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Shatterproof just launched a six-figure advertising buy in Ohio, West Virginia and Maine – which is represented by another undecided Republican, Sen. And providing a designated fund while leaving millions uninsured makes little sense, he added. But that amount, Shatterproof chief executive Gary Mendell said Friday, is less than a tenth of what experts predict will be needed over the next decade. Rob Portman (Ohio) have asked the chamber's Republican leaders to provide in the bill $45 billion over 10 years to address opioids the measure currently provides $2 billion. In Ohio alone, total federal funding provided 70 percent of the $939 million that the state spent to combat the epidemic last year.Ĭapito and Sen. Shatterproof, a national nonprofit organization focused on addressing addiction, estimates that 2.8 million people have gained access to substance-abuse treatment under Medicaid expansion. If one health issue has emerged as a flash point, however, it is the nation's opioid epidemic. A super PAC, America First Policies, reportedly is planning a seven-figure ad buy just in Nevada.īut patient-advocacy organizations that focus on an array of diseases are intensifying their own lobbying on the bill, including running print and online ads in several key states. Rand Paul (Ky.), Mike Lee (Utah), Ted Cruz (Texas) and Ron Johnson (Wis.) - Heller will be a special target. Though the four conservatives who have voiced opposition to the bill might be pushed hard - Sens. Pressure is coming from outside groups on the right. The Senate bill would extend 'quite robust' tax credits to many people, he said, even to those living in poverty who were not eligible for Medicaid: 'Republicans have a different view of what a safety net should look like.'

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People too often equate federal spending with establishing a safety net, when greater competition and a free market could produce better results at a lower cost, in Roy's view. 'I think that it's absolutely essential to putting (Medicaid) on a sustainable path so that it will be there for future generations.'Īvik Roy, a conservative health expert who serves as president of the Foundation for Research on Equal Opportunity, said the legislation's proponents need to show 'that competitive insurance markets can work for the poor and the vulnerable and the sick.' 'The idea that there's a sector of our economy that has to permanently have a higher inflation rate than the rest of our economy is ridiculous,' Toomey said Thursday. Beyond Medicaid, it would permit private health plans to cover fewer services and would allow individuals and employers to eschew coverage without penalty - elements that its authors say could lower how much consumers pay for their insurance. Patrick Toomey, R-Pa., one of the bill's champions, said it would establish 'a very, very gradual and gentle transition to a normal inflation rate' for a program in which he said costs were spiraling out of control. But the analysis showed that the greatest damage would come in McConnell's own state: Kentucky, which has had the nation's largest Medicaid expansion under the ACA, would see a 165 percent jump in unpaid hospital bills. Hospitals in West Virginia would suffer an even greater spike in uncompensated care, about 122 percent during the decade. It examined the House legislation but noted that the Senate bill would doubtless hit harder because of its deeper reductions in federal Medicaid payments. Some of the most reticent senators come from states where health-care systems stand to lose the most financially if the bill passed.Īccording to an analysis by the Commonwealth Fund, hospitals in Nevada would be saddled over the next decade with at least double the costs in 'uncompensated care' - bills for which neither an insurer nor a patient paid. To some extent, the division within the GOP's ranks reflects geography.

It will lead to disabled children not getting services.

It will hammer rural hospitals, it will close nursing homes. history,' said Bruce Siegel, president of America's Essential Hospitals, a coalition of about 300 hospitals that treat a large share of low-income patients.

'There has never been a rollback of basic services to Americans like this ever in U.S. Then, four years later, the federal government would apply an inflation factor to spending increases that would be equal to the urban consumer price index rather than the higher medical inflation rate used in the House bill. What is now an open-ended entitlement, with federal funding available for a specific share of whatever each state spends, would be converted to per capita payments or block grants. The expansion, which has provided coverage to roughly 11 million people, would be phased out. Under the Senate GOP version, 2021 is when Medicaid's transformation would begin.