoke to their opposition to the bipartisan accord. One aspect of the plan that conservatives oppose is the funding of cost-sharing reduction subsidies that the federal government pays to insurance companies to keep costs down for low-income individuals.” [Roll Call, 10/24/17]

Rep. Jim Jordan (R-OH): “We Should Not Be Funding The CSRs.” “‘It is a problem,’ Ohio Rep. Jim Jordan said. ‘We should not be funding the CSRs.’” [Roll Call, 10/24/17]

Rep. Ralph Norman (R-SC): “It’s An Insult For The Insurance Companies To Be Getting Subsidies.” “South Carolina Rep. Ralph Norman added: ‘It’s an insult for the insurance companies to be getting subsidies. It really is.’” [Roll Call, 10/24/17]

EVEN REPUBLICAN SENATORS HAVE EXPRESSED SKEPTICISM THAT THE ALEXANDER-MURRAY BILL COULD PASS THE HOUSE

Sens. Lindsey Graham (R-SC) and Bill Cassidy (R-LA): Alexander-Murray “Will Not Pass Unless Concerns Of The House Are Addressed.” “However, we recognize this short-term stabilization will not pass unless concerns of the House are addressed… Without a stabilization package, the market will collapse and advance premium tax credits will spike. This would increase the costs to the American taxpayer.” [Lindsey Graham Statement, 10/19/17]

Sen. Roy Blunt (R-MO): “I Don’t Know” If Alexander-Murray Could Pass The House. “Sen. Roy Blunt, R-Mo., a member of the Senate GOP leadership, said he believes the Senate could pass a bipartisan health care fix but wasn’t sure if it could clear the House or get President Trump’s signature. ‘I believe they’ll be able to come up with a proposal, and a number of senators will sponsor it,’ Blunt, R-Mo., said of the negotiations between Alexander and Murray. ‘I don’t have a sense of where the president’s going to wind up or where the House is. I think the Senate would likely be able to get something done there. But whether the other two essential players are willing to go in that direction, I don’t know.’” [Tennessean, 9/29/17]

AND PRESIDENT TRUMP FLIP-FLOPS ON HIS SUPPORT FOR ALEXANDER-MURRAY TOO MUCH TO BE TRUSTED

President Trump: “Senator Mike Rounds Of South Dakota Quoted Trump As Telling Republican Senators, ‘I Support The Alexander-Murray Bill.’” “Senator Mike Rounds of South Dakota quoted Trump as telling Republican senators, ‘I support the Alexander-Murray bill.’ ‘He actually made it very clear that he supported the Alexander-Murray bill,’ Rounds said of the president’s remarks during a luncheon meeting with senators. ‘He sees it as a transition away from Obamacare.’” [Bloomberg, 11/28/17]

President Trump: “I’m Not Going To Do It.” “So when I knocked out the hundreds of millions of dollars a month being paid back to the insurance companies by politicians — I must tell you — that wanted me to continue to pay this, I said I’m not going to do it. This is money that goes to the insurance companies to line their pockets, to raise up their stock prices. And they’ve had a record run. They’ve had an incredible run, and it’s not appropriate.” [Politico, 10/18/17]

President Trump: “Congress Must Find A Solution To The Obamacare Mess Instead Of Providing Bailouts To Insurance Companies.” “While I commend the bipartisan work done by Sens. Alexander and Murray — and I do commend it — I continue to believe Congress must find a solution to the Obamacare mess instead of providing bailouts to insurance companies.” [Politico, 10/18/17]

President Trump: “I Can Never Support Bailing Out Ins Co’s Who Have Made A Fortune W/ O’Care.” “I am supportive of Lamar as a person & also of the process, but I can never support bailing out ins co’s who have made a fortune w/ O’Care.” [Tweet, 10/18/17]

President Trump: “For A Period Of One Year, Two Years, We Will Have A Very Good Solution.” “‘Alexander said the president had encouraged his efforts in phone calls over the past two weeks. And at the White House, Trump responded positively, expressing optimism that Republicans would ultimately succeed in repealing Obamacare, but until then, ‘For a period of one year, two years, we will have a very good solution.’ ‘It is a short-term solution so that we don’t have this very dangerous little period, including a dangerous period for insurance companies, by the way,’ he said during a Rose Garden press conference.” [Associated Press, 10/17/17]

Protect Our Care Statement on Tax Bill Passing Out of Senate Budget Committee

In response to the news that the Senate Budget Committee voted 12–11 to advance the GOP tax bill, Protect Our Care Campaign Director Brad Woodhouse issued the following statement:

“This bill is a disgrace,” said Woodhouse. “It repeals our health care in order to give billionaires and corporations a massive tax break. It was crafted in secret, on a purely partisan basis, with no expert input, and its provisions are opposed by every major health group in America. This bill would kick 13 million Americans off of their insurance, raise premiums across the board, trigger a $25 billion cut to Medicare and further destabilize the insurance markets.

“If this bill passes, it is tantamount to repealing the Affordable Care Act. President Trump’s support for the Alexander-Murray bill is a sham. Alexander-Murray does nothing to make up for the damage the Senate bill causes and everyone knows that, including its authors. Even more cynically, the House leadership does not support the bill and House conservatives have referred to it as a ‘nonstarter.’

“This bill will rip health care away from millions and raise costs for millions more, hammering older Americans and people in rural areas. The consequences for middle-class Americans will be enormous. Shame on any senator who supports it.”

WTAIS (WHAT THE ADMINISTRATION ISN’T SAYING) ABOUT HEALTH REPEAL IN THEIR TALKING POINTS

We came across the White House’s talking points on the Senate tax scheme, which included a section supporting the provision that repeals our health care.

Here is what the administration isn’t saying:

  1. 13 million more people won’t have health insurance. The Congressional Budget Office (CBO) estimated repeal of the individual responsibility provision would result in 13 million more people without health coverage.
  2. Millions more people will see their premiums increase double digits. CBO also said premiums would increase 10 percent next year if the repeal provision were law.
  3. Repeal would hurt rural areas, including Alaska, Iowa, Missouri, Nebraska, Nevada and Wyoming. An LA Times analysis found that the health repeal provision in the Senate Republican tax scheme would “derail insurance markets in conservative, rural swaths of the country…That could leave consumers in these regions — including most or all of Alaska, Iowa, Missouri, Nebraska, Nevada and Wyoming, as well as parts of many other states — with either no options for coverage or health plans that are prohibitively expensive.”
  4. Many middle class people would see any tax cut they might get wiped away with higher premiums. As Sen. Susan Collins (R-ME) said, “The fact is that, if you do pull this piece of the Affordable Care Act out, for some middle-income families, the increased premium is going to cancel out the tax cut that they would get.”

Here is what they are saying — White House Talking Points:

Tax Reform Talkers

State of Play

  • Republicans have a once-in-a-generation opportunity to deliver historic tax reform for the American people.
  • In survey after survey, the American people say they trust Republicans more on the economy than Democrats.
  • This is Congress’s opportunity to show that trust is well-placed.
  • The economy is revving up because of the President’s pro-growth, pro-American jobs agenda — including his historic efforts to eliminate crushing regulations — but also in anticipation of our plan to cut taxes for the middle class and American businesses.
  • Now is the time to deliver.
  • This tax reform plan expands economic opportunity so that every American has a chance to reach their dreams.
  • That’s what this is all about: empowering American families to build a better life for themselves and their children.

Individual Mandate

  • The President supports repealing the individual mandate as part of the tax reform plan.
  • The mandate — which the Supreme Court ruled is a tax — disproportionately hits the lower- and middle-income families to whom we are working to provide relief.
  • 79% of people who paid the penalty had household income below $50k.
  • 86% of the penalties collected were from people in households with less than $100k.
  • The President’s priorities have been consistent:
  • Tax cuts for middle-class families,
  • Simplifying the tax code for all,
  • Slashing taxes for businesses of all sizes so they can grow, create jobs, raise wages for their workers, and compete in the global marketplace.
  • We support using the savings from repealing the individual mandate to provide additional economic growth and tax relief for hardworking American families.

Johnson Amendment

  • The President has maintained all along that he would like to see the Johnson Amendment repealed.
  • That is why earlier this year he signed an executive order establishing that, among other things:
  • It shall be the policy of the executive branch to vigorously enforce Federal law’s robust protections for religious freedom.
  • All executive departments and agencies (agencies) shall, to the greatest extent practicable and to the extent permitted by law, respect and protect the freedom of persons and organizations to engage in religious and political speech.
  • If Congress is able to use the tax bill as a vehicle to repeal the Johnson Amendment, the White House would support it.

Delay of Corporate Rate Cut

  • Cutting our corporate tax rate from 35% — the highest among our economic competitors — to 20% — among the lowest — will level the playing field for American companies so they can dominate their global competition.
  • This will be an infusion of rocket fuel into the economy, empowering companies to more quickly create jobs and raise wages.
  • However, even if it does not go into effect until 2019, many other important changes will go into effect on January 1st and drive massive economy growth.
  • Most notably, businesses will immediately be able to deduct 100% of the money they spend on capital investments for at least the next five years.
  • This will empower manufacturers to buy the heavy machinery they need to grow and thrive in America.

House and Senate Bill Differences

  • The legislative process is working exactly how it is supposed to, and both bills achieve the President’s priorities:
  • Tax cuts for middle-class families,
  • Simplifying the tax code for all,
  • Slashing taxes for businesses of all sizes so they can grow, create jobs, raise wages for their workers, and compete in the global marketplace.
  • Bringing back trillions of dollars American companies currently have parked overseas.
  • We are on pace to deliver a Christmas present to the American people in the form of a massive tax cut.

Small Businesses / Pass-Throughs

  • Both bills reduce the tax burden on businesses of all sizes — regardless of their structure. The bills help everyone from mom and pop shops to Main Street businesses to large manufacturers and other job creators.
  • The House bill lowers tax rates on pass-through business income to 0%, 12% and 25% — the lowest top rate in more than 80 years. It also provides a special low rate of only 9% for the smallest businesses.
  • The Senate bill allows all pass-through businesses in all tax brackets to deduct a portion of their business income so that 17.4% of their business income is completely tax-free.
  • Both bills ensure that wealthy individuals cannot avoid taxes by characterizing all of their wages as business income.

Key tax cuts expiring in 2023 in the House bill and in 2026 in the Senate bill

  • If you look at history, Congress has always extended tax benefits that make sense.
  • They have extended tax cuts for middle-income families, and they have extended important business tax cuts that are good for the economy.
  • There’s no reason to believe that would be any different here.

Top Line Responses to Questions about Details

  • Is the White House supportive of [insert specific provision currently being debated]?
  • What the White House is supportive of is:
  • Cutting taxes for hardworking, middle-income families
  • Cutting taxes on American businesses to make them more competitive
  • Making the tax code more fair by eliminating special interest loopholes and deductions
  • Making the tax code more simple so that the large majority of Americans can file their taxes on a single page
  • The process is moving forward the way it’s supposed to in Congress, with members having input and ironing out the details.
  • But what about the elimination of [insert deduction or credit]?
  • Opponents of the bill are being disingenuous, because they are focusing on the elimination of targeted tax provisions while ignoring the tax cuts in the bill.
  • In other words, they’re trying to get you to focus on the little sandbox — we’re trying to give you the entire beach!
  • The Washington Post fact-checkers gave Democrats FOUR PINOCCHIOS for their claim that our tax plan will raise taxes on working-class families.
  • “Any Democrat who spread this claim should delete their tweets and make clear they were in error.” — Washington Post

Middle-Class Tax Cuts and Bigger Paychecks

  • We’re going to put over $5,000 PER YEAR in the pockets of hardworking American families through tax cuts and pay raises.
  • Here’s how:
  • The typical American family of four — making the median household income of $59,000 — would save well over $1,000 per year on their taxes.
  • The Council of Economic Advisors estimates that middle-income families will also see higher household income — a minimum of $4,000 higher — as a result of the business tax cut.
  • That’s why the President said we’re going to give the American people “a big, beautiful present for Christmas in the form of a tax cut.”

Tax Cuts for Jobs

  • Numerous analyses show our plan will produce massive job creation and economic growth.
  • The Council of Economic Advisors estimates:
  • 3% to 5% increase in GDP over ten years.
  • That means an additional $700 billion to $1.2 trillion in economic output.
  • The non-partisan Tax Foundation estimates:
  • Cutting the corporate tax rate from 35% to 20% will increase long-run GDP by 3.1 percent.
  • 3.9% increase in the size of the U.S. economy.
  • 3.1% higher wages for American workers.

Senate Tax Bill Raises Health Care Costs for Everyone, Hammers Older Adults

As Republicans attempt to jam a sneaky health care repeal into law through their partisan tax bill, expert analysis after expert analysis has come to the same conclusion: health care costs will go up massively, particularly for older Americans. This week, independent analyses by AARP and Commonwealth Fund echoed that of the nonpartisan Congressional Budget Office, finding that the sneaky repeal in Senate tax bill will result in higher health care costs, effectively levying an age tax on older Americans, and result in 13 million people losing coverage — all to pay for tax cuts for the wealthiest and corporations.

REPEAL WOULD IMPOSE AN AGE TAX ON OLDER AMERICANS

The Commonwealth Fund: Premiums Would Be $1,875 Higher For 60 Year Olds. “Average premiums in the nongroup market would increase by about 10 percent in most years of the decade (with no changes in the ages of people purchasing insurance accounted for) relative to CBO’s baseline projections.” This amounts to a…$1,269 increase in 2019, rising to $1,875 in 2027 for a 60-year old, effectively an age tax on older adults.

AARP: Repeal Would Impose Age Tax Of Up To $1,500 On Older Adults. According to an analysis by AARP, “Older adults ages 50–64 would be at particularly high risk under the proposal, facing average premium increases of up to $1,500 in 2019 as a result of the bill.”

THE REPUBLICAN TAX CUT FOR THE WEALTHY AND CORPORATIONS WOULD BE PAID FOR BY TENS OF BILLIONS IN MEDICARE CUTS

CBO: Republican Tax Scheme Would Result In $25 Billion In Medicare Cuts. “Without enacting subsequent legislation to either offset that deficit increase, waive the recordation of the bill’s impact on the scorecard, or otherwise mitigate or eliminate the requirements of the PAYGO law, OMB would be required to issue a sequestration order within 15 days of the end of the session of Congress to reduce spending in fiscal year 2018 by the resultant total of $136 billion. However, the PAYGO law limits reductions to Medicare to four percentage points (or roughly $25 billion for that year), leaving about $111 billion to be sequestered from the remaining mandatory accounts.”

13 MILLION PEOPLE WOULD LOSE COVERAGE TO PAY FOR TAX CUTS FOR THE WEALTHY

13 Million People Lose Coverage To Pay For Tax Cuts For The Rich. “Eliminating the health care coverage requirement would also mean that millions more Americans will become uninsured. CBO has estimated that 4 million people under age 65 would no longer have health insurance coverage as early as 2019 if this provision is enacted. By 2027, that number would rise to 13 million people left without coverage.”

White House on Health Repeal in Tax Bill: We Don’t Really Care

If the White House Doesn’t Care, Why Are Republicans Walking the Plank on Health Care Again?

Washington, D.C. — Yesterday, White House Legislative Affairs Director Marc Short and White House Office of Management and Budget Director Mick Mulvaney made the rounds on the Sunday shows and made clear that the White House is fine with a tax bill that doesn’t include a repeal of the individual mandate, which would result in a loss of coverage for 13 million Americans and double digit premium increases for millions more according to the nonpartisan Congressional Budget Office. The comments suggest that the White House won’t be in the business of providing political cover to Congressional Republicans if the mandate repeal goes through and millions lose health care while millions more pay higher costs.

Short told ABC This Week host George Stephanopoulos, “The White House is very comfortable with the House bill… As you know, it does not have the individual mandate in it.” Mulvaney, meanwhile, told CBS Face the Nation host David Muir that “if [the mandate repeal] needs to come out in order for [the tax bill] to pass, we can live with that” and told CNN State of the Union host Jake Tapper that “if [the mandate repeal] an impediment” to passing the tax bill, “we’re okay with taking it out.”

“First and foremost, Republicans should be wary of going forward with sneaky repeal in their tax bill because it will rip coverage away from 13 million people and raise premiums by double digits for millions more,” said Protect Our Care Campaign Director Brad Woodhouse. “But now, the White House has made clear they’re fine if the provision gets dropped and will leave Members twisting in the wind should repeal stay in the bill and millions be harmed. After a year when Republicans have taken one unpopular and failed vote on health care after another at President Trump’s insistence, why in the world would they walk the plank on this issue again just to have it sawed off behind them by the White House?”

Protect Our Care Statement on Senate Finance Passage of Tax Bill

In response to the GOP tax bill — which contains a repeal of the individual mandate, something the CBO found would increase premiums double-digits and kick 13 million people off of their health insurance — passing the Senate Finance Committee, Protect Our Care Campaign Director Brad Woodhouse released the following statement:

“This is unconscionable,” said Woodhouse. “To say the GOP isn’t listening to their constituents would be the understatement of the year. Ten days ago voters across the country made clear their support of the Affordable Care Act, electing candidates who supported its expansion, voting out entrenched incumbents who backed repeal and resoundly passing a Medicaid expansion the first time the ACA was on the ballot. Now, just days later, the GOP is responding to this outpouring of support for the expansion of health care by moving forward legislation tantamount to its repeal.

“This bill would raise premiums double-digits across the board, kick 13 million people off of their health insurance and cut $25 billion from Medicare — all so the wealthiest Americans and corporations can get a tax break. Republicans in Congress are so insistent on giving their donors a tax cut that they have no problem raising health care costs for the middle-class families who need it most while crippling the health insurance marketplace. Republicans in the Senate who said ‘no’ to previous efforts at repeal should say ‘hell no’ to this one.”

Sneaky Repeal: the GOP’s Latest Secret, Partisan Health Care Repeal

To: Interested Parties

From: Brad Woodhouse, Protect Our Care Campaign Director

Date: November 16, 2017

Re: Sneaky Repeal: the GOP’s Latest Secret, Partisan Health Care Repeal

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Republicans in Congress are sneaking health care repeal into their tax bill to pay for another massive tax break for the wealthiest Americans and corporations. What this means is simple: while the wealthy and corporations get a tax cut, middle-class families will get double-digit premium increases and millions of people will lose their coverage. Just last week in elections from Virginia to Maine, the American people rejected their approach to health care. Republicans aren’t listening — and they’ll be held accountable.

Sneaky repeal would be a disaster — it would raise middle-class premiums, make insurance unaffordable for people with pre-existing conditions and rip coverage away from millions of people, just to pay for special tax breaks for millionaires and big corporations. The Congressional Budget Office estimated that 13 million people will lose their health insurance and premiums will rise 10% because of the health repeal provision in the Senate tax plan. What’s the GOP plan for them? What are these millions of people supposed to do about their health care?

Moreover, repealing health care means fewer healthier and younger people buy health insurance, causing a “death spiral” of skyrocketing costs for everyone else — including people with pre-existing conditions. ​Experts predict that insurers will be forced to leave the Marketplace, meaning some consumers may not have any coverage options. So why take away people’s coverage and increase premiums? Because Senate Republicans want to pay for a $94,540 tax cut for multi-millionaires and to permanently cut big corporations’ taxes.

Analysis of the bill shows that families will face premium increase of nearly $2,000. An analysis from the Center for American progress, premium increases for benchmark plan coverage for an unsubsidized middle-class family of four are slated to be $1,990, but would be be even higher in a number of states:

  • A family in Alaska would see an increase of $2,900, and 24,000 people would lose coverage
  • A family in Maine would see an increase of $2,350, and 50,000 people would lose coverage
  • A family in Arizona would see an increase of $2,060, and 282,000 people would lose coverage

As such, the leading experts — patient groups, insurers, doctors and hospitals — all oppose sneaky repeal. Sixteen patient groups have announced their opposition: March of Dimes, the American Heart Association, the Cystic Fibrosis Foundation; the American Cancer Society Cancer Action Network; the Multiple Sclerosis Society; Lutheran Services in America; the American Lung Association; the American Diabetes Association; the National Health Council; the Epilepsy Foundation; the National Organization for Rare Disorders; the American Liver Foundation; Family Voices; Consumers Union; Little Mended Hearts; and Futures Without Violence. These groups wrote that they were “deeply troubled” over the bill, calling it “a step backwards for individuals and families.”

And they weren’t the only ones. Six leading industry groups — America’s Health Insurance Plans. the American Academy of Family Physicians, the American Hospital Association, the American Medical Association, the Blue Cross Blue Shield Association and the Federation of American Hospitals — also announced their opposition, warning of “serious consequences” should the mandate be repealed.

Republicans want to cut taxes for the wealthy and corporations so much they are cutting Medicare and raising taxes on middle class families to do it. In addition to the double-digit premium hikes and 13 million people who would lose their insurance, the CBO found that the GOP tax bill would trigger $25 billion in Medicare cuts. The House Republican tax plan also pays for their tax cuts by eliminating the medical expense deduction, which helps families with high medical costs such as long-term care and chronic diseases. Nearly 9 million people claimed this deduction and nearly 70 percent of those people earned $75,000 or less.

And then there is the scam. Republicans want to give cover to people by promising a vote on the Alexander-Murray stabilization bill, but their actions make Alexander-Murray nothing more than a fig leaf. Attempting to adopt Alexander-Murray — which was crafted through extensive, bipartisan negotiations and with expert input — on the heels of a partisan repeal process represents nothing more than political cover. In fact, House Republicans have expressed opposition to Alexander-Murray so there is no guarantee it will get through Congress, let alone become law. At this point, Alexander-Murray means nothing if health care is repealed — passing it after voting for repeal is like installing guardrails on the highway after your car has gone over the cliff. It’s useless.

And all of this comes on the heels of the American people rejecting the Republican health care agenda. The reason Republicans failed to repeal health care four times already this year was a simple one: because people don’t like it. In fact, GOP health care repeal is the most unpopular legislation in three decades.

Just last week, health care was the dominating issue in elections. In the Virginia governor’s race, health care was the #1 issue, more than double any other issue, and among those voters, Ralph Northam beat Ed Gillespie by 54 points (77–23). Down the ballot, Democratic candidates for the House of Delegates ran on health care and won a historic victory, flipping at least fourteen seats. In New Jersey, 19% of voters ranked health care their top issue, and chose Phil Murphy over Kim Guadagno, who opposed the ACA, by 74 points (86–12). In Maine, voters “easily approved” an expansion of Medicaid by a nearly 60–40 margin.

And this week it was announced that more than 1.5 million people, including more than 345,000 new consumers, have gotten insurance though the first two weeks of open enrollment — a 45% increase from last year.

So why is the GOP pushing this agenda forward? Republicans are sneaking health repeal into their tax bill simply so they can give massive tax cuts to the wealthy and big corporations. Multi-millionaires will get a $100,000 tax cut under this plan while everyday Americans will suffer. But as last spring’s town halls, and summer’s Senate votes, and last week’s elections proved, Americans won’t stand for it.