The PayGo law forbids bills which increase the national debt. Unless it is repealed or waived, the Republican tax cuts would cause automatic sequestration of, among other funds $ 25 billion from Medicare. This is an excellent as usual Vox Explainer by Tara Golshan It all comes down to the “pay-as-you-go,” or PAYGO, rule — a 2010 law that says all passed legislation cannot collectively increase the estimated national debt. In other words, if Republicans...
Read More »Trump’s HHS Secretary Nomination and Healthcare Economist Uwe Reinhardt
News Editor Joyce Frieden at Medpage Today offers up an excellent review of President Trump’s head of HHS selection Alex Azar. If you do not read MedPage Today, it is a good site to get information on healthcare and healthcare policy. Orrin Hatch of Utah: “The leader of HHS will be at the tip of the spear, working to not only right the wrongs of [the Affordable Care Act] but also ensure the long-term sustainability of both Medicare and Medicaid,” Wow,...
Read More »Elections November 2017
In Virginia, Gilespie has lost. Trump claims it is because Gilespie did not embrace him. New jersey elected a Democrat for a Governor also. In both Virginia and New Jersey these were not close races as both Democrats won by good margins of 9% and 13%. The Virginia House of Delegates picked up 14 more Democrats along with selecting the first transgender to be a in a state legislature. This would be enough Delegates to flip the House to the Democrats....
Read More »Well, it’s not just power that women like Clinton are asking for; it is responsibility
This is just a conversation between two people of a similar age, looking at what happened, and what changed. Worthy of posting. esmensetoo: There are women who fear a loss of privilege and an increase in expectations, and economic responsibility, for women from “feminist” striving. “If she can do that maybe I’ll be asked and expected to do it too.” Plus, “working class,” as defined in many polls and studies does not necessarily mean “working women.”...
Read More »Similar to “Alexander – Murray,” CMS Proposal Gives States Authority to Redefine ACA Minimum Benefits
I have been getting quite a few alerts on proposed changes happening behind the scenes with the ACA. I also found a couple of new places with some intelligent writers who have explained things in greater depth than what I knew. The CMS is proposing a rule allowing states greater authority in defining the ACA. This comes in addition to Trump’s EO. The new rule would give states greater flexibility in: – Defining the ACA’s minimum essential benefits to...
Read More »House Passes Senate Tax Reform Budget Resolution and Creates 2018 Budget
Everyone is reporting a 2018 Budget has been passed. Tucked away inside the 2018 Budget is a Tax Reform Resolution which allows the House to write the bill. The House has passed the Senate Tax Reform Budget Resolution creating a $1.5 trillion deficit with a 216-212 vote. What this means in the Senate is a majority vote is only necessary to pass the Tax Reform bill which Trump has been campaigning and tweeting silly comments. Unless the House and Senate...
Read More »What is the Matter With the Iowa ACA?
The story as it is told is “Iowa’s Healthcare Market has imploded. Companies have gone out of business, lost money, premiums increased, policies canceled, etc. “ With Obamacare’s fifth open-enrollment season kicking off on Nov. 1, the consequences are playing out across one of America’s most politically influential states as residents struggle to maintain coverage.” It has been difficult to implement the ACA with the issues with the healthcare exchanges,...
Read More »Odds and Ends October 23, 2017
Hurricane Relief: Interesting developments going on in the Senate. Senator John Cornyn (R-TX) is taking to task administration officials and conservative movement leaders by holding up the confirmation of Russ Vought as the right hand man to Mick Mulvaney’s at the Office of Management and Budget. Wonder why he would do this? Apparently Senator Coryn believes there should be more funding for Texas’ hurricane relief. He has made it clear that Vought will...
Read More »New Bill to Restore the ACA CSR
Senate Health Committee Chairman Lamar Alexander (R-TN) “Unless they are replaced with something else temporarily, there will be chaos in this country and millions of Americans will be hurt.” Twelve Republicans and 12 Democrats signed on to the bill, which would continue ObamaCare’s insurer subsidies for two years and give states more flexibility to waive ObamaCare rules. Senator Alexander is talking about the impact of Trump canceling the CSR which pays...
Read More »Senate to Vote on Budget Resolution
A couple of weeks ago, the House passed a Tax Reform Budget Resolution. Today, the Senate will take a vote on its Tax Reform Budget Resolution. Once passed, the differences will need to be resolved by both legislative bodies. President Trump met with the Senate Committee which included 6 Democratic Senators of which 5 are up for re-election in 2018. Trump impressed upon Senator Wyden the need for support of the Republican Tax Reform measure. Except the...
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