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A native of St. Louis, Feibel attended Cornell University, and earned a master's in journalism from Columbia University.","avatar":"https://secure.gravatar.com/avatar/c64a7e3c9a910e1bffd4ad32a5264aa9?s=600&d=blank&r=g","twitter":"KQEDHealth","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["subscriber"]},{"site":"stateofhealth","roles":["administrator"]}],"headData":{"title":"Carrie Feibel | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/c64a7e3c9a910e1bffd4ad32a5264aa9?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/c64a7e3c9a910e1bffd4ad32a5264aa9?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/cfeibel"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"home","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"stateofhealth_348976":{"type":"posts","id":"stateofhealth_348976","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"348976","score":null,"sort":[1498850801000]},"guestAuthors":[],"slug":"patients-with-pre-existing-conditions-fear-bias-under-gop-health-proposals","title":"Patients With Pre-Existing Conditions Fear Bias Under GOP Health Proposals","publishDate":1498850801,"format":"standard","headTitle":"Kaiser Health News | State of Health | KQED News","labelTerm":{"term":3007,"site":"stateofhealth"},"content":"\u003cp>Cheasanee Huette, a 20-year-old college student in Northern California, is worried. Two years ago, knowing she was protected by the Affordable Care Act’s guarantees of coverage for preexisting conditions, she decided to find out if she carried the same genetic mutation that eventually killed her mother.\u003c/p>\n\u003cp>She tested positive for one of the cancer-related mutations referred to as \u003ca href=\"https://ghr.nlm.nih.gov/condition/lynch-syndrome\">Lynch syndrome\u003c/a>.\u003c/p>\n\u003cp>Now, as congressional Republicans advance proposals to overhaul the health law’s consumer protections, she frets that her future health insurance and employment options will be defined by that test — and that the mutation documented in her medical records and related screenings could rule out individual insurance coverage.\u003c/p>\n\u003cp>“Once I move to my own health care plan, I’m concerned about who is going to be willing to cover me and how much will that cost,” said Huette, who now has coverage under her father’s policy.\u003c/p>\n\u003cp>With the protections of Obamacare in place, physicians in recent years have urged patients to be screened for a variety of diseases and predisposition to illness, feeling confident it would not affect their future insurability. Being predisposed to an illness — such as carrying BRCA gene mutations associated with breast and ovarian cancer — does not mean a patient will come down with the illness. And it may allow them to take steps to prevent its development.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But the results recorded on patients’ charts could haunt them, experts say.\u003c/p>\n\u003cp>Dr. Kenneth Lin, associate professor of family medicine at Georgetown University School of Medicine in Washington, D.C., said that doctors might become reluctant to screen for widespread conditions such as prediabetes. The Centers for Disease Control and Prevention and the American Medical Association have \u003ca href=\"https://assets.ama-assn.org/sub/prevent-diabetes-stat/downloads/you-can-prevent-type2-diabetes.pdf\">urged primary care doctors to screen patients\u003c/a> at risk for the condition with a blood test. It is one of the screening tests covered under the ACA at no-cost to those patients.\u003c/p>\n\u003cp>\u003c/p>If the changes being proposed by the GOP become law, Lin wrote in an email, “you can bet that I’ll be even more reluctant to test patients or record the diagnosis of prediabetes in their charts.” Such a notation might mean hundreds of dollars a month more in premiums for individuals in some states under the new bill, according to Lin.\n\u003cp>It is a concern expressed by many patient-advocacy groups, who say members could be penalized or face the possible loss of the guarantee of coverage.\u003c/p>\n\u003cp>Huette is sharing her story publicly, since — come what may — her genetic mutation is already on the record — her medical record.\u003c/p>\n\u003cp>But genetics experts and patient advocates worry that people are already shying away from testing as the health law’s future becomes more uncertain. Their underlying concern: What if a positive result is added to their medical record, along with related screening and other preventive procedures that might further flag them to future insurers?\u003c/p>\n\u003cp>There have been “panicked expressions of concern,” said Lisa Schlager, vice president of community affairs and public policy at the nonprofit group Facing Our Risk of Cancer Empowered (FORCE). “Somebody who had cancer even saying, ‘I don’t want my daughter to test now.’ Or ‘I’m going to be dropped from my insurance because I have the BRCA mutation.’ There’s a lot of fear.”\u003c/p>\n\u003cp>These fears, which come in an era of accelerating genetics-driven medicine, rest upon whether a gap that was closed by the ACA will be reopened.\u003c/p>\n\u003cp>A law passed in 2008, the \u003ca href=\"https://www.eeoc.gov/laws/types/genetic.cfm\">Genetic Information Nondiscrimination Act\u003c/a> (GINA), bans health insurance discrimination if someone tests positive for a mutation. But that protection stops once the mutation causes “manifest disease,” jargon for a diagnosable health condition.\u003c/p>\n\u003cp>That means “when you become symptomatic,” although it’s not clear how severe the symptoms must be to constitute having the disease, said Mark Rothstein, an attorney and bioethicist at the University of Louisville School of Medicine in Kentucky, who has written extensively about GINA.\u003c/p>\n\u003cp>The ACA, passed two years later, closed that gap by barring health insurance discrimination based on preexisting conditions, Rothstein said.\u003c/p>\n\u003cp>On paper, the legislation unveiled by Senate Majority Leader Mitch McConnell (R-Ky.) last week wouldn’t permit higher rates to be charged to people with preexisting conditions, but health policy analysts said \u003ca href=\"http://khn.org/news/promises-made-to-protect-preexisting-conditions-prove-hollow/\">it could effectively exclude such patients\u003c/a> from coverage because it allows states to offer insurance that carved out coverage for certain maladies. The bill that passed the House last month has a provision that allows states to waive preexisting protections for people buying their own insurance if they have a gap in coverage of 63 days or longer during the prior year.\u003c/p>\n\u003cp>A genetic predilection for a certain disease is “not black-and-white,” said Dr. Robert Green, a medical geneticist who directs the Genomes2People (G2P) Research Program at Brigham and Women’s Hospital and Harvard Medical School in Boston. Once someone tests positive for a mutation, the recommended screening to catch disease at an earlier point could over time identify clinical or laboratory data “that are suggestive, but not definitive,” he said.\u003c/p>\n\u003cp>Green was involved with a study published this week in the Annals of Internal Medicine, which found that even seemingly healthy individuals can carry — unbeknownst to them — mutations for rare diseases. Of the 50 healthy patients who agreed to undergo whole-genome sequencing, 11 tested positive. Subsequently, two of the 11 were found to have related symptoms; the rest showed no signs of disease.\u003c/p>\n\u003cp>Lisa Salberg, chief executive officer of the Hypertrophic Cardiomyopathy Association, has cardiomyopathy, \u003ca href=\"https://www.nhlbi.nih.gov/health/health-topics/topics/cm\">a condition\u003c/a> that can make the walls of the heart thick and rigid. She was recovering from a heart transplant earlier this year when her phone and social media accounts blew up over the preexisting waivers in the House bill. “We finally got to a place where people understood the value [of genetic testing],” she said. “Now, because we’re turning health care on its head, people are becoming more paranoid again.”\u003c/p>\n\u003cp>When members of a Lynch syndrome-related social media group were asked about their views on testing, with assurance of no direct attribution without prior consent, slightly more than two dozen men and women responded.\u003c/p>\n\u003cp>Nearly all of those who posted said they were delaying action for themselves or suggesting that family members, and particularly children, should hold off. (Lynch syndrome refers to a cluster of mutations that can boost the risk of a wide range of cancers, particularly colon and rectal.)\u003c/p>\n\u003cp>Huette was the only one who agreed to speak for attribution.\u003c/p>\n\u003cp>She had witnessed the impact that worries about insurance coverage before the ACA had on patients. Her mother, a veterinarian, had wanted to run her own practice but instead took a federal government job for the guarantee of health insurance. She died at age 57 in 2011 of pancreatic cancer, one of six malignancies she had been diagnosed with over the years.\u003c/p>\n\u003cp>Huette said she doesn’t regret getting tested. Without that result, Huette pointed out, how was she going to persuade a doctor to give her a colonoscopy in her 20s? She added: “Ultimately, my health is more important than my bank account.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a> (KHN) is a national health policy news service. It is an editorially independent program of the \u003ca href=\"http://www.kff.org/\">Henry J. Kaiser Family Foundation\u003c/a>.\u003c/p>\n\n","blocks":[],"excerpt":"After testing to see if they're at risk of disease, people fear they'll be discriminated against under proposed legislation.","status":"publish","parent":0,"modified":1498850801,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":28,"wordCount":1266},"headData":{"title":"Patients With Pre-Existing Conditions Fear Bias Under GOP Health Proposals | KQED","description":"After testing to see if they're at risk of disease, people fear they'll be discriminated against under proposed legislation.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Patients With Pre-Existing Conditions Fear Bias Under GOP Health Proposals","datePublished":"2017-06-30T19:26:41.000Z","dateModified":"2017-06-30T19:26:41.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"348976 https://ww2.kqed.org/stateofhealth/?p=348976","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/06/30/patients-with-pre-existing-conditions-fear-bias-under-gop-health-proposals/","disqusTitle":"Patients With Pre-Existing Conditions Fear Bias Under GOP Health Proposals","nprByline":"\u003ca href=\"http://khn.org/news/author/charlotte-huff/\" target=\"_blank\">Charlotte Huff\u003c/a>","path":"/stateofhealth/348976/patients-with-pre-existing-conditions-fear-bias-under-gop-health-proposals","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Cheasanee Huette, a 20-year-old college student in Northern California, is worried. Two years ago, knowing she was protected by the Affordable Care Act’s guarantees of coverage for preexisting conditions, she decided to find out if she carried the same genetic mutation that eventually killed her mother.\u003c/p>\n\u003cp>She tested positive for one of the cancer-related mutations referred to as \u003ca href=\"https://ghr.nlm.nih.gov/condition/lynch-syndrome\">Lynch syndrome\u003c/a>.\u003c/p>\n\u003cp>Now, as congressional Republicans advance proposals to overhaul the health law’s consumer protections, she frets that her future health insurance and employment options will be defined by that test — and that the mutation documented in her medical records and related screenings could rule out individual insurance coverage.\u003c/p>\n\u003cp>“Once I move to my own health care plan, I’m concerned about who is going to be willing to cover me and how much will that cost,” said Huette, who now has coverage under her father’s policy.\u003c/p>\n\u003cp>With the protections of Obamacare in place, physicians in recent years have urged patients to be screened for a variety of diseases and predisposition to illness, feeling confident it would not affect their future insurability. Being predisposed to an illness — such as carrying BRCA gene mutations associated with breast and ovarian cancer — does not mean a patient will come down with the illness. And it may allow them to take steps to prevent its development.\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>But the results recorded on patients’ charts could haunt them, experts say.\u003c/p>\n\u003cp>Dr. Kenneth Lin, associate professor of family medicine at Georgetown University School of Medicine in Washington, D.C., said that doctors might become reluctant to screen for widespread conditions such as prediabetes. The Centers for Disease Control and Prevention and the American Medical Association have \u003ca href=\"https://assets.ama-assn.org/sub/prevent-diabetes-stat/downloads/you-can-prevent-type2-diabetes.pdf\">urged primary care doctors to screen patients\u003c/a> at risk for the condition with a blood test. It is one of the screening tests covered under the ACA at no-cost to those patients.\u003c/p>\n\u003cp>\u003c/p>If the changes being proposed by the GOP become law, Lin wrote in an email, “you can bet that I’ll be even more reluctant to test patients or record the diagnosis of prediabetes in their charts.” Such a notation might mean hundreds of dollars a month more in premiums for individuals in some states under the new bill, according to Lin.\n\u003cp>It is a concern expressed by many patient-advocacy groups, who say members could be penalized or face the possible loss of the guarantee of coverage.\u003c/p>\n\u003cp>Huette is sharing her story publicly, since — come what may — her genetic mutation is already on the record — her medical record.\u003c/p>\n\u003cp>But genetics experts and patient advocates worry that people are already shying away from testing as the health law’s future becomes more uncertain. Their underlying concern: What if a positive result is added to their medical record, along with related screening and other preventive procedures that might further flag them to future insurers?\u003c/p>\n\u003cp>There have been “panicked expressions of concern,” said Lisa Schlager, vice president of community affairs and public policy at the nonprofit group Facing Our Risk of Cancer Empowered (FORCE). “Somebody who had cancer even saying, ‘I don’t want my daughter to test now.’ Or ‘I’m going to be dropped from my insurance because I have the BRCA mutation.’ There’s a lot of fear.”\u003c/p>\n\u003cp>These fears, which come in an era of accelerating genetics-driven medicine, rest upon whether a gap that was closed by the ACA will be reopened.\u003c/p>\n\u003cp>A law passed in 2008, the \u003ca href=\"https://www.eeoc.gov/laws/types/genetic.cfm\">Genetic Information Nondiscrimination Act\u003c/a> (GINA), bans health insurance discrimination if someone tests positive for a mutation. But that protection stops once the mutation causes “manifest disease,” jargon for a diagnosable health condition.\u003c/p>\n\u003cp>That means “when you become symptomatic,” although it’s not clear how severe the symptoms must be to constitute having the disease, said Mark Rothstein, an attorney and bioethicist at the University of Louisville School of Medicine in Kentucky, who has written extensively about GINA.\u003c/p>\n\u003cp>The ACA, passed two years later, closed that gap by barring health insurance discrimination based on preexisting conditions, Rothstein said.\u003c/p>\n\u003cp>On paper, the legislation unveiled by Senate Majority Leader Mitch McConnell (R-Ky.) last week wouldn’t permit higher rates to be charged to people with preexisting conditions, but health policy analysts said \u003ca href=\"http://khn.org/news/promises-made-to-protect-preexisting-conditions-prove-hollow/\">it could effectively exclude such patients\u003c/a> from coverage because it allows states to offer insurance that carved out coverage for certain maladies. The bill that passed the House last month has a provision that allows states to waive preexisting protections for people buying their own insurance if they have a gap in coverage of 63 days or longer during the prior year.\u003c/p>\n\u003cp>A genetic predilection for a certain disease is “not black-and-white,” said Dr. Robert Green, a medical geneticist who directs the Genomes2People (G2P) Research Program at Brigham and Women’s Hospital and Harvard Medical School in Boston. Once someone tests positive for a mutation, the recommended screening to catch disease at an earlier point could over time identify clinical or laboratory data “that are suggestive, but not definitive,” he said.\u003c/p>\n\u003cp>Green was involved with a study published this week in the Annals of Internal Medicine, which found that even seemingly healthy individuals can carry — unbeknownst to them — mutations for rare diseases. Of the 50 healthy patients who agreed to undergo whole-genome sequencing, 11 tested positive. Subsequently, two of the 11 were found to have related symptoms; the rest showed no signs of disease.\u003c/p>\n\u003cp>Lisa Salberg, chief executive officer of the Hypertrophic Cardiomyopathy Association, has cardiomyopathy, \u003ca href=\"https://www.nhlbi.nih.gov/health/health-topics/topics/cm\">a condition\u003c/a> that can make the walls of the heart thick and rigid. She was recovering from a heart transplant earlier this year when her phone and social media accounts blew up over the preexisting waivers in the House bill. “We finally got to a place where people understood the value [of genetic testing],” she said. “Now, because we’re turning health care on its head, people are becoming more paranoid again.”\u003c/p>\n\u003cp>When members of a Lynch syndrome-related social media group were asked about their views on testing, with assurance of no direct attribution without prior consent, slightly more than two dozen men and women responded.\u003c/p>\n\u003cp>Nearly all of those who posted said they were delaying action for themselves or suggesting that family members, and particularly children, should hold off. (Lynch syndrome refers to a cluster of mutations that can boost the risk of a wide range of cancers, particularly colon and rectal.)\u003c/p>\n\u003cp>Huette was the only one who agreed to speak for attribution.\u003c/p>\n\u003cp>She had witnessed the impact that worries about insurance coverage before the ACA had on patients. Her mother, a veterinarian, had wanted to run her own practice but instead took a federal government job for the guarantee of health insurance. She died at age 57 in 2011 of pancreatic cancer, one of six malignancies she had been diagnosed with over the years.\u003c/p>\n\u003cp>Huette said she doesn’t regret getting tested. Without that result, Huette pointed out, how was she going to persuade a doctor to give her a colonoscopy in her 20s? She added: “Ultimately, my health is more important than my bank account.”\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>\u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a> (KHN) is a national health policy news service. It is an editorially independent program of the \u003ca href=\"http://www.kff.org/\">Henry J. Kaiser Family Foundation\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/348976/patients-with-pre-existing-conditions-fear-bias-under-gop-health-proposals","authors":["byline_stateofhealth_348976"],"categories":["stateofhealth_2442","stateofhealth_15","stateofhealth_14"],"tags":["stateofhealth_294","stateofhealth_3104","stateofhealth_2808","stateofhealth_2972","stateofhealth_2519","stateofhealth_3088"],"affiliates":["stateofhealth_3007"],"featImg":"stateofhealth_348980","label":"stateofhealth_3007"},"stateofhealth_347182":{"type":"posts","id":"stateofhealth_347182","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"347182","score":null,"sort":[1498265516000]},"guestAuthors":[],"slug":"blaming-threat-of-gop-health-bill-california-hits-pause-on-single-payer","title":"Blaming 'Threat' of GOP Health Bill, California Hits Pause on Single Payer","publishDate":1498265516,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Single-payer health care, a longtime goal of progressive Democrats and the \u003ca href=\"http://www.nationalnursesunited.org/site/entry/california-nurses-association\" target=\"_blank\" rel=\"noopener noreferrer\">nurses' union\u003c/a>, is dead for now. No further legislative action will be taken in 2017.\u003c/p>\n\u003cp>A bill pushing a state-based single-payer system was brought to a halt late Friday when Assembly Speaker Anthony Rendon, D-Lakewood, declined to move it forward. The bill will not get a hearing by the Assembly Rules Committee before the July 14 deadline, though it could be taken up again in 2018. It passed the California Senate on June 1.\u003c/p>\n\u003cp>\"Single payer\" generally refers to health care systems in which the government pays doctors and other health providers using tax revenues, bypassing the use of private insurance companies as middlemen.\u003c/p>\n\u003cp>In some systems, the doctors work directly for the government, but the California bill proposes a variant in which doctors and hospitals remain private entities and establish contracts with the state to provide care.\u003c/p>\n\u003cp>Rendon described himself as a longtime supporter of a single-payer system, but said the \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB562\" target=\"_blank\" rel=\"noopener noreferrer\">current bill\u003c/a> was \"woefully incomplete\" and doesn't address the \"realities\" of both the Trump administration and voters.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Yesterday, Republicans in the U.S. Senate released a cynical plan to repeal the Affordable Care Act, posing a real and immediate threat to millions of Californians who only have health coverage because of the ACA,\" Rendon said in a statement.\u003c/p>\n\u003cp>“Preparing California to meet this threat must be the top health care priority for the Legislature, Governor Brown, and organizations that advocate for increasing access to health care.\"\u003c/p>\n\u003cfigure id=\"attachment_347195\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-347195\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/Anthony-Rendon-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">California Assembly Speaker Anthony Rendon (right) confers with Assemblymember Cristina Garcia (left) in Sacramento on May 15, 2017. \u003ccite>(Bert Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In legislative slang, the \"Healthy California Act\" (SB 562) was a \"shell bill.\" It described a long list of covered services and claimed residents would not have to pay any premiums or copays. Based on the raw outline, \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/06/01/single-payer-economics-one-health-plan-two-new-taxes-three-ways-to-save/\" target=\"_blank\" rel=\"noopener noreferrer\">two studies\u003c/a> tried to estimate the total cost: One came up with $400 billion a year, another said $330 billion.\u003c/p>\n\u003cp>\"This action does not mean SB 562 is dead,\" Rendon said later in the statement. He encouraged single-payer supporters in the Senate to use the time to \"fill the holes\" in the bill, and provide more information about financing, delivery of care and cost controls.\u003c/p>\n\u003cp>The two authors of the bill were disappointed by the move, but vowed to keep fighting for universal coverage in California.\u003c/p>\n\u003cp>State senators Ricardo Lara, D-Bell Gardens, and Toni G. Atkins, D-San Diego, released a joint statement.\u003c/p>\n\u003cp>“Continuing the push for universal healthcare has never been more critical, with Congress possibly days from voting on one of the cruelest bills in our nation’s history, which will lead to millions of the poorest Americans losing insurance, soaring costs for older and sicker people, and terrible budget choices for our state.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“California has the chance to lead our nation toward healthcare for all, and we will not turn our backs on this matter of life or death for families.”\u003c/p>\n\n","blocks":[],"excerpt":"Assembly leader says lawmakers must focus on stopping the 'real and immediate threat' posed by Republican health care legislation in Washington D.C.","status":"publish","parent":0,"modified":1498268682,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":510},"headData":{"title":"Blaming 'Threat' of GOP Health Bill, California Hits Pause on Single Payer | KQED","description":"Assembly leader says lawmakers must focus on stopping the 'real and immediate threat' posed by Republican health care legislation in Washington D.C.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Blaming 'Threat' of GOP Health Bill, California Hits Pause on Single Payer","datePublished":"2017-06-24T00:51:56.000Z","dateModified":"2017-06-24T01:44:42.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"347182 https://ww2.kqed.org/stateofhealth/?p=347182","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/06/23/blaming-threat-of-gop-health-bill-california-hits-pause-on-single-payer/","disqusTitle":"Blaming 'Threat' of GOP Health Bill, California Hits Pause on Single Payer","path":"/stateofhealth/347182/blaming-threat-of-gop-health-bill-california-hits-pause-on-single-payer","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Single-payer health care, a longtime goal of progressive Democrats and the \u003ca href=\"http://www.nationalnursesunited.org/site/entry/california-nurses-association\" target=\"_blank\" rel=\"noopener noreferrer\">nurses' union\u003c/a>, is dead for now. No further legislative action will be taken in 2017.\u003c/p>\n\u003cp>A bill pushing a state-based single-payer system was brought to a halt late Friday when Assembly Speaker Anthony Rendon, D-Lakewood, declined to move it forward. The bill will not get a hearing by the Assembly Rules Committee before the July 14 deadline, though it could be taken up again in 2018. It passed the California Senate on June 1.\u003c/p>\n\u003cp>\"Single payer\" generally refers to health care systems in which the government pays doctors and other health providers using tax revenues, bypassing the use of private insurance companies as middlemen.\u003c/p>\n\u003cp>In some systems, the doctors work directly for the government, but the California bill proposes a variant in which doctors and hospitals remain private entities and establish contracts with the state to provide care.\u003c/p>\n\u003cp>Rendon described himself as a longtime supporter of a single-payer system, but said the \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB562\" target=\"_blank\" rel=\"noopener noreferrer\">current bill\u003c/a> was \"woefully incomplete\" and doesn't address the \"realities\" of both the Trump administration and voters.\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>“Yesterday, Republicans in the U.S. Senate released a cynical plan to repeal the Affordable Care Act, posing a real and immediate threat to millions of Californians who only have health coverage because of the ACA,\" Rendon said in a statement.\u003c/p>\n\u003cp>“Preparing California to meet this threat must be the top health care priority for the Legislature, Governor Brown, and organizations that advocate for increasing access to health care.\"\u003c/p>\n\u003cfigure id=\"attachment_347195\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-347195\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/Anthony-Rendon-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">California Assembly Speaker Anthony Rendon (right) confers with Assemblymember Cristina Garcia (left) in Sacramento on May 15, 2017. \u003ccite>(Bert Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In legislative slang, the \"Healthy California Act\" (SB 562) was a \"shell bill.\" It described a long list of covered services and claimed residents would not have to pay any premiums or copays. Based on the raw outline, \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/06/01/single-payer-economics-one-health-plan-two-new-taxes-three-ways-to-save/\" target=\"_blank\" rel=\"noopener noreferrer\">two studies\u003c/a> tried to estimate the total cost: One came up with $400 billion a year, another said $330 billion.\u003c/p>\n\u003cp>\"This action does not mean SB 562 is dead,\" Rendon said later in the statement. He encouraged single-payer supporters in the Senate to use the time to \"fill the holes\" in the bill, and provide more information about financing, delivery of care and cost controls.\u003c/p>\n\u003cp>The two authors of the bill were disappointed by the move, but vowed to keep fighting for universal coverage in California.\u003c/p>\n\u003cp>State senators Ricardo Lara, D-Bell Gardens, and Toni G. Atkins, D-San Diego, released a joint statement.\u003c/p>\n\u003cp>“Continuing the push for universal healthcare has never been more critical, with Congress possibly days from voting on one of the cruelest bills in our nation’s history, which will lead to millions of the poorest Americans losing insurance, soaring costs for older and sicker people, and terrible budget choices for our state.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“California has the chance to lead our nation toward healthcare for all, and we will not turn our backs on this matter of life or death for families.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/347182/blaming-threat-of-gop-health-bill-california-hits-pause-on-single-payer","authors":["11314"],"categories":["stateofhealth_1"],"tags":["stateofhealth_294","stateofhealth_3104","stateofhealth_2808","stateofhealth_2519","stateofhealth_3048"],"featImg":"stateofhealth_240358","label":"stateofhealth"},"stateofhealth_337343":{"type":"posts","id":"stateofhealth_337343","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"337343","score":null,"sort":[1496265837000]},"guestAuthors":[],"slug":"gop-health-bill-pleases-most-republicans-but-not-many-others","title":"GOP Health Bill Pleases Most Republicans, But Not Many Others","publishDate":1496265837,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>The health overhaul bill passed by the House earlier this month accomplishes one major feat: It is even less popular than the not-very-popular Affordable Care Act it would largely replace, a new poll finds.\u003c/p>\n\u003cp>According to the \u003ca href=\"http://kff.org/health-reform/report/kaiser-health-tracking-poll-may-2017-the-ahcas-proposed-changes-to-health-care\">monthly tracking poll\u003c/a> from the Kaiser Family Foundation, 49 percent of respondents said they have a favorable view of the ACA, while 31 percent said they favored the GOP’s American Health Care Act, which narrowly \u003ca href=\"https://www.congress.gov/bill/115th-congress/house-bill/1628\">passed the House\u003c/a> on May 4. (Kaiser Health News is an editorially independent program of the foundation.)\u003c/p>\n\u003cp>But in a mirror image of the ACA’s standing with the public, more than two-thirds of Republicans said they support their party’s health plan. Even more Democrats (78 percent) favored Obamacare.\u003c/p>\n\u003cp>The findings track those of other polls conducted since the Republican House passed the bill. A \u003ca href=\"https://poll.qu.edu/national/release-detail?ReleaseID=2461\">Quinnipiac University poll\u003c/a> released May 25 found 20 percent of Americans support the AHCA, compared with 57 percent opposition. \u003ca href=\"http://www.politico.com/story/2017/05/10/poll-gop-health-care-bill-support-238176\">A poll\u003c/a> from Morning Consult and Politico just after the bill passed found 38 percent supported the GOP measure and 44 percent opposed it.\u003c/p>\n\u003cp>Unlikely to boost the bill’s popularity is a report last week from the \u003ca href=\"https://www.cbo.gov/publication/52752\">Congressional Budget Office\u003c/a> that found after 10 years the legislation would result in 23 million fewer Americans with insurance and could make it harder for those with preexisting conditions to get and keep coverage.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Indeed, the KFF poll found that even Republicans show scant support for a change to some of the health law’s most popular provisions. Fewer than a fifth of Republicans favored changing the provision that limits how much more insurers can charge older people for insurance compared with younger people. And 22 percent of Republicans favored letting insurers charge sick people higher premiums if they have a break in their coverage.\u003c/p>\n\u003cp>A majority of Republicans supported the bill’s provisions that would allow states to establish work requirements for Medicaid enrollees and set up high-risk insurance pools for people with health problems.\u003c/p>\n\u003cp>More people said the GOP bill would hurt their personal health care than thought the same about a straight repeal of the ACA when asked about that issue in December.\u003c/p>\n\u003cp>Forty-five percent said the GOP bill would increase their own and their family’s costs for health care, compared with the December survey that found 28 percent thought that would be the result if the ACA were repealed. More than a third thought the GOP bill would make it harder to get and keep health insurance, compared with 21 percent who thought a repeal would have that consequence. And 34 percent said the GOP bill would likely make the quality of their health care worse, compared with 19 percent who said that about the ACA repeal.\u003c/p>\n\u003cp>Although about half of the public wants changes in the bill, nearly three-quarters of those surveyed said it was very or somewhat likely that Congress will pass and President Donald Trump will sign a bill to “repeal and replace” the ACA.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The survey of 1,205 adults, conducted May 16-22, has a margin of error of plus or minus 3 percentage points for the full sample.\u003c/p>\n\n","blocks":[],"excerpt":"Overall, respondents like the Republican bill even less than they like the bill it's trying to replace, the Affordable Care Act","status":"publish","parent":0,"modified":1496265837,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":542},"headData":{"title":"GOP Health Bill Pleases Most Republicans, But Not Many Others | KQED","description":"Overall, respondents like the Republican bill even less than they like the bill it's trying to replace, the Affordable Care Act","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"GOP Health Bill Pleases Most Republicans, But Not Many Others","datePublished":"2017-05-31T21:23:57.000Z","dateModified":"2017-05-31T21:23:57.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"337343 https://ww2.kqed.org/stateofhealth/?p=337343","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/05/31/gop-health-bill-pleases-most-republicans-but-not-many-others/","disqusTitle":"GOP Health Bill Pleases Most Republicans, But Not Many Others","nprByline":"\u003ca href=\"http://khn.org/news/author/julie-rovner/\">\u003cstrong>Julie Rovner\u003c/strong>\u003c/a>","path":"/stateofhealth/337343/gop-health-bill-pleases-most-republicans-but-not-many-others","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The health overhaul bill passed by the House earlier this month accomplishes one major feat: It is even less popular than the not-very-popular Affordable Care Act it would largely replace, a new poll finds.\u003c/p>\n\u003cp>According to the \u003ca href=\"http://kff.org/health-reform/report/kaiser-health-tracking-poll-may-2017-the-ahcas-proposed-changes-to-health-care\">monthly tracking poll\u003c/a> from the Kaiser Family Foundation, 49 percent of respondents said they have a favorable view of the ACA, while 31 percent said they favored the GOP’s American Health Care Act, which narrowly \u003ca href=\"https://www.congress.gov/bill/115th-congress/house-bill/1628\">passed the House\u003c/a> on May 4. (Kaiser Health News is an editorially independent program of the foundation.)\u003c/p>\n\u003cp>But in a mirror image of the ACA’s standing with the public, more than two-thirds of Republicans said they support their party’s health plan. Even more Democrats (78 percent) favored Obamacare.\u003c/p>\n\u003cp>The findings track those of other polls conducted since the Republican House passed the bill. A \u003ca href=\"https://poll.qu.edu/national/release-detail?ReleaseID=2461\">Quinnipiac University poll\u003c/a> released May 25 found 20 percent of Americans support the AHCA, compared with 57 percent opposition. \u003ca href=\"http://www.politico.com/story/2017/05/10/poll-gop-health-care-bill-support-238176\">A poll\u003c/a> from Morning Consult and Politico just after the bill passed found 38 percent supported the GOP measure and 44 percent opposed it.\u003c/p>\n\u003cp>Unlikely to boost the bill’s popularity is a report last week from the \u003ca href=\"https://www.cbo.gov/publication/52752\">Congressional Budget Office\u003c/a> that found after 10 years the legislation would result in 23 million fewer Americans with insurance and could make it harder for those with preexisting conditions to get and keep coverage.\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>Indeed, the KFF poll found that even Republicans show scant support for a change to some of the health law’s most popular provisions. Fewer than a fifth of Republicans favored changing the provision that limits how much more insurers can charge older people for insurance compared with younger people. And 22 percent of Republicans favored letting insurers charge sick people higher premiums if they have a break in their coverage.\u003c/p>\n\u003cp>A majority of Republicans supported the bill’s provisions that would allow states to establish work requirements for Medicaid enrollees and set up high-risk insurance pools for people with health problems.\u003c/p>\n\u003cp>More people said the GOP bill would hurt their personal health care than thought the same about a straight repeal of the ACA when asked about that issue in December.\u003c/p>\n\u003cp>Forty-five percent said the GOP bill would increase their own and their family’s costs for health care, compared with the December survey that found 28 percent thought that would be the result if the ACA were repealed. More than a third thought the GOP bill would make it harder to get and keep health insurance, compared with 21 percent who thought a repeal would have that consequence. And 34 percent said the GOP bill would likely make the quality of their health care worse, compared with 19 percent who said that about the ACA repeal.\u003c/p>\n\u003cp>Although about half of the public wants changes in the bill, nearly three-quarters of those surveyed said it was very or somewhat likely that Congress will pass and President Donald Trump will sign a bill to “repeal and replace” the ACA.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The survey of 1,205 adults, conducted May 16-22, has a margin of error of plus or minus 3 percentage points for the full sample.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/337343/gop-health-bill-pleases-most-republicans-but-not-many-others","authors":["byline_stateofhealth_337343"],"categories":["stateofhealth_1"],"tags":["stateofhealth_294","stateofhealth_3104","stateofhealth_2881","stateofhealth_2519","stateofhealth_365"],"featImg":"stateofhealth_337344","label":"stateofhealth"},"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"},"stateofhealth_330316":{"type":"posts","id":"stateofhealth_330316","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"330316","score":null,"sort":[1494881976000]},"guestAuthors":[],"slug":"secret-republican-senate-talks-are-shaping-health-care-legislation","title":"Secret Republican Senate Talks Are Shaping Health Care Legislation","publishDate":1494881976,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>The Senate is negotiating its own legislation to repeal and replace much of the Affordable Care Act in secret talks with senators hand-picked by party leaders and with no plans for committee hearings to publicly vet the bill.\u003c/p>\n\u003cp>\"I am encouraged by what we are seeing in the Senate. We're seeing senators leading,\" said Sen. Ted Cruz, R-Texas, one of the 13 Republicans involved in the private talks. \"We're seeing senators working together in good faith. We're not seeing senators throwing rocks at each other, either in private or in the press.\"\u003c/p>\n\u003cp>Senate Democrats have a different take. \"Your morning reminder that under the cloud cover of the FBI story, 13 GOP Senators are still secretly writing a bill to destroy the ACA,\" Sen. Chris Murphy, D-Conn., \u003ca href=\"https://twitter.com/ChrisMurphyCT/status/864089871270457345\">tweeted\u003c/a> Monday morning.\u003c/p>\n\u003cp>Senate Republicans have shrugged away criticism about their decision to avoid action in committees in favor of closely guarded meetings in the U.S. Capitol to craft legislation to repeal and replace key pillars of President Barack Obama's health care law and reshape Medicaid.\u003c/p>\n\u003cp>The working group has met four times, and it plans to continue to meet every Tuesday and Thursday. So far, its strategy appears to be selectively suggesting potential provisions of the legislation to the media.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>For instance, Sen. John Thune, R-S.D., has \u003ca href=\"http://www.politico.com/story/2017/05/12/senate-obamacare-repeal-tax-credits-238290\">floated\u003c/a> pegging tax credits to help Americans buy health insurance to their income instead of their age like it does in the House version of the bill.\u003c/p>\n\u003cp>While the fallout over President Trump's decision to fire FBI Director James Comey consumes the news cycle, it has not had an impact on Republicans' health care talks. A GOP aide for a senator involved in the talks said it has even given the Senate some breathing room to negotiate with so much attention focused elsewhere.\u003c/p>\n\u003cp>Senate Majority Leader Mitch McConnell formed the negotiating team to take the lead on crafting health care legislation that can ultimately win the support of at least 50 of the chamber's 52 Republicans. No Democrats are expected to support any potential GOP health care bill. The legislation is moving under special budget rules known as reconciliation, which means it is not subject to usual filibuster rules and cannot be blocked by the minority party.\u003c/p>\n\u003cp>Republicans ditched the House-passed bill in pursuit of their own legislation, although the two chambers share the broad goals of repealing the ACA's individual mandates and taxes, restricting access to abortion services and overhauling the Medicaid system from an open-ended federal guarantee that covers costs to a system that gives states more flexibility to spend an allotted amount of money.\u003c/p>\n\u003cp>Conservatives like Cruz are also laying down what they say is a key marker for whether a bill can pass the Senate: \"Do premiums go up, or do they go down?\" Cruz said.\u003c/p>\n\u003cp>Sen. Ron Johnson, R-Wis., told reporters last week that Republicans are still in the early planning phase of crafting a bill. \"We still need to agree on those goals and find out what's achievable,\" he said. Like Cruz, Johnson said for him lowering premiums is a top goal and he wants to repeal as much of the ACA as possible under the Senate's more strict budget rules.\u003c/p>\n\u003cp>Early talks suggest Republicans are optimistic they can ultimately pass a bill by the August recess. \"We've got a group of 52 Republican senators, all of us want to get to 'yes,'\" Johnson said.\u003c/p>\n\u003cp>Sens. Susan Collins, R-Maine, and Bill Cassidy, R-La., have introduced their own health care plan, and they have been prominent voices in the debate, but they were excluded from the health care working group.\u003c/p>\n\u003cp>Republicans were roundly criticized for not including any women in their core group, but the Republican women in the Senate who were asked about the omission said they didn't mind. \"It doesn't bother me, the leaders have the right to choose whoever they wish,\" said Collins. \"It doesn't mean that I'm not going to work on health care.\"\u003c/p>\n\u003cp>Cassidy and Collins have been moderating voices in the health care debate, and their support or opposition could be critical to Republicans' success.\u003c/p>\n\u003cp>The Cassidy-Collins proposal would let states keep the ACA, also known as Obamacare, in place if they wanted to, and it leaves in place the ACA's taxes and fees to have revenue streams to pay for their health care overhaul. However, their plan doesn't enjoy support among conservatives who don't believe it goes far enough to repeal and replace Obamacare — the party's signature campaign pledge.\u003c/p>\n\u003cp>The duo has been reaching out to Democrats, but Cassidy said his efforts have been rejected. Democrats see no policy or political upside to working with Republicans to dismantle the ACA. \"Let me phrase this carefully. I've had seven or eight meetings with Democrats either in their office, maybe once my office or on the floor, and that was the consistent message I got,\" Cassidy said.\u003c/p>\n\u003cp>Most Republicans see no political advantage to attempting to craft bipartisan legislation that could aid vulnerable Red State Senate Democrats heading in to the midterm elections. In other words, there is mutual disinterest in bipartisanship when it comes to the fundamentals of Obamacare.\u003c/p>\n\u003cp>The GOP health care talks are expected to roll through the summer months in the Senate. The long-term strategy — according to senior GOP aides in both the House and Senate — is to pass a Senate bill and send it back to the House for an up-or-down vote.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>While House passage of their bill was hailed by the president in an unusual Rose Garden ceremony earlier this month, Republicans are still a long way away from fulfilling their campaign promises on health care. \u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Secret+Republican+Senate+Talks+Are+Shaping+Health+Care+Legislation&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"A group of 13 Republican senators is leading the negotiations to craft a new bill to repeal and replace most of the Affordable Care Act. Senators plan to vote by the August recess.","status":"publish","parent":0,"modified":1494882012,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":987},"headData":{"title":"Secret Republican Senate Talks Are Shaping Health Care Legislation | KQED","description":"A group of 13 Republican senators is leading the negotiations to craft a new bill to repeal and replace most of the Affordable Care Act. Senators plan to vote by the August recess.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Secret Republican Senate Talks Are Shaping Health Care Legislation","datePublished":"2017-05-15T20:59:36.000Z","dateModified":"2017-05-15T21:00:12.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"330316 https://ww2.kqed.org/stateofhealth/?p=330316","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/05/15/secret-republican-senate-talks-are-shaping-health-care-legislation/","disqusTitle":"Secret Republican Senate Talks Are Shaping Health Care Legislation","nprImageCredit":"Jacquelyn Martin","nprByline":"Susan Davis","nprImageAgency":"AP","nprStoryId":"528449558","nprApiLink":"http://api.npr.org/query?id=528449558&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/2017/05/15/528449558/secret-republican-senate-talks-shaping-health-care-legislation?ft=nprml&f=528449558","nprRetrievedStory":"1","nprPubDate":"Mon, 15 May 2017 14:44:00 -0400","nprStoryDate":"Mon, 15 May 2017 13:41:00 -0400","nprLastModifiedDate":"Mon, 15 May 2017 14:44:30 -0400","path":"/stateofhealth/330316/secret-republican-senate-talks-are-shaping-health-care-legislation","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Senate is negotiating its own legislation to repeal and replace much of the Affordable Care Act in secret talks with senators hand-picked by party leaders and with no plans for committee hearings to publicly vet the bill.\u003c/p>\n\u003cp>\"I am encouraged by what we are seeing in the Senate. We're seeing senators leading,\" said Sen. Ted Cruz, R-Texas, one of the 13 Republicans involved in the private talks. \"We're seeing senators working together in good faith. We're not seeing senators throwing rocks at each other, either in private or in the press.\"\u003c/p>\n\u003cp>Senate Democrats have a different take. \"Your morning reminder that under the cloud cover of the FBI story, 13 GOP Senators are still secretly writing a bill to destroy the ACA,\" Sen. Chris Murphy, D-Conn., \u003ca href=\"https://twitter.com/ChrisMurphyCT/status/864089871270457345\">tweeted\u003c/a> Monday morning.\u003c/p>\n\u003cp>Senate Republicans have shrugged away criticism about their decision to avoid action in committees in favor of closely guarded meetings in the U.S. Capitol to craft legislation to repeal and replace key pillars of President Barack Obama's health care law and reshape Medicaid.\u003c/p>\n\u003cp>The working group has met four times, and it plans to continue to meet every Tuesday and Thursday. So far, its strategy appears to be selectively suggesting potential provisions of the legislation to the media.\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>For instance, Sen. John Thune, R-S.D., has \u003ca href=\"http://www.politico.com/story/2017/05/12/senate-obamacare-repeal-tax-credits-238290\">floated\u003c/a> pegging tax credits to help Americans buy health insurance to their income instead of their age like it does in the House version of the bill.\u003c/p>\n\u003cp>While the fallout over President Trump's decision to fire FBI Director James Comey consumes the news cycle, it has not had an impact on Republicans' health care talks. A GOP aide for a senator involved in the talks said it has even given the Senate some breathing room to negotiate with so much attention focused elsewhere.\u003c/p>\n\u003cp>Senate Majority Leader Mitch McConnell formed the negotiating team to take the lead on crafting health care legislation that can ultimately win the support of at least 50 of the chamber's 52 Republicans. No Democrats are expected to support any potential GOP health care bill. The legislation is moving under special budget rules known as reconciliation, which means it is not subject to usual filibuster rules and cannot be blocked by the minority party.\u003c/p>\n\u003cp>Republicans ditched the House-passed bill in pursuit of their own legislation, although the two chambers share the broad goals of repealing the ACA's individual mandates and taxes, restricting access to abortion services and overhauling the Medicaid system from an open-ended federal guarantee that covers costs to a system that gives states more flexibility to spend an allotted amount of money.\u003c/p>\n\u003cp>Conservatives like Cruz are also laying down what they say is a key marker for whether a bill can pass the Senate: \"Do premiums go up, or do they go down?\" Cruz said.\u003c/p>\n\u003cp>Sen. Ron Johnson, R-Wis., told reporters last week that Republicans are still in the early planning phase of crafting a bill. \"We still need to agree on those goals and find out what's achievable,\" he said. Like Cruz, Johnson said for him lowering premiums is a top goal and he wants to repeal as much of the ACA as possible under the Senate's more strict budget rules.\u003c/p>\n\u003cp>Early talks suggest Republicans are optimistic they can ultimately pass a bill by the August recess. \"We've got a group of 52 Republican senators, all of us want to get to 'yes,'\" Johnson said.\u003c/p>\n\u003cp>Sens. Susan Collins, R-Maine, and Bill Cassidy, R-La., have introduced their own health care plan, and they have been prominent voices in the debate, but they were excluded from the health care working group.\u003c/p>\n\u003cp>Republicans were roundly criticized for not including any women in their core group, but the Republican women in the Senate who were asked about the omission said they didn't mind. \"It doesn't bother me, the leaders have the right to choose whoever they wish,\" said Collins. \"It doesn't mean that I'm not going to work on health care.\"\u003c/p>\n\u003cp>Cassidy and Collins have been moderating voices in the health care debate, and their support or opposition could be critical to Republicans' success.\u003c/p>\n\u003cp>The Cassidy-Collins proposal would let states keep the ACA, also known as Obamacare, in place if they wanted to, and it leaves in place the ACA's taxes and fees to have revenue streams to pay for their health care overhaul. However, their plan doesn't enjoy support among conservatives who don't believe it goes far enough to repeal and replace Obamacare — the party's signature campaign pledge.\u003c/p>\n\u003cp>The duo has been reaching out to Democrats, but Cassidy said his efforts have been rejected. Democrats see no policy or political upside to working with Republicans to dismantle the ACA. \"Let me phrase this carefully. I've had seven or eight meetings with Democrats either in their office, maybe once my office or on the floor, and that was the consistent message I got,\" Cassidy said.\u003c/p>\n\u003cp>Most Republicans see no political advantage to attempting to craft bipartisan legislation that could aid vulnerable Red State Senate Democrats heading in to the midterm elections. In other words, there is mutual disinterest in bipartisanship when it comes to the fundamentals of Obamacare.\u003c/p>\n\u003cp>The GOP health care talks are expected to roll through the summer months in the Senate. The long-term strategy — according to senior GOP aides in both the House and Senate — is to pass a Senate bill and send it back to the House for an up-or-down vote.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>While House passage of their bill was hailed by the president in an unusual Rose Garden ceremony earlier this month, Republicans are still a long way away from fulfilling their campaign promises on health care. \u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Secret+Republican+Senate+Talks+Are+Shaping+Health+Care+Legislation&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/330316/secret-republican-senate-talks-are-shaping-health-care-legislation","authors":["byline_stateofhealth_330316"],"categories":["stateofhealth_2442","stateofhealth_15"],"tags":["stateofhealth_3104","stateofhealth_2808","stateofhealth_2519","stateofhealth_365","stateofhealth_3105"],"featImg":"stateofhealth_330320","label":"stateofhealth"}},"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. 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