OMB46. Former @CenteronBudget, Obama HHS, OMB, NEC. Personal account.
Feb 10, 2020 • 5 tweets • 2 min read
In place of ACA repeal & Medicaid overhaul policies from prior budgets, this year’s budget substitutes an “allowance for the President’s health reform vision:” a line of numbers backed by almost no policy.
Still, the allowance does shed some light on the President's vision 1/
First, it shows the President’s health reform vision involves deep cuts to Medicaid and the ACA: $1T over 10 years, w/annual cut of $166B by 2030 2/
There’s been some confusion about the health care numbers in the President’s budget. Bottom line: the budget calls for $1T in Medicaid and ACA cuts over 10 years.
Warning: deep dive into budget summary tables follows 1/
The budget calls for $844B in cuts in a “President’s health reform vision allowance” plug line in Table S-6 2/
Feb 6, 2020 • 6 tweets • 4 min read
New @CenterOnBudget FAQ on last week’s Medicaid guidance: who it applies to, what authorities it offers states to limit coverage & benefits, how block grant waivers would impact state budgets, & whether it’s legal. A few key points: cbpp.org/research/healt…@CenterOnBudget 1. B/c it applies to pple covered through Medicaid expansion & other “optional” adults, the guidance applies to up to 5M pple w/disabilities. It also applies to many pple w/chronic or acute illnesses, older adults/early retirees, & parents: cbpp.org/research/healt…
Dec 20, 2019 • 16 tweets • 9 min read
By remanding the case to Judge O’Connor, who struck down the ACA in the first place, the 5th Circuit is inviting the Administration & state AGs to keep pressing for full repeal through the courts.
Some thoughts on what that would mean, linking state estimates where possible 1/
As a starting point, if the courts strike down the ACA’s major coverage provisions, 20 million people would become uninsured. State estimates here, from @urbaninstitute: urban.org/sites/default/… 2/
Oct 18, 2019 • 16 tweets • 8 min read
An important story about a major threat to health coverage and access to care. A few additional points 1/
First, while the story questions whether the Administration will put forward a health care plan, it already has one: its budget. And the budget seeks basically the same major policy outcomes as the lawsuit: cbpp.org/blog/trumps-he… 2/
Mar 11, 2019 • 10 tweets • 4 min read
It may be tempting to ignore the cuts to health coverage programs in the FY2020 POTUS Budget released today, but they’re worth paying attention to 1/
The Budget continues to embrace the Graham-Cassidy-Johnson-Heller proposal to repeal Medicaid expansion & ACA subsidies, replace them with a flawed & inadequate block grant, & impose a per-capita cap on the rest of Medicaid – cutting $659 billion/10 years from these programs 2/
May 17, 2018 • 12 tweets • 4 min read
Based on this summary, new ACA repeal plan is similar to the Cassidy-Graham bill described in our new issue brief: cbpp.org/research/healt… – but appears to provide even fewer federal $ for coverage, suggesting it could result in even higher uninsured rates 1/12
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by @TopherSpiro view original on Twitter
Like Cassidy-Graham, the new bill completely eliminates Medicaid expansion (currently covers 12 million people) and ACA subsidies (currently help about 10 million people), replacing them with a deeply flawed block grant 2/12
Nov 8, 2017 • 5 tweets • 3 min read
A few additions to @AislingMcDL's great thread summarizing evidence contradicting @SeemaCMS's claim 1/
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by @AislingMcDL view original on Twitter
One of the most careful studies of expansion (in KY and AR) finds large gains in access to care, financial security, & health bit.ly/2zpYqARbit.ly/2zrjwyL 2/
Jul 27, 2017 • 6 tweets • 1 min read
Actually, Cassidy-Graham plan makes deep cuts to ACA subsidies & expansion + EXACTLY THE SAME cuts to rest of Medicaid as Senate bill 1/6
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by @RalstonReports view original on Twitter
Proposal repeals Medicaid expansion & ACA subsidies; replaces with much smaller block grant that ends completely in 2026 2/6
