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Morning Consult
The healthcare industry is hopeful senators will be more receptive to outside groups than their House colleagues were, as the Senate takes the reins on overhauling the Affordable Care Act. Jeannine Bender, senior director of government affairs at Medicaid Health Plans of America, said the House measure raises "a lot of issues" to be addressed in the Senate. She said she'd talked with lawmakers and staff in both the House and Senate about Medicaid reforms leading up to the GOP's healthcare push. "Once the bill got rolling in the House, the process was pretty accelerated," she said in an interview. "We do expect that the Senate will take more time."
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The Hill
A rival group of Republican senators is seeking leverage to influence the direction of the Senate's Obamacare replacement bill. The biggest point of contention in the Senate's negotiations so far has been Medicaid. While senators are working under the assumption that there will be a cap on federal Medicaid payments, known as a per capita cap, "there's varying degrees of willingness [among senators] to figure out how to deal with it," said Jeannine Bender, senior director of government relations at Medicaid Health Plans of America.
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The Hill
A bipartisan group of senators met in the Capitol on Monday night to discuss whether there is a bipartisan way forward on healthcare reform. The meeting was organized by Sens. Susan Collins (R-Maine) and Bill Cassidy (R-Louisiana), who have put forward a more centrist healthcare plan that would allow states to keep much of Obamacare in place if they choose.
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Modern Healthcare
Senate Majority Leader Mitch McConnell faces a seemingly herculean task in getting at least 50 Republican senators with sharply diverse views to reach consensus on a bill to repeal and replace the Affordable Care Act. After that, he and his lieutenants will have to forge an agreement on the legislation with the generally more conservative House Republicans, who passed their widely panned replacement bill earlier this month.
Senate Republicans intend to move the bill through the budget reconciliation process with no Democratic support. No committee hearings are planned. With 52 GOP senators, McConnell can't afford more than two defectors. Vice President Mike Pence could be called on to break a tie vote.
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USA Today
Parents across the country who have special needs children or low incomes are bracing for similar threats to their families' healthcare. The nearly $1 trillion in federal cuts to the Medicaid program approved by House Republicans threaten the record success getting these children covered by insurance and on a path to healthier lives, health experts warn. Their angst is magnified by the Sept. 30 deadline for CHIP reauthorization, which some worry will be used as a bargaining tool to get the House-passed American Health Care Act (AHCA) through the Senate.
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The Hill
House Budget Committee Chairwoman Rep. Diane Black (R-Tennessee) says she hopes to get changes in Medicaid payments into next year's budget. Black said Medicaid has a "faulty foundation," claiming that states receive more federal dollars "to cover able-bodied adults above the poverty line who are on Medicaid than they do to support children and the disabled who are well below the poverty line. That's wrong."
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The Washington Post
Virginia Gov. Terry McAuliffe and the Republican legislature have escalated a long-running fight over whether a handful of his vetoes are valid — a battle that could determine whether the Democrat is able to pull off his marquee campaign pledge to expand Medicaid before leaving office in January. McAuliffe on Friday issued an executive order directing state agencies to recognize the state budget as he sees it — including five vetoes he made to various parts of the two-year spending plan. One of those vetoes, issued a year ago, rejects language that the General Assembly had inserted to prevent him from expanding Medicaid under the Affordable Care Act without its permission.
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The Henry J. Kaiser Family Foundation
While Congress continues to consider repeal and replacement of the Affordable Care Act (ACA) as well as fundamental changes to the structure and funding of the Medicaid program, states and the administration may achieve major changes to Medicaid through the use of Section 1115 Medicaid waivers.
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Kaiser Health News
An overhead light drawing attention to his face, actor Danny Glover starts to cry, dropping his head into one hand — then, he abruptly switches over to deep belly laughs, before resuming a straight face. The 60-second TV advertisement, which ran widely late last year, concerns a neurological condition known by the acronym PBA, characterized by inappropriate, uncontrolled outbursts of laughing or crying.
PBA is real, mostly affecting people with neurological conditions such as multiple sclerosis, a recent stroke or Lou Gehrig’s disease. But the ad campaign has helped fuel the controversy over how direct-to-consumer (DTC) advertising — typified by ads that call on you to "ask your doctor" about a possible treatment — takes niche medicine and promotes its use for a broad range of patients and fosters the use of pricey prescription products when cheaper ones might suffice.
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The Hill
The Trump administration is working on actions it can take without Congress to fight high drug prices, according to people who have attended listening sessions that officials are holding on the issue. It is unclear what exactly the administration will do or how consequential the measures will actually be. But the prospect of changes has the pharmaceutical industry, a powerful lobbying force in Washington, facing some unpredictability.
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