Effects of U.S. Senate Health Care Bill on Pennsylvania

MEMO To: Interested Parties From: Marc Stier, Director, Pennsylvania Budget and Policy Center Date: June 28, 2017 Re: Effects of U.S. Senate Health Care Bill on Pennsylvania The Pennsylvania Budget and Policy Center will be releasing a number of briefs on the effects of the U.S. Senate health care bill in the next few days. You can see our initial statement in response to the CBO scoring of the bill here. Below is our first brief on the effects of the bill on Pennsylvania. Who Shall Live and Who Shall Die – Estimating Number of Premature Deaths Due to the GOP Health Care Plan Legislators, like God, make decisions all the time about who shall live and who shall die. So many public policies, from those that control access to medicinal and recreation drugs, to those that set speed limits and safety standards for the roads, to those that help people… Continue reading

PBPC On the CBO Report for the Senate Health Care Bill

Marc Stier, Director of the PA Budget and Policy Center, made the following statement following today’s release of the Congressional Budget Office (CBO) report on the U.S. Senate GOP Health Care Bill (Better Care Reconciliation Act of 2017) It’s official — the Senate health care bill is not an improvement but actually worse for Americans than the House bill. The CBO analysis released today holds that 22 million fewer Americans will be insured in 2026 as a result of the Better Care Reconciliation Act. That is slightly better than the House bill. But, as the CBO itself hints, it’s ten-year analysis of the bill does not take into account the drastic change the Senate bill makes to the Medicaid program in 2025. This plan, proposed by Senator Toomey, reduces the index by which per capita caps go up each year from the medical inflation rate (CPI-M, which is projected by… Continue reading

Which Direction for America? What’s at Stake in the Health Care Debate?

Marc Stier | 06/25/2017 Blog One of the fascinating / distressing things about the health care debate on Facebook is that it’s bringing the truth out in a way that the debate in the Senate is not. If you have any doubt that this is a inflection point in our history, in which the forces of tolerance, compassion and justice are arrayed against the forces of bigotry, greed, and injustice, look at what the opponents of the ACA are saying.   I’ve seen folks blaming “fat, poor people who eat badly” for their own illnesses because, as they would say, most illness is self-inflicted. of course, there are no rich people who ever get fat or eat badly, yet they get health care. I’ve seen folks say they shouldn’t pay for the health care of those who can’t afford it, even though they don’t do so under the ACA, which… Continue reading

ACA Repeal Puts Pennsylvanians Who Work for Large Corporations At Risk

The disastrous implications of the GOP health care bill are becoming ever more apparent, especially for those who get their insurance from large national corporations. Under the bill, even if Pennsylvania does not opt-out of the federal essential benefits regulation, large multi-state employers could choose to deny Pennsylvanians coverage for pre-existing medical conditions or particular conditions, such as pregnancy. Or they could impose annual or lifetime limits on coverage. Over 62% of Pennsylvanians have employer-based coverage, one of the highest rates in the country. Millions of Pennsylvanians get their insurance from large, multi-state corporations that also operate in states that are likely to opt-out of the federal essential benefit rule. So all of these scenarios could happen: Someone from Pittsburgh who works for Wal-Mart gets pregnant and discovers that pregnancy is not covered by Wal-Mart’s health insurance. When she leaves, she is responsible for the entire bill. A pregnancy with… Continue reading

On the AHCA Vote

HARRISBURG – Marc Stier, Director of the PA Budget and Policy Center, made the following statement following today’s passage of the American Health Care Act by the U.S. House: “Today the Republican controlled House of Representatives passed legislation that will strip health insurance from 1.3 million Pennsylvanians, will lead to the pre-mature death of 3,250 Pennsylvanians for lack of health insurance, and will threaten the health insurance of five million Pennsylvanians with pre-existing conditions. If the the health care exchanges survive, premiums for older adults will skyrocket, making health insurance unaffordable for most Pennsylvanians between the age of 50 and 64. “This legislation was never about improving health care. It was about giving $500 billion in tax breaks to the very wealthy and to big insurance and drug companies. “We are grateful that all of Pennsylvania’s Democratic members of Congress and four of its  Republican members of Congress in Pennsylvania… Continue reading

They Can’t Buy Us Off

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

hy Representative Thompson Should Vote No on the Health Care Bill

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

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

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

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

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

Analysis of Effects of House GOP Health Care Plan on Pennsylvania

The following is an analysis of how the recently-released House GOP proposal, the “American Health Care Act,” would affect Pennsylvanians: The health care legislation introduced by the House Republicans late yesterday is a devastating and dishonest attack on not only the Affordable Care Act, but on the Medicaid program. When fully implemented, it will have horrible consequences not only for the health of low- and moderate- income Pennsylvanians, but on long-term care for all but our wealthiest senior citizens. We will be providing a thorough analysis of the legislation soon. But our preliminary analysis suggests that when the program is fully implemented, around 1 million low- and moderate- income Pennsylvanians will lose health insurance; the state budget will lose at least $2.5 to $3 billion in funding; at least 60,000 Pennsylvanians will lose their jobs, and over 4,000 Pennsylvanians per year will die prematurely. Some key points: The bill would… Continue reading