HEALTH CARE : REPUBLICANS : DONALD TRUMP : FAILURES: Republicans' Failure on Health Care Is Unacceptable

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HEALTH CARE : REPUBLICANS : DONALD TRUMP : FAILURES: Republicans' Failure on Health Care Is Unacceptable

David P. Dillard
Administrator



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HEALTH CARE :

REPUBLICANS :

DONALD TRUMP :

FAILURES:

Republicans' Failure on Health Care Is Unacceptable

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Republicans' Failure on Health Care Is Unacceptable

By Rep. Dwight Evans (D-Pa.),

Opinion Contributor

The Hill

10/27/17 12:30 PM EDT

http://thehill.com/blogs/congress-blog/healthcare/
357506-republicans-failure-on-health-care-is-unacceptable

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A shorter URL for the above link:

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http://tinyurl.com/y7jcyq68


Republicans failure on health care is unacceptable

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This year, Washington has wasted months in an often-misguided debate over
repealing the Affordable Care Act (ACA). And, while this debate has raged
within one political party, two important programs have been forgotten:
the Childrens Health Insurance Program (CHIP) has expired and the Medicaid
disproportionate share hospital (DSH) program was left to be slashed at
the beginning of this month.

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Both programs have traditionally enjoyed very broad bipartisan support. I
partnered with a Republican colleague in our legislature to fund
Pennsylvanias first-in-the-nation CHIP program. And, in 2015, the CHIP
program was reauthorized with language that prevented cuts to DSH payments
by a decisive margin of 92-8 in the Senate and 392-37 in the House.

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The DSH program supports safety net hospitals that serve a high proportion
of low-income patients whose care is not entirely covered by third-party
payers (such as Medicaid, Medicare, and CHIP). The DSH program provides
payments to those hospitals to offset the uncovered costs. Its a critical
safety net program for hospitals that provide an invaluable service to
people who need it the most.

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The architects of the ACA included provisions in the law that cut DSH
payments over time to compensate for what they expected to be reduced
demand as more people were insured. Those cuts were also intended to help
pay for the laws coverage expansion.

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The reality, though, is that the proposed coverage expansions and
projected reduction in the number of un- or under-insured patients did not
happen the way Congress originally intended. The Supreme Court gave states
the option to refuse to participate in expansion of Medicaid and the Trump
administration has threatened to withhold health care coverage payments,
and in fact has already cut the CSR payments, which undergird the ACA.

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The result is that DSH program cuts were still on track despite the
ongoing need for DSH resources. And, Congress has failed to reauthorize
CHIP over squabbles about how to pay for it and the distraction of the
failed efforts to repeal the ACA.

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That puts us in a tough spot in Philadelphia and something must be done.

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As I have noted, the deadline has already come and gone. According to the
most recent Kaiser Family Foundations State Health Facts, Pennsylvanias
current DSH allotment is $616.27 million. Cuts to the program will reduce
payments by $121.03 million, a 19.6 percent reduction. And, we have
300,000 kids enrolled in CHIP which will soon run out of money to pay for
their care.

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The complete article may be read at the URL above.

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David Dillard
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