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March 27, 2017

Headlines in Health Policy 842e0e86-8878-462d-aee6-ef5affbfd031

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QUOTABLE

"Let's just, for a moment, breathe a sigh of relief for the American people that the Affordable Care Act was not repealed." 
—Rep. Nancy Pelosi (D-Calif.)

"We're going to be living with Obamacare for the foreseeable future."
—Rep. Paul D. Ryan (R-Wis.)

"With the demise of the House bill, there's a real window of opportunity for a bipartisan approach to health care."
—Senator Susan Collins (R-Me.) 

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The Law of the Land

  • In Major Defeat for Trump, Push to Repeal Health Law Fails New York Times by Robert Pear, Thomas Kaplan and Maggie Haberman—House Republican leaders, facing a revolt among conservatives and moderates in their ranks, pulled legislation to repeal the Affordable Care Act from consideration on the House floor Friday in a major defeat for President Trump on the first legislative showdown of his presidency. "We're going to be living with Obamacare for the foreseeable future," the House speaker, Paul D. Ryan, conceded.

  • Inside the GOP's Health Care Debacle: Eighteen Days That Shook the Republican Party—and Humbled a President  Politico Magazine by Tim Alberta—Donald Trump had heard enough about policy and process. It was Thursday afternoon and members of the House Freedom Caucus were peppering the president with wonkish concerns about the American Health Care Act—the language that would leave Obamacare's "essential health benefits" in place, the community rating provision that limited what insurers could charge certain patients, and whether the next two steps of Speaker Paul Ryan's master plan were even feasible—when Trump decided to cut them off. 

  • Many Governors Welcome Demise of Gop Health Care Bill AP by Geoff Mulvihill—Governors of both parties had warned Congress for weeks that the Republican health care bill threatened to saddle their states with big costs and potentially leave millions of people without coverage, especially because of the cutbacks planned to Medicaid. The bill's withdrawal on Friday left in place the status quo under the Affordable Care Act. That was welcomed by several governors in the states that opted to expand Medicaid under former President Barack Obama's law.

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Some Anxieties Remain

  • New Anxieties As Trump Says Obamacare Will 'Explode'  AP by Michael Warren and Sudhin Thanawala—Americans who have benefited from the Affordable Care Act are feeling some relief at the failure of Republican efforts to repeal it, but they face new anxieties with President Donald Trump tweeting that "ObamaCare will explode." Premiums have risen and major insurers have backed out of the state markets where people can buy insurance online under Obama's signature health care law. But people who say it saved their lives or helped them start a business want lawmakers to fix these problems, not encourage them.

  • How Republicans Can Hobble Obamacare Even Without Repeal Reuters by Julie Steenhuysen—Republicans may have failed to overthrow Obamacare this week, but there are plenty of ways they can chip away at it. The Trump administration has already begun using its regulatory authority to water down less prominent aspects of the 2010 health care law. Earlier this week, newly confirmed Health and Human Services Secretary Tom Price stalled the rollout of mandatory Medicare payment reform programs for heart attack treatment, bypass surgery, and joint replacements finalized by the Obama administration in December. The delays offer a glimpse at how President Donald Trump can use his administrative power to undercut aspects of the Affordable Care Act ACA, including the insurance exchanges and Medicaid expansion.

  • Now What? Options for Consumers as Health Law Drama Fades AP by Tom Murphy—As the political drama over health care legislation in Washington fades, the rest of the country faces a more immediate concern: Getting insurance for next year…. Now, attention will turn to administrative changes underway in Washington designed to stabilize the exchanges by preventing more insurer defections. The open enrollment period to sign up for insurance for 2018 is slated to start this fall, but insurers are making decisions now about whether to participate.

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What's Next

  • Some Lawmakers Now Look to Bipartisanship on Health Care New York Times by Robert Pear and Michael Shear—The sudden death of legislation to repeal the Affordable Care Act has created an opening for voices from both parties to press for fixes to the acknowledged problems in President Barack Obama’s signature health law, as lawmakers and some senior White House officials appealed for bipartisanship. But the White House, still smarting from a disastrous defeat on Friday, appeared uncertain on the path forward. President Trump predicted that “Obamacare will explode” and offered no plan to stop it, but his was not the only voice from the White House.

  • Sen. Schumer Seizes on Trump Team's Offer to Work with Dems AP by Hope Yen—President Donald Trump's aides opened the door to working with moderate Democrats on health care and other issues while Senate Democratic leader Chuck Schumer quickly offered to find common ground with Trump for repairing the health care law. Schumer said Sunday that Trump must be willing to drop attempts to repeal his predecessor's signature achievement, warning that Trump was destined to “lose again” on other parts of his agenda if he remained beholden to conservative Republicans.

  • With AHCA Defeat, Some Democrats See Chance to Push for Universal Coverage Washington Post by David Weigel—At their first town meeting since the Republicans’ surprise surrender on the Affordable Care Act, progressives in blue America celebrated—then asked for more. Rhode Island’s two Democratic senators, joined by Rep. Jim Langevin, told several hundred happy constituents that the next step in health reform had to mean expanded coverage, provided by the government.


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http://www.commonwealthfund.org/publications/newsletters/headlines-in-health-policy/2017/mar/march-27-2017