{"id":18576,"date":"2019-01-09T16:40:00","date_gmt":"2019-01-09T16:40:00","guid":{"rendered":"https:\/\/associatednews.us\/content\/2019\/01\/09\/democrats-health-care-ambitions-meet-the-reality-of-divided-government\/"},"modified":"2019-01-09T16:40:00","modified_gmt":"2019-01-09T16:40:00","slug":"democrats-health-care-ambitions-meet-the-reality-of-divided-government","status":"publish","type":"post","link":"https:\/\/associatednews.us\/content\/democrats-health-care-ambitions-meet-the-reality-of-divided-government\/","title":{"rendered":"Democrats&#039; Health Care Ambitions Meet The Reality Of Divided Government"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a class=\"colorbox\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2019\/01\/09\/683055963\/democrats-health-care-ambitions-meet-the-reality-of-divided-government?utm_medium=RSS&amp;utm_campaign=healthcare\">Alison Kodjak<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2019\/01\/09\/683055963\/democrats-health-care-ambitions-meet-the-reality-of-divided-government?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2019\/01\/08\/ap_19003784038695-bf975e6a49ab92431ddf82a1c0927ab573604f02-s1100-c15.jpg\" alt><\/p>\n<div>\n            <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2019\/01\/08\/ap_19003784038695-bf975e6a49ab92431ddf82a1c0927ab573604f02-s1200.jpg\"><\/a><\/div>\n<div>\n<div>\n<div>\n            <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2019\/01\/08\/ap_19003784038695-bf975e6a49ab92431ddf82a1c0927ab573604f02-s1200.jpg\">Enlarge this image<\/a>\n        <\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                House Speaker Nancy Pelosi said in a speech Thursday to the new Congress that Democrats want &#8220;to lower health care costs and prescription drug prices and protect people with pre-existing medical conditions.&#8221;<\/p>\n<p>                <b><\/p>\n<p>                    Carolyn Kaster\/AP<\/p>\n<p>                <\/b><br \/>\n                <b><b>hide caption<\/b><\/b>\n            <\/p>\n<\/p><\/div>\n<p>            <b><b>toggle caption<\/b><\/b>\n    <\/div>\n<p>    <span><\/p>\n<p>        Carolyn Kaster\/AP<\/p>\n<p>    <\/span>\n<\/div>\n<\/p><\/div>\n<p>In her first speech as speaker of the House, Nancy Pelosi made it clear that she knows that health care is key to why voters sent Democrats to Congress.  <\/p>\n<p>&#8220;In the past two years the American people have spoken,&#8221; <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.speaker.gov\/\">Pelosi <\/a>told members of Congress and their families who were gathered Thursday in the House chamber for <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/2019\/01\/03\/681727613\/pelosi-poised-to-retake-gavel-as-house-speaker-with-new-session-of-congress\">the opening day<\/a> of the session. <\/p>\n<p>&#8220;Tens of thousands of public events were held, hundreds of thousands of people turned out, millions of calls were made, countless families, even sick little children \u2014 <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2017\/07\/19\/537208601\/her-own-medical-future-at-stake-a-child-stormed-capitol-hill\">our little lobbyists,<\/a> our little lobbyists \u2014 bravely came forward to tell their stories and they made a big difference,&#8221; said Pelosi, a California Democrat.<\/p>\n<p>What is the Democrats&#8217; mandate?<\/p>\n<p>&#8220;To lower health care costs and prescription drug prices and protect people with pre-existing medical conditions,&#8221; she said to applause. <\/p>\n<p>In their campaigns last year,<a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/2018\/10\/25\/660281890\/2018-is-the-year-democrats-got-comfortable-talking-health-care-again\"> Democrats promised<\/a> to protect the Affordable Care Act, and the access to coverage that it guarantees for many people.  Many Democrats went further, running on the promise of &#8220;Medicare-for-all.&#8221; <\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<p>But now that Democrats control the House, their ambitions are meeting up with reality. <\/p>\n<p>With the Senate in Republican hands and President Trump having promised to repeal the ACA, Democrats&#8217; ability to make sweeping health policy changes is limited.<\/p>\n<p>Instead, they&#8217;ll likely rely on hearings and turn to the courts to try to influence health policy and shore up the ACA. <\/p>\n<p>Pelosi started on Day 1. <\/p>\n<p>Just hours after her speech, House Democrats voted to <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/2019\/01\/04\/682349986\/house-democrats-hire-new-top-lawyer-to-defend-affordable-care-act\">intervene in a lawsuit<\/a> in an effort to protect the Affordable Care Act. The House will join several state attorneys general in appealing <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2018\/12\/14\/677002085\/texas-judge-rules-affordable-care-act-unconstitutional-but-supporters-vow-to-app\">the ruling of a federal district judge in Texas<\/a> that the law is unconstitutional. <\/p>\n<p>And <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/pallone.house.gov\/\">Rep. Frank Pallone<\/a>, D-N.J., head of the <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/energycommerce.house.gov\/\">Energy and Commerce Committee<\/a>, announced a hearing on the impact of the ruling. He said he intends to hold lots of hearings to review the Trump administration&#8217;s actions around the ACA \u2014 actions he calls &#8220;sabotage.&#8221; <\/p>\n<p>&#8220;At a time when the Trump administration is doing all the sabotage of the ACA, I think the focus really has to be on trying to prevent the sabotage and making sure the ACA is strengthened,&#8221; he said in an interview in his Capitol Hill office.  <\/p>\n<p>That &#8220;sabotage&#8221; includes Trump&#8217;s decision to<a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2017\/10\/13\/557541856\/halt-in-subsidies-for-health-insurers-expected-to-drive-up-costs-for-middle-clas\"> stop reimbursing insurance companies<\/a> for discounts they&#8217;re required by law to give to their lowest-income clients, Pallone said. <\/p>\n<p><!-- END ID=\"RES683591512\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>He also cited a Department of Health and Human Services rule change that allows insurance policies that <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2018\/10\/01\/652141154\/buyer-beware-new-cheaper-insurance-policies-may-have-big-coverage-gaps\">don&#8217;t carry the full benefits <\/a>required by the ACA to be renewed for up to three years. In the past, those plans were intended to serve as a bridge for someone between jobs and were limited to just a few months <\/p>\n<p>Pallone said these and other changes may violate the law. <\/p>\n<p>&#8220;I think if you do some good oversight and find out what the sabotage consists of, then you can say, &#8216;Well this isn&#8217;t allowed under the law,&#8217; &#8221; Pallone said. &#8220;And then you either take it to court or try to get legislation passed.&#8221; <\/p>\n<p>Oversight is a powerful tool, said <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.manatt.com\/Chiquita-Brooks-LaSure\">Chiquita Brooks-LaSure<\/a>, a former HHS official who is now a managing director at Manatt Health Strategies, a lobbying firm. <\/p>\n<p>&#8220;I don&#8217;t think we should underestimate how important that is, when decisions that are being made are questioned and officials have to defend them,&#8221; she said.  <\/p>\n<p>For the past two years, the focus in Washington has been on repealing or dismantling the Affordable Care Act. That&#8217;s about to change, she said. <\/p>\n<p>&#8220;That energy can now shift to examining what the administration is doing and putting forth other ideas and other proposals, some of which might generate bipartisan agreement,&#8221; she said.  <\/p>\n<p>Pallone is hopeful that Republicans may support some measure to shore up the ACA. In the last Congress, Sen. Lamar Alexander, R-Tenn., <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2017\/08\/01\/540656651\/trumps-tweets-threaten-to-destabilize-insurance-markets\">proposed bills <\/a>that would restore those payments to insurers, and he backed a plan to create a reinsurance program that could help reduce premiums. <\/p>\n<p>Pallone acknowledged Democrats&#8217; plans are much less ambitious than the &#8220;Medicare-for-all&#8221; proposals that many of his colleagues touted during their campaigns.<\/p>\n<p>&#8220;I just think it&#8217;s unlikely that we could ever pass it,&#8221; he said. &#8220;So I don&#8217;t want to prioritize that.&#8221;<\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n<p>Source:: <a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2019\/01\/09\/683055963\/democrats-health-care-ambitions-meet-the-reality-of-divided-government?utm_medium=RSS&amp;utm_campaign=healthcare\" class=\"colorbox\" title=\"Democrats&#039; Health Care Ambitions Meet The Reality Of Divided Government\" rel=\"nofollow\">https:\/\/www.npr.org\/sections\/health-shots\/2019\/01\/09\/683055963\/democrats-health-care-ambitions-meet-the-reality-of-divided-government?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2019\/01\/09\/683055963\/democrats-health-care-ambitions-meet-the-reality-of-divided-government?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2019\/01\/08\/ap_19003784038695-bf975e6a49ab92431ddf82a1c0927ab573604f02-s1100-c15.jpg\" alt><\/p>\n<div>\n            <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2019\/01\/08\/ap_19003784038695-bf975e6a49ab92431ddf82a1c0927ab573604f02-s1200.jpg\"><\/a><\/div>\n<div>\n<div>\n<div>\n            <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2019\/01\/08\/ap_19003784038695-bf975e6a49ab92431ddf82a1c0927ab573604f02-s1200.jpg\">Enlarge this image<\/a>\n        <\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                House Speaker Nancy Pelosi said in a speech Thursday to the new Congress that Democrats want &#8220;to lower health care costs and prescription drug prices and protect people with pre-existing medical conditions.&#8221;<\/p>\n<p>                <b><\/p>\n<p>                    Carolyn Kaster\/AP<\/p>\n<p>                <\/b><br \/>\n                <b><b>hide caption<\/b><\/b>\n            <\/p>\n<\/p><\/div>\n<p>            <b><b>toggle caption<\/b><\/b>\n    <\/div>\n<p>    <span><\/p>\n<p>        Carolyn Kaster\/AP<\/p>\n<p>    <\/span>\n<\/div>\n<\/p><\/div>\n<p>In her first speech as speaker of the House, Nancy Pelosi made it clear that she knows that health care is key to why voters sent Democrats to Congress.  <\/p>\n<p>&#8220;In the past two years the American people have spoken,&#8221; <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.speaker.gov\/\">Pelosi <\/a>told members of Congress and their families who were gathered Thursday in the House chamber for <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/2019\/01\/03\/681727613\/pelosi-poised-to-retake-gavel-as-house-speaker-with-new-session-of-congress\">the opening day<\/a> of the session. <\/p>\n<p>&#8220;Tens of thousands of public events were held, hundreds of thousands of people turned out, millions of calls were made, countless families, even sick little children \u2014 <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2017\/07\/19\/537208601\/her-own-medical-future-at-stake-a-child-stormed-capitol-hill\">our little lobbyists,<\/a> our little lobbyists \u2014 bravely came forward to tell their stories and they made a big difference,&#8221; said Pelosi, a California Democrat.<\/p>\n<p>What is the Democrats&#8217; mandate?<\/p>\n<p>&#8220;To lower health care costs and prescription drug prices and protect people with pre-existing medical conditions,&#8221; she said to applause. <\/p>\n<p>In their campaigns last year,<a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/2018\/10\/25\/660281890\/2018-is-the-year-democrats-got-comfortable-talking-health-care-again\"> Democrats promised<\/a> to protect the Affordable Care Act, and the access to coverage that it guarantees for many people.  Many Democrats went further, running on the promise of &#8220;Medicare-for-all.&#8221; <\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<p>But now that Democrats control the House, their ambitions are meeting up with reality. <\/p>\n<p>With the Senate in Republican hands and President Trump having promised to repeal the ACA, Democrats&#8217; ability to make sweeping health policy changes is limited.<\/p>\n<p>Instead, they&#8217;ll likely rely on hearings and turn to the courts to try to influence health policy and shore up the ACA. <\/p>\n<p>Pelosi started on Day 1. <\/p>\n<p>Just hours after her speech, House Democrats voted to <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/2019\/01\/04\/682349986\/house-democrats-hire-new-top-lawyer-to-defend-affordable-care-act\">intervene in a lawsuit<\/a> in an effort to protect the Affordable Care Act. The House will join several state attorneys general in appealing <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2018\/12\/14\/677002085\/texas-judge-rules-affordable-care-act-unconstitutional-but-supporters-vow-to-app\">the ruling of a federal district judge in Texas<\/a> that the law is unconstitutional. <\/p>\n<p>And <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/pallone.house.gov\/\">Rep. Frank Pallone<\/a>, D-N.J., head of the <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/energycommerce.house.gov\/\">Energy and Commerce Committee<\/a>, announced a hearing on the impact of the ruling. He said he intends to hold lots of hearings to review the Trump administration&#8217;s actions around the ACA \u2014 actions he calls &#8220;sabotage.&#8221; <\/p>\n<p>&#8220;At a time when the Trump administration is doing all the sabotage of the ACA, I think the focus really has to be on trying to prevent the sabotage and making sure the ACA is strengthened,&#8221; he said in an interview in his Capitol Hill office.  <\/p>\n<p>That &#8220;sabotage&#8221; includes Trump&#8217;s decision to<a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2017\/10\/13\/557541856\/halt-in-subsidies-for-health-insurers-expected-to-drive-up-costs-for-middle-clas\"> stop reimbursing insurance companies<\/a> for discounts they&#8217;re required by law to give to their lowest-income clients, Pallone said. <\/p>\n<p><!-- END ID=\"RES683591512\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>He also cited a Department of Health and Human Services rule change that allows insurance policies that <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2018\/10\/01\/652141154\/buyer-beware-new-cheaper-insurance-policies-may-have-big-coverage-gaps\">don&#8217;t carry the full benefits <\/a>required by the ACA to be renewed for up to three years. In the past, those plans were intended to serve as a bridge for someone between jobs and were limited to just a few months <\/p>\n<p>Pallone said these and other changes may violate the law. <\/p>\n<p>&#8220;I think if you do some good oversight and find out what the sabotage consists of, then you can say, &#8216;Well this isn&#8217;t allowed under the law,&#8217; &#8221; Pallone said. &#8220;And then you either take it to court or try to get legislation passed.&#8221; <\/p>\n<p>Oversight is a powerful tool, said <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.manatt.com\/Chiquita-Brooks-LaSure\">Chiquita Brooks-LaSure<\/a>, a former HHS official who is now a managing director at Manatt Health Strategies, a lobbying firm. <\/p>\n<p>&#8220;I don&#8217;t think we should underestimate how important that is, when decisions that are being made are questioned and officials have to defend them,&#8221; she said.  <\/p>\n<p>For the past two years, the focus in Washington has been on repealing or dismantling the Affordable Care Act. That&#8217;s about to change, she said. <\/p>\n<p>&#8220;That energy can now shift to examining what the administration is doing and putting forth other ideas and other proposals, some of which might generate bipartisan agreement,&#8221; she said.  <\/p>\n<p>Pallone is hopeful that Republicans may support some measure to shore up the ACA. In the last Congress, Sen. Lamar Alexander, R-Tenn., <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2017\/08\/01\/540656651\/trumps-tweets-threaten-to-destabilize-insurance-markets\">proposed bills <\/a>that would restore those payments to insurers, and he backed a plan to create a reinsurance program that could help reduce premiums. <\/p>\n<p>Pallone acknowledged Democrats&#8217; plans are much less ambitious than the &#8220;Medicare-for-all&#8221; proposals that many of his colleagues touted during their campaigns.<\/p>\n<p>&#8220;I just think it&#8217;s unlikely that we could ever pass it,&#8221; he said. &#8220;So I don&#8217;t want to prioritize that.&#8221;<\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-18576","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/18576","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/comments?post=18576"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/18576\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/media?parent=18576"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/categories?post=18576"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/tags?post=18576"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}