Author: Marc Stier

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They Can’t Buy Us Off

  By ACA, Health Care, PBPC Blog posts

We are hearing today that the Trump administration is “buying off” support from members of Congress for the bill to repeal the ACA by adding more money for one thing or another. The latest is a plan to add $8 billion to the $130 billion already set aside for the high-risk pools to provide coverage for those with pre-existing conditions. A new report from the Center for American Progress shows that — as we have been saying — this is far less money than needed to provide insurance to everyone with pre-existing conditions. At a minimum, 54,000 Pennsylvanians would be eligible for a high risk pool. Even if they pay $10,000 a year — which many could not afford — the state would need $1.4 billion a year to provide insurance for them. But the AHCA, even with the addition $8 billion over ten years, would only give Pennsylvania $498 million a year. PA… Continue reading

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Trump is Wrong: the AHCA Will Make Health Insurance Unaffordable for Those with Pre-Existing Conditions

  By Health Care, PA Budget and Policy Center, PBPC Blog posts

President Tump discovered not too long ago that Health Care is hard. So it’s no wonder he doesn’t always get things right. He said on CBS’s “Face the Nation” Sunday, “Pre-existing conditions are in the bill. And I mandate it. I said, ‘Has to be.’” Wrong. In the last day, two respected organizations, Consumers Union and AARP, confirmed what we said two weeks ago:  the AHCA will make it impossible for many people — if not most people — with pre-existing conditions to afford health insurance if their state opts out of the ACA rules that guarantee people with pre-existing are offered insurance at the same rates as those without them. A million people in Pennsylvania are threatened if, as seems likely, the Republican-dominated General Assembly were to vote to make Pennsylvania one of those states. The Republican plan calls for high risk pools to cover people with pre-existing conditions. But… Continue reading

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hy Representative Thompson Should Vote No on the Health Care Bill

  By ACA, Health Care, PA Budget and Policy Center, PBPC Blog posts

Rep. Glenn Thompson’s Background, Consequences for Constituents Are Reasons to Vote “No” on GOP Health Care Bill Given his personal history in human services, and the demographic makeup of the 5thCongressional district, Congressman Glenn Thompson has long been an advocate for older Pennsylvanians – not just seniors but those in the 55 to 65 age bracket as well. And that must make the upcoming vote on the Republican replacement of the ACA so difficult. As a loyal Republican, Thompson has reason to support it. But the bill is, in many ways, terrible for older Pennsylvanians, including many of his constituents in the 5th district. So the concerns of his district and his own history very much point in the other direction. The threat to seniors and near-seniors come from a number of directions. To begin with the threat to seniors: the per-capita cap  Medicaid expenditures will cost Pennsylvania $18 billion… Continue reading

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The New Version of the GOP Health Care Bill Is Even Worse Than the Last One

  By ACA, PA Budget and Policy Center, PBPC Blog posts, Pennsylvania, US

Marc Stier | 04/26/2017 Blog Having failed to enact a plan that would lead 24 million Americans and 1.1 million in PA to lose health insurance, the House Republicans have returned with a new amendment, proposed by Representative Tom MacArthur (R-NJ), which would lead to larger losses.   Though this new proposal is being touted as a compromise between moderate and far-right Republicans, in reality, it is a surrender to the demands of those on the right who have repeatedly rejected the notion that the risks of illness should be shared by all of us, young and old, healthy and sick. The new proposal would place the burden of health care on those who, because of their age or medical condition, find that burden most difficult to bear: It allows states to opt-out of the rule that prohibits insurance companies from charging people with pre-existing medical conditions more. It allows states… Continue reading

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The (Wholly Inadequate) GOP Budget Proposal (HB 218)

  By PA Budget and Policy Center, PBPC Blog posts, Pennsylvania Budget

The House Republican Budget proposal for 2017-18 is deeply problematic in six respects. First, the proposal does not close the state’s budget deficit, but leaves a gap of close to $800 million. Most of the revenue ideas presented by the House Republican Caucus to fill that gap are similar to the one-time revenues and fund transfers that have failed to fix our structural deficit in the past. The Republicans do not seem to be considering any proposal to increase recurring revenues by fixing our upside-down tax system. Second, the House Republican budget widens, rather than closes, the state’s investment deficit, especially in education, environmental protection, human services, and community and economic development: Education: It proposes $50 million less for Pre-K education and Head Start than the Governor’s budget, as well as eliminates the $8.5 million safe school initiative. Environmental Protection: It proposes $9 million less than the Governor’s budget for… Continue reading

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A Teachable Moment in the PLCB Debate

  By PA Budget and Policy Center, PBPC Blog posts, PLCB

Those of us who have been parents or teachers often talk about “teachable moments.” Teachable moments occur when something problematic happens from which we can learn some important lesson. The bills being considered today to privatize the operations of the Pennsylvania Liquor Control Board (PLCB) give us teachable moments — moments that might help people understand why we cannot simply privatize the Pennsylvania Liquor Control Board without the state losing $300-400 million per year in General Fund Revenues. HB 991 would create new franchise liquor stores for every 6,000 residents in a county with a minimum of 15 per county. That would create as many as 2,000 new liquor stores — far more than the 601 state stores already in place. The bill has a provision that is quite peculiar, but ultimately very revealing: it requires the PLCB to sell wine and spirit products to franchise stores for the same price… Continue reading

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New Report Confirms Assumptions About PA Coverage Losses Under GOP Health Care Plan

  By ACA, Health Care, PA Budget and Policy Center, PBPC Blog posts

A new study from the Center for America Progress estimates that 970,000 fewer Pennsylvanians will have health insurance if the GOP health care plan is adopted by Congress. The study also provides detailed estimates for how many fewer people will be covered by Congressional district for each kind of health insurance (traditional Medicaid, Medicaid expansion, marketplace, and employer-based insurance.) The CAP estimates are broadly similar to those we at PBPC have put forward. However, we believe that the CAP study underestimates the number of Pennsylvanians who will lose insurance under the Medicaid expansion by 2026. The CBO estimates that only 5% of Americans will still have insurance under the Medicaid Expansion by 2026. That estimate, applied to Pennsylvania, would mean that only 35,000 people will remain on the Medicaid Expansion by 2026 in our state, while the new CAP study assumes that 450,000 will still have insurance under the program.… Continue reading

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Response to Governor Wolf’s 2017-18 Budget Proposal

  By Pennsylvania Budget, Video

Marc Stier, director of the PA Budget and Policy Center, responds to Governor Tom Wolf’s budget address and his 2017-18 proposed budget.     Continue reading

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PBPC on CBO Score for GOP Health Care Plan

  By Health Care, PA Budget and Policy Center, Statements

Marc Stier, Director of the Pennsylvania Budget and Policy Center, made the following statement following the release of the Congressional Budget Office (CBO) scoring for the “American Health Care Act,” the GOP House healthcare proposal: The Congressional Budget Office released its evaluation of the Republican replacement for the Affordable Act (ACA), the American Health Care Act (AHCA) today and, not surprisingly, the news is grim for the nation, and by extrapolation, for Pennsylvania. The most disturbing information in the new report is the prediction that 24 million Americans will lose health insurance by 2026. That high number reinforces our tentative estimate that at least 1.1 million Pennsylvanians, and probably more, will lose health care coverage when the AHCA goes fully into effect. It also lends support to our view that 4,000 Pennsylvanians will die prematurely because a lack of insurance will make it impossible for them to get the health… Continue reading

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Governor’s 2017-18 Budget Overview

  By Budget, Budget analysis, PA Budget and Policy Center, Pennsylvania Budget

In this research paper, Marc Stier, Stephen Herzenberg, and Diana Polson take a closer look at Governor Wolf’s proposed 2017-18 budget. Although we understand the political circumstances surrounding the Governor’s choices, we believe that his budget invests too little in public goods and asks the wealthiest citizens and corporations to contribute too little to our commonwealth. Click here to print or read full screen.  Continue reading