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Wednesday, Jan 25 2017

Full Issue

Price Avoids Being Pinned Down On Details During Grilling At Second Senate Hearing

Despite Democrats pressing HHS nominee Tom Price on the future of the health law, Medicare and Medicaid, Price mostly demurred and downplayed the role he will have in such decisions. Ethical questions regarding the Georgia congressman's stock investments were also raised.

In a heated confirmation hearing that focused on ethical issues, President Trump鈥檚 nominee for secretary of health and human services, Representative Tom Price, defended his trading of medical and pharmaceutical stocks on Tuesday, saying, 鈥淓verything that I did was ethical, aboveboard, legal and transparent.鈥 Democrats accused Mr. Price of a potential conflict of interest at a hearing of the Senate Finance Committee, saying he held more than $100,000 in stock in companies that could have benefited from legislation he promoted. Mr. Price, a Georgia Republican, denied any wrongdoing. (Pear and Kaplan, 1/24)

Democrats began a key hearing on President Donald Trump鈥檚 pick to overhaul Obamacare by attacking his aggressive investing in health-care companies, an attempt to derail the nomination by hammering on ethics even though Republicans can force a confirmation with a party-line vote. Senator Ron Wyden, the top Democrat on the Finance Committee, slammed Georgia Representative Tom Price鈥檚 鈥渁buse of his position鈥 by buying privately offered shares in Innate Immunotherapeutics Ltd. as Congress weighed bills that could affect his investments. Democrats need to persuade Republicans on the panel to oppose Price in order to block his appointment as secretary of the Department of Health and Human Services; so far they have defended Price, and none have indicated they鈥檇 vote him down. (Edney and Tracer, 1/24)

President Donald Trump's selection to become health secretary told a Senate committee Tuesday that the new administration believes people with existing illnesses should not be denied health insurance, but committed to no details on that or any aspects of how Republicans will reshape President Barack Obama's health care law. Rep. Tom Price, R-Ga., who would be at the center of GOP efforts to scuttle Obama's statute and create new programs, frustrated Democrats probing for details of what Republicans will do. Instead, he repeatedly told them that the GOP goal is making health care affordable and "accessible for every single American" and to provide choices. (Fram and Alonso-Zaldivar, 1/24)

[Price] told a congressional panel on Tuesday that he does not support the privatization of Medicare and defended his ethics record. Speaking before the Senate Committee on Finance, one of two committees that oversee the health department, Representative Tom Price said his position was consistent with that of Trump, who has stated he does not want to cut the federal health program for the elderly. (Clarke and Cornwell, 1/24)

鈥淭he Medicare trustees 鈥 have told all of us that Medicare, in a very short period of time, less than 10 years, is going to be out of the kind of resources that will allow us as a society to keep the promise to beneficiaries,鈥 Price said Tuesday before the Senate Finance Committee. 鈥淲e will not be able to provide the services to Medicare patients at that time 鈥 which is very, very close 鈥 if nothing is done.鈥 (McIntire, 1/24)

President Trump鈥檚 choice for health secretary declined Tuesday to promise that no Americans would be worse off under Trump鈥檚 executive order to ease provisions of the Affordable Care Act 鈥 and distanced himself from the president鈥檚 claim to have an almost-finished plan to replace the law. At a testy Senate confirmation hearing on his nomination to lead the Department of Health and Human Services, Rep. Tom Price (R-Ga.) sought to play down the influence he would have on reshaping the health-care system along conservative lines, while attempting to deflect accusations from Democrats about his ethics. (Goldstein and Eilperin, 1/24)

The nominee to head HHS wouldn鈥檛 say if he would use the directive to scrap Obamacare鈥檚 unpopular requirement that most Americans get health coverage or pay a fine. Price also dodged questions about whether he backs converting Medicaid into block grants, despite supporting the idea as House Budget Committee chairman. And he gave vague assurances he wouldn鈥檛 鈥渁bandon鈥 people with pre-existing conditions who can no longer be denied coverage under Obamacare while disputing a 2012 report that quoted him criticizing the law's requirement that insurers cover that population. (Cancryn, 1/24)

Democrats argued that Price's approach would result in many Americans losing their access to medical care. Lawmakers and Price tussled intensely over the future of Medicaid, which serves more than 70 million people, or more than one-fifth of the U.S. population. Sen. Maria Cantwell, D-Wash., said the Trump administration appears to be 鈥渃reating a war on Medicaid,鈥 referring to recent comments such as those from the president鈥檚 senior adviser Kellyanne Conway in favor of block grants. (Young, 1/24)

Democrats on the finance panel repeatedly quizzed Price about what would happen to patients. Price kept his answers vague. In a round of questions about Medicare, Sen.聽Bob Menendez聽 (D-N.J.) asked: 鈥淎re you willing to commit that we won鈥檛 see increased costs or less coverage for seniors under a revision of Medicare that you might advocate or that the president might pursue?鈥 Price responded: 鈥淥ur goal is to make certain that seniors have access to the highest quality healthcare possible at an affordable price.鈥 (Levey, 1/24)

Mr. Trump has sent sometimes conflicting messages about the stamp he intends to place in shaping the debate over repealing the ACA, urging Congress to act quickly but also saying he has his own plan that he intends to release soon. Mr. Price declined to say whether he would hold back on acting on Mr. Trump鈥檚 executive action until Republicans had coalesced around any replacement for the law. Asked by Democratic Sen. Michael Bennet of Colorado if Republicans鈥 proposals to repeal the ACA also included repealing the law鈥檚 expansion of Medicaid, he replied: 鈥淚, if I鈥檓 fortunate to serve as the Secretary of Health and Human Services, will carry out the law that you pass. That鈥檚 a decision that you all will make.鈥 (Radnofsky and Armour, 1/24)

Rep. Tom Price refused to say how aggressively he'll implement President Donald Trump's order instructing federal agencies to pare back Obamacare 鈥 and he refused to promise that Obamacare enrollees wouldn't lose coverage as a result of the order. (Pradhan and Demko, 1/24)

Trump's pick, Rep. Tom Price, R-Ga., sounded unfamiliar with the legislation that Trump said would be released after Price is confirmed by the Senate when he was asked about it by聽Sen. Sherrod Brown, D-Ohio, during his confirmation hearing before the Senate Finance Committee. "It鈥檚 true that he said that," Price said to laughter. "I鈥檝e had conversations with the president about health care." (O'Donnell, 1/24)

The question of what to do with Medicaid -- particularly how to handle the low-income adults who gained coverage thanks to Obamacare's expansion provision -- came up repeatedly during the hearing. Trump senior adviser Kellyanne Conway said Sunday on ABC News that the president is looking at turning Medicaid into a block grant program. (Luhby, 1/25)

President Donald Trump鈥檚 administration made explicit this weekend its commitment to an old GOP strategy for managing Medicaid, the federal-state insurance plan that covers low-income people 鈥斅爐urning control of the program to states and capping what the federal government spends on it each year.聽It鈥檚 called 鈥渂lock granting.鈥 ...聽But what would this look like, and why is it so controversial? Let鈥檚 break down how this policy could play out, and its implications 鈥 both for government spending and for accessing care. (Luthra, 1/24)

When asked about the CMS Innovation Center, he said that it had gotten 鈥渙ff track鈥 but could be a tool for improving healthcare with programs that do not mandate provider participation.聽He later said that 鈥渇or certain payment populations, bundled payments make a lot of sense.鈥 (Muchmore, 1/24)

Rep. Tom Price (R-Ga.), President Donald Trump鈥檚 nominee to lead the Department of Health and Human Services, suggested he would want to preserve a Medicare and Medicaid innovation lab created in the Obama administration. Price told the Senate Finance Committee on Tuesday that innovation is important to medicine, and that the Center for Medicare and Medicaid Innovation 鈥渋s a vehicle that might鈥 support innovation. The CMMI was created under the Affordable Care Act to test new ways of delivering health care, with the goal of increasing quality and lowering costs. (McIntire, 1/24)

Not a single Democrat has said they will vote for Price, raising the possibility that he could be the first member of President Trump's Cabinet to be approved on a strict party-line vote. (Sullivan and Hellmann, 1/24)

Despite some withering criticism from Democrats about his stock trades and questions about Price鈥檚聽plans for the health law, Republicans appear to be solidly supporting Price. (1/24)

And in other confirmation news, the nominee to head the Office of Management and Budget says Medicaid and Medicare need significant changes to keep them from collapsing聽鈥

Social Security, Medicare and Medicaid need significant changes to be preserved for future generations, President Donald Trump's pick to head the White House budget office told Congress Tuesday. Rep. Mick Mulvaney's comments at his confirmation hearing stand in sharp contrast to Trump's campaign pledges not to cut the programs. (Ohlemacher, 1/24)

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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