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Monday, Jan 30 2017

Full Issue

Republicans To Begin Tackling Pre-Existing Conditions, Medicaid With Hearings This Week

Although there is a string of hearings set up for this upcoming week, some conservatives are frustrated that Republicans lost momentum on repeal by not emerging from their retreat in Philadelphia with a unified plan.

Senate Majority Leader Mitch McConnell (R-Ky.) on Friday said he wants Congress to wrap up work on replacing ObamaCare soon so lawmakers can move on to President Trump鈥檚 other big priority: tax reform.聽McConnell told The Hill in an interview that he doesn鈥檛 want the debate over replacing the landmark healthcare聽reform law to drag on for months, expressing the same sense of urgency as Trump, who has called for Congress to move 鈥渧ery quickly.鈥 (Bolton, 1/27)

The ObamaCare battle will heat up in the coming week with a string of hearings and the end of the enrollment period. The Trump administration set off anger among ObamaCare supporters on Thursday by cancelling the remaining outreach ads encouraging people to enroll. The final deadline is on Tuesday, after which a clearer picture of how enrollment did, and whether the lack of ads made a difference, should emerge. (Hellmann, 1/30)

Congressional Republicans still deeply divided on how to replace Obamacare will try to buy themselves some time this week by debating a set of narrow bills addressing specific parts of the health system and holding public sessions to rail against what they view as the law鈥檚 failings. Republicans will start with one of the most controversial issues in the debate over Obamacare: how to cover people with pre-existing conditions. They'll also address tightening Medicaid eligibility rules 鈥 including to restrict lottery winners from participating in the entitlement 鈥 and changing some Obamacare rules before the law is repealed. At best, these elements would constitute important slivers of a complete repeal and replace plan. (Haberkorn, 1/30)

House Speaker Paul Ryan wants to give Republicans until the end of the year to pass an Obamacare replacement package 鈥 a move that could create serious timing issues as the GOP figures out what to include in the legislation. Ryan, during a POLITICO Playbook interview Friday afternoon, said there would likely be a built-in delay before the replacement policies take effect, meaning the GOP's concept of an overhauled health system may not begin to materialize until well into 2018. (Cancryn, 1/27)

Rep. Greg Walden (R-Ore.), chairman of the Energy and Commerce Committee, which oversees health care issues, said they have 鈥渁 good idea鈥 of where they鈥檙e going, but said there were a number of moving pieces. For example, one bill under consideration will address the 鈥渄eath spiral鈥 in the individual market, while Walden is working on his own bill for next week that would affirm Republicans鈥 commitment to covering people with pre-existing conditions. Walden did not provide details, but said it would be a broad commitment, in contrast to a proposal this week from Sen. Rand Paul (R-Ky.) that would give people with pre-existing conditions a two-year window for enrollment. (McIntire, 1/26)

Congress was poised to start major work this week on dismantling the Affordable Care Act, but conservatives are already fuming over lost momentum that they fear could doom the repeal effort. Lawmakers missed a non-binding deadline to deliver details of a repeal plan Friday and left a GOP retreat without reaching consensus on a replacement package that an increasing number of Republicans want to see agreed before the 2010 law is taken apart. (Clark, 1/30)

In other news on GOP's repeal efforts 鈥

Four Republican Senators last week introduced what they call a 鈥渃omprehensive replacement plan for Obamacare鈥 that gained attention because it gives states three options, including allowing states to keep the ACA intact. States could keep Obamacare and its individual mandates, tax credits and Medicaid expansions or switch to a different kind of insurance expansion they say is 鈥渕arket-based鈥 or go with no coverage expansion 鈥渨ithout any federal assistance.鈥 But the Republican Senators鈥 鈥淧atient Freedom Act of 2017鈥 doesn鈥檛 do away with popular Medicare reforms and senior benefits under Obama鈥檚 ACA to Medicare health insurance program for elderly Americans. (Japsen, 1/29)

Republicans in Congress are weighing whether to fund a controversial health program aimed at reducing out-of-pocket costs. It's a part of the 2010 health overhaul they've long opposed -- but the constituents with the most to lose overwhelmingly live in the parts of the country that President Donald Trump won in last year's election. An analysis of the Americans at risk is part of the pitch insurers are making on the Hill as they pressure newly empowered Republicans to keep so-called cost-sharing reductions, which help insurers reduce copays and deductibles for about 6.3 million low-income Americans in the individual insurance market. (Mershon and Williams, 1/27)

Republicans鈥 drive to deliver a death blow to President Barack Obama鈥檚 health care law overshadows a quieter assault that鈥檚 gone on for years, using annual government funding bills. It鈥檚 not as glamorous or high decibel as the news conferences and floor debates surrounding the repeal of the law, but it certainly has proven controversial. What鈥檚 more, the law鈥檚 supporters see this GOP tactic as partly responsible for many of the failures in the law that Republicans now say they must fix. (Mejdrich, 1/30)

U.S. Rep. Kathy Castor, D-Tampa, who organized the event, is one of the health care law's strongest proponents. In 2009, she organized a town hall meeting that was interrupted by shouting and shoving when opponents bused hundreds of people in to protest Obamacare. But at the Jimmie B. Keel Regional Library on Friday, most of the crowd of 75 or so who showed up were there for one-on-one meetings with Castor or her staff members to discuss problems with federal agencies. (March, 1/27)

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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