Sen. Cassidy plans to bring down Medicaid

Sen. Cassidy plans to bring down Medicaid

Sen. Bill CassidyWilliam (Bill) Morgan CassidyOn The Money — Sponsored by Prudential — Supreme Court allows states to collect sales taxes from online retailers | Judge finds consumer bureau structure unconstitutional | Banks clear Fed stress tests Overnight Health Care — Presented by the Association of American Medical Colleges —Dems, health groups demand immigrant children be quickly reunited with families Overnight Health Care — Presented by the Association of American Medical Colleges — Key ObamaCare groups in limbo | Opioids sending thousands of kids into foster care | House passes bill allowing Medicaid to pay for opioid treatments MORE (R-La.) deserves some credit.

When other Republicans hid over the May congressional recess, Cassidy was one of only two Senate Republicans to hold a town hall — where he took questions from those angry over congressional efforts to repeal and replace the Affordable Care Act. Given that he was shouted down at a February town hall he had to know the May forum wouldn’t be easy.

And Cassidy, a gastroenterologist, has at least tried to come up with concrete ideas to replacing the Affordable Care Act. Initially he partnered with moderate Sen. Susan CollinsSusan Margaret CollinsSenate Gang of Four to meet next week on immigration Republicans agree — it’s only a matter of time for Scott Pruitt Skyrocketing insulin prices provoke new outrage MORE (R-Maine). His current effort is actually prime-sponsored by Sen. Lindsey GrahamLindsey Olin GrahamSenate panel advances three spending bills Trump says he will sign executive order to end family separations Trump backs narrow bill halting family separations: official MORE (R-S.C.), and also co-sponsored by Sen. Dean HellerDean Arthur HellerThe Hill's Morning Report — Sponsored by PhRMA — GOP lawmakers race to find an immigration fix 13 GOP senators ask administration to pause separation of immigrant families The Hill's Morning Report — Sponsored by PhRMA — Defiant Trump meets with House GOP amid border blowback MORE (R-Nev.), and Sen. Ron JohnsonRonald (Ron) Harold JohnsonSenate probes FBI's heavy-handed use of redactions to obstruct congressional investigators Hillicon Valley: DHS gets new cyber chief | White House warns lawmakers not to block ZTE deal | White nationalists find home on Google Plus | Comcast outbids Disney for Fox | Anticipation builds for report on FBI Clinton probe Graham jokes about Corker: GOP would have to be organized to be a cult MORE (R-Wis.).

Regrettably, practice hasn’t made perfect. The latest bill would not only convert into fixed block grants the federal monies made available to states for Medicaid expansion, but would also, as has been true of other Republican efforts, attack the “traditional” Medicaid that pre-dates the ACA.


It would do so by converting the federal matching of state funding into a hard cap per Medicaid beneficiary, with that cap, over time, starving funding for those with disabilities and the elderly in long-term care settings. In this regard it resembles the failed Better Care Reconciliation Act offered by Senate Majority Leader Mitch McConnellAddison (Mitch) Mitchell McConnellPolitical figures pay tribute to Charles Krauthammer Charles Krauthammer dies at the age of 68 Overnight Energy: EPA declines to write new rule for toxic spills | Senate blocks move to stop Obama water rule | EPA bought 'tactical' pants and polos MORE (R-Ky).

Over a decade, my little state of New Hampshire would lose $410 million, according to one analysis updated today, while Cassidy’s Louisiana would lose a staggering $3.2 billion. The co-sponsorship by Heller, who has managed to be on all sides of ACA repeal — at one point incurring a threat from President Trump and attacks from a Trump-sanctioned group — suggests he has lost all interest in being re-elected, as Nevada would lose $639 million.

The legislation would create disparate winners and losers, with no apparent logic as to how heavily its ax falls. In an exclusive to Breitbart News, Utah Gov. Gary Herbert praised the bill as “a vast improvement over the Affordable Care Act” — his state would actually gain $313 million from current federal Medicaid funding by robbing other states. 

Cassidy has airily dismissed the necessity of a Congressional Budget Office analysis, saying “I just don’t care about the coverage numbers,” claiming the CBO’s methodology is inaccurate. He has also expressed no worry over the fact that under his bill the block grants would cease in 2027 and require congressional reauthorization.

In remarks last month before the Press Club of Baton Rouge, Cassidy made it clear that the ACA was perhaps the least of his concerns — stating that “the traditional Medicaid program is a huge problem.” His candor reveals an objective to cut the Medicaid program, dating to 1965, that serves millions of seniors across the United States in nursing homes and in home-and-community-based settings for less than actual cost. Hardly out-of-control, Medicaid spending on nursing home care only went up 1.1 percent nationally in 2015. 

Cassidy did note that he had carved out “blind and disabled children” from the bill’s cuts.  As my association represents a 26-bed facility for children with profound disabilities, I should perhaps be grateful for this magnanimity on Cassidy’s part, but can’t help but worry about this latest attack upon over 4,100 Medicaid patients in our nursing homes in a state with the nation’s second-oldest population.

Time is running out for Cassidy. The Senate parliamentarian has ruled that a repeal and replacement can only pass using budget reconciliation, which takes just 50 votes, through September 30.

Brendan Williams is the president/CEO of the New Hampshire Health Care Association, which represents 90 long-term care facilities. Williams is also an attorney, former Washington state deputy insurance commissioner and former Washington state representative.