Trumpcare Just Got Derailed In The Senate… Again
Trumpcare was stopped in its tracks Saturday after a group of moderate Senate Republicans threw a wrench into Mith McConnell’s effort to get his cruel healthcare bill on the Senate for a vote.
If Trumpcare becomes law, some states would likely end their Medicaid expansions. That dynamic has deepened concerns among several senators who are undecided about the healthcare bill because of its changes to Medicaid, the federal-state healthcare program for the poor and disabled.
Not surprignly, Alaska Sen. Lisa Murkowski (R) has also come out against the Medicaid cuts, The Hill reports.
Murkowski is a key vote that Senate leaders cannot afford to lose. With Sens. Susan Collins (R-Maine) and Rand Paul (R-Ky.) already opposed to the legislation, a defection from Murkowski or anyone else will kill the bill for good.
Less money for Medicaid expansion is a concern for states, some of which enacted guardrails to protect themselves from decreases in dollars they get from the federal government to implement the expansion.
At least nine states have provisions in their Medicaid expansions that would end it automatically or soon after if enhanced federal funds dip below a certain level. Those states are Arizona, Arkansas, Illinois, Indiana, Michigan, Montana, New Hampshire, New Mexico and Washington, according to CBPP.
“Either you raise taxes, you cut other parts of the budget or you cut other parts of Medicaid or you drop the expansion,” Edwin Park, CBPP vice president for health policy, said. “Those are the choices, and they would have to figure that out. I think the most likely scenario would be that states start dropping the expansion.”
Sen. John McCain (R-Ariz.) represents a state where, under the Senate bill, the end of ObamaCare’s Medicaid expansion would be triggered in 2022.
“My governor said that we needed three amendments for him to approve of it, and those three amendments were not included,” McCain said after a closed-door meeting where rank-and-file members were presented with the bill’s revisions.
Facing the prospect of a mass defection within his own party, Senate Majority Leader Mitch McConnell late Saturday delayed the healthcare vote again to avoid another humiliating defeat.
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