How House Democrats want to expand Obamacare — HHS’ civil rights office scrubs Trump policies from website — Longtime NARAL leader steps down

From: POLITICO Pulse - Tuesday Feb 09,2021 03:03 pm
Presented by PhRMA: Delivered daily by 10 a.m., Pulse examines the latest news in health care politics and policy.
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By Adam Cancryn

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Quick Fix

— Democrats want to expand Obamacare's insurance subsidies as part of their forthcoming coronavirus relief package.

— The Biden HHS' civil rights office has scrubbed references on its website to Trump-era policies on religious liberty and abortion.

— Abortion rights activist Ilyse Hogue is leaving NARAL after eight years at the organization's helm.

WELCOME TO TUESDAY PULSE — where several weeks into the nation’s vaccination drive, Facebook will begin limiting engagement with or removing posts promoting false information about the disproven link between vaccination and autism.

Get engaged and stay engaged with PULSE; send tips to acancryn@politico.com.

 

A message from PhRMA:

As we usher in a new Congress and new administration, we can all agree that people need quality, affordable health coverage that works when they need it. We are focused on solutions that help patients better afford their medicines and protect access to innovation today and in the future.

 
Driving the Day

HOW HOUSE DEMOCRATS COULD EXPAND OBAMACAREIf House Democrats get their way, Congress’ next coronavirus relief package will also double as the first major expansion of Obamacare subsidies in over a decade.

Pieces of the aid proposal released Monday night would temporarily bolster the federal aid extended to Obamacare enrollees and expand the population eligible for subsidies, representing significant progress on a key plank of President Joe Biden’s health agenda weeks into his term, POLITICO’s Alice Miranda Ollstein reports.

The proposal, which is slated to be marked up by the Ways and Means Committee later this week, would, among other things:

— Fully subsidize Obamacare coverage for people earning up to 150 percent of the federal poverty level, as well as those on unemployment insurance, for two years;

— End the so-called subsidy cliff, qualifying enrollees who make over 400 percent of the federal poverty level subsidies for the first time, for two years;

— Cover 85 percent of the cost of private health insurance for those laid off during the pandemic, through Sept. 21.

The provisions are expected to be folded into Democrats’ broader aid package, and have long been at the core of Biden’s plans to gradually expand the Affordable Care Act. Still, some analysts are already warning it won’t be enough for those squeezed by the economic effects of the pandemic.

“Fifteen percent of an employer-based plan could still be more than $200 per month for family coverage,” Stan Dorn, a health expert at Families USA, said of what those who are laid off would need to pay under the proposal.

HHS’ CIVIL RIGHTS OFFICE SCRUBS TRUMP POLICIES — The department’s Office of Civil Rights stripped its website of several references to Trump-era initiatives, POLITICO’s Darius Tahir reports. It’s an early sign that after four years with “culture war” issues at the forefront of the agency, the office’s focus will be elsewhere under the Biden administration.

— What got deleted: A video forum on protecting religious liberty during the pandemic featuring Trump OCR head Roger Severino is no longer on the homepage, along with sections related to a proposed rule on care for infants born alive after an attempted abortion. Also gone is a solicitation for information on discrimination against people with disabilities that the Trump administration issued in its final week.

ILYSE HOGUE LEAVING NARAL — In May, Hogue will step down as head of NARAL Pro-Choice America, the prominent abortion rights activist announced Monday — a decision that came in the wake of Democrats winning full control of Washington for the first time during her eight-year tenure.

Hogue helped build the organization into one of the most visible foes of abortion restrictions in U.S. politics. She also worked closely with the Democratic Party, serving on its platform committee in 2016 and 2020, and last cycle directing NARAL’s largest-ever electoral program aimed at flipping the Senate and winning the White House.

— Under Hogue, NARAL’s membership ballooned from 500,000 to 2.5 million, the organization said. Its annual budget is now $34 million, up from $9 million when she first took over. Yet her time atop NARAL coincided with the federal judiciary’s rightward turn. Red states have pared back abortion access in recent years, and a conservative majority sits on the Supreme Court.

“The peril to reproductive freedom comes from the courts,” Hogue told The New York Times , adding that securing abortion rights has become once more a central priority for Democrats. “I think that politically it is not a salable point anymore that you can’t be an active champion.”

 

THE INDISPENSABLE GUIDE TO CONGRESS: Looking for the latest on the Schumer/McConnell dynamic or the increasing tensions in the House? What are the latest whispers coming out of the Speaker's Lobby? Just leave it to Beavers... New author Olivia Beavers delivers the scoop in Huddle, the morning Capitol Hill must-read with assists from POLITICO's deeply sourced Congress team. Subscribe to Huddle today.

 
 
Coronavirus

BIDEN OFFICIALS MULLING STRICTER FLIGHT MEASURESThe Biden administration is weighing a requirement that domestic air travelers first test negative for Covid-19, Transportation Secretary Pete Buttigieg said.

The CDC last month mandated that international passengers test negative before traveling into the U.S. But Buttigieg in an Axios interview said there’s “an active conversation with the CDC right now” about expanding that to domestic travel. He later said during a Monday night CNN appearance that domestic travel situation looks “very different” than international right now, but that the CDC was evaluating all options.

— CDC Director Rochelle Walensky also did not rule out imposing the requirement on Monday, calling it “yet another mitigation measure to try and decrease the spread.” The Biden administration has further restricted travel in recent weeks to slow transmission of new Covid variants, including one first found in the U.K. that officials believe will soon become the dominant strain in the U.S.

 

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Medicaid

HEALTH GROUPS PUSH FOR MEDICAID FUNDING BOOST — Eight organizations are asking congressional leaders to approve an increase in federal Medicaid payments as Democratic lawmakers continue to hash out the next coronavirus stimulus package.

Congress last spring passed a 6.2 percent bump in federal support to states’ Medicaid programs, known as the Federal Medical Assistance Percentages.

Citing the strain the pandemic has had on states’ budgets, the groups — such as the National Association of Medicaid Directors, the Children’s Hospital Association and the National Council for Behavioral Health — say more help is desperately needed. They’re also pushing to make an eventual tapering off of those higher Medicaid payments more gradual after the current public health emergency expires.

 

A message from PhRMA:

Despite our divisions, there are many things on which Americans agree. The biopharmaceutical industry is committed to working with Congress and the new administration to:

End the pandemic. The industry remains committed to getting COVID-19 treatments and vaccines to patients, and we are working closely with governments, insurers and others to make sure they are accessible and affordable.

Make health care better and more affordable. People want quality, affordable health coverage that works when they need it. We support solutions that will help patients better afford their medicines and protect access to innovation today and in the future.

Build a more just, equitable society. We must address systemic racism, as has been made clear by the murders of George Floyd, Breonna Taylor, and many others and the outsized impact of the pandemic on Black and Brown communities. We remain committed to this important issue on behalf of our communities, the patients we serve and our employees.

 
Names in the News

FORMER CCIIO CHIEF STARTS CONSULTING FIRM — Randy Pate, who ran CMS’ Center for Consumer Information and Insurance Oversight under former President Donald Trump, is launching his own strategic consulting and advisory firm.

Pate left CMS late last year after more than three years as deputy administrator and director of CCIIO, which oversees the Obamacare exchanges and implementation of other parts of the health law. His new company, Randolph Pate Advisors, will serve health care organizations like insurers and providers, as well as state governments.

 

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What We're Reading

Much of the effort that has gone into disinfecting surfaces to protect against Covid-19 is a “huge waste of time,” The Atlantic's Derek Thompson argues.

Once lauded for its Covid response, Rhode Island is now facing sharp criticism over the stumbles of its vaccine rollout, Jesse Chase-Lubitz writes for Yahoo! News.

Covid cases in nursing homes are starting to drop, a promising trend that federal officials attribute to the vaccination effort, BuzzFeed News' Dan Vergano writes.

 

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