ACA Repeal & Delay: Loss of Coverage to People, Cost to Hospitals

Two studies last week provided some numbers to what will happen if Congress repeals the Affordable Care Act without a replacement.  According to an analysis by the Urban Institute, if Congress repeals the ACA through the congressional reconciliation process without a replacement plan, at least 29 million people will lose their health insurance coverage.  That

Congress Sends 21st Century Cures Act to President

On Wednesday, December 7, the Senate gave final approval to HR 34 the 21st Century Cures Act by a vote of 94 to five. The bill (which had temporarily served as a vehicle for passage of the Families First Act) is a compilation of National Institutes of Health (NIH) funding increases, changes in the drug

Congressman Tom Price Selected as Next HHS Secretary

Congressman Tom Price (R-GA) was nominated by President-Elect Donald Trump to become the next Secretary of Health and Human Services.  Congressman Price was a practicing doctor before he entered politics.  He has been a major supporter of a repeal of the Affordable Care Act.  In the past, he has introduced his own proposal that is

CR Up This Week and Congress Leaves

Funding for FY 2017 runs out on December 9.  If Congress wraps up by Thursday this Congress will come to an end.  Congressional Republicans, working with the in-coming Administration, will partially extend current year funding into the spring instead of finishing the fiscal year decisions. All last week Republican leaders from both houses were behind

Likely Two Reconciliations Next Year, ACA Repeal and Delay

It appears more likely that there will be two reconciliation measures next year.  The first will be implemented through an FY 2017 budget resolution so that it can be used early in the year.  The second would be implemented through a budget resolution for 2018. The first reconciliation will likely be used to repeal the

The Cost of Health Care as We Enter Another Reform Debate

Shortly before the election the increases in the average premium costs under the ACA captured national attention.  Premiums rose on average by more than 20 percent with increases ranging from 145 percent in Arizona ($507 per month) to a low of – 4 percent in Indiana ($286 per month).  But all the focus was on

Congress Back, May Move Families First With Cures Bill

Congress returns for what is likely to be the last sprint for the 114th Congress.  As part of that they are likely to move an updated version of the Families First Act (Conference Report 114-628)as part of a larger package of legislation. Congress may agree to a “21st Century Cures” bill that seeks to add

What Is A Reconciliation

There has been a great deal of discussion in the last few weeks of how the new Congress and the Trump Administration will use the budget reconciliation process. What is the budget reconciliation and why is it so important? Budget reconciliation is a tool used by the Congress to enact spending reductions or increases in

Congress Eyes CR Until March

Late last week Vice-President elect Mike Pence was working with House Republicans to adopt a continuing resolution (CR) that would extend FY 2017 funding into the end of March of next year.  Current funding for 11 of the 12 appropriations bills run out on December 9.  The goal of a March extension is that the

Could the Families First Act Passage Protect Title IV-E from Block Grant?

Would enactment of the Families First Act commit key Republicans leaders to protecting Title IV-E funding from being converted into a block grant?  That is a question to consider in the waning days of the 114th Congress.  Speaker Paul Ryan (R-WS) has made no secret of his desire to convert both Medicaid and SNAP/food stamps

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