A committee hearing reveals why Graham-Cassidy is struggling to pick up supporters

  
Photo: J. Scott Applewhite, AP
Photo: J. Scott Applewhite, AP

With a vote looming as soon as Wednesday, members of the Senate Finance Committee assembled earlier today to hold a hearing on the Graham-Cassidy healthcare reform proposal and were met, immediately and unsurprisingly, with protest, as disability rights advocates continued their strong opposition to Republican efforts to cutting Medicaid, a key plank of Graham-Cassidy.

In spite of last minute changes to the bill to try to persuade Senators who haven’t publicly opposed it, the committee hearing put a spotlight on the bill’s long list of shortcomings, and perhaps unintentionally provided a showcase for why the legislation is struggling to win a majority of votes, from its emphasis on block grants for Medicaid to re-introducing coverage penalties for those with pre-existing condition.

Despite this, Sen. Bill Cassidy (R-LA), one of the bill’s chief sponsors, offered a number of arguments intended to win back support that critics called misleading. Cassidy noted, for example, that states could expand Medicaid if they desired to do so – despite the fact that his bill repeals expansion eligibility, and it’s unclear what steps states would have to take to restart expansion.

Late last week, Sen. John McCain (R-AZ) removed himself from that list of undecided Senators by publicly stating that he couldn’t vote for a bill like Graham-Cassidy that hadn’t gone through regular order and had only garnered support from members of one political party.

Finally, as the day came to a close, the Congressional Budget Office once again weighed in and found that this version of repeal-and-replace, much like previous versions, would strip care away from millions of Americans, though it could not be more specific due to the wide latitude the legislation would give to states, particularly regarding cuts to Medicaid. As she did in late July, Sen. Susan Collins also announced her opposition, potentially dooming Graham-Cassidy once and for all.

ANA formally announced its opposition, and continues to urge all nurses and advocates who care about strengthening affordable care to reach out to their Senators by clicking here.

Graham-Cassidy is the worst healthcare bill yet

  
Photo: ABC
Photo: ABC

As Congress works its way through a packed September agenda, yet another attempt to repeal and replace the Affordable Care Act (ACA) is gaining momentum. Unfortunately, this legislation – like similar bills that have come before it – has chosen to leave nurses out of the process, and as a result would leave too many patients without the care they need.

As we’ve previously addressed, legislation sponsored by Sens. Bill Cassidy (R-LA) and Lindsey Graham (R-SC) would make drastic and dangerous cuts to the American healthcare system by repealing Medicaid expansion starting in2020, eliminating the critical Prevention and Public Health Fund, and creating high-risk pools for individuals with pre-existing conditions (effectively removing ACA-implemented essential health benefit protections for those patients), among other misguided policies.

The block grants to states that Graham-Cassidy would use to replace the ACA would also continue to shrink before, in 2026, disappearing entirely, leading to even more cuts. In other words, the legislation goes further than what was proposed this summer – which at its worst was projected by the Congressional Budget Office (CBO) to cause up to 32 million Americans to lose their coverage.

Meanwhile, the process surrounding the bill continues to fall well short of Sen. John McCain’s (R-AZ) repeated calls for a return to regular order. While the Senate Finance committee has planned a single hearing around Graham-Cassidy, the CBO will not have time to fully score the legislation, meaning it will remain unclear how many patients would have their care stripped away as a result.

Criticism of the bill is widespread: on Tuesday, Democratic, Republican, and independent governors from Alaska, Colorado, Louisiana, Massachusetts, Montana, Nevada, Ohio, Pennsylvania, Vermont, and Virginia released a letter announcing their opposition, writing that, “Only open, bipartisan approaches can achieve true, lasting reforms.”  And as with the so-called Affordable Health Care Act and Better Care Reconciliation Act, no Democratic senators have announced their support for Graham-Cassidy, with conservative Sen. Rand Paul (R-KY) also expressing skepticism that he’ll be a yes vote if and when it comes to the floor.

Regardless of the current whip count, which is constantly evolving, the stakes are too high to count on another dramatic late night vote that saves the day. Don’t wait: click here to be connected with your Senators and urge them to vote no on Graham-Cassidy. In the absence of real dialogue, nurses’ voices are needed now more than ever.

12 Days in September

  
Photo: Getty Images
Photo: Getty Images

President Trump joined with congressional Democrats yesterday to clear three major items from a jam-packed congressional agenda. The stopgap agreement will raise the nation’s debt limit, keep the government open through the end of the calendar year, and provide hurricane relief for the communities and states hardest hit this hurricane season. In doing so, however, Trump and congressional leaders have ensured that an even bigger debate awaits them in December, with an unclear outlook on how it will resolve itself.

The House also passed nearly $8 billion in disaster aid in response to the devastation wrought by Hurricane Harvey. But with Hurricane Irma bearing down on Puerto Rico and Florida, lawmakers may be called on to pass additional funding soon.

Meanwhile, lawmakers still face an overflowing agenda. Here’s a quick rundown of what else to expect this September:

  • Tax reform: The President and his administration have long signaled that they hope to pass tax reform legislation before the end of the calendar year. Their failure to pass health care reform legislation this summer, however, coupled with a long list of competing priorities, makes this increasingly unlikely.
  • Health care reform: Though congressional leaders have appeared to move on to other, more pressing issues, President Trump continues to indicate he wants lawmakers to take one more shot at repealing and replacing the Affordable Care Act.
  • Immigration: Following the President’s decision to rescind the policy of Deferred Action for Childhood Arrivals (DACA) in the event that Congress fails to craft a solution in the next six months, lawmakers on both sides of the aisle are searching for a legislative fix. Democratic leaders have asked Speaker Paul Ryan (R-WI) and Senate Majority Leader Mitch McConnell (R-KY) to bring the Development, Relief, and Education for Alien Minors (DREAM) Act to the floor for a vote, and have suggested they will attempt to attach the bill to other priority items to force leadership’s hand. Though widely championed by progressives, the legislation could face difficulty garnering bipartisan support.

Meanwhile, the Senate HELP committee will be holding a series of hearings to determine the best path forward on creating stability in the individual health insurance markets. Democrats are certain to use this forum to put a spotlight on the administration’s recent decision to slash funding used to promote the Open Enrollment period that starts November 1st. We’ll have an additional update for you later this week on these and other health care-related items.