Medicaid

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

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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.

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Rep. Martha McSally will vote to take health care away from thousands of her constituents

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As I pointed out earlier this year to the folks at “McSally Take A Stand,” It turns out that Martha McSally does stand for somethin’: Trumpism.

The Five Thirty Eight Vote Tracker still shows our “mythical moderate” Congresswoman (a myth created by our local media) voting 100% with the destructive positions of “The Donald.”

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McSally has now declared her support for the “Trumpcare 2.0” bill to be voted on Thursday, which will take health care insurance away from thousands of her constituents. Hopefully they vote and will return the favor in November 2018.

The Arizona Republic reports, Martha McSally signals support for ‘Obamacare’ repeal bill; Trent Franks doesn’t:

U.S. Rep. Martha McSally signaled support for the revised Republican health care bill Monday, but the plan’s passage remained uncertain as it headed toward a key vote Thursday in the House or Representatives.

In a statement Monday night, McSally, a two-term Arizona Republican, said the bill backed by House Speaker Paul Ryan “is not perfect and I still have concerns,” but she indicated she was working to strengthen that plan.

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‘Trumpcare’ bill was DOA in Congress, so a desperate attempt at ‘Trumpcare 2.0’

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Tea-Publicans in Congress want to hold a vote on their “Obamacare” repeal bill aka “Trumpcare” on Thursday for one reason, and one reason only: it is the seventh anniversary of President Obama signing the Affordable Care Act (ACA) into law. The post-policy nihilism of the GOP is all about empty symbolism and marketing to the conservative media entertainment complex for them.

Just one problem: Tea-Publicans do not have the votes to pass their own bill among their own members in Congress. The radical House Freedom Caucus demands nothing less than a straight-up repeal of the entirety of the ACA (something these lunatics apparently do not realize cannot be done under the budget reconciliation process, which this bill is proceeding under). Concessions to these far-right radicals will lose the mythical moderate Republicans who have the ACA’s expanded Medicaid in their states and who are afraid of voters turning on them for taking away their health care (looking at you Rep. Martha McSally).

The so-called American Health Care Act aka “Trumpcare” bill drafted by the GOP’s alleged boy genius, “the zombie-eyed granny starver from the sate of Wisconsin” and Ayn Rand fanboy Paul Ryan, is dead on arrival (DOA) in Congress. He does not have the votes and he desperately wants to avoid a defeat on Thursday which would demonstrate just how weak a Speaker of the House he is.

So boy genius last night rolled out “Trumpcare 2.0” to try to sway enough GOP members of Congress to go along in the House to avoid an embarrassing defeat. (This new version is no more likely to pass the Senate than the original bill). It is all about saving face, the one thing that really matters to boy genius.

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AZ Court of Appeals upholds Medicaid (AHCCCS) expansion plan

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The Arizona Court of Appeals has affirmed the Maricopa County Superior Court decision upholding former governor Jan Brewer’s Medicaid (AHCCCS) expansion plan in 2013. The Arizona Capitol Times (subscription required) reports, Arizona appeals court says Medicaid expansion law is constitutional:

The appellate court in its opinion (.pdf) said the law imposed an assessment that is exempt from the requirement that any act by lawmakers increasing state revenues, such a tax hike, must get a two-thirds vote in the Legislature [the “Two-Thirds for Taxes” amendment, Prop. 108 (1992)].

The health care law was approved by a simple majority.

At issue is the assessment on hospitals, which the state uses to draw down matching federal funds.

The law has allowed Arizona to expand eligibility to residents who earn between 100 and 138 percent of the federal poverty level.

In 2015, Maricopa County Superior Court Judge Douglas Gerlach also upheld the law, ruling that the hospital assessment that funds the program is not subject to Arizona Constitution’s supermajority provision.

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Court of Appeals is skeptical of Tea-Publican legislators’ appeal of Medicaid (AHCCCS) expansion plan

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Our Tea-Publican state legislators were in court on Valentine’s day trying to reverse Gov. Jan Brewer’s Medicaid (AHCCCS) expansion plan that benefits over 400,000 Arizonans who now have access to medical care. They are represented by the “Kochtopus” Death Star, the Goldwater Institute.

It does not appear that things went well for our lawless Tea-Publican legislators. The Arizona Capitol Times (subscription required) reports, Court of Appeals hears challenge to Medicaid expansion affecting hundreds of thousands:

With former Gov. Jan Brewer watching over the defense of her legacy, a panel of appeals court judges grilled a lawyer who argued the Medicaid expansion Brewer shepherded into law is unconstitutional.

The Goldwater Institute, a non-profit that advocates for conservative and libertarian causes in the courtroom and Legislature, is challenging the expansion, arguing that a levy imposed on hospitals is a tax increase and required two-thirds approval of the Legislature, which it did not receive.

At stake is Medicaid coverage for up to 400,000 childless adults in Arizona.

Brewer, a GOP governor who pushed the legislation through against the opposition of the majority of Republican lawmakers, attended the oral arguments.

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