Affordable Care Act

The Marketplace is now OPEN!

If you signed up for Marketplace insurance last time - we encourage you to come back, update your application, compare your plans, choose the option that makes the most sense for your financial and health needs and enroll. The deadline to complete these steps is December 15, 2014.

If you’re shopping for Marketplace coverage for the first time – Open Enrollment to sign up for an affordable health plan runs now through February 15th. Your coverage can start as soon as January 1st if you sign up by December 15, 2014.

Over the past few months, we’ve been working hard to lay the groundwork for a successful Open Enrollment. We’re committed to giving you the very best consumer experience.

Join the millions of Americans who now have access to quality, affordable coverage: sign up today! 

-Secretary Burwell


P.S. — If you live in Idaho, Nevada, or Oregon, your process for 2015 enrollment has changed from last year. Learn about these changes in your state.

For information on resources available in your state, or to make changes to your 2014 coverage, visit the Nevada Health Link website. Your 2014 coverage ends December 31, 2014, no matter when you enrolled or update your information.

New for 2015: Beginning November 15, Small Business owners can use HealthCare.gov to apply for SHOP coverage.

Obamacare Reality Check

— submitted by Rich Dunn, RNDC 2nd Vice Chair

If you’re asked about Obamacare, use it as an opportunity to show how much difference progressive change can make. Open enrollment began one year ago, on October 1st, 2013. The websites had a rocky rollout, but 10.3 million Americans who had no health insurance a year ago now have coverage. Competition has increased – there are now 25% more insurance companies offering policies in the health insurance market. United Healthcare, the market leader, will be offering policies on 25 state exchanges in 2015, double the number in 2014. The system was designed to foster competition, and that is exactly what is starting to happen.

According to the Republicans, the ACA was going to be a government takeover of heathcare. But you wouldn’t know that from how private sector insurers have been doing on the stock market. United Healthcare’s stock is up 16%, Humana’s is up 34%, Aetna’s 22%, Cigna’s 13% and Wellpoint’s a whopping 37%. Some government takeover that turned out to be.

On top of that, 8.2 million seniors have saved over $11.5 billion, money that went right back into the economy. Republicans predicted that Obamacare would send costs through the roof, but between 2010 and 2013 health care costs have only risen at an annual rate of 1.1%, which is the slowest rate of increase of any three year period on record and below the overall rate of inflation.

Hospitals are expected to save $5.7 billion dollars this year alone in uncompensated health care costs. Republicans kept saying that all people without insurance had to do was go to the emergency room, but as usual they never mentioned who was supposed to pick up the tab – the hospital, of course. Thanks to Obamacare, that’s now far less of a problem. Most of that $5.7 billion in hospital savings happened in states like Nevada that opted to expand Medicaid. The 23 Republican states that refused Medicaid expansion are seeing a wave of hospital mergers and closures thanks to the rising cost of uncompensated care.

The next open enrollment period begins on November the 15th, and even though there may be more website glitches, it is bound to go a lot smoother this time around. You may have noticed that the Republicans have stopped talking about repealing Obamacare after more than 50 attempts, and that’s because it’s working. It doesn’t solve the long term cost problem – only healthier lifestyles can do that – but at least fewer Americans will be at needless risk because they can’t afford to see a doctor when they get sick.

And don’t forget that insurance companies can no longer drop you from coverage because you get sick. They can no longer refuse to sell you coverage because of a pre-existing condition. Women can now get free breast cancer screening. The “donut hole” for senior meds is being closed. Children can now stay on their parents’ policies to the age of 26. We’ve also seen the end of lifetime limits to insurance reimbursements.

The rate of uninsured Americans has already dropped from 21% to 16%, which is pretty impressive progress considering the level of Republican obstruction at all levels of government. Had that obstruction not occurred, we would now have more like 20 million newly insured Americans instead of just 10.3 million.

Our friend Mark Amodei supported every single attempt to repeal or delay the implementation of the Affordable Care Act, something voters can’t be reminded of too often. Amodei has been part of the problem from day one, and it’s a little late for him to strike a pose as a bipartisan pragmatist who stays above the fray. It’s time for him to go!

Sen Heller Betrays NV’s Women; Votes to Filibuster Hobby Lobby Fix

Sen. Dean Heller (R-NV) Betrays NV's Women

Sen. Dean Heller
Betrays NV’s Women

When the Supreme Court made the terrible decision to allow corporations like Hobby Lobby to discriminate against women, members of Congress were ready to fight back to defend women’s access to birth control.

Senators Murray, Udall and Boxer quickly introduced a bill to make sure that corporations can’t interfere with employees’ access to health care, including birth control, as provided for by the Affordable Care Act (aka Obamacare) under federal law. Senate Majority Leader Harry Reid fast-tracked the bill, bringing it for a full vote in the Senate today.

Not surprisingly, Republicans, including Nevada’s own Senator Dean Heller,  used the filibuster to block an up-or-down vote on the bill, meaning it will now take 60 votes to pass this bill. Only two Republicans broke from their caucus’s en bloc action — Senators Kirk and Murkowski.

Republicans continue to use the filibuster to shut down sensible legislation, and provide cover for their members who don’t want to go on the record in opposition to things like birth control access for women, common sense gun law reform, or relief for crushing student loan debt.

This week, they used the filibuster to block a legislative remedy for the disastrous Hobby Lobby v. Burwell decision. Outrageously, the five male justices on the Supreme Court ruled that the contraception mandate violated the Religious Freedom Restoration Act. In oral arguments, Chief Justice John Roberts suggested that Congress could exempt the Affordable Care Act from the RFRA as a way of protecting the inclusion of contraception as preventative care in the ACA. The Protect Women’s Health from Corporate Interference Act does exactly that, and would have protected not only women’s access to contraception from employer discrimination, but any employees’ access to any health care provided through the Affordable Care Act.

Tell Senate Republicans to end their filibuster and allow a vote on women’s access to birth control. Click the link below to automatically sign the petition:

Take-Action

Vote #228 held on July 16, 2014, 02:09 PM EDT  on the Motion to Proceed (Motion to Invoke Cloture on the Motion to Proceed to S.2578 )

YEAs —56
Baldwin (D-WI)
Begich (D-AK)
Bennet (D-CO)
Blumenthal (D-CT)
Booker (D-NJ)
Boxer (D-CA)
Brown (D-OH)
Cantwell (D-WA)
Cardin (D-MD)
Carper (D-DE)
Casey (D-PA)
Collins (R-ME)
Coons (D-DE)
Donnelly (D-IN)
Durbin (D-IL)
Feinstein (D-CA)
Franken (D-MN)
Gillibrand (D-NY)
Hagan (D-NC)
Harkin (D-IA)
Heinrich (D-NM)
Heitkamp (D-ND)
Hirono (D-HI)
Johnson (D-SD)
Kaine (D-VA)
King (I-ME)
Kirk (R-IL)
Klobuchar (D-MN)
Landrieu (D-LA)
Leahy (D-VT)
Levin (D-MI)
Manchin (D-WV)
Markey (D-MA)
McCaskill (D-MO)
Menendez (D-NJ)
Merkley (D-OR)
Mikulski (D-MD)
Murkowski (R-AK)
Murphy (D-CT)
Murray (D-WA)
Nelson (D-FL)
Pryor (D-AR)
Reed (D-RI)
Rockefeller (D-WV)
Sanders (I-VT)
Schumer (D-NY)
Shaheen (D-NH)
Stabenow (D-MI)
Tester (D-MT)
Udall (D-CO)
Udall (D-NM)
Walsh (D-MT)
Warner (D-VA)
Warren (D-MA)
Whitehouse (D-RI)
Wyden (D-OR)
NAYs —43
Alexander (R-TN)
Ayotte (R-NH)
Barrasso (R-WY)
Blunt (R-MO)
Boozman (R-AR)
Burr (R-NC)
Chambliss (R-GA)
Coats (R-IN)
Coburn (R-OK)
Cochran (R-MS)
Corker (R-TN)
Cornyn (R-TX)
Crapo (R-ID)
Cruz (R-TX)
Enzi (R-WY)
Fischer (R-NE)
Flake (R-AZ)
Graham (R-SC)
Grassley (R-IA)
Hatch (R-UT)
Heller (R-NV)
Hoeven (R-ND)
Inhofe (R-OK)
Isakson (R-GA)
Johanns (R-NE)
Johnson (R-WI)
Lee (R-UT)
McCain (R-AZ)
McConnell (R-KY)
Moran (R-KS)
Paul (R-KY)
Portman (R-OH)
Reid (D-NV)
Risch (R-ID)
Roberts (R-KS)
Rubio (R-FL)
Scott (R-SC)
Sessions (R-AL)
Shelby (R-AL)
Thune (R-SD)
Toomey (R-PA)
Vitter (R-LA)
Wicker (R-MS)

 

Not Voting – 1
Schatz (D-HI)

If This is What it Means to be “Conservative” — I’m Proudly a Bleeding Heart Liberal

Clearly, members of the GOP in the House are all about looking for ways to handicap ANY organization tasked with performing regulatory actions that might impede their ideological plans for the future of the United States of Republica.  A case in point is this recent  press release from Representative Amodei’s office.  My comments are in blue italics at various points throughout his release.  Some original text has been highlight in RED for emphasis.

Amodei: Appropriations Financial Services bill reins in IRS, ACA and Dodd Frank

Wednesday June 18, 2014

FOR IMMEDIATE RELEASE                                 Contact:    Brian Baluta, 202-225-6155

WASHINGTON, D.C. – The House Financial Services and General Government Appropriations Subcommittee today passed its fiscal year 2015 bill, which would provide annual funding for the Treasury Department, the Judiciary, the Small Business Administration, the Securities and Exchange Commission and several other agencies.

The bill totals $21.3 billion in funding for these agencies, which is $566 million below the fiscal year 2014 enacted level and $2.3 billion below the president’s request for these programs.The legislation prioritizes programs critical to enforcing laws, maintaining an effective judiciary system and helping small businesses, while targeting lower-priority or poor-performing programs – such as the Internal Revenue Service – for reductions.

Well now, that makes just a ton of sense.  IRS is tasked with collecting revenue necessary for the operation of various government operations … so let’s under fund them so we can then make a scapegoat of them when they can no longer effectively perform their regulatory and tax-collecting functions.

“Every day, I am asked, ‘Why don’t you do something?’ This bill ‘does something’ by removing funding from executive agencies that have become political tools of the administration,” said Amodei.   

Bill highlights:

Internal Revenue Service (IRS)– Included in the bill is $10.95 billion for the IRS – a cut of $341 million below the fiscal year 2014 enacted level and $1.5 billion below the President’s budget request. This will bring the agency’s budget below the sequester level and below the level that was in place in fiscal year 2008. This funding level is sufficient for the IRS to perform its core duties, including taxpayer services and the proper collection of funds, but will require the agency to streamline and make better use of its budget.

Interesting! They continually carp about the IRS not providing for an EMAIL BACKUP strategy as part of their business plan. Server BACKUPs are NOT FREE!  How much more will they stop BACKING UP because they no longer have sufficient funding to do their tax collection duties, let alone ancillary functions like BACKUPS, SYSTEM UPDATES, SOFTWARE IMPROVEMENTS, etc.?

In addition, due to the inappropriate actions by the IRS in targeting groups that hold certain political beliefs, as well as its previous improper use of taxpayer funds, the bill includes the following provisions:

Here we go again, perpetuating the falsehood that ONLY right-wing political groups were scrutinized, when it was actually liberal groups that were denied with some that had already been given tax-exempt status seeing that status revoked (e.g., EmergeAmerica affiliated groups).  NO politically-focused groups should be receiving TAX-EXEMPT 501(c)(4) status, PERIOD!

A prohibition on a proposed regulation related to political activities and the tax-exempt status of 501(c)(4) organizations. The proposed regulation could jeopardize the tax-exempt status of many non-profit organizations and inhibit citizens from exercising their right to freedom of speech, simply because they may be involved in political activity.

Sorry, but I don’t get to deduct my “freedom of speech” contributions to political endeavors.  Thus, NO politically-focused organizations should be able to have a free of tax right to free speech at the American Taxpayer’s expense!

A prohibition on funds for bonuses or awards unless employee conduct and tax compliance are given consideration.

A prohibition on funds for the IRS to target groups for regulatory scrutiny based on their ideological beliefs.

Congress passed a law that clearly states that to be considered 501(c)(4) organization, your activities must be EXCLUSIVELY-FOCUSED on “Social Welfare” activities.  Politically-focused activities are NOT social-welfare activities and thus, it IS the IRS’s responsibility to scrutinize and deny tax-exempt status to ANY organization (conservative, liberal or otherwise) not meeting that exclusivity provision.

A prohibition on funds for the IRS to target individuals for exercising their First Amendment rights.

More BS related to the previous proviso — the IRS is NOT prohibiting ANYONE from exercising their free speech.  The IRS is merely and rightfully determining whether a group is a group exclusively devoted to providing SOCIAL-WELFARE opportunities/activities and thus, whether that group is entitled to TAX-EXEMPT status!

A prohibition on funding for the production of inappropriate videos and conferences.

Really?  Oh, please, pray tell, what “inappropriate videos” might it be that the IRS is producing?

A prohibition on funding for the White House to order the IRS to determine the tax-exempt status of an organization.

Again, if you want to allow any organization wanting to conduct EXCLUSIVELY politically focused activities to never have to pay taxes, well then, you need to REPEAL the law that PROHIBITS them from being tax exempt!  You cannot have a LAW on the books that says one thing and then prohibit the IRS, which is responsible for administering that section of the law, from enforcing it!

A requirement for extensive reporting on IRS spending.

Affordable Care Act (ACA) –The bill also includes provisions to stop the IRS from further implementing ObamaCare, including a prohibition on any transfers of funding from the Department of Health and Human Services to the IRS for ObamaCare uses, and a prohibition on funding for the IRS to implement an individual insurance mandate on the American people.

Well, let’s see.  We elected President Obama and a Democratic Congress to get health care reform. Then, the Republican propaganda machine bought a Republican House.  Despite their efforts to gerry-rig the system, we still re-elected President Obama. Health care reform is one of the hardest things we’ve ever worked on. But no matter, they just keep trying to either LIE ABOUT REPEAL or DEFUND access to healthcare for the American People despite its need or popularity.

Securities and Exchange Commission (SEC)– Included in the bill is $1.4 billion for the Securities and Exchange Commission (SEC), which is $50 million above the fiscal year 2014 enacted level and $300 million below the President’s budget request. The increase in funds is targeted specifically toward critical information technology initiatives. The legislation also includes a prohibition on the SEC spending any money out of its “reserve fund” – essentially a slush fund for the SEC to use without any congressional oversight.

In addition, the legislation contains requirements for the Administration to report to Congress on the cost and regulatory burdens of the Dodd-Frank Act, and a prohibition on funding to require political donation information in SEC filings.

My my, lookie here — looks like an increase in funding.  But wait, isn’t this the organization that’s supposed to regulate Wall Street?  It’s a shame that the increase in funding is just for a bit of information technology so they can determine how their GOP-Donor base is affected by any sort of regulation.  It’s also despicable that they’ve included a proviso that PROHIBITS any reporting of information as to Corporate political donations.  If you and I donate, our freedom of speech is broadcast for all to see … but the Republican Donor-base has a special privileged secreted freedom of speech.  Apparently the Republicans believe their Donors are free to speak with their Dollars, but the general American public is underserving of being able to speak with their dollars in response.

Consumer Financial Protection Bureau (CFPB)– The bill includes a provision to change the funding source for the CFPB from the Federal Reserve to the congressional appropriations process, starting in fiscal year 2016. Currently, funding for this agency is provided by mandatory spending and is not subject to annual congressional review. This change will allow for increased accountability and transparency of the agency’s activities and use of tax dollars. The legislation also requires extensive reporting on CFPB activities.

The Republicans have done EVERYTHING conceivably possible to handicap, repeal, defund and decapitate the Consumer Financial Protection Bureau (CFPB).  This is yet their latest attempt to defund and cripple any and all Consumer financial protection at the behest of their Donor-base.

In Their Honor

May 23, 2014 | By CAP Action War Room

Progressive Policies For Veterans This Memorial Day
Vietnam Veterans Memorial, Washington, D.C.

Vietnam Veterans Memorial, Washington, D.C.    CREDIT: Shawn Davis

Memorial Day is a time for relaxation, but also for reflection and remembrance. The day is first and foremost about honoring American service members who are no longer with us. But there are also steps we can take to help improve the lives of the 10 million current vets and the many military families. So before you take off for the long weekend, take a few minutes to read our list of some progressive policies to help veterans:

  1. Support Vets Looking For Work. Veterans have suffered from Congressional Republicans’ refusal to extend emergency unemployment benefits. There are roughly 163,000 unemployed post-9/11 vets and more than 600,000 unemployed veterans overall. Those who volunteered to protect our nation oversees but can’t find a job back at home deserve more support from our elected officials.
  2. Give 1 Million Veterans A Raise. Of the roughly 10 million veterans in the United States today, one in ten — that’s 1 million vets — would get a boost in wages if we raise the federal minimum wage from $7.25 to $10.10. Almost two-thirds of these veterans are over the age of 40. Nobody should be paid wages so low that working full-time can still leave them in poverty, and that includes many former members of our Armed Forces.
  3. Help Keep Veterans Out Of Poverty. The Supplemental Nutrition Assistance Program, or SNAP, is a powerful anti-hunger and anti-poverty tool. But it’s been the subject of persistent attacks from some Republicans in Congress, who voted last year to cut $40 billion and push 4 to 6 million people from the program. SNAP has never been more needed for service members: there are 900,000 veterans who rely on the benefits in any given month, and military families’ reliance on the program hit a record high last year.
  4. Expand Health Care To Low-Income Residents. There are over a quarter million uninsured veterans in states that are currently refusing to accept federal funding to expand Medicaid under the Affordable Care Act. That’s just wrong. (While many people assume that all veterans have health benefits through the Department of Veterans Affairs, as of 2013 only two-thirds were eligible and just one-third were enrolled).
  5. Implement The Common Core. The average military family moves to six different states, and each state offers a separate set of academic standards for military children to follow. When relocating to one state, a child may be way ahead of her grade level; in another, she might be far behind. Having a high-quality, unified set of standards like the Common Core State Standards provide will help military families with transitions and ensure our nation’s economy and military remain strong.
  6. Expand Background Checks For Gun Buyers. Veterans are some of our nation’s foremost experts on guns, what they can do in the hands of trained, responsible people, and how they can be used in the hands of those who want to do us harm. The massive loopholes in our gun background check system allow criminals, domestic abusers, and other dangerous people to easily access guns. Expanding background checks to all gun sales goes hand in hand with strengthening our second amendment by helping keep guns out of the hands of criminals.
  7. Pass The Employment Non-Discrimination Act. There are over one million LGBT veterans and almost 50,000 more currently serving. Since the repeal of Don’t Ask, Don’t Tell, members of the military can serve with honesty and integrity and without the fear of discrimination based on sexual orientation. Unfortunately, the same fair treatment does not exist in the civilian sector. ENDA would go a long way to solve that problem and could also also significantly curtail high rates of veteran unemployment.

 

BOTTOM LINE: As a nation, we should pride ourselves on doing everything we can to make sure that citizens who sacrifice to protect our security and freedom are able to live healthy and secure lives back home. These are just a few of the many steps that we should take to get to that point for veterans, and create a more prosperous country for everyone.

PS: The allegations of long wait times and secret waiting lists at the Phoenix VA hospital is a serious concern and must be addressed immediately. But we must also not lose sight of the VA system’s successes, as well as its steady improvement in recent years. Here are key facts to know.


This material [the article above] was created by the Center for American Progress Action Fund. It was created for the Progress Report, the daily e-mail publication of the Center for American Progress Action Fund. Click here to subscribe.

Letting Employers Off the Hook

— by Rich Dunn, NVRDC 2nd Vice Chairman

H.R. 2575, the “Save American Workers Act” (which is a bill, not an act), would change the definition of “full time” under the ACA from 30 to 40 hours, allowing employers to evade the health care mandate entirely simply by lowering hours worked to 39½. Needless to say, this bill has zero chance of ever becoming law while Barack Obama is president.

H. R. 2575:  To amend the Internal Revenue Code of 1986 to repeal the 30-hour threshold for classification as a full-time employee for purposes of the employer mandate in the Patient Protection and Affordable Care Act and replace it with 40 hours.
1. Short title
This Act may be cited as the Save American Workers Act of 2014.
2. Repeal of 30-hour threshold for classification as full-time employee for purposes of the employer mandate in the Patient Protection and Affordable Care Act and replacement with 40 hours
(a) Full-Time equivalents
Paragraph (2) of section 4980H(c) of the Internal Revenue Code of 1986 is amended—
(1) by repealing subparagraph (E), and
(2) by inserting after subparagraph (D), the following new subparagraph:
(E) Full-time equivalents treated as full-time employees
Solely for purposes of determining whether an employer is an applicable large employer under this paragraph, an employer shall, in addition to the number of full-time employees for any month otherwise determined, include for such month a number of full-time employees determined by dividing the aggregate number of hours of service of employees who are not full-time employees for the month by 174.
(b) Full-Time employees
Paragraph (4) of section 4980H(c) of the Internal Revenue Code of 1986 is amended—
(1) by repealing subparagraph (A), and
(2) by inserting before subparagraph (B), the following new subparagraph:
(A) In general
The term full-time employee means, with respect to any month, an employee who is employed on average at least 40 hours of service per week.
(c) Effective date
The amendments made by this section shall apply to months beginning after December 31, 2013.
Passed the House of Representatives April 3, 2014.

It’s not clear that this bill would necessarily make a lot of difference in the real world, since 98% of large employers already provided health coverage to their full time employees before the ACA imposed the mandate, but it has become so expensive that if one company did it, others might follow to stay competitive.

But even without this change, some companies might decide to just pay the penalty and dump their employees on the exchange, where the subsidies would (like food stamps) amount to just another layer of corporate welfare. The penalty (around $2,000 per employee) is far lower than the cost of health care (around $10,000 per employee).

To keep their employees whole, companies dropping health coverage could increase wages by the amount of their subsidized exchange premiums. Or even a little more. In that scenario, both the employer and the employee would come out ahead, but exchange premiums would inevitably rise to pay for the subsidies. This is an inherent flaw in the ACA. Employer penalties are way too low.

On April 3rd, H.R. 2575 (raising the “full time” threshold to 40 hours) passed House 248 to 179, with these 17 “Republicrats” voting Aye:

Aye   D   Barber, Ron AZ 2nd
Aye   D   Sinema, Kyrsten AZ 9th
Aye   D   Bera, Ami CA 7th
Aye   D   Costa, Jim CA 16th
Aye   D   Murphy, Patrick FL 18th
Aye   D   Bishop, Sanford GA 2nd
Aye   D   Barrow, John GA 12th
Aye   D   Lipinski, Daniel IL 3rd
Aye   D   Schneider, Bradley IL 10th
Aye   D   Delaney, John MD 6th
Aye   D   Peterson, Collin MN 7th
Aye   D   McIntyre, Mike NC 7th
Aye   D   Schrader, Kurt OR 5th
Aye   D   Gallego, Pete TX 23rd
Aye   D   Cuellar, Henry TX 28th
Aye   D   Matheson, Jim UT 4th
Aye   D   Rahall, Nick WV 3rd

Rep. Amodei and the GOP’s House of Cuts

ACA Medicaid Expansion—Why did some States Opt-Out?

ObamaCare Medicaid Expansion was one of the biggest milestones in health care reform. ObamaCare’s Medicaid expansion expanded Medicaid to our nations poorest in order cover nearly half of uninsured Americans. The law previously required states to cover their poorest or lose federal funding to Medicaid (federal funding covers 90-100% of state costs) until the supreme court ruling on ObamaCare.  After the ruling, states could opt-out of the ACA Medicaid Expansion, and as Republican-led states did, it left millions of poor working families without coverage.

Under the ACA (Affordable Care Act, e.g., Obamacare), a new national Medicaid income eligibility level was established at 138% of the Federal Poverty Line.  (That 138% amount is about $15,400/year for an individual; $32,000/year for a family of 4.)  States that opted out of the ACA Medicaid expansion are projected to drive up insurance costs drastically in their states, potentially drive hospitals out of business, and save relatively little, if anything at all.

The ACA Medicaid expansion attempted to bring some uniformity across the nation to how Medicaid is administered.  Prior to 2013, every State had different eligibility requirements based on income, age, gender, dependents, and other state-specific requirements.  Starting in 2014, all states that expanded Medicaid have uniform eligibility requirements.  Those that did not, still have their previous requirements, and left millions of poverty-ridden people without effective healthcare options.

Read more about the ACA Medicaid Expansion here.

On a side note:

Today in the House of Representatives,219 Republicans voted to pass Rep. Paul Ryan’s “Path to Poverty” budget that would REPEAL the Affordable Care Act and turn Medicaid into a block grant to States.  Please note that a “block grant” is a large sum of money granted by the US Government to various State Governments, with only general provisions as to the way that money is to be spent.  It’s very easy to re-task that money into a slush fund with which to pay for other pet and ideological projects at the expense of those in desperate need.

The ACA Has Spurred The Largest Expansion In Health Coverage In America In Half A Century

Yesterday marked the last day of the six-month open enrollment period for people to get insurance coverage through the state and federal marketplaces. Despite technical challenges and staunch ideological opposition, it has already been a huge success with over six million people enrolling. But in the last several days, the interest in signing up and the outreach efforts to those not yet covered has reached new heights.

Take a look at the final surge by the numbers:

  • 9.5 Million: Number Of Uninsured That Now Have Insurance Thanks To The ACA. A new analysis of enrollment data has found that almost ten million people who were previously without health insurance now are covered. The report estimates that two million have enrolled in private coverage on the new marketplaces; about 4.5 million previously uninsured people have gained public coverage through Obamacare’s Medicaid expansion; and about three million previously uninsured young people are now covered on their parents’ insurance plans. The law, as written by the Los Angeles Times, “has spurred the largest expansion in health coverage in America in half a century.”
  • 10 million: Number Of Visits To Heathcare.gov In The Past Week. The Washington Post tallied 8.7 million in the past week through Monday morning, with 2 million visiting this weekend alone. Today, the Department of Health and Human Services tweeted that there had been another 1.2 million visitors just by noon–”record volume.”
  • 125,000: The Number Of Concurrent Users On Healthcare.gov On Monday. An unprecedented level of traffic on the website has led to an unprecedented number of people using the site to sign up for health insurance.
  • 4,000: Number Of Grassroots Events To Help People Enroll In March. For all the money spent over the airwaves, grassroots organizing was a huge component of outreach efforts to get people signed up for coverage. Events took place all over the country, with a focus on reaching the uninsured to make sure they had the information they needed to enroll.
  • 300: Number of Radio Interviews Administration Officials Have Given In The Past Six Weeks. While there have been enormous efforts to use new media to promote the law, good old-fashioned radio has been a go-to source for top White House officials: from Chief-of-Staff Denis McDonough and Senior Adviser Valerie Jarrett to President Obama himself.
  • 49 Percent: Public Support For The ACA. According to a ABC News/Washington Post poll out today, support for the law is at 49 percent, its highest level in months. Back in November, just 40 percent supported and 57 percent opposed the law; today the picture looks much different:

BOTTOM LINE: If there’s any indication that the Affordable Care Act is in high demand, this is it. The law is working, it’s here to stay, and it’s delivering on its promise to provide quality, affordable health coverage that will be there when consumers need it most. Conservatives will continue their repeal-at-all-costs agenda, but the success of these past six months will make it harder because people do not want to go back to the way it was.


This material [the article above] was created by the Center for American Progress Action Fund. It was created for the Progress Report, the daily e-mail publication of the Center for American Progress Action Fund. Click here to subscribe.

The Ryan Budget Is a Broken Record of Failed Trickle-Down Economics

By Anna Chu and Harry Stein

For the past three years, House Budget Committee Chairman Paul Ryan (R-WI) has been trotting out the same conservative, top-down policies that have failed the nation’s middle- and working-class families, seniors, and the economy. The House Republican budget is built around the tenet that nearly everyone else must sacrifice in order to continue to give billions of dollars in tax breaks to millionaires, big corporations, and Big Oil. At every turn, the House Republican budget reveals its vision of an economy and government that only works for the wealthiest individuals and special corporate interests at the cost of everyone else.

Now for the fourth consecutive year, the House Republican budget proposes dismantling traditional Medicare and slashing investments that drive our economy, all while cutting taxes for the rich and protecting taxpayer subsidies for big businesses and oil companies. The American people have seen this before, and we know how it ends—with millionaires, big corporations, and Big Oil as the only ones who are better off. Everyone else gets left behind, and our economy only gets weaker. Read more.