Federal Policy Updates
Attacks on Health Care
House Republicans Revive and Pass Zombie Health Care Bill
Despite public opposition defeating the Republicans’ attempt to repeal the Affordable Care Act (ACA or “Obamacare”) last month, Republicans in the House of Representatives managed on May 4 to round up the votes needed to pass their deadly health care bill, the “American Health Care Act” (AHCA).If the Senate passes the AHCA, it will have devastating consequences for Medicaid and the private insurance market throughout the country, and will have the greatest impact on low-income people, women, and people with pre-existing conditions. The AHCA would cause at least 24 million people to lose health insurance coverage; drastically increase premiums for vulnerable groups, including older adults; cut $880 billion dollars in funding for Medicaid; all while providing tax cuts for the wealthiest Americans, including drug companies and insurance companies.
The version of the AHCA that passed includes amendments that make the bill even worse: not only will the bill allow insurance companies to charge people with pre-existing conditions thousands of dollars more–which is of grave concern for people living with HIV–it will also undermine existing requirements that health insurance covers basic health care services, such as hospital care, maternity care, prescription drugs, and mental health.
Our committed activism and advocacy will be needed more than ever when the Senate takes up the bill. It is expected to meet opposition from moderate Republican Senators as well as all the Democratic Senators, and will withstand fewer defectors in the Senate, where Republicans hold a much smaller majority.
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Gorsuch Confirmed for Supreme Court After Republicans Use “Nuclear Option”
Despite strong opposition from Senate Democrats, Judge Neil Gorsuch was confirmed to serve a lifetime appointment on the Supreme Court. Given his long judicial record of anti-woman, anti-LGBTQ and anti-worker decisions, Senate Republicans were only able to secure the confirmation by literally changing the Senate rules to lower the number of votes required to secure a confirmation, using what has been called the “nuclear option.” The social justice community is extremely disappointed by his confirmation, and we will need to continue to work to mitigate the consequences of his powerful new position, as demonstrated by reproductive justice organizations like the National Latina Institute for Reproductive Health in their statement.Government Shutdown Narrowly Avoided While Trump’s Budget Faces Opposition
This week Congress approved a budget to fund the government through September 2017, narrowly avoiding a government shutdown that would have resulted if they had failed to reach agreement. Last month, Trump proposed a budget that included many unfair, inhumane cuts to services while seeking funding increases for controversial projects such as building a wall along the U.S.-Mexico border. Fortunately, tireless advocacy from the HIV community and our allies resulted in a final budget that did not include some of Trump’s most insidious proposals.The approved budget does not include funding for the border wall and does not defund sanctuary cities. The budget does include the same amount of funding for the Ryan White Program (other than Part C, which provides funding for Early Intervention Services and Capacity Development Programs, which was reduced by $4 million). Funding for the Centers for Disease Control (CDC) HIV Prevention and hepatitis programs also kept the same level of funding, but there was a $5 million cut to STI-related programs under the Division of HIV, hepatitis, STDs and TB. The Minority AIDS Initiative also maintained its funding. In good news, the Housing Opportunities for Persons with AIDS (HOPWA) program received a $21 million increase in funding. Read more about the final budget here.
Sexual and Reproductive Health and Rights Watch
Trump Appoints Anti-Choice Activists to Key Health Care Positions
This week Trump appointed Charmaine Yoest as Assistant Secretary of Public Affairs at the Department of Health and Human Services (HHS). As the Center for Reproductive Rights reports, “Yoest—who previously served as president and CEO of Americans United for Life—is a leading crusader of the anti-choice movement and one of the key architects behind the more than 300 abortion restrictions enacted since 2011.” Her job at HHS will include providing guidance for the implementation of the Affordable Care Act, which currently helps provide reproductive care to millions of people throughout the country.In another affront to reproductive rights, Trump also appointed Teresa Manning to the position of Deputy Assistant Secretary for Population Affairs at HHS. The Center for Reproductive Rights reports that Manning “has been a vocal advocate against federal funding for reproductive health care services and has advocated against access to abortion and contraception;” yet in her new role, she will be in charge of the Title X program, which provides federal funding for family planning services, and will be able to influence access to family planning services, contraception access, and teen pregnancy prevention and support programs.