House Republicans voted last week to do so anyway. That was a long-expected provision of any GOP Obamacare repeal. The House bill would cut federal spending on Medicaid by $880 billion over 10 years.
Mike Gallagher said Monday that his fellow Republicans were "irresponsible" for celebrating the House's passage of the American Health Care Act at the White House.
The bill was opposed by two distinct coalitions of Republicans. Candidate Trump promised to replace President Obama's program with a plan that gives "everybody" better coverage at less cost and to do it "very quickly".
NY officials estimate the GOP bill would lead to 2.7 million residents losing coverage and the state losing up to $6.9 billion in federal Medicaid money. Some Republicans eye drafting a similar Senate bill by mid-summer, possibly with the involvement of Democrats.
Senate Majority Leader Mitch McConnell, R-Ky, has appointed a group of GOP senators to craft their version of the legislation.
Under the AHCA as it is now written, Medicaid would change tremendously.
Blum's second statement - the one in regard to Medicaid - is false. Almost 70 million people benefit from the program, including 33 million children, according to a 2015 Kaiser Family Foundation report. They didn't bother putting him on the working group either. Without any primary care physicians, who can refer them to mental health counselors or substance abuse specialists, they may not seek medical help or mental health treatment until they're in crisis. The AARP said the shift to a per capita cap "could endanger the health, safety, and care of millions of individuals".
It is perhaps not surprising, then, that the bill is opposed by almost all major medical and public health associations in the United States, including the American Medical Association, the American College of Cardiology, the American Public Health Association and the AARP. In an attempt to drive down premiums, the House's conservative Freedom Caucus insisted that states be able to opt out of the essential health benefits requirements.
But those moderate voices are being marginalized, demonized and derided as RINOs - "Republicans in Name Only" - as they call for Republicans to stop playing politics and focus on fixing the flaws in the Affordable Care Act.
Cornyn said senators would start with the House bill. Under the House bill, current Medicaid enrollees could probably keep their coverage (although there's no explicit guarantee).
Even private insurers have harped about the cuts.
Sen. Lamar Alexander, the chairman of the Senate health committee and member of the health care working group, said that "we're going to take the time we need to get it right". All over the country, we've seen the health insurance market collapse, leaving hardworking Americans with health care coverage that is anything but affordable.
House Republicans are at least temporarily okay with how their bill would affect premiums. Other senators also are demanding changes to the House bill's provision ending federal funding for Planned Parenthood. They all fight this intensely, but I think that's the direction we've got to go, is more towards transparency.
Each of these critiques speaks to what the Affordable Care Act truly requires: reform, and perhaps bolder re-imagination to tackle some of its foundational challenges.
I thought of this when I saw late night comedy host Jimmy Kimmel's impassioned speech on TV last week about his son's emergency open heart surgery, performed just hours after his birth. The Kaiser Family Foundation found that state high-risk pools often had significantly higher premiums and likely included just a small fraction of people who needed coverage. Don't believe for a moment that the GOP Senate is less insane than the GOP House.