POLITICO New York Health Care, presented by New York Health Works: CBO score is in — Assembly releas

By Dan Goldberg | 03/14/2017 10:01 AM EDT
Good morning! You are reading a complimentary synopsis of the POLITICO New York Pro Health Care newsletter. Pro subscribers receive a premium version of this newsletter, which includes an enhanced look-ahead and robust analysis of the health care news driving the day, weekdays at 5:45 a.m. Contact us here to learn more. WHAT'S THE SCORE? - The Congressional Budget Office scored the Republican plan to replace Obamacare. Read it here. ... The headline numbers: Roughly 24 million more people would be uninsured over a decade if the House Republican repeal bill is enacted. The legislation would lead to 14 million more people being uninsured in 2018 alone. The nonpartisan scorekeeping office also forecast the GOP plan would cut the deficit by $337 billion over a decade, primarily because of the legislation's cuts to Medicaid and private insurance subsidies. Read more here. ... Damage control: House Republican leaders plunged into damage control mode Monday after a brutal budgetary assessment of their Obamacare replacement threatened to upend Senate GOP support and armed their critics on the left. Speaker Paul Ryan's team quickly pinpointed rosier elements of the report by the CBO, from cost savings to lower premiums. But the bottom line — that the number of uninsured Americans will climb by 24 million within a decade — threatened to damage the GOP leadership's fragile efforts to unite congressional Republicans around the plan. "Can't sugarcoat it. Doesn't look good," said Sen. Bill Cassidy (R-La.). "The CBO score was, shall we say, an eye popper." Read more here. ... It could have been worse: The White House's own internal analysis of the GOP plan to repeal and replace Obamacare show even steeper coverage losses than the projections by the Congressional Budget Office, according to a document viewed by POLITICO on Monday. Read more here. ... What Trump is thinking: President Donald Trump said: "The Republicans, frankly, are putting themselves in a very bad position — I tell this to Tom Price all the time — by repealing Obamacare. Because people aren't gonna see the truly devastating effects of Obamacare. They're not gonna see the devastation. In '17 and '18 and '19, it'll be gone by then." ... Kemp Hannon statement: The chair of the state Senate health committee said: "I don't think this is a great public policy that they have come up with. I know what they're attempting to do. But then again, I don't see the antipathy that they have toward covering people for health care." ... And the losers are: The CBO is pretty clear that the Republican plan would make health insurance much more expensive for older, poorer Americans. Obamacare subsidies cap the amount anyone has to pay for coverage as a percentage of income. That means that when premiums rise, subsidies rise too. The GOP plan would instead provide older Americans with a $4,000 tax credit that begins to phase out for individuals earning above $75,000. And the Republican bill allows insurers to charge older enrollees five times as much as younger enrollees, while Obamacare limits that ratio to 3:1. ... It's about Medicaid: The CBO says the Republican plan cuts $880 billion from projected Medicaid spending over the next 10 years. Much of that comes from doing away with the expansion that Obamacare put in place. Watch how Republican governors react to this number. ... Medicaid babies: The CBO says that if you cut funding to services that help women avert pregnancies, you get more pregnant women. And that means more maternity care paid by Medicaid. "In addition, some of those children would themselves qualify for Medicaid and possibly for other federal programs." ... Cost-sharing goes way up. Republicans, especially Trump, decried the high deductibles in Obamacare plans. The CBO says the Republican plan makes things worse. "Because of plans' lower average actuarial values, CBO and JCT expect that individuals' cost-sharing payments, including deductibles, in the nongroup market would tend to be higher than those anticipated under current law." ... Despite what you may have heard, the CBO says Obamacare, if left alone, won't implode. There is no death spiral. The report also said the Republican plan would not create a death spiral. Less people might be covered but the plan does leave in place a stable market. ... Harder to shop: "Under the legislation, some of the ways that the nongroup market functions would change for consumers. The current actuarial value requirements help people compare different insurance plans, because all plans in a tier cover the same share of costs, on average. CBO and JCT expect that, under the legislation, plans would be harder to compare, making shopping for a plan on the basis of price more difficult." ... Important point: Margot Sanger-Katz reminds us that CBO numbers are "in the middle of the distribution of potential outcomes." ... The American Medical Association said: "While the Affordable Care Act was an imperfect law, it was a significant improvement on the status quo at the time, and the AMA believes we need continued progress to expand coverage for the uninsured. Unfortunately, the current proposal — as the CBO analysis shows — would result in the most vulnerable population losing their coverage." SHARE ME: Like this newsletter? Please tell a friend to sign up. Give them this link. AND MAKE SURE YOU FOLLOW Josefa Velasquez and me on Twitter @J__Velasquez & @DanCGoldberg. And for all New Jersey health news, check out @katiedjennings WE'D LOVE TO HEAR FROM YOU: This roundup is for you, so please tell us how we can make it even better. Send tips, news, ideas, calendar items, releases, promotions, job postings, birthdays, congratulations, criticisms and corrections to dgoldberg@politico.com ** A message from Prescribe Real Solutions by New York Health Works: FY2017-18 budget provisions provide no benefits for patients, while threatening thousands of NYS residents' jobs and innovative research. Learn more about Cuomo's proposals and the crippling consequences they may have: http://prescriberealsolutions.com/?utm_source=politico&utm_campaign=2017%20Budget&utm_medium=newsletter ** ONE-HOUSE BUDGET — The Assembly released its one-house budget Monday evening. Read the health section here: ... The Democratic-dominated chamber does not plan to go along with Gov. Andre Cuomo's proposal to raise premiums for those who use the Essential Plan and earn between 138 percent and 150 percent of the federal poverty level. THE LATEST PLAN — Mayor Bill de Blasio announced a five-year, $38 million plan to combat the opioid epidemic on Monday, pledging to expand efforts already in place throughout New York City. Read more here. NOW WE KNOW — The New York Times says you don't necessarily have to give up drinking if you're looking to lose weight. Read the rest here. REEVALUATING — Mayor Bill de Blasio says he will spend the next few weeks reevaluating his policy on metzitzah b'peh, the controversial circumcision practice during which a mohel sucks blood away from the open wound. "We are evaluating the situation," de Blasio said Monday. WATER BILL — Senate Republicans want to put their proposed $5 billion bond act for clean water on the ballot in 2018, a year later than originally proposed. Sen. Kemp Hannon, chair of the Health Committee, said Monday because 2017 is an off-year election, which is likely to mean lower turnout at the polls. "It needs to be explained," Hannon added. HOMELESS HEALTH — New York City's homeless high school students face a daunting array of health risks, including asthma attacks, unplanned pregnancies and self-harm, according to a study from the Institute for Children, Poverty and Homelessness. Read more here. CANCER PODCAST — Roswell Park Cancer Institute has a new podcast titled, "Cancer Talk." The podcasts are available for download on Roswell Park's website. OPEN FOR BUSINESS — NYC Health + Hospitals launched a digital campaign Monday meant to alert women to the wide range of health services available to them, regardless of immigration status or ability to pay. PHARMA REPORT — VACCINE MAKERS RANKED — The New York Times reports WHAT WE'RE READING: CONFIRMED — Seema Verma is the new head of the Centers for Medicare and Medicaid Services. She was confirmed 55-43 in Senate Monday evening. TODAY'S TIP — Comes from the state's Department of Health, which asks: "Is your car ready for a winter emergency? Make sure your car is stocked and ready." Read more here. STUDY THIS: PLAN B — B vitamins may reduce the impact of air pollution on the epigenome, according to a study from researchers at Columbia University's Mailman School of Public Health, published in PNAS. Read more here. BREAST CANCER TREATMENT — One in five women with breast cancer could be effectively treated with PARP inhibitors, according to STAT, which reported on a study published Monday in Nature Medicine. TRY SOMETHING ELSE — Researchers from the Icahn School of Medicine at Mount Sinai, writing in Stem Cell Reports, say that some genetic mutations won't be easily investigated using current human-induced pluripotent stem cell modeling. Read the release here. MISSED A ROUNDUP? Get caught up here. ** A message from Prescribe Real Solutions by New York Health Works: Governor Cuomo's budget provisions threaten disease treatment discoveries while doing nothing to lower patients' out-of-pocket costs for prescription drugs. Budget proposals focused on price controls, reporting of proprietary data and new taxes will be difficult to implement and costly to taxpayers. Drug research, development and innovation will be adversely impacted, reducing the ability to develop new medicines for common and rare diseases. These are not the health care solutions that patients are looking for. New Yorkers deserve better.

Learn more about critical budget issues, and send a message to Albany: Don't play politics with patients. It's time to Prescribe Real Solutions. http://prescriberealsolutions.com/?utm_source=politico&utm_campaign=2017%20Budget&utm_medium=newsletter ** To view online:
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