ACA Repeal “Fixes” Continue to Shortchange Wisconsin

Monday, July 24, 2017 at 5:08 PM by

The legislation to repeal and replace the Affordable Care Act (ACA) can’t be fixed, but Senator McConnell and President Trump are still trying to revive it. McConnell plans to have a vote on July 25 on a procedural measure to initiate floor debate on the bill.

The conclusion that the bill isn’t fixable is reinforced by the badly flawed amendments that have been suggested as ways of getting a few more Senate Republicans to vote for the bill. One of the many problems with the following amendments is that each of them would adversely affect Wisconsin: Read more

Trump Tax Plan Primarily Benefits the Richest Americans

Thursday, July 20, 2017 at 12:57 PM by

Trump’s Tax Proposals Would Give Richest 1 Percent of Wisconsin Taxpayers an Average $117,000 Tax Cut, and More than Half of the Total Cuts

The federal tax reform plan outlined by President Trump in April would fail to deliver on its promise of largely helping middle-class taxpayers, according to a new analysis from the Institute on Taxation and Economic Policy (ITEP). Their July 20th report concludes that the President’s proposals would shower 61.4% of the total tax cut on the richest 1 percent of Americans.

ITEP’s analysis examines the overall effect of the Trump tax plan on federal revenue, as well as its impact on taxpayers in each of the 50 states. In sum, the plan would slash federal revenue by $4.8 trillion over the next decade.

The proposed tax cuts that primarily benefit the very wealthy would come with a heavy cost for vital program and services. Reducing investments in education, health care, food assistance, and other critical programs is too steep a price to pay for giving the very rich a tax cut that exceeds twice the income of the typical Wisconsin worker. Read more

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Repeal without Replacing: A Health Care Disaster

Tuesday, July 18, 2017 at 6:13 PM by

A month or two ago, President Trump described the House plan to repeal and replace the Affordable Care Act (ACA) as being “mean,” and he was right. Yet today he endorsed a far meaner approach – repealing the ACA without a replacement plan – even though he was the one who shot down that idea when Congress was considering it back in January, and despite the fact that a wealth of data demonstrate what a disaster that approach would be.

Senator McConnell is trying to breathe life into the strategy of repealing the ACA without first coming up with a replacement. That became his fallback plan today after it became apparent late yesterday that there aren’t enough votes to even begin the floor debate on the extremely unpopular “repeal and replace” plan, which a small group of Senators spent the last couple of months developing behind closed doors.

President Trump endorsed the new strategy, but some of the other Republican lawmakers who opposed the idea early this year – and whose positions are less fluid than Trump’s – have said they are still unwilling to wipe away the current law without having a replacement plan. Read more

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Wisconsin Bill Does Little to Protect People with Preexisting Conditions

Monday, June 26, 2017 at 5:54 PM by

Bill Passed by Assembly Fails to Close a Huge Loophole Proposed by Republicans in Congress

One of the many problems with the bill to repeal and partially replace the Affordable Care Act (ACA) is that it would seriously erode the current protections for millions of Americans who have preexisting health conditions. That’s a very unpopular part of the American Health Care Act (AHCA), the Republican health care bill, but there’s a lot of confusion about how it undermines coverage for people with chronic health conditions.

The confusion was evident during a late night debate in the Wisconsin legislature last week, when the Assembly passed a bill that would purportedly protect people with preexisting conditions, but which largely misses the mark because it fails to address a huge loophole contained in AHCA. The muddled debate after midnight on June 22nd is a great example of why there needs to be a longer and more open debate about the version of AHCA that was developed behind closed doors in recent weeks. Read more

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President Trump’s Budget Would Make it Harder for Wisconsin to Strengthen its Workforce

Monday, June 19, 2017 at 10:49 AM by

President Trump visited the Milwaukee area last week, tweeting that he was “heading to the Great State of Wisconsin to talk about “JOBS, JOBS, JOBS!” Expanding opportunities for workers and developing the state’s workforce should be a top priority for policymakers at both the state and federal levels, but President Trump’s rhetoric doesn’t match his actions on this issue. His proposed budget makes deep cuts to the federal resources that Wisconsin uses to develop the state’s skilled and work-ready labor force.

Trump jobs tweet

In his visit to Waukesha County Technical College, President Trump emphasized the importance of developing a skilled workforce, declaring that “America must not only teach, but celebrate skilled labor.” But the 2018 budget he proposed would deeply cut federal funding for programs and services that states deliver that are critical for the development of a healthy, well-educated workforce – programs like Medicaid, which helps people with low incomes see a doctor when they need one, and SNAP (previously known as food stamps), which helps people with low incomes put food on the table. Read more

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Efforts to Repeal and Replace the ACA Boost the Current Law’s Support

Tuesday, June 6, 2017 at 5:23 PM by

Polling Shows Public Opposition to House Bill and to Medicaid Changes

The more that Congress extends the debate about the Affordable Care Act (ACA), the stronger support gets for the existing law. And as people learn more about the American Health Care Act (AHCA), which is the bill the House passed last month that would repeal and replace the ACA, the more they dislike the House plan.

The latest survey results from the Kaiser Health Tracking Poll show that the majority of Americans, 55 percent, are not pleased with AHCA.   The poll also found that:

  • 55% of the public want the Senate to make major changes to the bill or just not pass it all.
  • Only 31% view the AHCA favorably, vs 49% who view the ACA favorably.
Read more
Categories: Blog, FEDERAL BUDGET & TAXES, federal issues, HEALTH & HUMAN SERVICES, health care reform, Medicaid | Comments Off on Efforts to Repeal and Replace the ACA Boost the Current Law’s Support

For Wisconsin, Trump Budget Would Result in an Enormous Cost Shift

Thursday, May 25, 2017 at 12:41 PM by

In addition to making deep cuts in public services, President Trump’s budget would also shift massive costs to Wisconsin at a time when our state is already struggling to meet needs for education, transportation, and other services Wisconsin residents rely on. Wisconsin likely would not be able to take on all the new costs without raising taxes, and would instead cut key investments and services that help Wisconsin families thrive.

The Trump budget would push costs onto Wisconsin for:

SNAP, formerly known as food stamps. Last year, SNAP helped 1 million Wisconsin residents – including more than 400,000 children – get enough to eat. One out of every six Wisconsinites got assistance from SNAP last year to put food on the table.

Trump’s budget proposal would make cuts to SNAP that would reduce benefits for some and eliminate them for others. His budget would also push 25% of SNAP benefit costs onto states, a change from the current full federal funding of benefits. Read more

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Trump Budget Demonstrates the Perils of Changing Medicaid

Wednesday, May 24, 2017 at 5:39 PM by

Medicaid Cut Projected to Be 45% in 2026, and More in Future Years

In order to pay for huge tax cuts for corporations and wealthy Americans, the President is proposing massive Medicaid cuts – far beyond the amounts contained in the House plan to “repeal and replace” the Affordable Care Act.

Whereas the House-passed bill is now projected to cut Medicaid by $834 billion over the next 10 years, the Trump budget unveiled this week would cut Medicaid by about $1.3 trillion, according to an analysis by the Center on Budget and Policy Priorities (CBPP).  The following bar graph illustrates how those cuts would get deeper over time. Read more

Negative Effects of the House Health Care Bill Keep Expanding

Tuesday, May 2, 2017 at 3:17 PM by

[UPDATE — This post was revised on May 3 to reflect the new position of Congressman Fred Upton, who has authored an amendment that might secure enough votes for House passage of the bill on May 4.]

Passage of the House plan to repeal and partially replace the Affordable Care Act (ACA) would make sweeping changes that negatively affect most Americans. Yet some opponents of the ACA have made the mistaken or disingenuous argument that few people would be affected.

Governor Walker, for example, told reporters on March 8 of this year that repealing and replacing the ACA with Speaker Ryan’s plan would only affect a small percentage of Wisconsinites:

“Most people aren’t going to be affected by this no matter what happens because if you get your health insurance from your employer, which is almost everybody here and almost everybody in this state, nothing changes.”

That assessment was flawed at the time, and since early March it has steadily become more apparent that most Wisconsinites could be adversely affected. Read more

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Wisconsin Schools Benefit Greatly from Federal Medicaid Funds

Monday, April 24, 2017 at 4:02 PM by

House Plans to Cut Medicaid Would Jeopardize Critical Health Services for Students

Wisconsin schools have a lot at stake in the debate about federal support for Medicaid. Even though Wisconsin ranks 19th nationally in the size of its school-age population, our state ranks 7th highest in federal funding for Medicaid services provided by schools.

According to a new report by the Center on Budget and Policy Priorities, Wisconsin schools received more than $187 million for Medicaid services in 2015, including more than $107 million in federal Medicaid funds. That amount is higher than in all but six other states, despite the fact that Wisconsin ranks near the bottom in total Medicaid spending per child. These figures indicate that Wisconsin schools have done a good job of utilizing federal assistance to support school-based health services.

Medicaid provides health care for more than 1.1 million Wisconsinites, including about 500,000 children, but many people are unaware of its significance for schools. Read more

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