From Big Waiver to Waiver Unlimited
Perhaps the biggest concern with BCRA is that state waivers could degrade the financial protections available for employer-sponsored coverage
Updates | The Week of June 12, 2017
The Senate is trying to replace the Affordable Care Act in secret. Women's health advocates have shifted their focus to the state level since the election.
Why Process Matters: Health Care Reform Edition
While attention is drawn to Comey’s very public hearing, something else is happening, largely in secret. The Senate is moving forward with a health care bill that will likely take coverage from tens of millions of Americans, and that will likely cut taxes for the wealthy on the backs of the poor.
Versus Trump: "What About Congress? + Steven Wu"
On a new episode of Versus Trump, Take Care's podcast, Easha, Jason, and Charlie discuss Congress's role and powers in investigations of the Executive. Then, Jason talks with Steven Wu, a Deputy Solicitor General in the Office of New York Attorney General Eric Schneiderman, about the case against Trump University, the active role of states in recent years, and other issues in which New York is adverse to the President. Listen now!
Updates | The Week of May 8, 2017
Extensive commentary continued on the American Health Care Act. Senators condemned HHS Secretary Tom Price for closing off agency communication with Congress.
Updates | The Week of April 10, 2017
Despite the failure of the proposed American Health Care Act, the Trump administration and congressional Republicans continue to discuss plans to repeal and replace the Affordable Care Act. The Trump administration continues to consider the possibility of withholding insurer subsidies.
Health Care Reform Part IV: A Reminder that What We Do Matters
The House will vote today on the American Health Care Act. Yet amendments to the bill were published only last night, there has been no updated score from the Congressional Budget Office (CBO), and no public hearings have been held. This is not an appropriate process.
Versus Trump: The Healthcare Episode
On a new episode of Versus Trump, Take Care's podcast, Easha and Jason dig into healthcare for the first time, as they take a deep dive into the House v. Price litigation that addresses whether certain payments to insurers under the Affordable Care Act have been properly appropriated. They also debate immigration rhetoric vs. action and discuss drug testing for unemployment benefits. Listen now!
Health Care Reform Part I: “Nobody Knew That Health Care Could Be So Complicated”
The GOP health care bill would result in millions of Americans with pre-existing conditions losing their insurance. Statements by Trump to the contrary just aren't true. Whether he doesn't understand his own plan or is misrepresenting it, Trump has an obligation to be honest about what he has proposed for the nation's health care system.
The Michigan Morsel
To corral some last-minute votes, the House leadership has endorsed the Upton amendment to the American Health Care Act. That’s a shame: the amendment works at cross-purposes with other parts of the AHCA, is arbitrarily structured, and is ambiguous on a key point. It’s another example of the perils of doing health policy on the fly.
Trump’s Latest Affront To Women, and to the Constitution
A draft of the Trump Administration's revised contraception mandate has been leaked. If implemented, this policy would weaken civil rights for women. Moreover, the plan could violate the Establishment Clause by providing a religious accommodation for some private citizens only by shifting costs to others who may not share their beliefs.
Moral Convictions And The Contraception Exemptions
Yet another major flaw in the draft contraception rule, which would not only allow employers to drop contraception coverage for *religious* reasons, but would also (without any lawful basis) allow employers who have *moral* objections to do the same.
What Happens Next for the ACA?
President Trump has said that “the best thing we can do politically speaking is let Obamacare explode,” and there’s a lot he can do to make that explosion a reality. Here is what you need to know about what might come next.
Reliance Defenses in the Trump Era and Beyond
The transition to President Trump has massively shifted federal enforcement priorities. Does the Constitution protect people who relied on Obama's immigration, healthcare, or marijuana policies?
An Update in House v. Price: When Inaction Masks Turmoil
Insurance companies are filing their applications for 2018 plans and rates now, with the last deadline in some states coming on June 21, and with many having passed already. If you’re an insurer and you don't know what the rules of the game will be, how can you play it?
Confusion Over The Essential Health Benefits
Last night, House Republicans released the text of the final manager’s amendment to the American Health Care Act. If it becomes law, the individual insurance market will likely collapse nationwide in 2018.
Health Care Reform Part II: Real Trumpcare Versus Unicorn Trumpcare
There are important differences between the *real* GOP healthcare bill and the *imaginary* healthcare bill that President Trump has described in interviews. Those differences may affect insurance coverage for millions of Americans and the price of insurance for many more.
Healthcare Reform Part V: Don’t Forget About HHS
Waivers granted by HHS are critical to the design of the Republican healthcare legislation and may have a huge effect on how it works in practice. Here's a preliminary analysis of how HHS Secretary Tom Price is likely to exercise his discretion with respect to waivers.
The New Contraception Rule Is Procedurally Flawed
The Trump Department of Health and Human Services has proposed a massive expansion of the program that provides employers and exemption from providing their employees with contraceptive coverage. But they have not sought notice-and-comment on the rule, and that could be a major problem.
Taking the Nuclear Option Off the Table
Last Thursday, fifteen states and the District of Columbia moved to intervene in House v. Price, the case about the ACA’s cost-sharing reductions. At the same time, they asked the court to hear the case promptly. This is a bigger deal than it may seem, and could offer some comfort to insurers that are in desperate need of it.
Updates | The Week of April 17, 2017
Proposed amendments to an updated Republican health care bill have been circulating, prompting legal scholars and advocates to push back on specific elements.
Updates | The Week of March 20, 2017
As the President and Speaker attempted unsuccessfully to glue together a coalition to pass their Affordable Care Act (ACA) replacement plan, Take Care contributors examined its constitutionality in reference to arguments made against the ACA and looked at the consequences of the administration’s indecision on health policy.
Updates | The Week of April 24, 2017
The House delayed a vote on a revised healthcare bill, denying President Trump a 100-day win. The House Freedom Caucus, which opposed President Trump's earlier plan to repeal the Affordable Care Act, now supports a more conservative version of the bill.
Updates | The Week of March 27, 2017
Last week saw the demise of Republican efforts to repeal and replace the Affordable Care Act. But this week saw concerns that the Trump Administration could nonetheless cause the ACA to implode. On Take Care, Nick Bagley and Rachel Sachs analyzed this possibility.