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QUESTION: What healthcare policies are included in the #BuildBackBetter framework?
ANSWER: A hell of a lot more than you probably thought!
There's *77* sections on healthcare policy improvements. Here's an overview of all of them. acasignups.net/21/10/30/detai…
There's 4 sections devoted to closing the Medicaid Gap; 9 sections on expanding/extending ACA health insurance subsidies & affordability; 6 on Home & Community-Based Services; 1 which adds Hearing Aid coverage to Medicare; 5 on various Hospice/Palliative Care programs...
...3 sections re. beefing up the CDC, FDA & other departments to head off the NEXT global pandemic; 18 sections (!) on prenatal, perinatal, maternal & postpartum health programs; 4 sections funding SAMHSA programs; 3 devoted to Native Hawaiian health programs...
...8 sections which address the massive shortage of healthcare professionals in the U.S., especially in rural/underserved regions, and 16 *other* sections which devote funding to everything from the Ryan White HIV/AIDS program to the World Trade Center Health Program!
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(For those wondering: I raised money for EVERY federal race last cycle, no matter how absurd of a long shot it was.)
Swearengin is a perfect test case for Our Revolution's "We need to run far-left progressives instead of moderate/centrist Dems in deep red areas to win" theory.
1st time she was crushed by one in the primary.
2nd time she won the primary & was then crushed by the Republican.
1. Insurer Responsibilities 2. Government Responsibilities 3. Enrollee Responsibilities
Let's review, shall we?
1st Leg: INSURER RESPONSIBILITIES:
--Guaranteed Issue
--Community Rating
--Essential Health Benefits
--Minimum Actuarial Value
--No Annual/Lifetime Limits
--Maximum Out of Pocket Costs
--Free Preventative Services
--Can Stay on Parents Plan until Age 26
2nd Leg: ENROLLEE RESPONSIBILITIES:
--Limited-Time Open Enrollment Period
--Shared Responsibility Penalty*
*(no longer applies in 46 states...replaced by the World's Most Expensive Shim®)
Another full year of expanded child tax credits isn’t “scraps.”
$550 Billion in climate change/green energy development isn’t “scraps.”
Closing the Medicaid Gap for 2.2 million Americans isn’t “scraps.”
Extending the #AmRescuePlan’s expanded ACA tax credits another 3 years isn’t “scraps.”
There’s a whole mess of other stuff still included. It’s not perfect and I’m pissed as hell at Manchinema for dragging it down & the ENTIRE GOP for rejecting ALL of it, but it’s not “scraps.”
This is just a quick overview for my readers; I don't see the point of doing a deep dive until I know whether this is the final cut or not: acasignups.net/21/10/28/biden…
Deleted a tweet about the BBB ACA subsidy extension provision until I get more clarity, because the figures cited didn’t make much sense to me if taken literally.
The healthcare provisions would include:
--Extend expanded #AmRescuePlan subsidies thru 2025 (3 more years)
--Close Medicaid Gap via expanding ACA subsidies <100% FPL thru 2025 (4 yrs)
--Add hearing aid coverage to Medicare
--Repeal Trump Admin prescription drug rebate rule
Deleted a tweet because some folks who should know better thought I was *siding* with Manchin on this.
To be clear: Yes, it *could* technically end up "rewarding" the non-expansion states *depending on how it's done* by letting them off the hook for their share. HOWEVER...
1. The way the bill is currently written, those states would be required to pay the same 10% of the cost as if they expanded Medicaid anyway, making it moot--the only way they'd be "rewarded" is, ironically, if the "Fedicaid" portion is removed by, say, MANCHIN;
2. Even if it does "reward" them, as @FishmanEliot correctly notes, it's STILL far more important to get those caught in the Medicaid Gap covered than to "refuse to cave" to non-expansion state GOP leadership.