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Morning Briefing

Summaries of health policy coverage from major news organizations

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Monday, Jun 12 2017

Full Issue

McConnell's Gloomy Attitude Over Health Law Has Some Wondering If Larger Strategy Is At Play

Majority Leader Mitch McConnell (R-Ky.) has been downplaying the chances the Republicans' legislation has of passing the Senate. But some think his reserved comments might be all part of the game. In other news about the efforts: lawmakers begin to see a path they can take; a look at how the measure could affect middle- and working-class Americans; Twitter cheers on Sen. Claire McCaskill and more.

Before he began clicking through a PowerPoint presentation on Republican health-care options this week, Senate Majority Leader Mitch McConnell delivered a private warning to his Senate Republicans: If they failed to pass legislation unwinding the Affordable Care Act, Democrats could regain power and establish a single-payer health-care system. Mr. McConnell (R., Ky.) has been nearly as downcast in his public comments about Senate Republicans鈥 chances of passing sweeping legislation to overhaul the country鈥檚 health-care system. (Peterson, Armour and Radnofsky, 6/9)

Republicans are taking a big political risk on health care. They're trying to scale back major benefit programs being used by millions of people. And they're trying to do it even though much of the public is leery of drastic changes, and there's no support outside the GOP. It's not stopping them. (Alonso-Zaldivar, 6/12)

A path is emerging for Senate Republicans to pass their ObamaCare repeal bill, even though there are major obstacles ahead. Critically, Senate moderates are indicating that they can agree to ending the additional federal funds for ObamaCare's expansion of Medicaid, albeit on a slower timetable than other Republicans want. A compromise on Medicaid funding would remove one of the biggest obstacles for the bill. (Sullivan, 6/11)

In recent years, millions of middle- and working-class Americans have moved from job to job, some staying with one company for shorter stints or shifting careers midstream. The Affordable Care Act has enabled many of those workers to get transitional coverage that provides a bridge to the next phase of their lives 鈥 a stopgap to get health insurance if they leave a job, are laid off, start a business or retire early. (Abelson, 6/11)

GOP senators are trying to strike a balance that鈥檚 proving difficult: lowering healthcare insurance premiums for young adults while shielding older people from massive price hikes. At issue is an ObamaCare provision that essentially caps how much insurers can charge older people for premiums.聽Republicans want to raise that cap, saying it vastly undercharges older people for their healthcare services, creating higher costs for younger, healthier adults. (Hellmann, 6/11)

The first-term senator from Texas is seeking to unite warring wings of the Republican Party around an effort to kill Obamacare and is showing a new willingness to compromise with colleagues to devise a replacement plan.聽It鈥檚 a significant departure for the formerly obstructionist [Ted] Cruz, who lost the Republican presidential contest to Donald Trump and has long had icy relations with other lawmakers. Cruz once called Majority Leader Mitch McConnell a liar on the Senate floor, and former Republican House Speaker John Boehner once called Cruz 鈥淟ucifer in the flesh鈥 and the most 鈥渕iserable son of a bitch鈥 he had ever worked with. His most notable legislative accomplishment so far has been to help force a shutdown of the government for 16 days in 2013 in an unsuccessful effort to strip funding from Obamacare. (Dennis, 6/12)

In a three-minute scolding during a Senate Finance Committee meeting, McCaskill, a Missouri Democrat, dressed down committee chairman Orrin Hatch, a Utah Republican, for what McCaskill called a legislative process even more partisan than what transpired during passage of the Affordable Care Act. ...聽By mid-morning Friday her remarks had triggered more than 12,000 retweets on Twitter. (Montgomery, 6/9)

Despite the daily drip about Russia and the Trump administration, national Democrats who hope to exploit Republicans鈥 vulnerabilities in 2018 are focusing their messaging squarely on health care before the July 4 recess. Just minutes after former FBI Director James B. Comey concluded his testimony Thursday before the Senate Intelligence Committee 鈥 in which he said the president lied to the America people 鈥 the Democratic Senatorial Campaign Committee blasted out a release. The subject? Nevada Sen. Dean Heller鈥檚 reported support for phasing out Medicaid expansion. (Path茅, 6/12)

Andy Slavitt, acting administrator for Centers for Medicare and Medicaid Services (CMS) under President Obama, penned an op-ed in The Washington Post Saturday that slams Senate Majority Leader Mitch McConnell (R-Ky.) for using 鈥渟abotage, speed and secrecy鈥 to work on passing the GOP healthcare bill in the upper chamber. ... He cited instances where Republican senators will break from the party vote if the bill proves to negatively impact a lawmaker鈥檚 state, pointing states dealing with the opioid crisis that may be hurt if Medicaid gets drastically cut. He acknowledged that McConnell may try to appease these senators by including "a small 'opioid fund'" in the bill. (Beavers, 6/11)

Meanwhile, crowdfunding sites are poised for a wave of medical requests if the legislation is passed聽鈥

Crowdfunding platforms such as GoFundMe and YouCaring have turned sympathy for Americans drowning in聽medical expenses into a cottage聽industry. Now聽Republican efforts in Congress to聽repeal and replace Obamacare聽could swell聽the ranks of the uninsured and spur聽the business of聽helping people聽raise donations online to pay for health care. But medical crowdfunding doesn't have to wait for Congress to act. Business is already booming,聽and its leaders聽expect the聽rapid growth to continue no matter what happens on the Hill. (Woolley, 6/12)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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