Tag Archives: ahcccs

Senate showdown on ‘Obamacare’ repeal set for Tuesday

Evil GOP bastard Mitch McConnell has scheduled a vote on Tuesday in his last ditch strategy to repeal Obamacare:

Talking is no longer working. It’s time to vote.

Senate Majority Leader Mitch McConnell is taking the rare step of forcing his members to take a tough vote on an Obamacare repeal bill, H.R. 1628 (115), that is on track to fail, making them own their votes.

Senior Senate Republicans believe the high-profile vote expected Tuesday — followed by conservative backlash over the GOP’s failure to fulfill its seven-year campaign pledge — might provoke enough heat from the base to bring senators back to the negotiating table.

It seems like a long shot. But McConnell may be playing the long game — making his members walk the plank not as an act of desperation but as part of a strategy that just might work. He’s used it before to get what he wants.

* * *

If the strategy doesn’t bring senators back to the table, the vote could demarcate a decisive end to at least the public Obamacare repeal debate for some time. That would allow the Senate, which has already spent two months trying to dismantle and replace the health law, to move on and notch some legislative wins [or not]. Many are more than ready to turn to other priorities, like tax reform.

Still, holding a doomed vote is unusual for McConnell, who typically goes to great lengths to protect his members from politically difficult votes.

“Everybody has to be held personally accountable,” said Sen. John Cornyn (R-Texas), who has been furiously whipping the repeal effort. “Everybody is a good enough politician that if they’ve got a reason to justify their vote, they’ll be able to sell that.”

The vote Tuesday will be to start debate on Obamacare repeal. But it is unclear as of now which bill would serve as the actual policy — an extremely unusual move. McConnell said earlier this week the Senate would vote on a repeat of a 2015 bill that repealed much of the health care law. Since then, senators have floated the idea of voting on multiple options, including repeal, the Senate’s repeal-and-replace measure or a combination of these and other policies.

That would be moot if the Senate doesn’t even vote to start debate.

Continue reading

How the Senate health care bill would affect Arizona

Howard Fischer reports on an analysis by Arizona’s AHCCCS office. Analysis: Senate health-care plan could cost Arizona $2.9B or more:

The new Senate health-care plan would cost Arizona at least $2.9 billion between next year and 2026 — and perhaps as much as $7.1 billion — according to a new analysis by the Ducey administration.

Or the state could avoid most of those costs simply by cutting off health care for more than 400,000 who got coverage in 2013 when Arizona took advantage of a provision in the Affordable Care Act — the law Congress is working to repeal.

The analysis by the Arizona Health Care Cost Containment System, the state’s Medicaid program, shows the Senate proposal is only marginally better than the one approved by the House. That has an Arizona price tag of $3.3 billion over the same period.

The $2.9 billion is just in lost federal dollars that provide care for nearly 320,000 childless adults with income below the federal poverty level, about $11,800 a year for a single person. Plus, there are another 82,000 adults considered the “working poor,” earning up to $16,400 a year, whom the feds would no longer fund.

That’s only a piece of the picture.

If federal funding goes away, the assessment on hospitals that lawmakers approved in 2013 to pay the state’s costs for those people automatically self-destructs. That means the loss of another $2 billion over the same period, money the taxpayers would have to pick up.

Our lawless Tea-Publican legislature would pass “emergency” legislation to make sure that this does not happen.

Continue reading

Jan Brewer’s Medicaid (AHCCCS) expansion plan goes to Arizona Supreme Court

Back in March, the Arizona Court of Appeals affirmed the Maricopa County Superior Court decision upholding former governor Jan Brewer’s Medicaid (AHCCCS) expansion plan in 2013. AZ Court of Appeals upholds Medicaid (AHCCCS) expansion plan.

The “Kochtopus” Death Star, the Goldwater Institute, naturally appealed to the Arizona Supreme Court.

Supreme Court Justice Clint Bolick, who was vice president for litigation at the Goldwater Institute’s Scharf-Norton Center for Constitutional Litigation at the time this lawsuit was filed, should be required to recuse himself from participating in this appeal under the court’s rules of ethics.

The parties are now filing their pleadings with the Arizona Supreme Court. Ducey administration argues to keep hospital levy paying for AHCCCS care:

The Ducey administration is asking the Arizona Supreme Court to preserve the levy that pays for an expanded Medicaid program — assuming that expansion isn’t undermined by Congress killing the program.

In legal papers filed Friday, attorney Doug Northup wants the justices to reject arguments by Republican lawmakers that money being paid by hospitals to the Arizona Health Care Cost Containment System is a tax. Instead, he contends, it is simply an “assessment” on hospitals.

That difference is more than wordplay.

Continue reading

The art of the tantrum: Trump gives do or die ultimatum to House Tea-Publicans for ‘Obamacare’ repeal

Donald Trump has a long history of fabricating his own myths about his ability of negotiating deals.

This political novice has no experience and no skills in legislating, and more importantly, no capital with those whom he is negotiating — he attacks Tea-publicans in Congress as easily as Democrats. He attacks anyone who does not immediately satisfy his petulant demands or dares to disagree with him.

What we have is a 70 year old man with a three year old’s child-like mentality, a man who throws tantrums to get his way, whether it is an early morning Twitter rage, or his latest tantrum: “Let me win or I will take my ball and go home!Trump delivers ultimatum to House Republicans: Pass health-care measure on Friday or he’ll move on:

President Trump delivered an ultimatum to House Republicans on Thursday night: Vote to approve the measure to overhaul the nation’s health-care system on the House floor Friday, or reject it and the president will move on to his other legislative priorities.

The president, through his aides in a closed-door meeting, signaled that the time for negotiations was over with rank-and-file Republicans who were meeting late at night on Capitol Hill to try to find common ground on the embattled package crafted by House Speaker Paul D. Ryan (R-Wis.).

The move was a high-risk gamble for the president and the speaker, who have invested significant political capital in passing legislation that would replace the 2010 Affordable Care Act. For Trump, who campaigned as a skilled negotiator capable of forging a good deal on behalf of Americans, it could either vindicate or undercut one of his signature claims.

Continue reading

‘Trumpcare’ chaos: GOP doesn’t have the votes to repeal ‘Obamacare,’ no vote today

Tea-Publicans will not meet their artificial deadline of voting to repeal “Obamacare” on the anniversary of President Obama signing the Affordable Care Act into law. Ahhh, poor babies.

The Hill reports, GOP lawmakers leave Trump White House with no deal:

GOP lawmakers leaving the White House after a meeting with President Trump said they have not reached a deal that would allow them to support an ObamaCare repeal-and-replace bill set for a vote Thursday.

Republicans appear short of the 215 votes they’d need to win the tally. The Hill’s Whip List: 32 GOP no votes on ObamaCare repeal plan.

The members streaming out of the White House just after 1 p.m. characterized the meeting positively but showed no signs of a shift toward more favorable ground for the White House.

“Nothing new was agreed upon,” said Rep. Paul Gosar (R-Ariz.)

He added the group will “go back and consider our options.”

House Freedom Caucus Chairman Mark Meadows (R-N.C.) told reporters on Capitol Hill that “there are not enough votes” to pass the bill.

Continue reading

D-Day for ‘Obamacare’ repeal aka Trumpcare bill in the House

It is decision day (D-Day) in the House.

The radical far-right GOP House Freedom Caucus is making eleventh-hour demands for more draconian measures to the GOP’s “Obamacare” repeal bill aka “Trumpcare 2.0” (soon to be 3.0?) ahead of the vote scheduled for today, only because it is the anniversary of President Obama signing the Affordable Care Act into law. The post-policy nihilists of the GOP only do propaganda, not policy.

The New York Times reports, Key to Health Vote, Hard-Line Conservatives Push New Cuts:

Hard-line conservatives in the House will meet Thursday morning with President Trump to hammer out changes to the House bill to repeal the Affordable Care Act, pressing to eliminate federal requirements that health insurance plans provide a basic set of benefits like maternity care, emergency services and wellness visits.

What the Freedom Caucus wants in the GOP health-care bill, and why it’s not getting it:

The Congressional Budget and Impoundment Control Act of 1974 dictates that not just anything can be passed by the “reconciliation” process; matters that are “extraneous” to the budgetary nature of the bill are excluded.

House leaders, including Speaker Paul D. Ryan (R-Wis.), are insisting that any provisions rolling back the ACA’s essential health benefits are indeed extraneous. And not only are they extraneous, Ryan argued Wednesday, but if the House adds them to the bill, the Senate couldn’t just strip them out — it could no longer consider it as a privileged reconciliation bill needing only a simple, Republican majority to pass.

Translation: the Senate cloture rule requiring 60 votes to end debate and advance to a vote on the bill will apply, and Democrats could comfortably filibuster this bill in the Senate.

Continue reading