Talking Points: Don’t Cut Health Care for Families to Give Tax Breaks to Millionaires and Corporations

 

Don’t Cut Health Care for Families to Give Tax Breaks to Millionaires and Corporations

The Senate plans to vote soon on a health care bill that they’ve been crafting behind closed doors. While they’ve been trying to keep it a secret, the word is out – the Senate bill is the same as the awful House bill the public has already rejected. The Senate is just putting lipstick on a pig.

Core Message

The Republican health care bill takes health care away from 23 million Americans, slashes Medicaid, sends premiums through the roof, and puts people with pre-existing conditions back at the mercy of the private insurance companies. It promotes barebones coverage, even weakening protections for people who get health insurance, and defunds Planned Parenthood. All to give more than $600 billion in tax breaks, mostly to the very wealthy and drug and insurance companies.

Key Points

  • The Republican bill takes coverage away from 23 million Americans by drastically cutting tax credits to buy coverage and by making huge cuts in state funding for Medicaid.
  • The Republican bill will slash Medicaid by $834 billion in two ways– taking away Medicaid expansion coverage from millions of people and radically restructuring the federal funding for the basic Medicaid program to starve it over the years, forcing eligibility and benefit cuts. Their gutting of Medicaid threatens the health care of 74 million Americans – from children to seniors – who rely on Medicaid every day and blows huge holes in state budgets.
  • The Republican bill jacks up premiums the most for people over 50 and families with moderate incomes.
  • The Republican bill is an attack on women’s health care, from family planning and preventive services to the half of pregnant women who rely on Medicaid to pay for their children’s births to the millions of older women who rely on Medicaid to pay for their long-term care.
  • Trump and Republicans in Congress are actively sabotaging Obamacare now, to justify their repeal wrecking ball. They are decreasing the number of people who have coverage and refusing to make promised payments to lower out-of-pocket costs, all of which is leading to insurance companies raising premiums even higher and fewer insurance companies offering coverage.
  • The problem the ACA faces is Republican sabotage and repeal – not the markets. A record number of people gained coverage under the ACA, and the biggest insurance companies made robust profits – some tripling their profits from 2011 to 2015.
  • If Trump and Republicans in Congress really wanted to protect our health care, they would stop sabotaging Obamacare and immediately support provisions in the ACA that make private insurance more affordable and offer Medicaid or Medicare alongside private insurance, so everybody has a choice of insurance plans.

Talking Points: On the CBO Scorecard for the Republican Plan to Gut the ACA and Slash Medicaid

 

Trump and the GOP will take health coverage from 23 million Americans

Talking Points on the CBO Scorecard for the Republican Plan to Gut the ACA and Slash Medicaid

One Sentence

According to the official, non-partisan scorekeeper, the Republican American Health Care Act (AHCA) will take health coverage away from 23 million Americans, slash Medicaid by $834 billion and ruin protections for people with pre-existing conditions to give $600 billion in tax breaks, mostly to the wealthy and drug and insurance corporations.

Key Points

According to the CBO, the official, non-partisan scorekeeper:

  • The Republican bill takes coverage away from 23 million Americans by drastically cutting tax credits to buy coverage and by making enormous cuts in state funding for Medicaid.
  • The Republican health care bill slashes Medicaid by $834 billion in two ways – taking away Medicaid expansion coverage from millions of people, and radically restructuring the federal funding for the basic Medicaid program to starve it over the years, forcing eligibility and benefit cuts. Their gutting of Medicaid threatens the health care of 74 million Americans – from children to seniors – who rely on Medicaid every day and blows huge holes in state budgets.
  • The Republican bill is a disaster for people with pre-existing conditions. In states that eliminate protections for people with pre-existing conditions,  “less healthy people would face extremely high premiums” and “it would become more difficult for less healthy people (including people with preexisting medical conditions) in those states to purchase insurance because their premiums would continue to increase rapidly.” Even worse, the CBO says people may not be able to buy any health plans that cover essential health benefits.
  • The Republican bill cuts benefits and hikes out-of-pocket costs. In states that choose to eliminate essential health benefits (as allowed under the AHCA),  people  “would experience substantial increases in out-of- pocket spending on health care or would choose to forgo the services … In particular, out-of-pocket spending on maternity care and mental health and substance abuse services could increase by thousands of dollars in a given year.
  • The Republican bill hikes premiums as you get older. In states that keep the Affordable Care Act’s current consumer protections, the bill’s huge cuts in tax credits to pay for coverage will result in big hikes in premiums for people over 50 and for working families with moderate incomes. A 64 year old will pay $16,100 a year, nine times the $1,750 it costs now!! In every state, premiums will be higher the older you get.
  • The Republican bill gives $664 billion in tax breaks, mostly to the wealthy and drug and insurance corporations. It even has a special tax break for insurance company CEOs.
  • The Republican bill pushes people into high-deductible insurance plans and ends the ACA program that limits out-of-pocket costs to many working families.
  • The Republican plan defunds Planned Parenthood in 2018.

Talking Points: Revised CBO Score – Short Version

 

Today’s updated Congressional Budget Office (CBO) score shows that the GOP repeal bill will destroy America’s health care. The analysis shows that the 23 million will lose coverage, millions of people with pre-existing conditions will be at risk of paying higher premiums or giving up coverage, and Medicaid will be cut by $834 billion, putting healthcare in jeopardy for seniors, children, people with disabilities and families.

  • The Republican AHCA bill waters down coverage and makes coverage for essential health benefits like maternity and newborn care, mental health treatment, prescription drugs among many others optional for insurance companies.
  • The AHCA still defunds Planned Parenthood, the source of healthcare for over 2 million people, many in rural communities where there are no other providers of basic health care.
  • The bill still makes radical changes to Medicaid, starving the program, killing jobs and shifting huge burdens to state budgets that could put many services at risk.
  • At the same time that the bill takes healthcare away and raises costs for millions, it gives over $600 billion tax breaks to the rich, insurance and prescription drug companies.

Today’s CBO score affirms what we already know: the Republican repeal bill doesn’t fix healthcare, it dismantles our health care and makes things worse. That’s why less than half of Americans support the bill.

The Senate should reject this dangerous bill. Instead, Senators should work with Democrats to develop proposals that improve, expand and protect health care. Any Senate bill should ensure that no one loses health care, including people who got coverage from the expansion of Medicaid, and should reject block grants and caps in that make permanent cuts in Medicaid services for children, seniors, people with disabilities and poor adults who have no other source of healthcare.

Talking Points: Tell Congress: Don’t Take Our Health Care

 

Shortest message

The Senate should not vote for any bill that does what the Republican bill in the House does: takes away our health care, cuts Medicaid, raises our premiums and jeopardizes protections for people with pre-existing conditions. All to give massive tax cuts to the very wealthy and drug and insurance corporations.

Core message

The Republican health care bill takes health care away from 24 million Americans, slashes Medicaid, sends premiums through the roof, and puts people with pre-existing conditions back at the mercy of the private insurance companies. It promotes barebones coverage, even weakening protections for people who get health insurance and defunds Planned Parenthood. All to give huge tax breaks to the wealthy and drug and insurance corporations. To get their way, Trump and the Republicans in Congress are now sabotaging care for the millions of Americans who rely on the Affordable Care Act, by hiking premiums and co-payments and chasing insurance companies out of providing coverage.

Key points to make

  • The Republican bill takes coverage away from 24 million Americans – 14 million next year alone – by drastically cutting tax credits to buy coverage and by making enormous cuts in state funding for Medicaid.
  • The Republican bill will slash Medicaid by $880 billion in two ways – taking away Medicaid expansion coverage from millions of people and radically restructuring the federal funding for the basic Medicaid program to starve it over the years, forcing eligibility and benefit cuts. Their gutting of Medicaid threatens the health care of 74 million Americans – from children to seniors – who rely on Medicaid every day and blows huge holes in state budgets.
  • The Republican bill jacks up premiums the most for people over 50 years old and families with moderate incomes.
  • The Republican bill is an attack on women’s health care, from family planning and preventive services to the half of pregnant women who rely on Medicaid to pay for their children’s births to the millions of older women who rely on Medicaid to pay for their long-term care.
  • Trump and Republicans in Congress are actively sabotaging Obamacare now, to justify their repeal wrecking ball. They are decreasing the number of people who have coverage and refusing to make promised payments to lower out-of-pocket costs, all of which is leading to insurance companies raising premiums even higher and fewer insurance companies offering coverage.
    • The problem the ACA faces is Republican sabotage and repeal – not the markets. A record number of people gained coverage under the ACA, and the biggest insurance companies made robust profits – some tripling their profits from 2011 to 2015. 
    • If Trump and Republicans in Congress really wanted to protect our health care, they would stop sabotaging Obamacare and immediately support provisions in the ACA that make private insurance more affordable and offer Medicaid or Medicare alongside private insurance, so everybody has a choice of insurance plans.

Talking Points: Tell Congress: Don’t Take Our Health Care by Wrecking Medicaid

 

Core message

The Republican health care bill takes health care away from 24 million Americans, slashes Medicaid, sends premiums through the roof, and puts people with pre-existing conditions back at the mercy of the private insurance companies. It promotes barebones coverage, weakens protections for people who get health insurance, and defunds Planned Parenthood. All to give huge tax breaks to the wealthy and drug and insurance corporations. To get their way, Trump and the Republicans in Congress are now sabotaging care for the millions of Americans who rely on the Affordable Care Act, by hiking premiums and co-payments and chasing insurance companies out of providing coverage.

Core message on Medicaid

The Republican health care bill slashes Medicaid by $880 billion in two ways – taking away Medicaid expansion coverage from millions of people, and radically restructuring the federal funding for the basic Medicaid program to starve it over the years, forcing eligibility and benefit cuts. Their gutting of Medicaid threatens the health care of 74 million Americans – from children to seniors – who rely on Medicaid every day and blows huge holes in state budgets.

Medicaid Matters

Medicaid provides coverage to 74 million people – one in four Americans, including 30 million children. It pays for half the births in the United States, 75% of all family planning services and 50% of long-term care.

The Republican bill will take Medicaid away from 14 million Americans:
The Republican bill ends the expansion of Medicaid to working families, which has led to millions of Americans getting lifesaving health coverage, having a regular doctor or clinic to go to, cutting their out-of-pocket costs and improving their health.

The Republican bill radically changes Medicaid, with deep cuts that will endanger health care for 74 million Americans.

  • The Republican bill is an attack on women’s health care, from family planning and preventive services to the half of pregnant women who rely on Medicaid to pay for their children’s births to the millions of older women who rely on Medicaid to pay for their long-term care.
  • The Republican bill is an attack on long-term care for seniors and people with disabilities. Medicaid now covers more than 60% of nursing home residents across our nation. And Medicaid allows more than 3.2 million seniors and people with disabilities to live with independence in their own homes.
  • The Republican bill’s radical changes and deep, permanent cuts to Medicaid will wreck state budgets and jeopardize the jobs of millions of health care providers. It will force many hospitals and community health centers to cut back services and others to close.
  • The Republican health care bill radically replaces a 50-year partnership between the federal government and states with an artificial cap that will forces states to either end coverage or eliminate health care services for seniors, people with disabilities, children and working families.
  • The Republican bill’s radical changes in Medicaid funding will cripple states faced with health emergencies like the opioid crisis. When there is a health care emergency, it will be up to the states alone to meet the challenge, without a dime of extra help from the federal government.

Talking Points: Tell Congress and the President: Don’t Take Our Health Care by Sabotaging The Affordable Care Act

 

Core message

The Republican health care bill takes health care away from 24 million Americans, slashes Medicaid, sends premiums through the roof, and puts people with pre-existing conditions back at the mercy of the private insurance companies. It promotes barebones coverage, even weakening protections for people who get health insurance through their employers. All to give huge tax breaks to the wealthy and drug and insurance corporations.

“Insurers and State Officials Say Trump is Undermining Obamacare, Pushing UP Rates” Headline in LA Times, May 18, 2017. Read more to find out what they are saying!!

To get their way, Trump and the Republicans in Congress are sabotaging health care for the millions of Americans who rely on the Affordable Care Act by hiking premiums and co-payments and by pushing insurance companies to abandon the system.

Trump and Republicans are Threatening People’s Health Care Today to Sabotage Obamacare:

  • What they are saying: Republicans in Congress can’t defend their awful health care bill. Instead they just keep claiming, in the words of Speaker Paul Ryan, “Obamacare is collapsing.”
  • What they are doing – Higher premiums; fewer choices of insurers. The Trump administration and Republicans in Congress are actively sabotaging Obamacare now, to justify their repeal wrecking ball. They are decreasing the number of people who have coverage and refusing to make promised payments to lower out-of-pocket costs, all of which is leading to insurance companies raising premiums even higher and fewer insurance companies offering coverage.
    • President Trump, HHS Secretary Price and the Republicans want the ACA to fail—that’s why they are no longer implementing pieces of the law like the individual mandate and are pulling back on the marketing that encourages people to enroll in marketplaces.
    • President Trump has repeatedly threatened to stop making payments to insurers called Cost Sharing Reductions that help lower the cost of premiums so that more people can afford to buy coverage in the marketplace. These payments are designed to keep insurers in the marketplaces and make coverage affordable so that customers can buy it.
    • Republicans want to destroy Obamacare anyway they can by repealing the ACA, creating instability and making out-of-pocket costs for coverage too expensive for too many people to afford. Without customers, insurance companies will be forced out of the market and Obamacare will collapse in some places where there’s only one insurer – leaving people with no coverage. Some insurers are already pulling out.
    • Republican sabotage led by President Trump is driving insurers out of the marketplace, not the ACA. Up until this year, a record number of people gained coverage under the ACA, generating millions of new customers for insurance companies. The biggest insurance companies made robust profits as a result– some tripling their profits from 2011 to 2015.

If President Trump and the Republicans really wanted to protect our health care, they would reduce premiums and expand coverage by giving people more options: support provisions in the ACA that make private insurance more affordable and offer Medicaid or Medicare alongside private insurance so everyone has a choice.

Fact Sheet: Trump’s First 100 Days – A Record of Broken Promises on Health Care

 

Tomorrow marks Donald Trump’s first 100 days as President. When it comes to health care, Trump’s first 100 days have been about breaking every single promise he made on his way to the White House.

For starters, Trump said, “We’re going to have insurance for everybody.” But that’s not true. Under the House Republican bill that Trump supports, 52 million Americans will be without insurance in 2026.

Trump also said that, “there will be no cuts to Social Security, Medicare & Medicaid,” but the GOP plan will cut $880 billion from Medicaid alone.

Trump’s counselor Kellyanne Conway said: “We don’t want anyone who currently has insurance to not have insurance.” But the Republican repeal bill would take health care away from 24 million people.

Tom Price, Trump’s Secretary of Health and Human Services, said that “nobody will be worse off financially” after the Republicans in Congress repeal Obamacare. But rates will go up 15-20% in the first two years, and costs will skyrocket for older Americans. For example, a 64-year-old man making $26,500 a year would see his health costs increase nearly $13,000, thanks to a dramatic reduction in the tax credits people will receive to buy coverage in the Obamacare marketplace.

Here’s the good news – Trump and the Republicans in Congress also promised to repeal the ACA back in January. Trump even vowed to repeal the ACA on “day one” of his presidency. But they still haven’t been able to repeal the law because of the public uprising against the Republican plan.

Over the April recess period, for example, Republicans went home to their districts and were overwhelmed by support for Obamacare. Thousands turned out at town halls, the ACA is at its most popular ever, and the Republican bill has the support of only 17 percent of Americans.

They came back this week with the MacArthur amendment, which makes minor changes to the existing proposal and basically makes a bad bill worse. The latest deal would:

  • Allows insurance companies to charge people with pre-existing conditions more for their health coverage. The Trump/GOP proposal guts the protection against health insurers hiking premiums for people with pre-existing conditions.
  • Lets insurers sell barebones insurance that doesn’t cover essential health services and caps coverage. This would allow insurance companies to refuse to cover hospitals, doctors, prescriptions, lab tests, mental health, maternity and newborn care, preventive care, and substance abuse. There’s a reason these are called “essential health benefits” in the existing law. Eliminating essential health benefits also eliminates the prohibition on health insurance companies putting annual or lifetime limits on how much they pay for your care.
  • Cuts coverage while turning over $600 billion in tax breaks to the wealthiest households making over $250,000 a year, and the insurance industry and prescription drug companies.

The Republicans want to go backwards – way backwards – back to the days when we were all at the mercy of the big insurance companies, the days when you could lose your coverage because you got sick, be denied coverage altogether because you had a health care condition, or be forced to pay higher premiums for coverage because you actually needed health care.

The extreme Members of the Freedom Caucus who want total repeal of the ACA and radical changes in Medicaid endorsed the MacArthur Amendment, even though the Republican repeal plan still wrecks Americans’ health care and hurts their own constituents.

That means that in the first 100 days, Trump and the Republicans have done nothing to improve the ACA, make health care more affordable, or protect Medicaid and Medicare. In fact, the only health care they have protected is their own since the MacArthur proposal would exempt Members of Congress from any adverse impacts that their repeal bill would inflict on the rest of us.

 

 

 

 

 

 

 

 

 

 

Fact Sheet: The Republican Health Care Repeal Plan is a Bad Bill Getting Worse

 

The Republican proposal to repeal the ACA and make permanent cuts to Medicaid is so bad it’s already failed to get enough support to even get a vote in the House. In addition to taking coverage from 24 million people by 2026, raising costs for almost everyone, and shifting burdens to state budgets, the proposal:

  • Allows insurance companies to charge people with pre-existing conditions more for their health coverage. The Trump/GOP proposal guts the protection against health insurers hiking premiums for people with pre-existing conditions.
  • Lets insurers sell barebones insurance that doesn’t cover essential health services and caps coverage. This would allow insurance companies to refuse to cover hospitals, doctors, prescriptions, lab tests, mental health, maternity and newborn care, preventive care, and substance abuse. There’s a reason these are called “essential health benefits” in the existing law. Eliminating essential health benefits also eliminates the prohibition on health insurance companies putting annual or lifetime limits on how much they pay for your care.
  • Cuts coverage while turning over $600 billion in tax breaks to the wealthiest households making over $250,000 a year, and the insurance industry and prescription drug companies.

The updated deal called the MacArthur amendment makes minor changes to the existing proposal that basically makes a bad bill worse.

  • The Republicans want to go backwards – way backwards – back to the days when we were all at the mercy of the big insurance companies, the days when you could lose your coverage because you got sick, be denied coverage altogether because you had a health care condition, or be forced to pay higher premiums for coverage because you actually needed health care.
  • The ACA ended the biggest insurance industry abuses, including discrimination based on age, gender and health status. These are the protections that the Trump administration and Republicans in Congress would make optional in this bill.
  • The MacArthur amendment does nothing to lower the cost of premiums, out-of-pocket costs, and prescription drugs for consumers, or to guarantee people with pre-existing conditions affordable coverage, or to stop the $600 billion in tax breaks for the rich and insurance companies in the repeal bill.

The Bill STILL Wrecks Health Care for American Families

Just like the bill that didn’t have enough support to pass in March, the latest GOP proposal would take health care away from 24 million people, slash Medicaid, and raise health care costs for all families in order to give $600 billion in tax cuts to the very wealthy and the big insurance and drug companies. It will blow a hole in state budgets so the wealthiest 400 Americans can get a tax break of $7 million a year. It will allow companies to charge older people five times as much as younger consumers and increase costs for people in their 50s and 60s by thousands of dollars a year.

Fact Sheet: Trump/GOP Pushing Again to Take Away Our Care

Newest Horror – No More Protections for People with Pre-Existing Conditions!

Trump, Pence and Ryan are doing everything they can to bring their plan to destroy our health care. In order to win the votes of the extreme right they are now planning to allow insurance companies to charge whatever they want to people with pre-existing conditions and to sell junk health insurance.

As the New York Times health insurance analyst wrote: “…the proposed changes would effectively cast the Affordable Care Act’s pre-existing conditions provision aside.”

HERE’S WHAT WE KNOW ABOUT THE LATEST REPUBLICAN PLAN:

Allows insurance corporations to charge people with pre-existing conditions whatever the want. The Trump/GOP proposal guts the protection against health insurers hiking premiums for people with pre-existing conditions.

Barebones insurance that doesn’t require any coverage. Allows insurers to not cover hospitals, doctors, prescriptions, lab tests, mental health, maternity and newborn care, preventive care, and substance abuse. There’s a reason these are called essential health benefits.

Allows insurance companies to cap how much they pay for your care. Eliminating essential health benefits also eliminates the prohibition on health insurance companies putting annual or lifetime limits on how much they pay for your care.

Higher Premiums for People Who Actually Need Health Care: Health insurance companies will sell barebones plans which leave off basic coverage at a low price and hike the prices of coverage that covers care people actually need, with the biggest hikes for people who have had any medical care.

AND IT STILL TAKES HEALTH COVERAGE AWAY FROM 24 MILLION PEOPLE, HIKES INSURANCE PREMIUMS, HITS PEOPLE IN THEIR 50s and 60s the HARDEST AND SLASHES MEDICAID BY $880 BILLION.

TELL YOUR MEMBER OF CONGRESS TO PROTECT OUR CARE.

 

Talking Points on ACA Cost-Sharing Payments

It’s Not Over! Trump can still take health care away
from millions in one easy step

He can be the one to cause Obamacare to “explode” by wrecking consumer protections against high out-of-pocket costs.

If Trump does not defend a lawsuit filed by Republicans in Congress against the Affordable Care Act, insurance premiums will skyrocket and many more health insurance companies will flee, taking health care away from millions of working families.

The Story

The Affordable Care Act pays health insurance companies to keep out-of-pocket costs low for millions of working families. But Republicans in Congress filed a lawsuit to stop the Obama administration from making those payments to insurance companies. The lawsuit is now stuck in court – waiting for the Trump administration to act.

If the Trump administration decides not to fight the lawsuit, those payments will stop and insurance companies will send premiums through the roof and stop selling health insurance all together.

President Trump tweeted “Obamacare will explode.” We need to stop him from pulling the trigger by doing nothing. Instead we need Trump to defend the payments.

Congress must act too!

Congress should approve keeping the payments that lower deductibles and co-payments for working families. At the same time, Members of Congress should urge Trump to defend the payments in court so people can keep their care.

We stopped Congress from repealing and replacing Obamacare because that would take health care away from millions of Americans. We must keep the pressure on Congress to keep consumer protections against high-out-of-pocket costs.

6 million Americans pay lower out-of-pocket costs under the ACA

State #
United States 6,353,551
Alabama 125,424
Alaska 7,500
Arizona 94,463
Arkansas 36,134
California 707,671
Colorado 28,929
Connecticut 52,132
Delaware 11,146
District of Columbia 279
Florida 1,125,850
Georgia 322,348
Hawaii 8,067
Idaho 58,781
Illinois 156,469
Indiana 77,251
Iowa 25,677
Kansas 53,034
Kentucky 32,186
Louisiana 118,597
Maine 42,880
Maryland 72,175
Massachusetts 132,721
Michigan 164,725
Minnesota 12,128
Mississippi 60,354
Missouri 148,033
Montana 23,479
Nebraska 41,950
Nevada 48,736
New Hampshire 17,376
New Jersey 129,277
New Mexico 22,655
New York 40,544
North Carolina 360,045
North Dakota 9,199
Ohio 95,312
Oklahoma 81,053
Oregon 52,960
Pennsylvania 227,304
Rhode Island 21,270
South Carolina 150,030
South Dakota 15,108
Tennessee 138,272
Texas 646,415
Utah 106,589
Vermont 9,751
Virginia 222,233
Washington 66,083
West Virginia 17,414
Wisconsin 123,307
Wyoming 12,235