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Morning Briefing

Summaries of health policy coverage from major news organizations

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Wednesday, Jan 24 2018

Full Issue

Public Health Agencies Left 'Treading Water' With Each Short-Term Spending Plan From Congress

At all levels of the government -- local, state and federal -- agencies are left "in suspended animation" as Congress prolongs the funding debate. Meanwhile, as advocates of the Children's Health Insurance Program breathe a sigh of relief over their extension, community health clinics are still on edge.

Congress鈥檚 inability to pass a long-term spending bill has major ramifications for public health, advocates and former agency officials warn. The short-term measures hinder efforts to play ahead and recruit staff even as they keep the government open, the advocates say. They have left public health agencies 鈥渢reading water,鈥 said Ellie Dehoney, vice president of policy and advocacy at Research!America. 鈥淚t鈥檚 just a state of suspended animation.鈥 (Weixel and Roubein, 1/24)

While Congress on Monday extended the Children's Health Insurance Program (CHIP) for six years, more than 1,000 community health centers around the country are still聽waiting for the government to take action on their own funding.聽Both programs expired at the end of September, but only CHIP was funded in the short-term spending bill signed by President Trump. (Hellmann, 1/23)

Kymberly Grafton winces with every step she takes, the lingering burden from a training accident and car crash. And the disabled Navy reservist鈥檚 pain may soon be compounded by a budget battle on Capitol Hill that threatens her neighborhood health center. Grafton is one of 300,000 low-income veterans who receive health care at community health centers nationwide. She gets regular treatment at Unity Health Center near her home in Washington鈥檚 Anacostia neighborhood, allowing her to skip a miles-long trek to the nearest hospital. (Spann, 1/24)

While the three-day government shutdown has ended, the fate of many federal programs is still up in the air 鈥 but a children鈥檚 health program that serves about 17,000 kids in Connecticut has come out a winner in the partisan fight over the federal budget. The stopgap funding bill that was approved by Congress and signed by President Donald Trump Monday funds most of the federal government for three weeks but the Children鈥檚 Health Insurance Program, or CHIP, for six years. (Radelat, 1/23)

When parts of the federal government ground to halt this past weekend, Linda Nablo, who oversees the Children's Health Insurance Program in Virginia, had two letters drafted and ready to go out to the families of 68,000 children insured through the program, depending on what happened. One said the federal government had failed to extend CHIP after funding expired in September and the stopgap funding had run out. The program would be shutting down and families would lose their insurance. (Simmons-Duffin, 1/23)

Meanwhile, the Congressional Budget Office scores Congress' plan to delay certain health law taxes as part of the spending agreement 鈥

The delay of three of ObamaCare's taxes will reduce federal revenue by $31.3 billion over 10 years, the Joint Committee on Taxation (JCT) said Tuesday. The taxes were delayed as part of the stopgap spending bill that Congress passed Monday in order to end the three-day government shutdown. The medical device tax was delayed for two years, until 2020, while the "Cadillac" tax on high-cost health plans, which had been set to take effect in 2020, was delayed until 2022. The health insurance tax was suspended for 2019. (Jagoda, 1/23)

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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