Eliminating sex discrimination through research, education and legal activities
Things on the health care front have taken a dire turn and we’re reaching out with an urgent update and request for your immediate ramped-up engagement.
We could see a vote on a modified health care proposal in the House as early as this Friday!
The proposal has just won the support of the conservative House Republican Freedom Caucus – which heightens the chances significantly that the bill could pass. As explained below, the only way to stop this legislation is to ensure that moderate and centrist Republicans oppose the measure. So, the work those of you represented by these Members are doing is extremely important – especially in the next 24-48 hours. The bill passed the House.
We’ve included some press accounts that emerged in the last few hours laying out the developments in the House and the possibility of a vote this Friday. Tell the Ohio Senate that this is not the bill American wants or needs.
Over the recess, the leader of the Freedom Caucus, Rep. Meadows, negotiated a provision to add to the original House ACHA bill with Rep. MacArthur, one of the leaders of the moderate Republican “Tuesday Group.” The change is portrayed as protecting “pre-ex” coverage (meaning ensuring coverage for those with pre-existing conditions), but in fact, it makes it more likely that millions of Americans will see their premiums rise and/or lose access to their health coverage.
The modification would:
See our paper on how this provision would make the AHCA worse here: http://www.cbpp.org/research/health/reported-amendment-to-house-aca-repeal-bill-guts-protections-for-people-with-pre
While the agreement was portrayed as a “deal” between moderate and conservative Republicans in the House, it turns out this change was nothing more than an agreement between Reps. Meadows and MacArthur. Unfortunately, that has now changed with the endorsement of the Freedom Caucus (which only serves to underscore concerns about the impact of the change).
Unless moderate Republicans oppose the measure, it will pass and go to the Senate which would then come under intense pressure to act. This underscores how critical your work is in the districts of moderate House Republicans since they are now getting a strong push from the Administration and Republicans to support the bill.
There are still very strong reasons for moderate Republicans to oppose this modified ACHA bill. This group has indicated consistently that they are worried about protecting the Medicaid expansion in their states, and about protecting coverage for Essential Health Benefits and pre-existing conditions. Yet the modified ACHA bill retains the elimination of the Medicaid expansion – and effectively the end of Medicaid as we know it (the per capita cap/the $880 billion cut), and only further weakens these critical consumer protections.
Specifically, the bill:
In short, for moderate Republicans who had announced their opposition, there’s no reason for them to change their position. For those moderates who had not yet indicated their position, there is no excuse to support this bill given the harm it would do.
We know that since last week many of you have sent calls to action to your networks and have been hard at work reaching out to your representatives on this. If you need their staff contact info, please reply to this email and let us know. We are happy to provide that information. Please see the list of the most recent public statements made by legislators on this modified version of the bill below.
Considering these developments, we hope you will move quickly in the next 24-48 hours to ensure that your moderate Republican representative has heard from you and other allied state partners and activists that the modified AHCA bill would have a tremendously harmful impact in your state.
In addition, we want to urge those of you with moderate Republican senators or other Republicans who represent a state with the Medicaid expansion to contact them quickly as well.
This could prove very useful in affecting the outcome in the House: if moderate Republican senators in states with moderate Republican representatives speak out against the modified House bill, it will send a powerful signal that this legislation is not going to fly in the Senate and give House members pause about “walking the plank” for nothing. In addition, if this bill does manage to pass the House, we need to make sure key senators are well aware of the deep problems with the modified House proposal.
We strongly urge you to consider enacting (or continuing) the following steps with the key House Republicans:
The modified Republican plan will make the underlying AHCA bill even worse. It is no compromise and it is certainly not a “deal” to the millions of Americans whose coverage will be impacted negatively:
Ask your Senators to commit to opposing any bill or provision that causes millions of people to lose coverage, ends the ACA Medicaid expansion, shifts hundreds of billions of Medicaid costs to states, or makes individual market coverage less affordable.