[87597] in SIPB IPv6
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daemon@ATHENA.MIT.EDU (Confirmation)
Wed Jan 4 17:00:44 2017
Date: Wed, 4 Jan 2017 16:26:38 -0500
From: Confirmation <confirmation@concretecreationsltd.com>
To: <sipbv6-mtg@charon2.mit.edu>
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do would have on the lives of people in communities all across =
the country he said However Obama told lawmakers privately that he recogniz=
ed that he had not succeeded in selling the law to the public There was an =
acknowledgment that so many features were so popular but there was a failur=
e to communicate that said Sen Jeff Merkley D Ore Donald Trump meet your to=
ughest hurdle The U S Senate Pence who was greeted by applause as he entere=
d the House GOP meeting with Reince Priebus Kelly Anne Conway and several o=
ther future White House aides made clear that Trump intended to embark on a=
n aggressive campaign to reverse executive actions made by Obama starting o=
n the first day of his presidency But members who attended the session said=
Pence offered few specifics on the pace or policies these repeal efforts T=
hey didn t enumerate a list just that which came by the pen can die by the =
pen said Rep Mark Sanford R S C Several members said they expect that Pence=
will be the main point of contact between Congress and the White House and=
will spend a significant amount of time on Capitol Hill Pence told members=
that he hopes to have an office on the House side of the Capitol in additi=
on to the workspace provided to him as president of the Senate The first bi=
ll Republicans introduced in the new Senate that began Tuesday was budget l=
egislation with instructions for House and Senate committees to begin repea=
ling the Affordable Care Act The bare bones spending outline gives members =
of four committees Ways and Means and Energy and Commerce in the House and =
Finance as well as Health Education Labor and Pensions in the Senate until =
Jan 27 to produce bills that each would save 1 billion over a decade by sla=
shing elements of the heath care law Democrats Trump will make America sick=
again Today we take the first steps to repair the nation s broken health c=
are system removing Washington from the equation and putting control back w=
here it belongs with patients their families and their doctors Senate Budge=
t Committee Chairman Mike Enzi R Wyo said in a statement Senate rules allow=
budget resolutions to pass by a simple majority a maneuver that guarantees=
that the chamber s Democratic minority will not have enough votes for a fi=
libuster to block the eventual repeal bill Only changes related to taxes sp=
ending or the long term federal budget are eligible for the simple majority=
treatment however restricting the extent to which Republicans can rescind =
the law Other parts of the law such as the structure of the insurance marke=
tplaces probably would require a veto proof margin of 60 votes in the Senat=
e a trickier task because the new Senate has 52 Republicans The impact of r=
eversing the Affordable Care Act Play Video1 08 Post reporter Amy Goldstein=
walks us through what changes health care will face under a Trump presiden=
cy President elect Donald Trump campaigned on his promise to repeal and rep=
lace the Affordable Care Act The Washington Post Since its passage by Congr=
ess in the spring of 2010 entirely with Democratic votes the ACA has spurre=
d the most significant changes to U S health policy since the creation of M=
edicare and Medicaid during the Great Society legislation of the 1960s It a=
lso has faced sustained opposition by its Republican foes leading to two Su=
preme Court cases and a lawsuit over cost sharing subsidies that is now bef=
ore the U S Court of Appeals for the District of Columbia Circuit The arriv=
al of a GOP president sharing their antipathy for the law now gives congres=
sional Republicans their long awaited chance to demolish it The ACA is best=
known for having expanded insurance coverage starting in 2014 in two ways =
new marketplaces selling private health plans to Americans who do not have =
access to affordable health benefits through a job and an expansion of Medi=
caid in about three fifths of the states The marketplaces got off to a shak=
y start because of computer dysfunction with HealthCare gov the federal enr=
ollment website Trump just met with super influential health care executive=
s you ve probably never heard of Three years later the U S Census survey re=
ported that the nation s uninsured rate had declined to 9 1 percent with mo=
st of a recent decrease coming from people who bought insurance on their ow=
n and more who had joined Medicaid The law has aspects that reach deep into=
the health care system It has eliminated the ability of health insurers to=
place yearly or lifetime limits on consumers coverage and deny insurance o=
n the basis of preexisting medical conditions It has led to more preventive=
care for older Americans through Medicare It has created an innovation cen=
ter within HHS that has been trying to slow health care expenditures in par=
t by nudging doctors and hospitals away from fee for service medicine and t=
oward payment methods with incentives to lower costs while emphasizing qual=
ity The president s visit to the Hill is part of a broader effort by his ad=
ministration and like minded Democrats to defend a central element of Obama=
s domestic legacy On Wednesday morning New York Gov Andrew M Cuomo D drew =
attention to the stakes for his state by issuing a county by county breakdo=
wn of the estimated 2 7 million New Yorkers who would lose coverage if the =
law were repealed He pointed out that New York would lose 595 million this =
year in federal money that has helped the state expand its Medicaid program=
And on Jan 9 HHS Secretary Sylvia Mathews Burwell is scheduled to deliver =
her first speech at the National Press Club according to an administration =
official who spoke on the condition of anonymity about the event which has =
not been announced The official said that Burwell will be joined by people =
who have benefited from the ACA in various ways and who would be harmed if =
the law were dismantled Meanwhile HHS officials have been trying to use to =
their advantage the fact that the change in administrations will take place=
while the fourth year s enrollment period for ACA health plans is still un=
derway In recent weeks HHS has been releasing HealthCare gov enrollment fig=
ures pointing out that the number of people signing up for 2017 coverage in=
the 39 states relying on the federal exchange website is running ahead of =
last year In advance of Wednesday s action on Capitol Hill major groups tha=
t have supported the ACA issued warnings about the effects of its repeal De=
bra L Ness president of the National Partnership for Women Families said in=
a statement that repealing the law would reverse what amounts to the great=
est advance for women s health in a generation among other provisions it pr=
ovides access to affordable birth control and coverage for maternity servic=
es and it ends the practice of charging women higher premiums simply becaus=
e of their gender The Daily 202 newsletter A must read morning briefing for=
decision makers Sign up The new drive to unwind the health care law will t=
ake time Senate leaders must allow Democrats to offer a nearly unlimited nu=
mber of amendments before a final budget vote Democrats plan to use the pro=
cess known as a vote a rama to offer a long string of potentially toxic ame=
ndments that could make it difficult for Republicans to vote for the final =
legislation Democratic leadership aides said Kelsey Snell Mike DeBonis Sean=
Sullivan David Weigel and Ed O Keefe contributed to this report
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