Here’s the latest scheme on the Legislative Evil known as Trumpcare:
Topher SpiroVerified account @TopherSpiro
1: ALERT: McConnell just sent a revised bill to CBO. They’re close to a deal. This is CODE RED.
2: Vote expected in mid-July. Republican staff reportedly told lobbyists “The store is open”—meaning they think they can buy off moderates.
3: If these moderates don’t feel the heat over recess, guess what? They’ll cave in no time. Remember how weak Cassidy was?
4: This revised bill is probably McConnell’s last shot. He has no time for CBO to score one after this. EVERYTHING RIDES ON THIS.
5: Happy Fourth! Protesting Trumpcare this week is the pinnacle of democracy and patriotism 🇺🇸
Senate Republicans have asked the Congressional Budget Office to analyze Sen. Ted Cruz’s proposal for further health insurance deregulation, and they’ve asked for one estimate of a health care bill that includes his changes and one that doesn’t, according to a GOP aide familiar with the discussions.
The bottom line: That would give Republicans a better idea of the impact of his proposal, which would let insurers sell health plans that don’t meet Affordable Care Act standards — including, potentially, waiving the pre-existing condition rules — as long as they also sell plans that comply with all of the ACA insurance regulations.
What to watch: Among the issues CBO would have to weigh: would the non-ACA plans be cheaper, what would happen to premiums in the ACA plans, and what would happen to the cost of federal subsidies.
More Nightmares with everyday:
Andy SlavittVerified account @ASlavitt
NEW: The Senate is quietly pushing a subtle change in the health care bill:
not just to gut Medicaid, but to allow states to eliminate it.
After I finish a cable TV appearance I will tweet about this. Follow if interested. 2
BACKGROUND: There is a conservative view that Medicaid ⬆️ over-treatment & ⬇️ employment. Been argued in several TV debates I’ve been on.3
I have seen no data to support this– and have seen data which contradicts this. Nevertheless, it is consistent w a free market ideology.4
In this ideology, the best thing to do with Medicaid (& Medicare) is to give everyone a subsidy to buy their own insurance. 5
HOW SENATE BILL SOWS SEEDS FOR END OF MEDICAID: Baseline– the bill cuts 15 mm off & puts a cap on care for everyone else. It gets worse.6
The new state waiver process in the Senate bill already allows Medicaid to be replaced by giving ppl a subsidy. 7
The requirements of the waiver explicitly say that governors can do without legislature & that all waivers must be permanent changes.8
All it would take is 1 conservative governor ever to eliminate Medicaid for a state. A pitch the Koch Bros could hit. It gets worse. 9
The Federal taxpayer money currently going to Medicaid can be used for any purpose– does not need to be used w low income/disability/etc.10
Rather than plussing up Medicaid, Senate is selling conservatives that plussing up tax credits will allow Medicaid to be replaced.11
As @ThePlumLineGS points out, this “plussing up” would be woefully inadequate, meeting 22% of the need.
Centrist Senators are being told this solves their Med expansion problem too. I heard that came up at the meeting w Trump last week.13
This plays into horrible polls & pushback from govs over Medicaid cuts causing Senate to consider easing some tax cuts.14
As Medicaid cuts take hold, the incentives to end Medicaid will be high. And it would just take a single conservative governor to do it.15
CALL CALL CALL CALL CALL CALL
We are now on the clock. We have to fight, people. Call the GOP out. Call those Senators.