‘Skinny’ Repeal of Obamacare Fails in Senate – By Kristina Peterson, Michelle Hackman and Siobhan Hughes Updated July 28, 2017 3:21 a.m. ET

 Fifty-one senators vote against measure to roll back handful of elements of Affordable Care Act

Roll is called on the ‘skinny’ repeal of the Affordable Care Act in a screenshot from Senate TV on Friday.
Roll is called on the ‘skinny’ repeal of the Affordable Care Act in a screenshot from Senate TV on Friday. PHOTO: SENATE TV

WASHINGTON—The Republican effort to dismantle the Affordable Care Act collapsed early Friday when a slimmed-down Senate measure to pare back selected pieces of the 2010 health-care law failed, undermining the GOP leaders’ efforts to deliver on a longtime campaign promise.

Sen. John McCain (R., Ariz.) cast one of three GOP no votes that sank Senate Republicans’ latest effort to roll back a handful of elements of the law. GOP Sens. Susan Collins of Maine and Lisa Murkowski of Alaska also joined with Democrats to block the measure in a 49-51 vote. The bill’s failure exposed the difficulty Senate Republicans faced in trying to corral 50 votes for any legislation making changes to the ACA, whether modest or major.

Friday’s vote leaves Republicans without any clear next step in their monthslong effort to roll back the ACA and with no significant legislative accomplishment during President Donald Trump’s first seven months in office.

“This is clearly a disappointing moment,” Senate Majority Leader Mitch McConnell (R., Ky.) said on the Senate floor moments after the vote. “I regret that our efforts were simply not enough this time.”

Days earlier, Mr. McConnell had pulled off a come-from-behind victory to begin debate on the bill, boosted by Mr. McCain’s return from Arizona after recently being diagnosed with brain cancer. But Mr. McCain’s defection Friday morning helped bring down the bill, despite an intense lobbying effort to win him over by GOP leaders.

“One of the major failures of Obamacare was that it was rammed through Congress by Democrats on a strict-party line basis without a single Republican vote. We should not make the mistakes of the past,” Mr. McCain said in a statement after the vote, urging GOP leaders to hold hearings and solicit Democratic ideas.

The defeat left Senate Republicans with little to show for their weeks of difficult deliberations. Although the House overcame a setback to pass a sweeping health-care overhaul in May, the Senate GOP’s narrow majority and deep internal divisions made such a comeback difficult.

Mr. McConnell said after the vote that it was now Democrats’ turn to propose fixes to the ACA. “It’s time for our friends on the other side to tell us what they have in mind and we’ll see how the American people feel about their ideas,” Mr. McConnell said.

Senate Minority Leader Chuck Schumer (D., N.Y.) said Democrats were ready to work with Republicans to shore up the health-care law. “Obamacare was hardly perfect. It did a lot of good things, but it needs improvement,” Mr. Schumer said.

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Some Holiday Cheer for Obamacare – By Jordan Weissmann DEC. 23 2015 4:24 PM

Somebody's pleased. Reuters

Somebody’s pleased.

So, I wanted to flag some news that dropped Tuesday while I was busy pondering the semiotic significance of General Tso’s Chicken. With the deadline for Jan. 1 coverage having just passed, the Department of Health and Human Services announced that 8.2 million Americans have signed up for health plans on the Affordable Care Act’s insurance exchanges, compared to about 6.4 million at the same time during last year’s open enrollment period. The number of first-timers has grown too—about 2.4 million customers who picked plans on the federal exchange, healthcare.gov, were new, versus 1.8 million last year.

Since open enrollment is still going, this all seems to suggest that HHS’s original estimate that 10 million people would ultimately sign up and keep a health plan bought via the exchanges through the end up 2015 was a bit of a lowball number—though, as always, it’s hard to make predictions (I’ll leave that to Charles Gaba).

The other interesting news: More young people are signing up. So far there are 2.1 million enrollees on healthcare.gov are under 35 (about 35 percent of the total), up from 1.1 million last time around (or about 33 percent of the total).*




This is a very positive development for the health reform law. One of the big questions lingering over Obamacare has been whether enough young adults, who tend to be healthier, would sign up for coverage, in order to support older, sicker customers and make plans sold on the exchanges profitable and sustainable. So far, many insurers have been losing money on their exchange plans. But these new numbers suggest that the market is gradually becoming more balanced (as Sarah Kliff at Vox notes, the goal is to eventually have 38 percent of enrollees younger than 35). One potential reason why: The tax penalty for not having insurance finally went up to a full $695 this year. I’d also guess more people are simply learning about the law, and deciding to take advantage of it.

*Correction, December 23, 2015: This post incorreclty stated the percentage of young adults among the healthcare exchanges’ customers. 

While the fights over Obamacare are sure to go on for years, the health care law is one of the least understood social programs of our time. “Understanding Obamacare: POLITICO’s Guide to the Affordable Care Act” is a plain-English explainer of how the law is supposed to work, and what’s likely to happen when the coverage begins. Written by POLITICO Senior Policy Reporter and health care expert David Nather, the guide also includes a series of reality checks to help you sort out the truth behind the political arguments you’re most likely to hear.

Introduction: Understanding Obamacare

Whatever you think of Obamacare, this guide is intended to help you understand what’s at stake for consumers, employers and physicians — and help you cut through the political rhetoric as the law’s biggest test begins.

Download a PDF of the full guide

Coverage under health-care law may change — for the better – By Editorial Board, Tuesday, October 29, 4:36 PM

PRESIDENT OBAMA famously claimed that Americans who liked their insurance plans would be able to keep them under health-care reform. Well, that’s not completely true, nor is it the only example of the Obama administration failing to prepare the public for the Affordable Care Act’s phase-in. And it was one of the only things Republicans at a House Ways and Means Committee Hearing on Tuesday wanted to talk about.

Some Americans are starting to get ominous-sounding letters about their health-care coverage. Insurance provider Florida Blue, for example, is canceling 300,000 bare-bones insurance plans that aren’t up to the Affordable Care Act’s standards. Customers can transition onto better quality — but more expensive — plans. Unsurprisingly, reporters have found some unhappy customers. Conservatives, meanwhile, have charged that this is just another example of why the law is a lemon, forcing people onto plans they don’t want.

But, despite what the president may have said, this news should not have come as a shock, and it is not evidence that the law is a failure.

The reform underway is rooted in the notion that there is a certain catalog of health-care benefits to which all Americans should have access, and that they should not have to pay outrageous amounts of money to get that coverage. It means to accomplish that goal by mandating that everyone not on government-run programs such as Medicaid pay into the private insurance system, and by setting certain standards on what health-care insurance must cover. Plans must include prescription drug, mental health, maternity, preventative care and other basic benefits, and they must take care of at least 60 percent of patients’ health expenses. The vast majority of Americans, most of whom get health insurance from their employers, won’t see much change. But a significant number — a study looking at 2010 figures said half — of customers currently buying insurance on their own don’t have plans of that quality.

Article continues: http://www.washingtonpost.com/opinions/coverage-under-health-care-law-may-change–for-the-better/2013/10/29/2acc9b12-4027-11e3-a624-41d661b0bb78_story.html?hpid=z3

Mike Lee To GOP On Obamacare: ‘If You Fund It, You’re For It’

Mike Lee To GOP On Obamacare: ‘If You Fund It, You’re For It’

Tea party Sen. Mike Lee (R-UT) put the GOP on notice Tuesday by characterizing a vote against shutting down the government by refusing to fund the Affordable Care Act as endorsing the law outright.

“Defund it, or own it. If you fund it, you’re for it,” Lee said on the Senate floor.

Lee, joined by Sens. Marco Rubio (R-FL) and Ted Cruz (R-TX), is spearheading an effort not to fund the government unless it excludes appropriations to implement Obamacare. The lawmakers are finding severe resistance within their own ranks, however.

One of those Republicans who disagrees with Lee’s strategy, Sen. Tom Coburn (R-OK), explained on the Senate floor that defunding Obamacare would require a highly-unlikely 67 votes.

“I’d love to defund Obamacare, I’d like someone to show me a mechanism to do it,” he said.


But here’s my question: if Republicans are so confident Obamacare will end badly, why not just shut up about it? It’s not like they have the votes to repeal the law—a math problem they still haven’t solved after 37 different tries. Their appeal to the Supreme Court ended in defeat at the hands of a conservative chief justice. And now the bulk of the plan will begin to take effect in just a few months. -Jon Favreau

The GOP Is Terrified Obamacare Could Be a Success

Has anyone else noticed how pathetically frightened the Republican Party is that Obamacare just might succeed?

Los Angeles Times
The Koch brothers really dislike Obamacare. (Damian Dovarganes/AP)

I know, we’re all supposed to think the End Is Nigh because the government has decided to give the 10 percent of large employers who don’t insure their workers another 365 days to do so before levying a small penalty. This could not possibly be a reasonable accommodation to protect jobs and businesses, because as everybody knows, this president hates jobs and businesses.

No, this brief delay must be a sign that the implementation of the Affordable Care Act is destined to result in abject failure. After all, that’s what every Congressional Republican with the ability to hit send on a press release has told us, over and over again, hoping that repeating their prediction enough times will somehow make it true.

But here’s my question: if Republicans are so confident Obamacare will end badly, why not just shut up about it? It’s not like they have the votes to repeal the law—a math problem they still haven’t solved after 37 different tries. Their appeal to the Supreme Court ended in defeat at the hands of a conservative chief justice. And now the bulk of the plan will begin to take effect in just a few months.

At this point, why not sit back and wait for this crazy experiment to self-destruct? Why not let President Obama and the Democrats reckon with the millions of angry Americans who will undoubtedly hate their new insurance or their new insurance protections?

Because Republicans are terrified that Obamacare could actually work. Already, the law has provided 54 million Americans free access to preventive services like check-ups and mammograms. More than six million seniors have saved more than six billion dollars on their prescriptions. Nearly 13 million consumers have received more than one billion dollars in rebates from insurance companies that had overcharged them. There are more than three million happy young adults who have been allowed to stay on their parents’ health insurance until they turn 26. And in California, a state that represents one-fifth of the U.S. economy, we’ve learned that premiums for the law’s new insurance options have come in lower­than expected.

As these successes build, Republicans are naturally coping with their fear the only way they know how: by scaring the hell out of everyone else. The Koch brothers, not content with the millions they flushed down the toilet on Karl Rove’s 2012 electoral strategy, are spending millions more on ads that tell the same previously debunked lies about the health-care law. Mitch McConnell, still pursuing his top legislative priority of defeating a president who can no longer be defeated, actually threatened the NFL for even considering the administration’s request to help educate uninsured Americans about the fact that they can now receive affordable coverage under the law.

Mitch McConnell has been trying to repeal Obamacare for years.

There is now plenty of evidence that if we as a nation want Obamacare to work, it will work.

Think about that. This is the same kind of public education and outreach effort that the Bush administration once launched about a prescription drug program that many Democrats voted against. But Democrats didn’t object because it didn’t exactly seem fair to punish senior citizens with higher drug costs just to prove a political point. This is also the same kind of effort Mitt Romney launched in Massachusetts when he asked the Red Sox to help educate the public about the benefits of Romneycare. Again, no one had a problem—just like no one has problems with government efforts to educate the public about Social Security benefits, or flu vaccinations, or school lunches, or any other benefits and protections we’ve written into law as a humane and decent society.

But today, the antigovernment zealots who have taken over the once-proud Republican Party feel they must burn our village to save it. They are actively trying to prevent Americans who have been too poor or sick to get health insurance from knowing that all three branches of their democratically elected government have passed and upheld a law that will finally allow them to see a doctor without going broke.

This is not to say that implementation will be easy or without problems. Some will be self-inflicted by poorly written provisions or bureaucrats who make mistakes because they’re human. Others will be inflicted by Republican governors and legislatures who refuse to accept the money the federal government is providing to expand health insurance programs for the poor and disabled.

But there is now plenty of evidence that if we as a nation want Obamacare to work, it will work; that if we can extract ourselves from the trench warfare that preceded the passage of the law, we can all start focusing on fixing and improving it over the next year. Out in America, I know there are not only plenty of Democrats and Independents who feel this way, but Republicans as well. What these Americans need to do now is speak up and be heard, because the antics of their frightened representatives in Washington are endangering the health care of millions and embarrassing their party in the process.