The poorest immigrants would face new obstacles as part of the Trump proposal



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With the help of Victoria Colliver and Sarah Owermohle.

Reproductive health groups are calling for a nationwide walkout over Brett Kavanaugh, a controversial Supreme Court candidate.

History continues below

But first and foremost: the changes proposed by the Trump administration in terms of "public office" were dropped this weekend – and patient advocates are furious.

IMMIGRANT POORS FACING NEW DIFFICULTIES UNDER A TRUMPETHY PROPOSAL – Immigrants can be denied green cards if they have received government benefits like Medicaid – or if the government expects they could do so in the future, under a rule released Saturday by DHS.

– Who is concerned: Mainly legal immigrants and their families, since undocumented immigrants are not eligible for most federal benefits.

As a result of draft leaks, the proposed rule of about 400 pages will not target immigrants who have received subsidized health insurance under the Affordable Care Act or the Children's Health Insurance Program. .

** A message from PhRMA: Experts agree that the BBA changes to Part D jeopardize the program. Congress should fix it. Now. BBA's amendments to Part D compromise its competitive structure by lowering insurers' payment liability for brand name drugs to 5% of costs in the donut hole. See what the experts say. **

– Why the White House is pushing the plan: This is the latest initiative supported by assistant Stephen Miller, who has sought to drastically reduce all immigration. Miller also thinks that this will improve the chances of congressional Republicans in the midterm elections, reports POLITICO. More.

ANSWER: BLUE STATES VOW LEGAL CHALLENGE – "It's an attack on our families and communities," California Attorney General Becerra said in a statement. "California does not intend to back down; we will do what we need to challenge this reckless proposal.

Becerra's office also drew attention to data that California – where more than 7 million legal immigrants live – is at risk of "losing the most" under the proposed rule.

– The defense groups are also furious: Dozens of groups of doctors, patient advocates and vendor representatives have condemned the administration's decision.

"By strongly discouraging seeking care, this rule would force people to give up medical check-ups and medications until they are sicker and more expensive to treat," said Bruce Siegel, America's Essential Hospitals. .

– The continuation of the administration: DHS will solicit public comment on the rule, a process that usually takes one year.

Among the unresolved issues, it is necessary to Deny benefits based on participation in the Children's Health Insurance Program (CHIP), which provides low-cost coverage to families who earn too much to qualify for Medicaid.

CURRENT DEMOCRATS ON PRE-EXISTING CONDITIONS – THEIR OWN Alice Miranda Ollstein writes that candidates become very personal on the campaign trail as they strive to preserve Obamacare, frankly sharing stories of their own health issues.

Who does the business: Three Democratic Senators seeking re-election in the states that President Donald Trump proclaimed in 2016 – Tammy Baldwin of Wisconsin, who was suffering from a childhood illness, and Claire McCaskill of Missouri and Heidi Heitkamp of North Dakota, both with breast cancer.

A large number of candidates in the House also use their pre-existing conditions in campaign announcements and speeches. In the suburbs of Detroit, Elissa Slotkin's brutal television commercials include footage of her mother as a patient dying of cancer who for years had been denied insurance.

– The national messaging campaign: Democrats and allies broadcast nearly 56,000 health-care TV commercials between January and July, Alice writes. The Wesleyan Media Project found that in September, health care ads dominated 44 percent of ads supporting Democrat House candidates and 50 percent of those supporting Democrats in Senate races.

Continue reading: More.

THIS IS MONDAY PULSE – Where your author plans to keep an eye on tonight's governor's debate in Maryland (at 7 pm), just to hear how GOP governor Larry Hogan responds to Democratic challenger Ben Jealous's position on health care single payer up

Watch also Send post-debate reviews and tips to [email protected].

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Reproductive health groups to help lead a national campaign. Planned Parenthood, NARAL, the Center for Reproductive Rights and other groups called for walkout and "moment of solidarity" with Christine Blasey Ford, who accused Brett Kavanaugh of sexual assault. The groups will first meet in the Hart Building 's atrium from noon before going to the Supreme Court.

"Care Force One" hits Maine. The nationwide bus tour, launched yesterday by the pro-Obamacare Protect Our Care group, will host a rally with Senator Angus King and Representative Chellie Pingree, among other stakeholders.

The Emergency Preparedness Bill is close to a roll-call vote. A final version of the 2018 Pandemic All-Risks Innovation and Advancement Act, H. 6378 (115), is due to be voted on Tuesday, the office of Representative Susan Brooks (project sponsor of law) told Sarah POLO. The bill would allow the Assistant Secretary for Preparedness and Response (ASPR) to stockpile drugs, respond to disasters or biological threats, and support new drugs to address pandemic threats such as the flu.

… The bill would also give HHS two weeks after its adoption to submit to the E & C House committee a formal reunification strategy for children and separated parents or guardians following the Trump administration's zero tolerance policy. . The agency would then be required to submit subsequent weekly reports on the status and well-being of separated children.

ASPR played a key role in working to reunite separated families at the border.

CMS will review Alabama 's work requests through Medicaid. The state is seeking stricter work rules than those already approved for other states, writes Dan Goldberg of POLITICO.

For example, Alabama would require valid adults to report 35 hours of work per week in order to maintain coverage; Kentucky and Arkansas require recipients that they document 80 hours a month of work or community involvement.

Alabama has not expanded Medicaid and its program already has some of the most stringent eligibility requirements in the country – a household of four with an income of $ 5,000 a year would do too much to to qualify. Until now, CMS has only approved working rules in states that have expanded Medicaid.

California: Governor approves anti-Trump health bills Governor Jerry Brown signed this weekend several health bills – including the banning of short-term health plans and the imposition of working conditions to his Medicaid beneficiaries – in order to preserve the gains of ACA coverage.

… Under Senate Bill 910, California will ban the sale of short-term plans starting next year, reports POLITICO's Victoria Colliver. The Trump administration pushed the policies and extended their term from three months to nearly a year.

"These policies are dangerous because they subject people to huge health care bills, barely cover all services and give people a false sense of security," said Sen. Ed Hernandez, author of the 39, prohibition of insurance. More for the pros.

… Hernandez is also the author of S.B. 1108, which prohibits work requirements, and S.B. 1375, which the governor also signed on Saturday. This bill further restricts the health plans of small group associations – another option preferred by the Trump administration – in California, making it nearly impossible to make AHPs obsolete.

… The governor also signed a law that stipulates that at least 80 percent of premiums must be spent on patient care in state legislation and asks the state to conduct a feasibility study on a public option.

California: The governor also issues vetoes. Brown rejected a bill that would have increased the state's ability to penalize Medi-Cal-managed plans for engaging in anti-competitive practices or failing to meet medical loss ratios by restricting them to the Medicaid program. 'State.

According to Brown, Assembly Bill 2427 was not necessary and the state already had the power to "deal with inappropriate and illegal plans".

… Brown also vetoed a bill that would have required health plans to cover at least one version of opioid-assisted treatment, relapses and overdoses approved by the FDA. Although he noted that the drugs "would be useful for treating opioid addiction," he sided with the opposition health plans at AB 2384 and said that he "n & # 39; was not willing to "eliminate the requirements that may not be in the best interest of patients".

Joanne Kaufman writes in the NYT that the pharmaceutical industry is looking for more and more real patients – not celebrity launchers – to sell products in commercials. More.

In Modern Healthcare, Susannah Luthi looks at the fight for health care run by Medicaid in Mississippi. More.

Martha Bebinger of WBUR is trying to understand why CMS rejected Massachusetts' attempt to control Medicaid's drug spending. More.

** A message from PhRMA: Changes made to Part D in February by the Bipartite Budget Act (BBA) threaten the competitive structure of the program. Although these changes ended the donut hole a year ago, they went much further by reducing insurers' liability to only 5% of the costs in donuts for brand name drugs. At the same time, the changes have allowed seniors to pay 5 times more than their insurers. Congress can now solve this problem by protecting seniors and stabilizing the program for the future by restoring the balance of payment responsibilities in the donut hole. See what the experts say. **

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