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Morning Briefing

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Tuesday, May 15 2018

Full Issue

Parsing Policy: Time To Cut Out CHIP Funds, Tame Spending; Soaring Preliminary Figures For Obamacare Premiums Are Troubling

Opinion writers express views on these and other health topics.

Republicans in this Congress have failed to tame federal spending鈥攐n either entitlements or the discretionary accounts that won a big increase in this year鈥檚 omnibus bill. Perhaps they can now impose at least a little restraint on money that the government isn鈥檛 even spending. ...About half the package is a rescission to the Children鈥檚 Health Insurance Program. Every year Congress dedicates more money to the program than is spent, and appropriators pocket the rest to spend elsewhere. In 2016 Congress appropriated about $23 billion, including a contingency fund, but only spent a bit more than $14 billion. No child will lose health care. ...That won鈥檛 stop Democrats from claiming the worst, and Senate Minority Leader Chuck Schumer wasted no time saying Republicans are 鈥渓ooking to tear apart鈥 the program, 鈥渉urting middle-class families and low-income children.鈥 Republicans have to call out the Democrats for wanting to keep these funds in reserve so they can spend it later on pork. (5/13)

This is what the start of a death spiral looks like. Three states have announced聽preliminary聽2019 premium-rate requests for Obamacare individual-market policies, and the numbers don鈥檛 look good.In Virginia, the first state out of the gate, insurers requested hikes as high as聽64.3鈥塸ercent.聽Across all insurers, and weighted for current enrollment, the average increase is likely to be 鈥渙nly鈥澛13.4 percent , according to calculations from health-care analyst Charles Gaba. (Catherine Rampell, 5/14)

Exhorted by President Trump, federal administrators and many Republican state officials are drafting rules requiring people to work in exchange for Medicaid, housing aid and food assistance. But what happens when the poor live where work is hard to find? In Michigan, the state鈥檚 Senate has passed a proposal that would exempt Medicaid recipients from a work requirement partly on the basis of geography 鈥 if they live in a county where unemployment exceeds 8.5 percent. (Emily Badger and Margot Sanger-Katz, 5/15)

Those聽who are mothers, grandmothers, great-grandmothers would surely have preferred a card and a handwritten note of affection in the mail. But instead, just in time for Mothers's Day, tens of thousands of elderly or disabled residents in Louisiana were sent notices that their time in their nursing home might run out July 1. (Jarvis DeBerry, 5/12)

With Gov. Larry Hogan's signature on a bill, Maryland last week joined Washington and New York as one of the few states requiring insurance companies to be more diligent before insuring the lives of children. Like those states, Maryland was spurred to act by a high-profile instance of a child killed for insurance money. It should not take the murder of a child to wake lawmakers to the need to act on this issue. Other states now should follow Maryland鈥檚 lead to protect vulnerable, young lives. (5/14)

Farmers in the Central Valley have been waiting for a federal farm bill that makes the investments that will ensure California鈥檚 agricultural industry continues to lead the nation, and the world. Unfortunately, the proposed bill moving through the U.S. House leaves behind the people who harvest, sort, sell, prepare and serve the Valley鈥檚 agricultural bounty. It would make it more difficult for millions of Californians, including working parents and many low-wage workers, to put food on the table by cutting their assistance through CalFresh. (Jared Call, 5/14)

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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