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You Might Be Missing Out on Free Health Insurance","publishDate":1628034866,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>If you are uninsured or you've been on unemployment benefits this year, new financial help — passed by Congress this year — means you might be eligible for free health insurance. \u003c/p>\n\u003cp>A special enrollment period put in place by the Biden administration \u003ca href=\"https://www.healthcare.gov/coronavirus/\">ends on Aug. 15\u003c/a>, so consumers will need to act fast to sign up for one of these plans on the Affordable Care Act marketplaces.\u003c/p>\n\u003cp>The health plans without monthly premiums come in several different flavors, some of which have been around for a while, and some of which are new. \u003c/p>\n\u003cp>There is Medicaid, which is the state-federal public plan for low-income people. And, on \u003ca href=\"https://www.healthcare.gov/\">HealthCare.gov\u003c/a> and \u003ca href=\"https://www.healthcare.gov/marketplace-in-your-state/\">the state marketplaces\u003c/a> there are free \"\u003ca href=\"https://www.healthcare.gov/choose-a-plan/plans-categories/\">bronze plans\u003c/a>\" — the lowest tier of plans — that might be available with zero-dollar premiums depending on your income. Both of those have been \u003ca href=\"https://www.kff.org/policy-watch/millions-of-uninsured-americans-are-eligible-for-free-aca-health-insurance/\">options for years\u003c/a>.\u003c/p>\n\u003cp>Now, there's also a new free plan option open to a new category of people. The American Rescue Plan included \u003ca href=\"https://www.npr.org/sections/health-shots/2021/04/22/989448586/health-insurance-for-10-or-less-a-month-you-may-qualify-for-new-discounts\">a lot of changes\u003c/a> to help make it easier and more affordable to enroll, including new and more generous subsidies for premiums, cost-sharing support for low-income people and more. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>One major change: If you've \u003ca href=\"https://www.healthcare.gov/more-savings/\">received unemployment benefits\u003c/a> at any point this year, you might qualify for a comprehensive silver plan through the end of 2021.\u003c/p>\n\u003cp>Put it all together? There are zero-cost premium plans available to 13.3 million Americans — nearly half of the 29 million or so uninsured. Yet puzzlingly few have enrolled.\u003c/p>\n\u003cp>\"There are millions of people who are passing up free health insurance,\" says \u003ca href=\"https://www.kff.org/person/cynthia-cox/\">Cynthia Cox\u003c/a>, director of the Program on the ACA at the nonprofit Kaiser Family Foundation, who authored a \u003ca href=\"https://www.kff.org/health-reform/issue-brief/how-the-american-rescue-plan-act-affects-subsidies-for-marketplace-shoppers-and-people-who-are-uninsured/\">recent brief\u003c/a> on the topic. \"That free health insurance — most of the time — actually comes with very low deductibles, too. So a lot of times, people could have all — or the vast majority — of their health care costs paid for.\"\u003c/p>\n\u003cp>Among the uninsured, 5 million are eligible not for free plans, but are for subsidized ones, and an additional 10.7 million people are not eligible for either, because they live in a state that has \u003ca href=\"https://www.npr.org/sections/health-shots/2021/07/01/1011502538/12-holdout-states-havent-expanded-medicaid-leaving-2-million-people-in-limbo\">not expanded Medicaid\u003c/a>, are undocumented immigrants or have access to an affordable plan through their employer or the ACA, \u003ca href=\"https://www.kff.org/health-reform/issue-brief/how-the-american-rescue-plan-act-affects-subsidies-for-marketplace-shoppers-and-people-who-are-uninsured/\">according to KFF's analysis\u003c/a>. \u003c/p>\n\u003cp>Why would millions of people pass up the chance at free health coverage? \u003c/p>\n\u003cp>\"I still hear constantly that people have no idea that this was an option,\" says Jeremy Smith, a health insurance navigator at the nonprofit \u003ca href=\"https://acanavigator.com/wv/home\">First Choice Services\u003c/a> in West Virginia. \u003ca href=\"https://www.healthcare.gov/glossary/navigator/\">Navigators\u003c/a> give free advice to people who want to enroll in ACA plans.\u003c/p>\n\u003cp>\u003cimg src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/08/Screen-Shot-2021-08-03-at-3.42.12-PM.png\" alt=\"\" width=\"1612\" height=\"1084\" class=\"aligncenter size-full wp-image-11883600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/08/Screen-Shot-2021-08-03-at-3.42.12-PM.png 1612w, https://ww2.kqed.org/app/uploads/sites/10/2021/08/Screen-Shot-2021-08-03-at-3.42.12-PM-800x538.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/08/Screen-Shot-2021-08-03-at-3.42.12-PM-1020x686.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/08/Screen-Shot-2021-08-03-at-3.42.12-PM-160x108.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/08/Screen-Shot-2021-08-03-at-3.42.12-PM-1536x1033.png 1536w\" sizes=\"(max-width: 1612px) 100vw, 1612px\">\u003c/p>\n\u003cp>Bad experiences trying to sign up in the past, or plans with high out-of-pocket costs and deductibles might have turned people off, Smith says. Even though many plans are available that have zero-dollar premiums, some may still have other \u003ca href=\"https://www.healthcare.gov/choose-a-plan/your-total-costs/\">out-of-pocket costs\u003c/a> to be aware of.\u003c/p>\n\u003cp>He finds most of the people he's enrolling are still paying something every month, but it really varies. \"For one family, it might make sense to take the zero-dollar plan that's got a little bit higher deductible,\" he says. \"The next [family] can dig in, and they may be willing to pay $100 a month if it means their deductible's lower and their co-pays are lower.\"\u003c/p>\n\u003cp>Still, he thinks a lot of people are missing out. \"Even though everybody's trying to do all they can to say there's these new options, a lot of people just think they don't qualify, therefore they don't look into it,\" Smith says.\u003c/p>\n\u003cp>Inertia is also a powerful force, says Louise Norris, who co-owns an insurance brokerage in Colorado. Or maybe people are concerned about documentation or having to make \u003ca href=\"https://www.npr.org/sections/health-shots/2019/11/01/775391311/open-enrollment-is-here-6-tips-for-choosing-a-health-insurance-plan\">complicated choices\u003c/a>. \u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation=\"Louise Norris, owner of a Colorado-based insurance brokerage\"]'There are so many little reasons that somebody might be hesitating, and when you put them all together, you end up with at least a few million people who are leaving these benefits on the table.'[/pullquote]\u003c/p>\n\u003cp>\"There are so many little reasons that somebody might be hesitating, and when you put them all together, you end up with at least a few million people who are leaving these benefits on the table,\" Norris says.\u003c/p>\n\u003cp>Some new people have been signing up on HealthCare.gov and the state marketplaces. The Biden-Harris administration's last report showed \u003ca href=\"https://www.hhs.gov/about/news/2021/07/14/health-care-sign-ups-surpass-2-million-during-2021-special-enrollment-period-ahead-of-aug-15-deadline.html\">2 million new people\u003c/a> enrolled in health plans, although it's not clear how many of them enrolled in one of these free plan options.\u003c/p>\n\u003cp>Even with these affordable options, years of \u003ca href=\"https://www.npr.org/sections/health-shots/2017/09/20/552094974/bemoaning-budget-cuts-health-care-navigators-say-feds-dont-get-it\">slashed budgets for outreach\u003c/a> under the Trump administration had an impact on how many people are aware of the insurance marketplace at all, says Katie Roders Turner, a navigator with the Family Healthcare Foundation in central Florida.\u003c/p>\n\u003cp>\"Over the last four years, there was this vacuum of information — and misinformation in addition to that,\" she says. \"I think it's a knowledge gap, and I think that a marketing response is really going to make a big difference.\"\u003c/p>\n\u003cp>The Biden administration has been putting some effort into marketing the plans and trying to get the word out about the fact that enrollment is now open and there are new discounts available. It's running digital and TV ads and publishing community toolkits.\u003c/p>\n\u003cp>The Kaiser Family Foundation's Cox says that outreach is needed, not just to tell people the plans are there and they're more affordable now, but also to explain the value of having health insurance, even if it's not a top-tier plan.\u003c/p>\n\u003cp>\"One-hundred percent of the time, if you can get a free bronze plan, you are better off than being uninsured,\" she says. Some consumers are put off by high deductibles — the amount you would have to pay for any health care you use before your insurance plan picks up the tab. But even a high deductible plan is better than no coverage, she says. \u003c/p>\n\u003cp>\"If you get hit by a bus or have COVID and need a hospitalization, that's the difference between being $7,000 in debt versus being $50,000 in debt,\" she says. \"It can mean the difference between keeping your car or not, or keeping your house or not,\" she adds. \"That's a big difference.\"\u003c/p>\n\u003cp>As of Sunday, one of the people who has a free plan is Deborah Kagan. She just moved from New York state — where she was on Medicaid after being laid off during the pandemic — to Florida, where she's not eligible for Medicaid. She was extremely stressed about the move and losing coverage, especially because she has Type 1 diabetes.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation=\"Deborah Kagan\"]'Without my medication, I'm dead. And during COVID, I also found out that I had breast cancer and I had a brain tumor, and it was just one thing after the other.'[/pullquote]\u003c/p>\n\u003cp>\"Without my medication, I'm dead,\" she says. \"And during COVID, I also found out that I had breast cancer and I had a brain tumor, and it was just one thing after the other.\"\u003c/p>\n\u003cp>Because she's been on unemployment benefits, a navigator with the Family Healthcare Foundation walked her through enrolling in a free silver plan that will cover most of her health costs through the rest of the year.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>The navigators \"knew everything — all the updates — and guided me through every step of the way and were just beyond helpful,\" she says. Having a free plan lined up, she says, is \"a huge relief and it will help me focus on finding a job quickly.\" \u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Uninsured+Or+Unemployed%3F+You+Might+Be+Missing+Out+On+Free+Health+Insurance&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Millions of people who need insurance are eligible for free health care plans. A special enrollment period is ending on Aug. 15. Here's how to sign up in time.","status":"publish","parent":0,"modified":1628099057,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":32,"wordCount":1319},"headData":{"title":"Uninsured or Unemployed? You Might Be Missing Out on Free Health Insurance | KQED","description":"Millions of people who need insurance are eligible for free health care plans. A special enrollment period is ending on Aug. 15. Here's how to sign up in time.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Uninsured or Unemployed? You Might Be Missing Out on Free Health Insurance","datePublished":"2021-08-03T23:54:26.000Z","dateModified":"2021-08-04T17:44:17.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11883582 https://ww2.kqed.org/news/?p=11883582","disqusUrl":"https://ww2.kqed.org/news/2021/08/03/uninsured-or-unemployed-you-might-be-missing-out-on-free-health-insurance/","disqusTitle":"Uninsured or Unemployed? You Might Be Missing Out on Free Health Insurance","source":"NPR","sourceUrl":"https://www.npr.org/sections/health-shots/2021/08/03/1024219932/uninsured-or-unemployed-you-might-be-missing-out-on-free-health-insurance","nprByline":"Selena Simmons-Duffin","nprImageAgency":"HealthCare.gov/Screenshot by NPR","nprStoryId":"1024219932","nprApiLink":"http://api.npr.org/query?id=1024219932&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2021/08/03/1024219932/uninsured-or-unemployed-you-might-be-missing-out-on-free-health-insurance?ft=nprml&f=1024219932","nprRetrievedStory":"1","nprPubDate":"Tue, 03 Aug 2021 13:58:00 -0400","nprStoryDate":"Tue, 03 Aug 2021 12:26:47 -0400","nprLastModifiedDate":"Tue, 03 Aug 2021 13:58:08 -0400","path":"/news/11883582/uninsured-or-unemployed-you-might-be-missing-out-on-free-health-insurance","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>If you are uninsured or you've been on unemployment benefits this year, new financial help — passed by Congress this year — means you might be eligible for free health insurance. \u003c/p>\n\u003cp>A special enrollment period put in place by the Biden administration \u003ca href=\"https://www.healthcare.gov/coronavirus/\">ends on Aug. 15\u003c/a>, so consumers will need to act fast to sign up for one of these plans on the Affordable Care Act marketplaces.\u003c/p>\n\u003cp>The health plans without monthly premiums come in several different flavors, some of which have been around for a while, and some of which are new. \u003c/p>\n\u003cp>There is Medicaid, which is the state-federal public plan for low-income people. And, on \u003ca href=\"https://www.healthcare.gov/\">HealthCare.gov\u003c/a> and \u003ca href=\"https://www.healthcare.gov/marketplace-in-your-state/\">the state marketplaces\u003c/a> there are free \"\u003ca href=\"https://www.healthcare.gov/choose-a-plan/plans-categories/\">bronze plans\u003c/a>\" — the lowest tier of plans — that might be available with zero-dollar premiums depending on your income. Both of those have been \u003ca href=\"https://www.kff.org/policy-watch/millions-of-uninsured-americans-are-eligible-for-free-aca-health-insurance/\">options for years\u003c/a>.\u003c/p>\n\u003cp>Now, there's also a new free plan option open to a new category of people. The American Rescue Plan included \u003ca href=\"https://www.npr.org/sections/health-shots/2021/04/22/989448586/health-insurance-for-10-or-less-a-month-you-may-qualify-for-new-discounts\">a lot of changes\u003c/a> to help make it easier and more affordable to enroll, including new and more generous subsidies for premiums, cost-sharing support for low-income people and more. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>One major change: If you've \u003ca href=\"https://www.healthcare.gov/more-savings/\">received unemployment benefits\u003c/a> at any point this year, you might qualify for a comprehensive silver plan through the end of 2021.\u003c/p>\n\u003cp>Put it all together? There are zero-cost premium plans available to 13.3 million Americans — nearly half of the 29 million or so uninsured. Yet puzzlingly few have enrolled.\u003c/p>\n\u003cp>\"There are millions of people who are passing up free health insurance,\" says \u003ca href=\"https://www.kff.org/person/cynthia-cox/\">Cynthia Cox\u003c/a>, director of the Program on the ACA at the nonprofit Kaiser Family Foundation, who authored a \u003ca href=\"https://www.kff.org/health-reform/issue-brief/how-the-american-rescue-plan-act-affects-subsidies-for-marketplace-shoppers-and-people-who-are-uninsured/\">recent brief\u003c/a> on the topic. \"That free health insurance — most of the time — actually comes with very low deductibles, too. So a lot of times, people could have all — or the vast majority — of their health care costs paid for.\"\u003c/p>\n\u003cp>Among the uninsured, 5 million are eligible not for free plans, but are for subsidized ones, and an additional 10.7 million people are not eligible for either, because they live in a state that has \u003ca href=\"https://www.npr.org/sections/health-shots/2021/07/01/1011502538/12-holdout-states-havent-expanded-medicaid-leaving-2-million-people-in-limbo\">not expanded Medicaid\u003c/a>, are undocumented immigrants or have access to an affordable plan through their employer or the ACA, \u003ca href=\"https://www.kff.org/health-reform/issue-brief/how-the-american-rescue-plan-act-affects-subsidies-for-marketplace-shoppers-and-people-who-are-uninsured/\">according to KFF's analysis\u003c/a>. \u003c/p>\n\u003cp>Why would millions of people pass up the chance at free health coverage? \u003c/p>\n\u003cp>\"I still hear constantly that people have no idea that this was an option,\" says Jeremy Smith, a health insurance navigator at the nonprofit \u003ca href=\"https://acanavigator.com/wv/home\">First Choice Services\u003c/a> in West Virginia. \u003ca href=\"https://www.healthcare.gov/glossary/navigator/\">Navigators\u003c/a> give free advice to people who want to enroll in ACA plans.\u003c/p>\n\u003cp>\u003cimg src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/08/Screen-Shot-2021-08-03-at-3.42.12-PM.png\" alt=\"\" width=\"1612\" height=\"1084\" class=\"aligncenter size-full wp-image-11883600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/08/Screen-Shot-2021-08-03-at-3.42.12-PM.png 1612w, https://ww2.kqed.org/app/uploads/sites/10/2021/08/Screen-Shot-2021-08-03-at-3.42.12-PM-800x538.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/08/Screen-Shot-2021-08-03-at-3.42.12-PM-1020x686.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/08/Screen-Shot-2021-08-03-at-3.42.12-PM-160x108.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/08/Screen-Shot-2021-08-03-at-3.42.12-PM-1536x1033.png 1536w\" sizes=\"(max-width: 1612px) 100vw, 1612px\">\u003c/p>\n\u003cp>Bad experiences trying to sign up in the past, or plans with high out-of-pocket costs and deductibles might have turned people off, Smith says. Even though many plans are available that have zero-dollar premiums, some may still have other \u003ca href=\"https://www.healthcare.gov/choose-a-plan/your-total-costs/\">out-of-pocket costs\u003c/a> to be aware of.\u003c/p>\n\u003cp>He finds most of the people he's enrolling are still paying something every month, but it really varies. \"For one family, it might make sense to take the zero-dollar plan that's got a little bit higher deductible,\" he says. \"The next [family] can dig in, and they may be willing to pay $100 a month if it means their deductible's lower and their co-pays are lower.\"\u003c/p>\n\u003cp>Still, he thinks a lot of people are missing out. \"Even though everybody's trying to do all they can to say there's these new options, a lot of people just think they don't qualify, therefore they don't look into it,\" Smith says.\u003c/p>\n\u003cp>Inertia is also a powerful force, says Louise Norris, who co-owns an insurance brokerage in Colorado. Or maybe people are concerned about documentation or having to make \u003ca href=\"https://www.npr.org/sections/health-shots/2019/11/01/775391311/open-enrollment-is-here-6-tips-for-choosing-a-health-insurance-plan\">complicated choices\u003c/a>. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'There are so many little reasons that somebody might be hesitating, and when you put them all together, you end up with at least a few million people who are leaving these benefits on the table.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Louise Norris, owner of a Colorado-based insurance brokerage","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"There are so many little reasons that somebody might be hesitating, and when you put them all together, you end up with at least a few million people who are leaving these benefits on the table,\" Norris says.\u003c/p>\n\u003cp>Some new people have been signing up on HealthCare.gov and the state marketplaces. The Biden-Harris administration's last report showed \u003ca href=\"https://www.hhs.gov/about/news/2021/07/14/health-care-sign-ups-surpass-2-million-during-2021-special-enrollment-period-ahead-of-aug-15-deadline.html\">2 million new people\u003c/a> enrolled in health plans, although it's not clear how many of them enrolled in one of these free plan options.\u003c/p>\n\u003cp>Even with these affordable options, years of \u003ca href=\"https://www.npr.org/sections/health-shots/2017/09/20/552094974/bemoaning-budget-cuts-health-care-navigators-say-feds-dont-get-it\">slashed budgets for outreach\u003c/a> under the Trump administration had an impact on how many people are aware of the insurance marketplace at all, says Katie Roders Turner, a navigator with the Family Healthcare Foundation in central Florida.\u003c/p>\n\u003cp>\"Over the last four years, there was this vacuum of information — and misinformation in addition to that,\" she says. \"I think it's a knowledge gap, and I think that a marketing response is really going to make a big difference.\"\u003c/p>\n\u003cp>The Biden administration has been putting some effort into marketing the plans and trying to get the word out about the fact that enrollment is now open and there are new discounts available. It's running digital and TV ads and publishing community toolkits.\u003c/p>\n\u003cp>The Kaiser Family Foundation's Cox says that outreach is needed, not just to tell people the plans are there and they're more affordable now, but also to explain the value of having health insurance, even if it's not a top-tier plan.\u003c/p>\n\u003cp>\"One-hundred percent of the time, if you can get a free bronze plan, you are better off than being uninsured,\" she says. Some consumers are put off by high deductibles — the amount you would have to pay for any health care you use before your insurance plan picks up the tab. But even a high deductible plan is better than no coverage, she says. \u003c/p>\n\u003cp>\"If you get hit by a bus or have COVID and need a hospitalization, that's the difference between being $7,000 in debt versus being $50,000 in debt,\" she says. \"It can mean the difference between keeping your car or not, or keeping your house or not,\" she adds. \"That's a big difference.\"\u003c/p>\n\u003cp>As of Sunday, one of the people who has a free plan is Deborah Kagan. She just moved from New York state — where she was on Medicaid after being laid off during the pandemic — to Florida, where she's not eligible for Medicaid. She was extremely stressed about the move and losing coverage, especially because she has Type 1 diabetes.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Without my medication, I'm dead. And during COVID, I also found out that I had breast cancer and I had a brain tumor, and it was just one thing after the other.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Deborah Kagan","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Without my medication, I'm dead,\" she says. \"And during COVID, I also found out that I had breast cancer and I had a brain tumor, and it was just one thing after the other.\"\u003c/p>\n\u003cp>Because she's been on unemployment benefits, a navigator with the Family Healthcare Foundation walked her through enrolling in a free silver plan that will cover most of her health costs through the rest of the year.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The navigators \"knew everything — all the updates — and guided me through every step of the way and were just beyond helpful,\" she says. Having a free plan lined up, she says, is \"a huge relief and it will help me focus on finding a job quickly.\" \u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Uninsured+Or+Unemployed%3F+You+Might+Be+Missing+Out+On+Free+Health+Insurance&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11883582/uninsured-or-unemployed-you-might-be-missing-out-on-free-health-insurance","authors":["byline_news_11883582"],"categories":["news_457","news_8"],"tags":["news_20578","news_2409","news_27919","news_29052","news_27989","news_5163","news_29757","news_631"],"featImg":"news_11883583","label":"source_news_11883582"},"news_11857919":{"type":"posts","id":"news_11857919","meta":{"index":"posts_1591205157","site":"news","id":"11857919","score":null,"sort":[1612114667000]},"guestAuthors":[],"slug":"covered-california-deadline-for-2021-health-insurance-extended","title":"Covered California Deadline for 2021 Health Insurance Extended","publishDate":1612114667,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>\u003ca href=\"https://www.coveredca.com/newsroom/news-releases/2021/01/28/california-joins-president-biden-in-responding-to-covid-19-pandemic-by-announcing-special-enrollment-to-help-people-get-insurance/\" target=\"_blank\" rel=\"noopener noreferrer\">Covered California\u003c/a> says it will give people more time to purchase health insurance this year.\u003c/p>\n\u003cp>Open enrollment for the state’s health insurance marketplace was set to end Sunday. But on Thursday, the agency that runs the marketplace said it would launch a \u003ca href=\"https://www.coveredca.com/pdfs/01-28-21-CoveredCA-COVID-19-SEP-Final.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">special enrollment period Feb. 1 that will run through May 15.\u003c/a>\u003c/p>\n\u003cp>The federal Affordable Care Act created health insurance marketplaces for some people to purchase individual insurance plans with the help of federal subsidies. Most states let the federal government run their marketplaces for them but California runs its own through Covered California. [aside tag=\"aca, health\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>The announcement came on the same day that President Biden signed an executive order declaring a special enrollment period for states served by the federal marketplace.\u003c/p>\n\u003cp>In a news release, Covered California said of the estimated 2.7 million Californians who lack health insurance, about 1.2 million are either eligible for subsidies to help pay their monthly premiums or qualify for government-funded insurance through Medicaid.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Earlier this month, Covered California said nearly 1.6 million people had purchased health insurance through the marketplace.\u003c/p>\n\n","blocks":[],"excerpt":"Open enrollment for the state’s health insurance marketplace was set to end Sunday. But on Thursday, the agency that runs the marketplace said it would launch a special enrollment period Feb. 1 that will run through May 15.","status":"publish","parent":0,"modified":1612205952,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":8,"wordCount":192},"headData":{"title":"Covered California Deadline for 2021 Health Insurance Extended | KQED","description":"Open enrollment for the state’s health insurance marketplace was set to end Sunday. But on Thursday, the agency that runs the marketplace said it would launch a special enrollment period Feb. 1 that will run through May 15.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Covered California Deadline for 2021 Health Insurance Extended","datePublished":"2021-01-31T17:37:47.000Z","dateModified":"2021-02-01T18:59:12.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11857919 https://ww2.kqed.org/news/?p=11857919","disqusUrl":"https://ww2.kqed.org/news/2021/01/31/covered-california-deadline-for-2021-health-insurance-extended/","disqusTitle":"Covered California Deadline for 2021 Health Insurance Extended","nprByline":"Associated Press","path":"/news/11857919/covered-california-deadline-for-2021-health-insurance-extended","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.coveredca.com/newsroom/news-releases/2021/01/28/california-joins-president-biden-in-responding-to-covid-19-pandemic-by-announcing-special-enrollment-to-help-people-get-insurance/\" target=\"_blank\" rel=\"noopener noreferrer\">Covered California\u003c/a> says it will give people more time to purchase health insurance this year.\u003c/p>\n\u003cp>Open enrollment for the state’s health insurance marketplace was set to end Sunday. But on Thursday, the agency that runs the marketplace said it would launch a \u003ca href=\"https://www.coveredca.com/pdfs/01-28-21-CoveredCA-COVID-19-SEP-Final.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">special enrollment period Feb. 1 that will run through May 15.\u003c/a>\u003c/p>\n\u003cp>The federal Affordable Care Act created health insurance marketplaces for some people to purchase individual insurance plans with the help of federal subsidies. Most states let the federal government run their marketplaces for them but California runs its own through Covered California. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"aca, health","label":"More Related Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The announcement came on the same day that President Biden signed an executive order declaring a special enrollment period for states served by the federal marketplace.\u003c/p>\n\u003cp>In a news release, Covered California said of the estimated 2.7 million Californians who lack health insurance, about 1.2 million are either eligible for subsidies to help pay their monthly premiums or qualify for government-funded insurance through Medicaid.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Earlier this month, Covered California said nearly 1.6 million people had purchased health insurance through the marketplace.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11857919/covered-california-deadline-for-2021-health-insurance-extended","authors":["byline_news_11857919"],"categories":["news_457","news_8"],"tags":["news_20578","news_5164","news_1054","news_29108"],"featImg":"news_11857920","label":"news"},"news_11850458":{"type":"posts","id":"news_11850458","meta":{"index":"posts_1591205157","site":"news","id":"11850458","score":null,"sort":[1607633080000]},"guestAuthors":[],"slug":"want-health-insurance-through-the-affordable-care-act-your-last-chance-is-tuesday-dec-15","title":"California Extends Deadline for 2021 Health Insurance Through Affordable Care Act","publishDate":1607633080,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>\u003cem>This post was updated 11 a.m. Dec. 16\u003c/em>\u003c/p>\n\u003cp>Are you hoping to sign up for 2021 health insurance through the Affordable Care Act? The deadline to enroll for California coverage that starts Jan. 1 has now been extended — to Dec. 30.\u003c/p>\n\u003cp>\"Californians need health coverage more than ever and that's why we just extended our open enrollment period for Covered California,\" said Gov. Gavin Newsom in \u003ca href=\"https://twitter.com/cagovernor/status/1339277586518605824?s=21\">a video posted to Twitter\u003c/a> announcing the extension.\u003c/p>\n\u003cp>\u003ca href=\"https://www.healthcare.gov/get-coverage/\">Healthcare.gov\u003c/a> is the national marketplace for health coverage, and if you live in California, the site will redirect you to\u003ca href=\"https://www.coveredca.com/\"> Covered California\u003c/a>'s site to sign up for your coverage. The Healthcare.gov deadline was previously Dec. 15, and remains as such almost all other states.\u003c/p>\n\u003cp>https://twitter.com/cagovernor/status/1339277586518605824?s=21\u003c/p>\n\u003cp>To compare the cost of coverage plans available through the ACA, and to begin an application, visit \u003ca href=\"https://www.healthcare.gov/quick-guide/getting-marketplace-health-insurance/\">Healthcare.gov's \"tips to get started\" page\u003c/a>.\u003c/p>\n\u003ch3>Am I Eligible for ACA Coverage?\u003c/h3>\n\u003cp>Obtaining coverage through the ACA's health insurance marketplace – also commonly known as Obamacare – is intended as an option for people who won't receive coverage starting Jan. 1, 2021 through their employer, or through programs like Medicaid, Medicare or the Children's Health Insurance Program. Coverage via ACA plans sold during open enrollment takes effect Jan. 1.\u003c/p>\n\u003cp>To be eligible for health coverage through the ACA's marketplace, you must be a United States resident who's either a U.S. citizen, a U.S. national or is lawfully present in the country. (\u003ca href=\"https://www.healthcare.gov/immigrants/immigration-status\">Read more about eligible immigration statuses\u003c/a>).\u003c/p>\n\u003cp>People with Medicare coverage are \u003ca href=\"https://www.healthcare.gov/medicare/medicare-and-the-marketplace/\">not eligible for health or dental plans\u003c/a> through the ACA. \u003ca href=\"https://www.healthcare.gov/incarcerated-people\">Incarcerated people\u003c/a> also do not qualify for coverage. \u003ca href=\"https://www.healthcare.gov/glossary/pre-existing-condition/\">Preexisting conditions\u003c/a> like cancer or diabetes do not disqualify applicants, and insurance companies in the ACA marketplace cannot refuse to cover their treatment or charge more to do so.\u003c/p>\n\u003cp>For more about the timeline for coverage, how the marketplace works and requirements for applying, Healthcare.gov offers \u003ca href=\"https://www.healthcare.gov/quick-guide/one-page-guide-to-the-marketplace/\">this quick overview of the ACA system\u003c/a>.\u003c/p>\n\u003ch3>What if I Miss the New Dec. 30 Deadline?\u003c/h3>\n\u003cp>Dec. 30 is the Covered California deadline to buy health coverage that starts Jan. 1, 2021 — but the \u003ca href=\"https://www.coveredca.com/support/before-you-buy/enrollment-dates-and-deadlines/\">open enrollment period is active through Jan. 31, 2021.\u003c/a> This means you could miss the Dec. 30 deadline and still sign up for coverage that would start on Feb. 1.\u003c/p>\n\u003cp>If you don't enroll in time to make the Dec. 30 deadline, and miss the Jan. 31 open enrollment deadline too, you might still be eligible for what's called a special enrollment period.\u003c/p>\n\u003cp>This may allow you to enroll if you've had a change in your household (like getting married, getting divorced or having a baby), a change in where you live, or you lose your qualifying health insurance (for example, because you lost your job.)\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>If you already signed up for coverage through the Affordable Care Act, and want to make changes to the plan you bought, qualifying for a special enrollment period is the only way you'll be able to do so. \u003ca href=\"https://www.healthcare.gov/coverage-outside-open-enrollment/special-enrollment-period/\">Find out more about the special enrollment period.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Your last chance to get health insurance through the ACA (commonly known as Obamacare) is now Dec.30 in California. More about costs, timeline, requirements and eligibility.","status":"publish","parent":0,"modified":1608153852,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":528},"headData":{"title":"California Extends Deadline for 2021 Health Insurance Through Affordable Care Act | KQED","description":"Your last chance to get health insurance through the ACA (commonly known as Obamacare) is now Dec.30 in California. Find out more about the requirements.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California Extends Deadline for 2021 Health Insurance Through Affordable Care Act","datePublished":"2020-12-10T20:44:40.000Z","dateModified":"2020-12-16T21:24:12.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11850458 https://ww2.kqed.org/news/?p=11850458","disqusUrl":"https://ww2.kqed.org/news/2020/12/10/want-health-insurance-through-the-affordable-care-act-your-last-chance-is-tuesday-dec-15/","disqusTitle":"California Extends Deadline for 2021 Health Insurance Through Affordable Care Act","path":"/news/11850458/want-health-insurance-through-the-affordable-care-act-your-last-chance-is-tuesday-dec-15","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This post was updated 11 a.m. Dec. 16\u003c/em>\u003c/p>\n\u003cp>Are you hoping to sign up for 2021 health insurance through the Affordable Care Act? The deadline to enroll for California coverage that starts Jan. 1 has now been extended — to Dec. 30.\u003c/p>\n\u003cp>\"Californians need health coverage more than ever and that's why we just extended our open enrollment period for Covered California,\" said Gov. Gavin Newsom in \u003ca href=\"https://twitter.com/cagovernor/status/1339277586518605824?s=21\">a video posted to Twitter\u003c/a> announcing the extension.\u003c/p>\n\u003cp>\u003ca href=\"https://www.healthcare.gov/get-coverage/\">Healthcare.gov\u003c/a> is the national marketplace for health coverage, and if you live in California, the site will redirect you to\u003ca href=\"https://www.coveredca.com/\"> Covered California\u003c/a>'s site to sign up for your coverage. The Healthcare.gov deadline was previously Dec. 15, and remains as such almost all other states.\u003c/p>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"singleTwitterStatus","attributes":{"named":{"id":"1339277586518605824"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>To compare the cost of coverage plans available through the ACA, and to begin an application, visit \u003ca href=\"https://www.healthcare.gov/quick-guide/getting-marketplace-health-insurance/\">Healthcare.gov's \"tips to get started\" page\u003c/a>.\u003c/p>\n\u003ch3>Am I Eligible for ACA Coverage?\u003c/h3>\n\u003cp>Obtaining coverage through the ACA's health insurance marketplace – also commonly known as Obamacare – is intended as an option for people who won't receive coverage starting Jan. 1, 2021 through their employer, or through programs like Medicaid, Medicare or the Children's Health Insurance Program. Coverage via ACA plans sold during open enrollment takes effect Jan. 1.\u003c/p>\n\u003cp>To be eligible for health coverage through the ACA's marketplace, you must be a United States resident who's either a U.S. citizen, a U.S. national or is lawfully present in the country. (\u003ca href=\"https://www.healthcare.gov/immigrants/immigration-status\">Read more about eligible immigration statuses\u003c/a>).\u003c/p>\n\u003cp>People with Medicare coverage are \u003ca href=\"https://www.healthcare.gov/medicare/medicare-and-the-marketplace/\">not eligible for health or dental plans\u003c/a> through the ACA. \u003ca href=\"https://www.healthcare.gov/incarcerated-people\">Incarcerated people\u003c/a> also do not qualify for coverage. \u003ca href=\"https://www.healthcare.gov/glossary/pre-existing-condition/\">Preexisting conditions\u003c/a> like cancer or diabetes do not disqualify applicants, and insurance companies in the ACA marketplace cannot refuse to cover their treatment or charge more to do so.\u003c/p>\n\u003cp>For more about the timeline for coverage, how the marketplace works and requirements for applying, Healthcare.gov offers \u003ca href=\"https://www.healthcare.gov/quick-guide/one-page-guide-to-the-marketplace/\">this quick overview of the ACA system\u003c/a>.\u003c/p>\n\u003ch3>What if I Miss the New Dec. 30 Deadline?\u003c/h3>\n\u003cp>Dec. 30 is the Covered California deadline to buy health coverage that starts Jan. 1, 2021 — but the \u003ca href=\"https://www.coveredca.com/support/before-you-buy/enrollment-dates-and-deadlines/\">open enrollment period is active through Jan. 31, 2021.\u003c/a> This means you could miss the Dec. 30 deadline and still sign up for coverage that would start on Feb. 1.\u003c/p>\n\u003cp>If you don't enroll in time to make the Dec. 30 deadline, and miss the Jan. 31 open enrollment deadline too, you might still be eligible for what's called a special enrollment period.\u003c/p>\n\u003cp>This may allow you to enroll if you've had a change in your household (like getting married, getting divorced or having a baby), a change in where you live, or you lose your qualifying health insurance (for example, because you lost your job.)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>If you already signed up for coverage through the Affordable Care Act, and want to make changes to the plan you bought, qualifying for a special enrollment period is the only way you'll be able to do so. \u003ca href=\"https://www.healthcare.gov/coverage-outside-open-enrollment/special-enrollment-period/\">Find out more about the special enrollment period.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11850458/want-health-insurance-through-the-affordable-care-act-your-last-chance-is-tuesday-dec-15","authors":["3243"],"categories":["news_457","news_8"],"tags":["news_20578","news_2409","news_1054","news_3890"],"featImg":"news_11850562","label":"news"},"news_11846750":{"type":"posts","id":"news_11846750","meta":{"index":"posts_1591205157","site":"news","id":"11846750","score":null,"sort":[1604979045000]},"guestAuthors":[],"slug":"as-the-supreme-court-takes-up-the-aca-again-california-is-leading-the-defense","title":"As the Supreme Court Takes Up the ACA Again, California Is Leading the Defense","publishDate":1604979045,"format":"audio","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>When the U.S. Supreme Court hears a case Tuesday that could decide the fate of the Affordable Care Act, California will be leading the defense to uphold the federal law that touches nearly every aspect of the country’s health care system.\u003c/p>\n\u003cp>It’s usually the federal government’s job to defend a federal law, but President Donald Trump’s administration wants this law, also known as Obamacare, to be overturned.\u003c/p>\n\u003cp>So California Attorney General Xavier Becerra, backed by more than 20 other states, is defending the law against the challenge brought by a coalition of Republican state officials two years ago.\u003c/p>\n\u003cp>Becerra has been one of Trump’s most formidable adversaries, taking the administration to court scores of times over its policies, ranging from immigration and birth control to climate change. He is considered one of the leading \u003ca href=\"https://www.kqed.org/news/11846531/replacement-for-kamala-harris-a-very-long-list-of-contenders\">contenders\u003c/a> to fill the Senate vacancy that will open now that Sen. Kamala Harris of California has been elected vice president.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Xavier Becerra\"]'[The ACA] has been upheld by the Supreme Court as constitutional twice before. And we are optimistic that it will withstand this challenge as well.'[/pullquote]\u003c/p>\n\u003cp>“Just as vigorously as a president and his administration are fighting to destroy the Affordable Care Act, we are fighting to save it for every American,” Becerra told reporters in a press conference Monday.\u003c/p>\n\u003cp>\"It has been upheld by the Supreme Court as constitutional twice before. And we are optimistic that it will withstand this challenge as well. It has to: American lives depend on it.\"\u003c/p>\n\u003cp>Should the court overturn the entire law, the impact would be felt widely. The law provides health insurance to more than 23 million Americans. It allows qualified people to buy subsidized insurance through federal or state insurance exchanges; permits states to expand their Medicaid programs to more people; prevents insurance companies from denying coverage to people with preexisting medical conditions; bans lifetime limits on coverage; adds benefits to Medicare; and allows children to stay on their parents’ plans up to age 26. [aside tag=\"health\" label=\"More Related Coverage\"]\u003c/p>\n\u003cp>At issue in \u003ca href=\"https://www.kff.org/health-reform/issue-brief/explaining-california-v-texas-a-guide-to-the-case-challenging-the-aca/https:/www.kff.org/health-reform/issue-brief/explaining-california-v-texas-a-guide-to-the-case-challenging-the-aca/\">\u003cem>California v. Texas\u003c/em>\u003c/a> is the federal tax penalty for not having health insurance, as the law requires. The Republican-led Congress in 2017 zeroed out the penalty but kept the rest of the health law intact, a move Becerra and some other legal experts say shows congressional intent to support the law. The Republican state officials, however, say the loss of the tax invalidates the mandate to have insurance — as well as the entire law.\u003c/p>\n\u003cp>Becerra said it’s possible the court may determine that the challengers don’t have standing to sue the government because no one has been harmed by a zero-tax penalty.\u003c/p>\n\u003cp>Although the court has twice upheld the federal health care law, the composition of the court has changed since its last ACA ruling in 2015. Trump has appointed three conservative judges since then. Two replaced other conservatives, but Amy Coney Barrett, who was confirmed in late October, took the seat of a liberal icon, Justice Ruth Bader Ginsburg.\u003c/p>\n\u003cp>Abbe Gluck, faculty director of the Solomon Center for Health Law and Policy at Yale Law School, said that if the court believes the health insurance requirement is unconstitutional without the penalty, it should just hold that section of the law invalid but not overturn the entire law.\u003c/p>\n\u003cp>But “I have learned that you can never predict what happens in court when it comes to the Affordable Care Act,” Gluck said. “And that is why there is this heightened sense of concern, because the statute has become so fundamentally important to one-fifth of our economy and the health care of virtually all Americans.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cem>Becerra spoke with California Healthline’s Samantha Young about his defense of Obamacare and the far-reaching influence of the law. The interview has been edited for length and clarity.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Q: What are the chances the Supreme Court could overturn the Affordable Care Act?\u003c/strong>\u003c/p>\n\u003cp>We’re confident they will see not just the legal logic behind it, but the wisdom and the practical success of the Affordable Care Act — all of which weigh heavily in favor of the justices recognizing that it’s not only legal but indispensable. When the justices look to the fundamentals of the Affordable Care Act, they’re going to find that it is constitutional.\u003c/p>\n\u003cp>\u003cstrong>Q: The makeup of the U.S. Supreme Court has changed since it last ruled on the ACA. Why do you think these justices will rule the same way?\u003c/strong>\u003c/p>\n\u003cp>That shouldn’t change the fact that the fundamentals of the law have remained the same. The fundamentals of the ACA are grounded, they’re solid and they work. I would hope that nine justices reviewing the same law would look at that precedent.\u003c/p>\n\u003cp>\u003cstrong>Q: What should the public pay attention to during the oral arguments? \u003c/strong>\u003c/p>\n\u003cp>One interesting thing to watch is how the court interprets the actions taken by Congress in 2017 when they passed the tax break bill and zeroed out the individual mandate fee or penalty. Now, we’re looking at a president and at least one house in Congress that’s prepared to defend the Affordable Care Act. How might the court look at the fact that another Congress could reinstitute part of that mandate?\u003c/p>\n\u003cp>What does that do to the legal argument that having zeroed out the mandate somehow triggered the unconstitutionality of the entire law? I think that’s a question the court will have to examine.\u003c/p>\n\u003cp>\u003cstrong>Q: What happens if the U.S. Supreme Court declares the Affordable Care Act unconstitutional?\u003c/strong>\u003c/p>\n\u003cp>The worries return. Preventative care under Medicare would be gone. The days when Americans don’t have to worry about going personally bankrupt for having visited a hospital would pretty much be gone.\u003c/p>\n\u003cp>I’ve got three daughters. There was a time when all three of them as adults were on our health care coverage. That would be gone because the provision that allows adult children under the age of 26 to remain on a parent’s coverage would disappear. I could go on and on.\u003c/p>\n\u003cp>\u003cstrong>Q: Could states, including California, afford to step in on their own? \u003c/strong>\u003c/p>\n\u003cp>I don’t know if there’s any state who has the capacity to replace what the Affordable Care Act does. It’d be almost insurmountable. Part of that is because we can’t replicate some of the things that the federal government can do. We don’t have that federal jurisdiction, we don’t have that breadth and depth of reach.\u003c/p>\n\u003cp>\u003cstrong>Q: If the court overturns the ACA, can’t Congress pass piecemeal protections that have Republican support, such as coverage for preexisting conditions?\u003c/strong>\u003c/p>\n\u003cp>We have heard Republicans say “repeal and replace” for more than 10 years, and it’s been empty rhetoric from the beginning. I’ve gotta tell you that for parents who have children with preexisting medical conditions, it is no comfort to have someone promise you that they will replace a right that you know you now have for your child to visit a hospital. And, why would you throw that away for an empty promise that’s 10 years old?\u003c/p>\n\u003cp>Most Americans would say, keep building on the Affordable Care Act. Let’s make it better, but don’t scrap what’s worked.\u003c/p>\n\u003cp>\u003cstrong>Q: How do you know the Affordable Care Act is working?\u003c/strong>\u003c/p>\n\u003cp>My former congressional district in Los Angeles ranked among the most uninsured congressional districts in the nation. In a matter of years, once the Affordable Care Act took place, the uninsured rate in that congressional district had gone down by 50%. It was just astronomical.\u003c/p>\n\u003cp>The Affordable Care Act made it possible for working families to secure coverage and that’s huge. That’s the kind of burden that’s lifted off your soul.\u003c/p>\n\u003cp>\u003cstrong>Q: Do you think having a President Joe Biden and a Vice President Kamala Harris in the White House will lead to an improved Affordable Care Act?\u003c/strong>\u003c/p>\n\u003cp>As a candidate for president, Joe Biden said that he would build on the success of the Obama-Biden presidency and make sure that we continue to increase the number of Americans who have access to affordable health care. The good thing is you finally have someone at the top of the totem pole who says we’re going to make it better. And that’s why this election was so important.\u003c/p>\n\u003cp>\u003ca href=\"https://khn.org/morning-briefing/\">Subscribe\u003c/a> to KHN's free Morning Briefing.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"When the U.S. Supreme Court hears a case Tuesday that could decide the fate of the Affordable Care Act, California Attorney General Xavier Becerra will be leading the defense.","status":"publish","parent":0,"modified":1605038154,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":37,"wordCount":1467},"headData":{"title":"As the Supreme Court Takes Up the ACA Again, California Is Leading the Defense | KQED","description":"When the U.S. Supreme Court hears a case Tuesday that could decide the fate of the Affordable Care Act, California Attorney General Xavier Becerra will be leading the defense.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"As the Supreme Court Takes Up the ACA Again, California Is Leading the Defense","datePublished":"2020-11-10T03:30:45.000Z","dateModified":"2020-11-10T19:55:54.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11846750 https://ww2.kqed.org/news/?p=11846750","disqusUrl":"https://ww2.kqed.org/news/2020/11/09/as-the-supreme-court-takes-up-the-aca-again-california-is-leading-the-defense/","disqusTitle":"As the Supreme Court Takes Up the ACA Again, California Is Leading the Defense","source":"KHN","sourceUrl":"https://khn.org/","audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-41c5-bcaf-aaef00f5a073/1338ad64-dc8d-4f63-8770-ac6f0133eba7/audio.mp3","nprByline":"\u003ca href=\"https://khn.org/news/author/samantha-young/\">Samantha Young\u003c/a>","path":"/news/11846750/as-the-supreme-court-takes-up-the-aca-again-california-is-leading-the-defense","audioDuration":161000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>When the U.S. Supreme Court hears a case Tuesday that could decide the fate of the Affordable Care Act, California will be leading the defense to uphold the federal law that touches nearly every aspect of the country’s health care system.\u003c/p>\n\u003cp>It’s usually the federal government’s job to defend a federal law, but President Donald Trump’s administration wants this law, also known as Obamacare, to be overturned.\u003c/p>\n\u003cp>So California Attorney General Xavier Becerra, backed by more than 20 other states, is defending the law against the challenge brought by a coalition of Republican state officials two years ago.\u003c/p>\n\u003cp>Becerra has been one of Trump’s most formidable adversaries, taking the administration to court scores of times over its policies, ranging from immigration and birth control to climate change. He is considered one of the leading \u003ca href=\"https://www.kqed.org/news/11846531/replacement-for-kamala-harris-a-very-long-list-of-contenders\">contenders\u003c/a> to fill the Senate vacancy that will open now that Sen. Kamala Harris of California has been elected vice president.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'[The ACA] has been upheld by the Supreme Court as constitutional twice before. And we are optimistic that it will withstand this challenge as well.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Xavier Becerra","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Just as vigorously as a president and his administration are fighting to destroy the Affordable Care Act, we are fighting to save it for every American,” Becerra told reporters in a press conference Monday.\u003c/p>\n\u003cp>\"It has been upheld by the Supreme Court as constitutional twice before. And we are optimistic that it will withstand this challenge as well. It has to: American lives depend on it.\"\u003c/p>\n\u003cp>Should the court overturn the entire law, the impact would be felt widely. The law provides health insurance to more than 23 million Americans. It allows qualified people to buy subsidized insurance through federal or state insurance exchanges; permits states to expand their Medicaid programs to more people; prevents insurance companies from denying coverage to people with preexisting medical conditions; bans lifetime limits on coverage; adds benefits to Medicare; and allows children to stay on their parents’ plans up to age 26. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"health","label":"More Related Coverage "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>At issue in \u003ca href=\"https://www.kff.org/health-reform/issue-brief/explaining-california-v-texas-a-guide-to-the-case-challenging-the-aca/https:/www.kff.org/health-reform/issue-brief/explaining-california-v-texas-a-guide-to-the-case-challenging-the-aca/\">\u003cem>California v. Texas\u003c/em>\u003c/a> is the federal tax penalty for not having health insurance, as the law requires. The Republican-led Congress in 2017 zeroed out the penalty but kept the rest of the health law intact, a move Becerra and some other legal experts say shows congressional intent to support the law. The Republican state officials, however, say the loss of the tax invalidates the mandate to have insurance — as well as the entire law.\u003c/p>\n\u003cp>Becerra said it’s possible the court may determine that the challengers don’t have standing to sue the government because no one has been harmed by a zero-tax penalty.\u003c/p>\n\u003cp>Although the court has twice upheld the federal health care law, the composition of the court has changed since its last ACA ruling in 2015. Trump has appointed three conservative judges since then. Two replaced other conservatives, but Amy Coney Barrett, who was confirmed in late October, took the seat of a liberal icon, Justice Ruth Bader Ginsburg.\u003c/p>\n\u003cp>Abbe Gluck, faculty director of the Solomon Center for Health Law and Policy at Yale Law School, said that if the court believes the health insurance requirement is unconstitutional without the penalty, it should just hold that section of the law invalid but not overturn the entire law.\u003c/p>\n\u003cp>But “I have learned that you can never predict what happens in court when it comes to the Affordable Care Act,” Gluck said. “And that is why there is this heightened sense of concern, because the statute has become so fundamentally important to one-fifth of our economy and the health care of virtually all Americans.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Becerra spoke with California Healthline’s Samantha Young about his defense of Obamacare and the far-reaching influence of the law. The interview has been edited for length and clarity.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Q: What are the chances the Supreme Court could overturn the Affordable Care Act?\u003c/strong>\u003c/p>\n\u003cp>We’re confident they will see not just the legal logic behind it, but the wisdom and the practical success of the Affordable Care Act — all of which weigh heavily in favor of the justices recognizing that it’s not only legal but indispensable. When the justices look to the fundamentals of the Affordable Care Act, they’re going to find that it is constitutional.\u003c/p>\n\u003cp>\u003cstrong>Q: The makeup of the U.S. Supreme Court has changed since it last ruled on the ACA. Why do you think these justices will rule the same way?\u003c/strong>\u003c/p>\n\u003cp>That shouldn’t change the fact that the fundamentals of the law have remained the same. The fundamentals of the ACA are grounded, they’re solid and they work. I would hope that nine justices reviewing the same law would look at that precedent.\u003c/p>\n\u003cp>\u003cstrong>Q: What should the public pay attention to during the oral arguments? \u003c/strong>\u003c/p>\n\u003cp>One interesting thing to watch is how the court interprets the actions taken by Congress in 2017 when they passed the tax break bill and zeroed out the individual mandate fee or penalty. Now, we’re looking at a president and at least one house in Congress that’s prepared to defend the Affordable Care Act. How might the court look at the fact that another Congress could reinstitute part of that mandate?\u003c/p>\n\u003cp>What does that do to the legal argument that having zeroed out the mandate somehow triggered the unconstitutionality of the entire law? I think that’s a question the court will have to examine.\u003c/p>\n\u003cp>\u003cstrong>Q: What happens if the U.S. Supreme Court declares the Affordable Care Act unconstitutional?\u003c/strong>\u003c/p>\n\u003cp>The worries return. Preventative care under Medicare would be gone. The days when Americans don’t have to worry about going personally bankrupt for having visited a hospital would pretty much be gone.\u003c/p>\n\u003cp>I’ve got three daughters. There was a time when all three of them as adults were on our health care coverage. That would be gone because the provision that allows adult children under the age of 26 to remain on a parent’s coverage would disappear. I could go on and on.\u003c/p>\n\u003cp>\u003cstrong>Q: Could states, including California, afford to step in on their own? \u003c/strong>\u003c/p>\n\u003cp>I don’t know if there’s any state who has the capacity to replace what the Affordable Care Act does. It’d be almost insurmountable. Part of that is because we can’t replicate some of the things that the federal government can do. We don’t have that federal jurisdiction, we don’t have that breadth and depth of reach.\u003c/p>\n\u003cp>\u003cstrong>Q: If the court overturns the ACA, can’t Congress pass piecemeal protections that have Republican support, such as coverage for preexisting conditions?\u003c/strong>\u003c/p>\n\u003cp>We have heard Republicans say “repeal and replace” for more than 10 years, and it’s been empty rhetoric from the beginning. I’ve gotta tell you that for parents who have children with preexisting medical conditions, it is no comfort to have someone promise you that they will replace a right that you know you now have for your child to visit a hospital. And, why would you throw that away for an empty promise that’s 10 years old?\u003c/p>\n\u003cp>Most Americans would say, keep building on the Affordable Care Act. Let’s make it better, but don’t scrap what’s worked.\u003c/p>\n\u003cp>\u003cstrong>Q: How do you know the Affordable Care Act is working?\u003c/strong>\u003c/p>\n\u003cp>My former congressional district in Los Angeles ranked among the most uninsured congressional districts in the nation. In a matter of years, once the Affordable Care Act took place, the uninsured rate in that congressional district had gone down by 50%. It was just astronomical.\u003c/p>\n\u003cp>The Affordable Care Act made it possible for working families to secure coverage and that’s huge. That’s the kind of burden that’s lifted off your soul.\u003c/p>\n\u003cp>\u003cstrong>Q: Do you think having a President Joe Biden and a Vice President Kamala Harris in the White House will lead to an improved Affordable Care Act?\u003c/strong>\u003c/p>\n\u003cp>As a candidate for president, Joe Biden said that he would build on the success of the Obama-Biden presidency and make sure that we continue to increase the number of Americans who have access to affordable health care. The good thing is you finally have someone at the top of the totem pole who says we’re going to make it better. And that’s why this election was so important.\u003c/p>\n\u003cp>\u003ca href=\"https://khn.org/morning-briefing/\">Subscribe\u003c/a> to KHN's free Morning Briefing.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11846750/as-the-supreme-court-takes-up-the-aca-again-california-is-leading-the-defense","authors":["byline_news_11846750"],"categories":["news_457","news_8","news_13"],"tags":["news_20578","news_2409","news_17968","news_1172","news_20378"],"featImg":"news_11846757","label":"source_news_11846750"},"stateofhealth_342500":{"type":"posts","id":"stateofhealth_342500","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"342500","score":null,"sort":[1497468710000]},"guestAuthors":[],"slug":"medi-cal-patients-flocking-to-ers-more-than-before-aca","title":"Medi-Cal Patients Flocking to ERs More Than Before ACA","publishDate":1497468710,"format":"standard","headTitle":"California Healthline | State of Health | KQED News","labelTerm":{"term":3036,"site":"stateofhealth"},"content":"\u003cp>Medi-Cal patients are swamping California emergency rooms in greater numbers than they did before the Affordable Care Act took effect, despite predictions that the health law would ease the burden on ERs.\u003c/p>\n\u003cp>Emergency room visits by people on Medi-Cal rose 75 percent over five years, from 800,000 in the first quarter of 2012 to 1.4 million in the last quarter of 2016, \u003ca href=\"http://www.oshpd.ca.gov/documents/PressReleases/2017/ED-Encounters-by-Expected-Payer-2012-2016.pdf\" target=\"_blank\" rel=\"noopener\">according to data\u003c/a> recently released by the state’s Office of Statewide Health Planning and Development.\u003c/p>\n\u003cp>The most dramatic increase began roughly around the time the ACA expanded health care benefits in January 2014. More than \u003ca href=\"http://www.chcf.org/publications/2016/11/facts-figures-aca-ca\" target=\"_blank\" rel=\"noopener\">5 million\u003c/a> Californians have gained coverage under the ACA, either through the expansion of Medi-Cal, California’s version of the Medicaid program for low-income people, or by purchasing health plans from Covered California, the state’s Obamacare insurance exchange.\u003c/p>\n\u003cp>The architects and proponents of Obamacare had argued that once people got health coverage they would stop going to the ER so much, because they could visit primary care doctors instead. But in reality, people who were uninsured before the ACA were actually reluctant to go to the ER unless they were “about to die,” because they would be saddled with big bills, said state Sen. Richard Pan (D-Sacramento), a pediatrician. Under Medi-Cal, though, patients aren’t worried about those expenses.\u003c/p>\n\u003cp>And old habits die hard: A newly-insured patient accustomed to visiting the ER for treatment might not immediately switch to a primary care doctor who is, “just a name — not somebody you know,” Pan added.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Still, experts believe fewer Medi-Cal patients would be visiting the ER if there were more doctors willing to treat them.\u003c/p>\n\u003cp>Though “we have seen a very strong increase in the number of Medi-Cal patients … the number of doctors willing to see Medi-Cal patients has not increased accordingly,” said Jan Emerson-Shea, vice president of external affairs for the \u003ca href=\"http://www.calhospital.org/\" target=\"_blank\" rel=\"noopener\">California Hospital Association\u003c/a>.\u003c/p>\n\u003cp>Dr. Marc Futernick, the immediate past president of the California American College of Emergency Physicians, agreed that “there aren’t adequate providers for the demands.” He said he believes Medi-Cal’s low payment rates for physicians play a role.\u003c/p>\n\u003cp>Historically, doctors across the country have been reimbursed less for treating Medicaid patients than those on private insurance or Medicare — especially in California, which \u003ca href=\"http://www.kff.org/medicaid/state-indicator/medicaid-fee-index/?currentTimeframe=0&sortModel=%7B%22colId%22:%22All%20Services%22,%22sort%22:%22desc%22%7D\" target=\"_blank\" rel=\"noopener\">ranks 47th\u003c/a> in the country in fee-for-service reimbursement rates.\u003c/p>\n\u003cp>This means the state’s doctors are less likely to accept Medi-Cal patients, who will then seek treatment wherever they can get it, Futernick said. The ER is always open and cannot legally turn people away, even though many of the Medi-Cal patients’ ills could be treated by primary care providers, Emerson-Shea said.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe width=\"600\" height=\"338\" src=\"//datawrapper.dwcdn.net/5D3d9/1/\" frameborder=\"0\" scrolling=\"no\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>California doctors have long lobbied to increase Medi-Cal reimbursements. They are pushing hard to use some revenue from California’s recently passed tobacco tax to increase Medi-Cal rates. But Gov. Jerry Brown wants to use it more broadly for \u003ca href=\"http://www.latimes.com/politics/la-pol-sac-tobacco-tax-budget-20170316-story.html\" target=\"_blank\" rel=\"noopener\">overall Medi-Cal spending\u003c/a>.\u003c/p>\n\u003cp>Pan, the state senator, noted other factors that could explain the surge in ER use.\u003c/p>\n\u003cp>Health clinics, which see many Medi-Cal patients, generally cannot provide specialty care on site, he said. “What’s the quickest way to see a specialist? Send them to the emergency room.”\u003c/p>\n\u003cp>Moreover, many Medi-Cal patients work jobs without flexible hours or sick leave, which means they are not able to make appointments or visit health care providers during regular hours, Pan said.\u003c/p>\n\u003cp>“When I worked in the emergency room,” he recalled, “people would show up early in the morning with their kids who had an ear infection or cold or something and the parents would tell me, ‘Well, I have to go to work today or I’ll get fired.’”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>California is not the only state where the ACA has failed to produce a drop in ER use. A study \u003ca href=\"https://www.nytimes.com/2014/01/03/health/access-to-health-care-may-increase-er-visits-study-suggests.html\" target=\"_blank\" rel=\"noopener\">published in 2014\u003c/a> found that Oregon residents who won Medicaid coverage in a 2008 lottery made 40 percent more trips to the ER in the first 18 months they were covered than those who entered the lottery but were not selected.\u003c/p>\n\n","blocks":[],"excerpt":"Experts believe fewer Medi-Cal patients would be visiting the ER if there were more doctors willing to treat them.","status":"publish","parent":0,"modified":1497472683,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["//datawrapper.dwcdn.net/5D3d9/1/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":740},"headData":{"title":"Medi-Cal Patients Flocking to ERs More Than Before ACA | KQED","description":"Experts believe fewer Medi-Cal patients would be visiting the ER if there were more doctors willing to treat them.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Medi-Cal Patients Flocking to ERs More Than Before ACA","datePublished":"2017-06-14T19:31:50.000Z","dateModified":"2017-06-14T20:38:03.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"342500 https://ww2.kqed.org/stateofhealth/?p=342500","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/06/14/medi-cal-patients-flocking-to-ers-more-than-before-aca/","disqusTitle":"Medi-Cal Patients Flocking to ERs More Than Before ACA","nprByline":" Kellen Browning","path":"/stateofhealth/342500/medi-cal-patients-flocking-to-ers-more-than-before-aca","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Medi-Cal patients are swamping California emergency rooms in greater numbers than they did before the Affordable Care Act took effect, despite predictions that the health law would ease the burden on ERs.\u003c/p>\n\u003cp>Emergency room visits by people on Medi-Cal rose 75 percent over five years, from 800,000 in the first quarter of 2012 to 1.4 million in the last quarter of 2016, \u003ca href=\"http://www.oshpd.ca.gov/documents/PressReleases/2017/ED-Encounters-by-Expected-Payer-2012-2016.pdf\" target=\"_blank\" rel=\"noopener\">according to data\u003c/a> recently released by the state’s Office of Statewide Health Planning and Development.\u003c/p>\n\u003cp>The most dramatic increase began roughly around the time the ACA expanded health care benefits in January 2014. More than \u003ca href=\"http://www.chcf.org/publications/2016/11/facts-figures-aca-ca\" target=\"_blank\" rel=\"noopener\">5 million\u003c/a> Californians have gained coverage under the ACA, either through the expansion of Medi-Cal, California’s version of the Medicaid program for low-income people, or by purchasing health plans from Covered California, the state’s Obamacare insurance exchange.\u003c/p>\n\u003cp>The architects and proponents of Obamacare had argued that once people got health coverage they would stop going to the ER so much, because they could visit primary care doctors instead. But in reality, people who were uninsured before the ACA were actually reluctant to go to the ER unless they were “about to die,” because they would be saddled with big bills, said state Sen. Richard Pan (D-Sacramento), a pediatrician. Under Medi-Cal, though, patients aren’t worried about those expenses.\u003c/p>\n\u003cp>And old habits die hard: A newly-insured patient accustomed to visiting the ER for treatment might not immediately switch to a primary care doctor who is, “just a name — not somebody you know,” Pan added.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Still, experts believe fewer Medi-Cal patients would be visiting the ER if there were more doctors willing to treat them.\u003c/p>\n\u003cp>Though “we have seen a very strong increase in the number of Medi-Cal patients … the number of doctors willing to see Medi-Cal patients has not increased accordingly,” said Jan Emerson-Shea, vice president of external affairs for the \u003ca href=\"http://www.calhospital.org/\" target=\"_blank\" rel=\"noopener\">California Hospital Association\u003c/a>.\u003c/p>\n\u003cp>Dr. Marc Futernick, the immediate past president of the California American College of Emergency Physicians, agreed that “there aren’t adequate providers for the demands.” He said he believes Medi-Cal’s low payment rates for physicians play a role.\u003c/p>\n\u003cp>Historically, doctors across the country have been reimbursed less for treating Medicaid patients than those on private insurance or Medicare — especially in California, which \u003ca href=\"http://www.kff.org/medicaid/state-indicator/medicaid-fee-index/?currentTimeframe=0&sortModel=%7B%22colId%22:%22All%20Services%22,%22sort%22:%22desc%22%7D\" target=\"_blank\" rel=\"noopener\">ranks 47th\u003c/a> in the country in fee-for-service reimbursement rates.\u003c/p>\n\u003cp>This means the state’s doctors are less likely to accept Medi-Cal patients, who will then seek treatment wherever they can get it, Futernick said. The ER is always open and cannot legally turn people away, even though many of the Medi-Cal patients’ ills could be treated by primary care providers, Emerson-Shea said.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe width=\"600\" height=\"338\" src=\"//datawrapper.dwcdn.net/5D3d9/1/\" frameborder=\"0\" scrolling=\"no\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>California doctors have long lobbied to increase Medi-Cal reimbursements. They are pushing hard to use some revenue from California’s recently passed tobacco tax to increase Medi-Cal rates. But Gov. Jerry Brown wants to use it more broadly for \u003ca href=\"http://www.latimes.com/politics/la-pol-sac-tobacco-tax-budget-20170316-story.html\" target=\"_blank\" rel=\"noopener\">overall Medi-Cal spending\u003c/a>.\u003c/p>\n\u003cp>Pan, the state senator, noted other factors that could explain the surge in ER use.\u003c/p>\n\u003cp>Health clinics, which see many Medi-Cal patients, generally cannot provide specialty care on site, he said. “What’s the quickest way to see a specialist? Send them to the emergency room.”\u003c/p>\n\u003cp>Moreover, many Medi-Cal patients work jobs without flexible hours or sick leave, which means they are not able to make appointments or visit health care providers during regular hours, Pan said.\u003c/p>\n\u003cp>“When I worked in the emergency room,” he recalled, “people would show up early in the morning with their kids who had an ear infection or cold or something and the parents would tell me, ‘Well, I have to go to work today or I’ll get fired.’”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>California is not the only state where the ACA has failed to produce a drop in ER use. A study \u003ca href=\"https://www.nytimes.com/2014/01/03/health/access-to-health-care-may-increase-er-visits-study-suggests.html\" target=\"_blank\" rel=\"noopener\">published in 2014\u003c/a> found that Oregon residents who won Medicaid coverage in a 2008 lottery made 40 percent more trips to the ER in the first 18 months they were covered than those who entered the lottery but were not selected.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/342500/medi-cal-patients-flocking-to-ers-more-than-before-aca","authors":["byline_stateofhealth_342500"],"categories":["stateofhealth_2442","stateofhealth_14","stateofhealth_2746"],"tags":["stateofhealth_294","stateofhealth_3116","stateofhealth_2808","stateofhealth_99","stateofhealth_2519","stateofhealth_365"],"affiliates":["stateofhealth_3036"],"featImg":"stateofhealth_342585","label":"stateofhealth_3036"},"news_11465283":{"type":"posts","id":"news_11465283","meta":{"index":"posts_1591205157","site":"news","id":"11465283","score":null,"sort":[1495665962000]},"guestAuthors":[],"slug":"what-health-insurance-does-your-lawmaker-have","title":"What Health Insurance Does Your California Representative Have?","publishDate":1495665962,"format":"image","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>As Congress continues to battle over the \u003ca href=\"https://www.bloomberg.com/politics/articles/2017-05-18/house-may-be-forced-to-vote-again-on-gop-s-obamacare-repeal-bill\" target=\"_blank\" rel=\"noopener noreferrer\">future of health care\u003c/a> in America and, by extension, the fate of millions of Californians who currently receive coverage through the Affordable Care Act (ACA), we found ourselves asking a simple question: Where do California's lawmakers get their health insurance?\u003c/p>\n\u003cp>Before the ACA fully went into effect in 2014, members of Congress received their coverage through the \u003ca href=\"https://www.opm.gov/healthcare-insurance/healthcare/\" target=\"_blank\" rel=\"noopener noreferrer\">Federal Employees Health Benefits Program\u003c/a>, or FEHB. But the ACA required lawmakers and their staff to leave FEHB and get coverage through the local insurance marketplaces, called \"exchanges,\" set up by the new law. Many started receiving this new coverage on Jan. 1, 2014.\u003c/p>\n\u003cp>Now, if a representative or senator wants to get health care as part of their work in Washington, D.C., they are eligible to purchase a private plan through \u003ca href=\"https://dchealthlink.com/\" target=\"_blank\" rel=\"noopener noreferrer\">DC Health Link\u003c/a>, the local exchange for residents of Washington, D.C.\u003c/p>\n\u003cp>[contextly_sidebar id=\"MBzhimnqr8SJObj8liKRnDzKFQNodx1V\"]\u003c/p>\n\u003cp>Lawmakers aren't required to get their coverage through the DC exchange; they can choose to be insured through a spouse's job, Medicare, or purchase a private individual health policy outside of the exchange. But if lawmakers do purchase a \"gold plan\" on DC Health Link, the federal government will pay about three-quarters of the cost -- a tempting incentive that's not available elsewhere.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>KQED reached out to California's members of Congress to see what insurance they each have. We will continue to update the post as we receive responses.\u003c/p>\n\u003cdiv class=\"callout aligncenter\">\n\u003cdiv class=\"tableauPlaceholder\" id=\"viz1528915032110\" style=\"position: relative\">\u003cnoscript>\u003ca href=\"#\">\u003cimg alt=\"Dashboard 1 \" src=\"https://public.tableau.com/static/images/WM/WM-Legionre/Dashboard1/1_rss.png\" style=\"border: none\">\u003c/a>\u003c/noscript>\u003cobject class=\"tableauViz\" style=\"display:none;\">\u003cparam name=\"host_url\" value=\"https%3A%2F%2Fpublic.tableau.com%2F\">\u003cparam name=\"embed_code_version\" value=\"3\">\u003cparam name=\"site_root\" value=\"\">\u003cparam name=\"name\" value=\"WM-Legionre/Dashboard1\">\u003cparam name=\"tabs\" value=\"no\">\u003cparam name=\"toolbar\" value=\"yes\">\u003cparam name=\"static_image\" value=\"https://public.tableau.com/static/images/WM/WM-Legionre/Dashboard1/1.png\">\u003cparam name=\"animate_transition\" value=\"yes\">\u003cparam name=\"display_static_image\" value=\"yes\">\u003cparam name=\"display_spinner\" value=\"yes\">\u003cparam name=\"display_overlay\" value=\"yes\">\u003cparam name=\"display_count\" value=\"yes\">\u003cparam name=\"filter\" value=\"publish=yes\">\u003c/object>\u003c/div>\n\u003cp> \u003cscript type=\"text/javascript\"> var divElement = document.getElementById('viz1528915032110'); var vizElement = divElement.getElementsByTagName('object')[0]; if ( divElement.offsetWidth > 800 ) { vizElement.style.minWidth='500px';vizElement.style.maxWidth='900px';vizElement.style.width='100%';vizElement.style.height='627px';} else if ( divElement.offsetWidth > 500 ) { vizElement.style.minWidth='500px';vizElement.style.maxWidth='900px';vizElement.style.width='100%';vizElement.style.height='627px';} else { vizElement.style.width='100%';vizElement.style.height='727px';} var scriptElement = document.createElement('script'); scriptElement.src = 'https://public.tableau.com/javascripts/api/viz_v1.js'; vizElement.parentNode.insertBefore(scriptElement, vizElement); \u003c/script>\u003c/p>\n\u003c/div>\n\n","blocks":[],"excerpt":"Lawmakers don't have to get coverage through the DC exchange; they can opt to be insured through a spouse's job, Medicare, or buy a private individual health policy outside of the exchange. ","status":"publish","parent":0,"modified":1528915259,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":9,"wordCount":330},"headData":{"title":"What Health Insurance Does Your California Representative Have? | KQED","description":"Lawmakers don't have to get coverage through the DC exchange; they can opt to be insured through a spouse's job, Medicare, or buy a private individual health policy outside of the exchange. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"What Health Insurance Does Your California Representative Have?","datePublished":"2017-05-24T22:46:02.000Z","dateModified":"2018-06-13T18:40:59.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11465283 https://ww2.kqed.org/news/?p=11465283","disqusUrl":"https://ww2.kqed.org/news/2017/05/24/what-health-insurance-does-your-lawmaker-have/","disqusTitle":"What Health Insurance Does Your California Representative Have?","path":"/news/11465283/what-health-insurance-does-your-lawmaker-have","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>As Congress continues to battle over the \u003ca href=\"https://www.bloomberg.com/politics/articles/2017-05-18/house-may-be-forced-to-vote-again-on-gop-s-obamacare-repeal-bill\" target=\"_blank\" rel=\"noopener noreferrer\">future of health care\u003c/a> in America and, by extension, the fate of millions of Californians who currently receive coverage through the Affordable Care Act (ACA), we found ourselves asking a simple question: Where do California's lawmakers get their health insurance?\u003c/p>\n\u003cp>Before the ACA fully went into effect in 2014, members of Congress received their coverage through the \u003ca href=\"https://www.opm.gov/healthcare-insurance/healthcare/\" target=\"_blank\" rel=\"noopener noreferrer\">Federal Employees Health Benefits Program\u003c/a>, or FEHB. But the ACA required lawmakers and their staff to leave FEHB and get coverage through the local insurance marketplaces, called \"exchanges,\" set up by the new law. Many started receiving this new coverage on Jan. 1, 2014.\u003c/p>\n\u003cp>Now, if a representative or senator wants to get health care as part of their work in Washington, D.C., they are eligible to purchase a private plan through \u003ca href=\"https://dchealthlink.com/\" target=\"_blank\" rel=\"noopener noreferrer\">DC Health Link\u003c/a>, the local exchange for residents of Washington, D.C.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Lawmakers aren't required to get their coverage through the DC exchange; they can choose to be insured through a spouse's job, Medicare, or purchase a private individual health policy outside of the exchange. But if lawmakers do purchase a \"gold plan\" on DC Health Link, the federal government will pay about three-quarters of the cost -- a tempting incentive that's not available elsewhere.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>KQED reached out to California's members of Congress to see what insurance they each have. We will continue to update the post as we receive responses.\u003c/p>\n\u003cdiv class=\"callout aligncenter\">\n\u003cdiv class=\"tableauPlaceholder\" id=\"viz1528915032110\" style=\"position: relative\">\u003cnoscript>\u003ca href=\"#\">\u003cimg alt=\"Dashboard 1 \" src=\"https://public.tableau.com/static/images/WM/WM-Legionre/Dashboard1/1_rss.png\" style=\"border: none\">\u003c/a>\u003c/noscript>\u003cobject class=\"tableauViz\" style=\"display:none;\">\u003cparam name=\"host_url\" value=\"https%3A%2F%2Fpublic.tableau.com%2F\">\u003cparam name=\"embed_code_version\" value=\"3\">\u003cparam name=\"site_root\" value=\"\">\u003cparam name=\"name\" value=\"WM-Legionre/Dashboard1\">\u003cparam name=\"tabs\" value=\"no\">\u003cparam name=\"toolbar\" value=\"yes\">\u003cparam name=\"static_image\" value=\"https://public.tableau.com/static/images/WM/WM-Legionre/Dashboard1/1.png\">\u003cparam name=\"animate_transition\" value=\"yes\">\u003cparam name=\"display_static_image\" value=\"yes\">\u003cparam name=\"display_spinner\" value=\"yes\">\u003cparam name=\"display_overlay\" value=\"yes\">\u003cparam name=\"display_count\" value=\"yes\">\u003cparam name=\"filter\" value=\"publish=yes\">\u003c/object>\u003c/div>\n\u003cp> \u003cscript type=\"text/javascript\"> var divElement = document.getElementById('viz1528915032110'); var vizElement = divElement.getElementsByTagName('object')[0]; if ( divElement.offsetWidth > 800 ) { vizElement.style.minWidth='500px';vizElement.style.maxWidth='900px';vizElement.style.width='100%';vizElement.style.height='627px';} else if ( divElement.offsetWidth > 500 ) { vizElement.style.minWidth='500px';vizElement.style.maxWidth='900px';vizElement.style.width='100%';vizElement.style.height='627px';} else { vizElement.style.width='100%';vizElement.style.height='727px';} var scriptElement = document.createElement('script'); scriptElement.src = 'https://public.tableau.com/javascripts/api/viz_v1.js'; vizElement.parentNode.insertBefore(scriptElement, vizElement); \u003c/script>\u003c/p>\n\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11465283/what-health-insurance-does-your-lawmaker-have","authors":["11260"],"programs":["news_6944","news_72"],"categories":["news_457","news_8","news_13"],"tags":["news_20578","news_2409","news_20890","news_20651","news_683"],"featImg":"news_11474422","label":"news_72"},"news_11474185":{"type":"posts","id":"news_11474185","meta":{"index":"posts_1591205157","site":"news","id":"11474185","score":null,"sort":[1495663373000]},"guestAuthors":[],"slug":"your-cbo-cheat-sheet-23-million-more-uninsured-and-5-takeaways-from-gop-health-bill","title":"Your CBO Cheat Sheet: 5 Takeaways From GOP Health Bill","publishDate":1495663373,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>An estimated 23 million additional Americans will become uninsured over the next decade if the current version of the Republican health care bill goes into effect, according to a Congressional Budget Office \u003ca href=\"https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/hr1628aspassed.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">analysis\u003c/a> released Wednesday.\u003c/p>\n\u003cp>This is only slightly lower than the 24 million predicted in March, before Republicans tweaked the bill to pull in critical votes from both moderate and hard-right Republicans. The bill passed the House on May 4.\u003c/p>\n\u003cp>The bill would save the federal government billions of dollars, compared to expected spending under the current Affordable Care Act. In addition, insurance premiums for individual consumers wouldn't rise \u003cem>as fast\u003c/em> under the Republican health plan -- although that's because fewer old and sick people would be able to afford insurance.\u003c/p>\n\u003cp>One California consumer advocate, Anthony Wright, excoriated the Republicans for voting on this bill three weeks \u003cem>before\u003c/em> seeing the CBO report.\u003c/p>\n\u003cp>\"This is not normal, this is not the way health policy should be pursued,\" said Wright, executive director of\u003ca href=\"http://www.health-access.org/\" target=\"_blank\" rel=\"noopener noreferrer\"> Health Access California. \u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We believe the reason the House GOP leadership didn't want to wait for such an analysis ... was because they knew the disastrous impact,\" Wright said. \"There's a reason why this was opposed by doctors and hospitals and patient and senior groups.\"\u003c/p>\n\u003cp>Here are \u003cspan style=\"text-decoration: underline\">five things\u003c/span> you need to know now:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Republicans still haven't solved a big political problem: \u003c/strong>Increasing the number of uninsured Americans is bad optics. A bill that increases the number of uninsured by 23 million is not going to be any easier to spin than their previous bill, which predicted 24 million and drove voters to confront their representatives at town halls.\u003c/li>\n\u003cli>\u003cstrong>Republicans can still claim big budget savings: \u003c/strong>The CBO report predicts the House bill would reduce the federal deficit by $119 billion over a decade.\u003c/li>\n\u003cli>\u003cstrong>Listen closely when the talk turns to insurance premiums\u003c/strong>: The CBO says nongroup (that means insurance you don't get through your job) insurance premiums would go up for a few years under the GOP health plan, compared to the current ACA. But after 10 years, those insurance premiums would be lower than they would be under the ACA. Key point: This is a \u003cem>relative\u003c/em> \"reduction\" -- health insurance premiums \u003cem>still go up\u003c/em>, but maybe not as much as they would under the ACA.\u003c/li>\n\u003cli>\u003cstrong>Well, why? Because healthier (customers) = cheaper (plans):\u003c/strong> The bill loosens regulations on insurance companies. For example, companies could design and price certain coverage plans that are aimed at younger (and healthier) consumers. Since many older and sicker Americans would be unable to afford insurance plans, insurance companies wouldn't have to pay their claims and could pass those savings on to other customers.\u003c/li>\n\u003cli>\u003cstrong>Local, local, local: \u003c/strong>Which state you live in matters. The GOP bill allows states to decide whether to eliminate two consumer regulations put in place by the ACA (restrictions on charging people with pre-existing conditions more, and requirements that all insurance plans cover 10 essential health benefits, such as maternity and mental health.) States that decide to keep the protections -- and California is expected to be one of them -- won't see the savings in premiums that other states might.\u003c/li>\n\u003c/ul>\n\u003cp>[contextly_sidebar id=\"mItZGy20AnooH6UdLmDiUG7kVJE7INwJ\"]\u003c/p>\n\u003cp>\u003cstrong>So, can California choose to avoid these predicted impacts? \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Nope.\u003c/strong> The Republican bill does more than allow states to choose to peel away ACA regulations. Even if California says \"no thanks\" on that, the bill also caps how much money every state will get for Medicaid going forward.\u003c/p>\n\u003cp>The bill would reduce federal funding for Medicaid by $834 billion over 10 years — a massive amount, according to Jen Flory, an attorney with the \u003ca href=\"http://wclp.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Western Center on Law & Poverty\u003c/a>. She predicted California would have to cut benefits that aren't required under federal Medicaid law, such as prescription drug coverage, services for the blind, and nursing home care.\u003c/p>\n\u003cp>\"These are some of the most vulnerable people, who are low-income, who have significant health needs and do not have any other way of bringing income in,\" Flory said. \"It's almost too horrible to imagine what that actually looks like.\"\u003c/p>\n\u003cp>Since 2014, the ACA made it possible for California to cover an additional 3.7 million previously-uninsured adults through Medi-Cal. The Republican bill changes eligibility rules so that most of those people would eventually lose their coverage.\u003c/p>\n\u003cp>Many conservatives have repeatedly called for changes to Medicaid that are similar to those outlined in the Republican bill. They include \u003ca href=\"http://galen.org/about/scholars-and-staff/\" target=\"_blank\" rel=\"noopener noreferrer\">Grace-Marie Turner\u003c/a>, who leads a D.C.-area policy \u003ca href=\"http://galen.org/about/scholars-and-staff/\" target=\"_blank\" rel=\"noopener noreferrer\">organization \u003c/a>that promotes market-oriented solutions for health care.\u003c/p>\n\u003cp>Turner believes the federal cuts could force state officials to curtail waste and be more efficient in how they administer Medicaid.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I am convinced that the states can do a better job of running these programs than Washington can through micro-managing it,\" said Turner, who also wrote a book criticizing Obamacare. \"There is a great deal of savings to be had, if states had the incentive to do it.\"\u003c/p>\n\n","blocks":[],"excerpt":"An estimated 23 million additional Americans would become uninsured by 2026 if the current bill becomes law.","status":"publish","parent":0,"modified":1495820295,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":855},"headData":{"title":"Your CBO Cheat Sheet: 5 Takeaways From GOP Health Bill | KQED","description":"An estimated 23 million additional Americans would become uninsured by 2026 if the current bill becomes law.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Your CBO Cheat Sheet: 5 Takeaways From GOP Health Bill","datePublished":"2017-05-24T22:02:53.000Z","dateModified":"2017-05-26T17:38:15.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11474185 https://ww2.kqed.org/news/?p=11474185","disqusUrl":"https://ww2.kqed.org/news/2017/05/24/your-cbo-cheat-sheet-23-million-more-uninsured-and-5-takeaways-from-gop-health-bill/","disqusTitle":"Your CBO Cheat Sheet: 5 Takeaways From GOP Health Bill","path":"/news/11474185/your-cbo-cheat-sheet-23-million-more-uninsured-and-5-takeaways-from-gop-health-bill","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>An estimated 23 million additional Americans will become uninsured over the next decade if the current version of the Republican health care bill goes into effect, according to a Congressional Budget Office \u003ca href=\"https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/hr1628aspassed.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">analysis\u003c/a> released Wednesday.\u003c/p>\n\u003cp>This is only slightly lower than the 24 million predicted in March, before Republicans tweaked the bill to pull in critical votes from both moderate and hard-right Republicans. The bill passed the House on May 4.\u003c/p>\n\u003cp>The bill would save the federal government billions of dollars, compared to expected spending under the current Affordable Care Act. In addition, insurance premiums for individual consumers wouldn't rise \u003cem>as fast\u003c/em> under the Republican health plan -- although that's because fewer old and sick people would be able to afford insurance.\u003c/p>\n\u003cp>One California consumer advocate, Anthony Wright, excoriated the Republicans for voting on this bill three weeks \u003cem>before\u003c/em> seeing the CBO report.\u003c/p>\n\u003cp>\"This is not normal, this is not the way health policy should be pursued,\" said Wright, executive director of\u003ca href=\"http://www.health-access.org/\" target=\"_blank\" rel=\"noopener noreferrer\"> Health Access California. \u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We believe the reason the House GOP leadership didn't want to wait for such an analysis ... was because they knew the disastrous impact,\" Wright said. \"There's a reason why this was opposed by doctors and hospitals and patient and senior groups.\"\u003c/p>\n\u003cp>Here are \u003cspan style=\"text-decoration: underline\">five things\u003c/span> you need to know now:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Republicans still haven't solved a big political problem: \u003c/strong>Increasing the number of uninsured Americans is bad optics. A bill that increases the number of uninsured by 23 million is not going to be any easier to spin than their previous bill, which predicted 24 million and drove voters to confront their representatives at town halls.\u003c/li>\n\u003cli>\u003cstrong>Republicans can still claim big budget savings: \u003c/strong>The CBO report predicts the House bill would reduce the federal deficit by $119 billion over a decade.\u003c/li>\n\u003cli>\u003cstrong>Listen closely when the talk turns to insurance premiums\u003c/strong>: The CBO says nongroup (that means insurance you don't get through your job) insurance premiums would go up for a few years under the GOP health plan, compared to the current ACA. But after 10 years, those insurance premiums would be lower than they would be under the ACA. Key point: This is a \u003cem>relative\u003c/em> \"reduction\" -- health insurance premiums \u003cem>still go up\u003c/em>, but maybe not as much as they would under the ACA.\u003c/li>\n\u003cli>\u003cstrong>Well, why? Because healthier (customers) = cheaper (plans):\u003c/strong> The bill loosens regulations on insurance companies. For example, companies could design and price certain coverage plans that are aimed at younger (and healthier) consumers. Since many older and sicker Americans would be unable to afford insurance plans, insurance companies wouldn't have to pay their claims and could pass those savings on to other customers.\u003c/li>\n\u003cli>\u003cstrong>Local, local, local: \u003c/strong>Which state you live in matters. The GOP bill allows states to decide whether to eliminate two consumer regulations put in place by the ACA (restrictions on charging people with pre-existing conditions more, and requirements that all insurance plans cover 10 essential health benefits, such as maternity and mental health.) States that decide to keep the protections -- and California is expected to be one of them -- won't see the savings in premiums that other states might.\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>So, can California choose to avoid these predicted impacts? \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Nope.\u003c/strong> The Republican bill does more than allow states to choose to peel away ACA regulations. Even if California says \"no thanks\" on that, the bill also caps how much money every state will get for Medicaid going forward.\u003c/p>\n\u003cp>The bill would reduce federal funding for Medicaid by $834 billion over 10 years — a massive amount, according to Jen Flory, an attorney with the \u003ca href=\"http://wclp.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Western Center on Law & Poverty\u003c/a>. She predicted California would have to cut benefits that aren't required under federal Medicaid law, such as prescription drug coverage, services for the blind, and nursing home care.\u003c/p>\n\u003cp>\"These are some of the most vulnerable people, who are low-income, who have significant health needs and do not have any other way of bringing income in,\" Flory said. \"It's almost too horrible to imagine what that actually looks like.\"\u003c/p>\n\u003cp>Since 2014, the ACA made it possible for California to cover an additional 3.7 million previously-uninsured adults through Medi-Cal. The Republican bill changes eligibility rules so that most of those people would eventually lose their coverage.\u003c/p>\n\u003cp>Many conservatives have repeatedly called for changes to Medicaid that are similar to those outlined in the Republican bill. They include \u003ca href=\"http://galen.org/about/scholars-and-staff/\" target=\"_blank\" rel=\"noopener noreferrer\">Grace-Marie Turner\u003c/a>, who leads a D.C.-area policy \u003ca href=\"http://galen.org/about/scholars-and-staff/\" target=\"_blank\" rel=\"noopener noreferrer\">organization \u003c/a>that promotes market-oriented solutions for health care.\u003c/p>\n\u003cp>Turner believes the federal cuts could force state officials to curtail waste and be more efficient in how they administer Medicaid.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I am convinced that the states can do a better job of running these programs than Washington can through micro-managing it,\" said Turner, who also wrote a book criticizing Obamacare. \"There is a great deal of savings to be had, if states had the incentive to do it.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11474185/your-cbo-cheat-sheet-23-million-more-uninsured-and-5-takeaways-from-gop-health-bill","authors":["11314"],"programs":["news_6944","news_72"],"categories":["news_457","news_8"],"tags":["news_20578","news_19542","news_3890"],"featImg":"news_11475445","label":"news_72"},"news_11475692":{"type":"posts","id":"news_11475692","meta":{"index":"posts_1591205157","site":"news","id":"11475692","score":null,"sort":[1495659596000]},"guestAuthors":[],"slug":"cbo-republicans-ahca-would-leave-23-million-more-uninsured","title":"CBO: Republicans' AHCA Would Leave 23 Million More Uninsured","publishDate":1495659596,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{},"content":"\u003cp>The revised Republican bill to repeal and replace the Affordable Care Act will leave 23 million more people uninsured over the next decade than if that act, also known as Obamacare, were to remain in place. The GOP bill would also reduce the deficit by $119 billion.\u003c/p>\n\u003cp>That's what the nonpartisan Congressional Budget Office \u003ca href=\"https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/hr1628aspassed.pdf\">reported on Wednesday\u003c/a> in its latest score of the American Health Care Act. The CBO's assessment raises potential concerns about the bill. The agency reports that the bill could destabilize individual insurance markets in some states, leaving unhealthy Americans unable to buy insurance. The CBO also notes that the AHCA could mean some Americans would buy coverage that doesn't cover \"major medical risks.\" Because of those policies' skimpy coverage, the CBO doesn't count those people as insured in this report.\u003c/p>\n\u003cp>The fate of the bill rests in part on this score, as House Republicans passed their most recent version of the bill without waiting for the CBO to report the bill's estimated price tag. Three weeks after passing the bill, however, they have not sent the bill on to the Senate yet, because budget rules dictate that if its deficit savings did not reach $2 billion (and that $2 billion had to come from particular spending categories), the bill would be dead upon arrival in the upper chamber.\u003c/p>\n\u003cp>The deficit reduction in the latest version of the bill represents a decline from previous versions. When the CBO \u003ca href=\"https://www.cbo.gov/sites/default/files/115th-congress-2017-2018/costestimate/americanhealthcareact.pdf\">first scored the AHCA\u003c/a>, it said the plan would save $337 billion over 10 years. Later revisions reduced those savings \u003ca href=\"https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/hr1628.pdf\">to $150 billion\u003c/a>.\u003c/p>\n\u003cp>By far the biggest savings would come from Medicaid, which serves low-income Americans. That program would face $884 billion in cuts. Cutbacks in subsidies for individual health insurance would likewise help cut $276 billion. But those are offset in large part by bigger costs, including the repeal of many of Obamacare's taxes.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"The nonpartisan Congressional Budget Office estimates that the GOP's Obamacare repeal-and-replace bill would increase the number of uninsured and reduce the deficit.","status":"publish","parent":0,"modified":1495666296,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":7,"wordCount":325},"headData":{"title":"CBO: Republicans' AHCA Would Leave 23 Million More Uninsured | KQED","description":"The nonpartisan Congressional Budget Office estimates that the GOP's Obamacare repeal-and-replace bill would increase the number of uninsured and reduce the deficit.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"CBO: Republicans' AHCA Would Leave 23 Million More Uninsured","datePublished":"2017-05-24T20:59:56.000Z","dateModified":"2017-05-24T22:51:36.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11475692 https://ww2.kqed.org/news/?p=11475692","disqusUrl":"https://ww2.kqed.org/news/2017/05/24/cbo-republicans-ahca-would-leave-23-million-more-uninsured/","disqusTitle":"CBO: Republicans' AHCA Would Leave 23 Million More Uninsured","source":"NPR","sourceUrl":"http://www.npr.org/","nprImageCredit":"Chip Somodevilla","nprByline":"Danielle Kurtzleben ","nprImageAgency":"Getty Images","nprStoryId":"529902300","nprApiLink":"http://api.npr.org/query?id=529902300&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/2017/05/24/529902300/cbo-republicans-ahca-would-leave-23-million-more-uninsured?ft=nprml&f=529902300","nprRetrievedStory":"1","nprPubDate":"Wed, 24 May 2017 16:57:00 -0400","nprStoryDate":"Wed, 24 May 2017 16:41:00 -0400","nprLastModifiedDate":"Wed, 24 May 2017 16:57:20 -0400","path":"/news/11475692/cbo-republicans-ahca-would-leave-23-million-more-uninsured","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The revised Republican bill to repeal and replace the Affordable Care Act will leave 23 million more people uninsured over the next decade than if that act, also known as Obamacare, were to remain in place. The GOP bill would also reduce the deficit by $119 billion.\u003c/p>\n\u003cp>That's what the nonpartisan Congressional Budget Office \u003ca href=\"https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/hr1628aspassed.pdf\">reported on Wednesday\u003c/a> in its latest score of the American Health Care Act. The CBO's assessment raises potential concerns about the bill. The agency reports that the bill could destabilize individual insurance markets in some states, leaving unhealthy Americans unable to buy insurance. The CBO also notes that the AHCA could mean some Americans would buy coverage that doesn't cover \"major medical risks.\" Because of those policies' skimpy coverage, the CBO doesn't count those people as insured in this report.\u003c/p>\n\u003cp>The fate of the bill rests in part on this score, as House Republicans passed their most recent version of the bill without waiting for the CBO to report the bill's estimated price tag. Three weeks after passing the bill, however, they have not sent the bill on to the Senate yet, because budget rules dictate that if its deficit savings did not reach $2 billion (and that $2 billion had to come from particular spending categories), the bill would be dead upon arrival in the upper chamber.\u003c/p>\n\u003cp>The deficit reduction in the latest version of the bill represents a decline from previous versions. When the CBO \u003ca href=\"https://www.cbo.gov/sites/default/files/115th-congress-2017-2018/costestimate/americanhealthcareact.pdf\">first scored the AHCA\u003c/a>, it said the plan would save $337 billion over 10 years. Later revisions reduced those savings \u003ca href=\"https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/hr1628.pdf\">to $150 billion\u003c/a>.\u003c/p>\n\u003cp>By far the biggest savings would come from Medicaid, which serves low-income Americans. That program would face $884 billion in cuts. Cutbacks in subsidies for individual health insurance would likewise help cut $276 billion. But those are offset in large part by bigger costs, including the repeal of many of Obamacare's taxes.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11475692/cbo-republicans-ahca-would-leave-23-million-more-uninsured","authors":["byline_news_11475692"],"programs":["news_6944","news_72"],"categories":["news_8"],"tags":["news_20578","news_20890","news_21005","news_19542","news_683","news_1054","news_3890","news_17041","news_20934"],"featImg":"news_11475696","label":"source_news_11475692"},"news_11450613":{"type":"posts","id":"news_11450613","meta":{"index":"posts_1591205157","site":"news","id":"11450613","score":null,"sort":[1494474858000]},"guestAuthors":[],"slug":"gop-leader-mccarthy-says-trump-is-not-a-right-winger","title":"'Comey Made the FBI Political': GOP Leader McCarthy","publishDate":1494474858,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>Speaking Wednesday evening at the San Francisco headquarters of the ride hailing company Lyft, House Majority Leader \u003ca href=\"https://kevinmccarthy.house.gov/\" target=\"_blank\" rel=\"noopener noreferrer\">Kevin McCarthy \u003c/a>broke the ice with a question.\u003c/p>\n\u003cp>\"I voted for Trump,\" McCarthy said, stating the obvious. \"Anybody in here vote for him besides me?\"\u003c/p>\n\u003cp>Not a single hand went up, but McCarthy didn't skip a beat.\u003c/p>\n\u003cp>\"So I’m going to take it you might have a different philosophical place than I am.\"\u003c/p>\n\u003cp>Dressed casually in blue jeans with no tie, McCarthy (R-Bakersfield) gamely suggested that the crowd of mostly young tech workers should embrace Trump.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"He is not philosophically bent to the far right,\" McCarthy said of Trump. \"He is a disrupter. All of you work for businesses that are disrupters.\"\u003c/p>\n\u003cp>Disrupters like Airbnb, which co-sponsored the event with the online publication Politico.\u003c/p>\n\u003cp>[contextly_sidebar id=\"ttmkXUYfiOu6i9HDLUJxjupMetN4YzPW\"]\u003c/p>\n\u003cp>McCarthy said that Trump \"wasn't my first, second or third choice to be president,\" but he said the 45th president was \"misknown (sic) as being rigid, but he's open-minded.\"\u003c/p>\n\u003cp>McCarthy also defended Trump’s controversial \u003ca href=\"https://ww2.kqed.org/news/2017/05/10/comey-sought-more-resources-for-russia-investigation-before-firing/\" target=\"_blank\" rel=\"noopener noreferrer\">firing\u003c/a> of FBI Director James Comey, saying Democrats and Republicans had lost faith in the agency.\u003c/p>\n\u003cp>\"When the FBI director thinks he becomes also the attorney general and the prosecutor, he’s probably overstepped,\" McCarthy said. \"I would argue that Comey made the FBI political, and that’s probably not the place to be.\"\u003c/p>\n\u003cp>Of course McCarthy is nothing if not political. When House Speaker John Boehner announced he was retiring in 2015, McCarthy seemed first in line to replace him. Then he went on TV and said (correctly) that the House investigation of Hillary Clinton's role in the killing of the U.S. Ambassador to Libya at the embassy in Benghazi was focused not on getting the truth but at taking her down.\u003c/p>\n\u003cp>\"Everybody thought Hillary Clinton was unbeatable, right,? \" McCarthy told Sean Hannity of Fox News. \"But we put together a Benghazi special committee, a select committee. What are her numbers today? Her numbers are dropping. Why? Because she’s untrustable. But no one would have known any of that had happened, had we not fought.”\u003c/p>\n\u003cp>McCarthy soon announced he would not seek the speakership.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://www.facebook.com/plugins/video.php?href=https%3A%2F%2Fwww.facebook.com%2FKQEDnews%2Fvideos%2F1449451891795870%2F&show_text=0&width=560\" width=\"800\" height=\"420\" style=\"border:none;overflow:hidden\" scrolling=\"no\" frameborder=\"0\" allowtransparency=\"true\" allowfullscreen=\"true\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>At the Wednesday event in San Francisco, McCarthy answered mostly friendly questions from Politico's Anna Palmer, who promised to focus mostly on issues of interest to the tech industry.\u003c/p>\n\u003cp>\"I love Silicon Valley,\" Trump said, adding that government needed to take a page from the tech industry's innovative thinking.\u003c/p>\n\u003cp>But he also took a little shot at the mostly young, white members of the audience. \"My \u003ca href=\"https://en.wikipedia.org/wiki/California%27s_23rd_congressional_district\" target=\"_blank\" rel=\"noopener noreferrer\">district\u003c/a> is diverse,\" he said, adding \"a lot more diverse than this room.\"\u003c/p>\n\u003cp>A week after Republicans in the House passed the \u003ca href=\"https://www.govtrack.us/congress/bills/115/hr1628\" target=\"_blank\" rel=\"noopener noreferrer\">American Health Care Act \u003c/a>to replace Obamacare, McCarthy said he was confident a similar bill would get support in the Senate.\u003c/p>\n\u003cp>\"I believe the Senate will pass this,\" McCarthy said.\u003c/p>\n\u003cp>Regarding the Republican plan to remove strict Obamacare guidelines for minimum coverage, McCarthy said \"you go into the marketplace and now we don't dictate what health care plans you have to provide so you have all different options.\"\u003c/p>\n\u003cp>Democrats and health care advocates say the Republican plan will lead to higher premiums and deductibles, especially for older Americans.\u003c/p>\n\u003cp>When asked about immigration reform, McCarthy said he thought it would happen sooner rather than later. And he signaled that people brought here illegally as kids -- the so-called dreamers -- will be protected.\u003c/p>\n\u003cp>\"So if you were if you came here over the age of 18, I think you have a path to go forward.\" McCarthy said. \"If you came here over the age of 18 and you broke some major felony, I think you need to depart.\"\u003c/p>\n\u003cp>Democratic congressman Eric Swalwell also attended the event and said afterwards he’d like to take up McCarthy’s offer to help protect immigrant families.\u003c/p>\n\u003cp>\"Actions speak louder than words,\" Swalwell said. \"And if the Majority Leader is sympathetic, and I’ll take him at his word that he is, we should put into law some of the protections that he’d like to see.\u003c/p>\n\u003cp>\"If they’re serious about immigration reform, they’ll find Democrats, including me, that would like to work with them,\" he added.\u003c/p>\n\u003cp>When KQED later asked McCarthy about the seven Republican members of Congress from California targeted for defeat by Democrats, McCarthy said he wasn’t too worried it.\u003c/p>\n\u003cp>\"Those are the same that they said in the last campaign and they won,\" he said. \"Those are the same ones who carried their districts but the presidential race went different. The Democrats focus on it every time. But these members represent their districts.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>It’s unlikely McCarthy converted many in the crowd to his cause but some seemed to appreciate that he showed up to make his case.\u003c/p>\n\n","blocks":[],"excerpt":"House Majority Leader Kevin McCarthy seemed unfazed when not a single person in the San Francisco audience acknowledged voting for Donald Trump.","status":"publish","parent":0,"modified":1494525309,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":32,"wordCount":829},"headData":{"title":"'Comey Made the FBI Political': GOP Leader McCarthy | KQED","description":"House Majority Leader Kevin McCarthy seemed unfazed when not a single person in the San Francisco audience acknowledged voting for Donald Trump.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"'Comey Made the FBI Political': GOP Leader McCarthy","datePublished":"2017-05-11T03:54:18.000Z","dateModified":"2017-05-11T17:55:09.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11450613 https://ww2.kqed.org/news/?p=11450613","disqusUrl":"https://ww2.kqed.org/news/2017/05/10/gop-leader-mccarthy-says-trump-is-not-a-right-winger/","disqusTitle":"'Comey Made the FBI Political': GOP Leader McCarthy","audioUrl":"http://www.kqed.org/.stream/anon/radio/tcr/2017/05/2017-05-11a-tcr.mp3","guestFields":"0","path":"/news/11450613/gop-leader-mccarthy-says-trump-is-not-a-right-winger","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Speaking Wednesday evening at the San Francisco headquarters of the ride hailing company Lyft, House Majority Leader \u003ca href=\"https://kevinmccarthy.house.gov/\" target=\"_blank\" rel=\"noopener noreferrer\">Kevin McCarthy \u003c/a>broke the ice with a question.\u003c/p>\n\u003cp>\"I voted for Trump,\" McCarthy said, stating the obvious. \"Anybody in here vote for him besides me?\"\u003c/p>\n\u003cp>Not a single hand went up, but McCarthy didn't skip a beat.\u003c/p>\n\u003cp>\"So I’m going to take it you might have a different philosophical place than I am.\"\u003c/p>\n\u003cp>Dressed casually in blue jeans with no tie, McCarthy (R-Bakersfield) gamely suggested that the crowd of mostly young tech workers should embrace Trump.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"He is not philosophically bent to the far right,\" McCarthy said of Trump. \"He is a disrupter. All of you work for businesses that are disrupters.\"\u003c/p>\n\u003cp>Disrupters like Airbnb, which co-sponsored the event with the online publication Politico.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>McCarthy said that Trump \"wasn't my first, second or third choice to be president,\" but he said the 45th president was \"misknown (sic) as being rigid, but he's open-minded.\"\u003c/p>\n\u003cp>McCarthy also defended Trump’s controversial \u003ca href=\"https://ww2.kqed.org/news/2017/05/10/comey-sought-more-resources-for-russia-investigation-before-firing/\" target=\"_blank\" rel=\"noopener noreferrer\">firing\u003c/a> of FBI Director James Comey, saying Democrats and Republicans had lost faith in the agency.\u003c/p>\n\u003cp>\"When the FBI director thinks he becomes also the attorney general and the prosecutor, he’s probably overstepped,\" McCarthy said. \"I would argue that Comey made the FBI political, and that’s probably not the place to be.\"\u003c/p>\n\u003cp>Of course McCarthy is nothing if not political. When House Speaker John Boehner announced he was retiring in 2015, McCarthy seemed first in line to replace him. Then he went on TV and said (correctly) that the House investigation of Hillary Clinton's role in the killing of the U.S. Ambassador to Libya at the embassy in Benghazi was focused not on getting the truth but at taking her down.\u003c/p>\n\u003cp>\"Everybody thought Hillary Clinton was unbeatable, right,? \" McCarthy told Sean Hannity of Fox News. \"But we put together a Benghazi special committee, a select committee. What are her numbers today? Her numbers are dropping. Why? Because she’s untrustable. But no one would have known any of that had happened, had we not fought.”\u003c/p>\n\u003cp>McCarthy soon announced he would not seek the speakership.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://www.facebook.com/plugins/video.php?href=https%3A%2F%2Fwww.facebook.com%2FKQEDnews%2Fvideos%2F1449451891795870%2F&show_text=0&width=560\" width=\"800\" height=\"420\" style=\"border:none;overflow:hidden\" scrolling=\"no\" frameborder=\"0\" allowtransparency=\"true\" allowfullscreen=\"true\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>At the Wednesday event in San Francisco, McCarthy answered mostly friendly questions from Politico's Anna Palmer, who promised to focus mostly on issues of interest to the tech industry.\u003c/p>\n\u003cp>\"I love Silicon Valley,\" Trump said, adding that government needed to take a page from the tech industry's innovative thinking.\u003c/p>\n\u003cp>But he also took a little shot at the mostly young, white members of the audience. \"My \u003ca href=\"https://en.wikipedia.org/wiki/California%27s_23rd_congressional_district\" target=\"_blank\" rel=\"noopener noreferrer\">district\u003c/a> is diverse,\" he said, adding \"a lot more diverse than this room.\"\u003c/p>\n\u003cp>A week after Republicans in the House passed the \u003ca href=\"https://www.govtrack.us/congress/bills/115/hr1628\" target=\"_blank\" rel=\"noopener noreferrer\">American Health Care Act \u003c/a>to replace Obamacare, McCarthy said he was confident a similar bill would get support in the Senate.\u003c/p>\n\u003cp>\"I believe the Senate will pass this,\" McCarthy said.\u003c/p>\n\u003cp>Regarding the Republican plan to remove strict Obamacare guidelines for minimum coverage, McCarthy said \"you go into the marketplace and now we don't dictate what health care plans you have to provide so you have all different options.\"\u003c/p>\n\u003cp>Democrats and health care advocates say the Republican plan will lead to higher premiums and deductibles, especially for older Americans.\u003c/p>\n\u003cp>When asked about immigration reform, McCarthy said he thought it would happen sooner rather than later. And he signaled that people brought here illegally as kids -- the so-called dreamers -- will be protected.\u003c/p>\n\u003cp>\"So if you were if you came here over the age of 18, I think you have a path to go forward.\" McCarthy said. \"If you came here over the age of 18 and you broke some major felony, I think you need to depart.\"\u003c/p>\n\u003cp>Democratic congressman Eric Swalwell also attended the event and said afterwards he’d like to take up McCarthy’s offer to help protect immigrant families.\u003c/p>\n\u003cp>\"Actions speak louder than words,\" Swalwell said. \"And if the Majority Leader is sympathetic, and I’ll take him at his word that he is, we should put into law some of the protections that he’d like to see.\u003c/p>\n\u003cp>\"If they’re serious about immigration reform, they’ll find Democrats, including me, that would like to work with them,\" he added.\u003c/p>\n\u003cp>When KQED later asked McCarthy about the seven Republican members of Congress from California targeted for defeat by Democrats, McCarthy said he wasn’t too worried it.\u003c/p>\n\u003cp>\"Those are the same that they said in the last campaign and they won,\" he said. \"Those are the same ones who carried their districts but the presidential race went different. The Democrats focus on it every time. But these members represent their districts.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>It’s unlikely McCarthy converted many in the crowd to his cause but some seemed to appreciate that he showed up to make his case.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11450613/gop-leader-mccarthy-says-trump-is-not-a-right-winger","authors":["255"],"programs":["news_6944","news_72"],"categories":["news_8","news_13","news_248"],"tags":["news_20578","news_20890","news_20226","news_1323","news_20415","news_20910","news_425","news_20383","news_1891","news_3890","news_17041","news_20934"],"featImg":"news_11452331","label":"news_72"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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