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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Chanting \"Medicare for all is our fight, health care is a human right,\" nurses and health care activists rallied in Sacramento Wednesday to support a new bill that would create universal health coverage for Californians.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/309210872&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/309210872'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>State Senators Ricardo Lara (D-Bell Gardens) and Toni G. Atkins (D-San Diego) introduced \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB562\" target=\"_blank\">Senate Bill 562 \u003c/a>last week. The bill would cover all residents of the state, even those who are undocumented. The bill does not include a timeline or specifics, but it does mention the intent to \"enact legislation that would establish a comprehensive universal single-payer health care coverage program.\" This would mean that the state government, not insurance companies, would pay for care. Such systems are also known as \"single payer,\" with Medicare being the best-known example.\u003c/p>\n\u003cp>Lara spoke at the rally, greeting the crowd of roughly 400, many of them nurses mobilized by their union, the \u003ca href=\"http://www.nationalnursesunited.org/site/entry/california-nurses-association\" target=\"_blank\">California Nurses Association\u003c/a>. \"We’re going to finally put doctors, nurses, and clinicians actually in charge of the care, and not insurance companies,\" he said.\u003c/p>\n\u003cp>California legislators have twice submitted bills for universal health care that went all the way to the desk of then-governor Arnold Schwarzennegger. He vetoed both.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The head of the California Nurses Association, RoseAnn DeMoro, thinks this time things will be different. She acknowledged the Affordable Care Act has expanded coverage, but said the plans it offers are still too expensive for some, and asking low-income people to step up and politically defend the ACA doesn't make sense.\u003c/p>\n\u003cp>\"The average person who we’re asking to take a stand for the ACA, we’re basically asking them to do something they can’t afford,\" she said.\u003c/p>\n\u003cp>She and other nurses, who showed up wearing the red colors of the nurse's union, want something broader than the ACA, which offers few options for undocumented people. They want a system that covers all their patients, no exceptions. They also argue that single-payer health care systems are more cost-efficient, because they eliminate burdensome paperwork and administrative overhead.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Critics of universal coverage say it would give government too much control over medicine, and require a drastic increase in taxes to fund it.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "CEO of California-Based Health Insurer Says Obamacare Just Needs a Tune-Up",
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"content": "\u003cp>Some large health insurance companies have suffered losses under the Affordable Care Act, leading to a couple high-profile exits from the health exchanges – Humana was the latest. But one smaller, Long Beach-based insurer has done OK: Molina Healthcare.\u003c/p>\n\u003cp>“We understood the demographics of the people that we’re serving a little better, ” said J. Mario Molina, CEO of Molina Healthcare, \"because we’ve been doing it for so long,\"\u003c/p>\n\u003cp>Molina’s father, David, founded Molina Healthcare in 1980, after a career as a doctor. Sometimes his patients couldn’t pay, so they would barter, or they gave him items from their homes instead: a glass decanter, a pipe organ, even the family dog.\u003c/p>\n\u003cp>“My father was old-fashioned,” recalled the younger Molina. “He believed doctors had an obligation to take care of patients, and that the primary issue was not how they were going to get paid.”\u003c/p>\n\u003cfigure id=\"attachment_294594\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-294594\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/02/015-800x623.jpg\" alt=\"C. David Molina reviewing medical records\" width=\"800\" height=\"623\">\u003cfigcaption class=\"wp-caption-text\">C. David Molina reviewing medical records \u003ccite>(Courtesy of Molina Healthcare)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The elder Molina opened a network of medical clinics serving low-income patients, and then later, started a health insurance company focused on customers with Medicaid, government coverage for the poor.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That is what positioned the company to move into the Obamacare marketplaces so smoothly, Mario Molina explained, because most people who signed up for Obamacare plans are low-income.\u003c/p>\n\u003cp>“It’s a different population most insurance companies haven’t been interested in,” he said.\u003c/p>\n\u003cp>For example, transportation is an issue for their customers, Molina said. They often take the bus to medical appointments, so they’d much rather see a doctor close to home, not someone at a fancy academic hospital 30 miles away.\u003c/p>\n\u003cp>“We don’t contract with every hospital and every doctor,” he said. “It’s not everyone, but it’s enough so that you can find a doctor and the hospital and the services you need.”\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/308218361\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Having fewer doctors in their network means lower costs for Molina. And that means the company was able to earn some modest profits -- roughly 1 percent in the first couple years of Obamacare.\u003c/p>\n\u003cp>But some big name commercial insurers are used to creating health plans for employers, who often want more doctors and more benefits to attract better employees. Plans like that cost more.\u003c/p>\n\u003cp>“They’re looking at things sort of from the top down, and we’re looking at things from the bottom up,” Molina said.\u003c/p>\n\u003cp>He’s used to running a low-cost, low-margin business. Those big guys aren’t. Industry analysts say that’s why some of them lost money with Obamacare.\u003c/p>\n\u003cp>“It’s easier to work up from a low-cost position than it is to work down from a higher-cost position,” said Josh Weisbrod, a health care consultant with Bain and Company. “For an insurer that is used to selling employer plans with rich benefit designs and broad networks, it is difficult for them to transition that to a narrow network of lower cost providers.”\u003c/p>\n\u003cp>But Molina says there’s been a serious downside to his company’s success: a provision of the Affordable Care Act known as “risk transfer.” The program was designed to help insurance companies cover losses, if they ended up with a lot of really sick, expensive patients. The way it works: companies with fewer sick patients pay some of their revenues to the companies that have more.\u003c/p>\n\u003cp>It was a fine idea, Molina said, but the formula lawmakers came up with to calculate risk was all wrong.\u003c/p>\n\u003cfigure id=\"attachment_294593\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-294593\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/02/MARIO-MOLINA_FINAL1-800x532.jpg\" alt=\"Mario Molina, CEO of Molina Healthcare\" width=\"800\" height=\"532\">\u003cfigcaption class=\"wp-caption-text\">Mario Molina, CEO of Molina Healthcare \u003ccite>(Courtesy of Molina Healthcare)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Let’s put it this way: currently Molina Healthcare is returning 25 percent of our premiums to the government, which are then distributed to our competitors,” he said. “So we are really subsidizing our competitors and helping them, rather than forcing them to compete.”\u003c/p>\n\u003cp>And that hit Molina’s bottom line in 2016, resulting in much lower profits than originally projected. Molina said the risk formula factors in the average cost of premiums in the state, which seems to punish efficiency rather than help those who had some bad luck.\u003c/p>\n\u003cp>“I think it was done by well-meaning people who had a theoretical knowledge, but not a practical knowledge of insurance,” he said.\u003c/p>\n\u003cp>Still, Molina remains a fan of the Affordable Care Act overall. His company operates in 12 states and Puerto Rico, and he hopes Congress will consult with him and other insurers as it debates the future of the health law.\u003c/p>\n\u003cp>“It doesn’t need to be scrapped and replaced,” he said. “It needs a tune-up.”\u003c/p>\n\u003cp>He added that if lawmakers need guidance on how to fix Obamacare, they should look at one state that really got it right: California.\u003c/p>\n\u003cp>California insurance regulators \"forced everyone to really compete. and that made everyone kind of sharpen their pencils and do a better job,” he said. “It’s kept everyone on their toes, and, as a result, I think there’s been more stability in the marketplace.”\u003c/p>\n\u003cp>There’s also more predictability. California may have more business regulations than other states, but Molina believes that’s created a level playing field.\u003c/p>\n\u003cp>“The state doesn’t make arbitrary decisions. We can plan from year to year. We understand the rules,” he said. “Imagine if you’re trying to play a game and the rules change in every quarter.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Molina is hoping the newly-elected rule makers at the federal level take this to heart.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Some large health insurance companies have suffered losses under the Affordable Care Act, leading to a couple high-profile exits from the health exchanges – Humana was the latest. But one smaller, Long Beach-based insurer has done OK: Molina Healthcare.\u003c/p>\n\u003cp>“We understood the demographics of the people that we’re serving a little better, ” said J. Mario Molina, CEO of Molina Healthcare, \"because we’ve been doing it for so long,\"\u003c/p>\n\u003cp>Molina’s father, David, founded Molina Healthcare in 1980, after a career as a doctor. Sometimes his patients couldn’t pay, so they would barter, or they gave him items from their homes instead: a glass decanter, a pipe organ, even the family dog.\u003c/p>\n\u003cp>“My father was old-fashioned,” recalled the younger Molina. “He believed doctors had an obligation to take care of patients, and that the primary issue was not how they were going to get paid.”\u003c/p>\n\u003cfigure id=\"attachment_294594\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-294594\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/02/015-800x623.jpg\" alt=\"C. David Molina reviewing medical records\" width=\"800\" height=\"623\">\u003cfigcaption class=\"wp-caption-text\">C. David Molina reviewing medical records \u003ccite>(Courtesy of Molina Healthcare)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The elder Molina opened a network of medical clinics serving low-income patients, and then later, started a health insurance company focused on customers with Medicaid, government coverage for the poor.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That is what positioned the company to move into the Obamacare marketplaces so smoothly, Mario Molina explained, because most people who signed up for Obamacare plans are low-income.\u003c/p>\n\u003cp>“It’s a different population most insurance companies haven’t been interested in,” he said.\u003c/p>\n\u003cp>For example, transportation is an issue for their customers, Molina said. They often take the bus to medical appointments, so they’d much rather see a doctor close to home, not someone at a fancy academic hospital 30 miles away.\u003c/p>\n\u003cp>“We don’t contract with every hospital and every doctor,” he said. “It’s not everyone, but it’s enough so that you can find a doctor and the hospital and the services you need.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/308218361&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/308218361'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Having fewer doctors in their network means lower costs for Molina. And that means the company was able to earn some modest profits -- roughly 1 percent in the first couple years of Obamacare.\u003c/p>\n\u003cp>But some big name commercial insurers are used to creating health plans for employers, who often want more doctors and more benefits to attract better employees. Plans like that cost more.\u003c/p>\n\u003cp>“They’re looking at things sort of from the top down, and we’re looking at things from the bottom up,” Molina said.\u003c/p>\n\u003cp>He’s used to running a low-cost, low-margin business. Those big guys aren’t. Industry analysts say that’s why some of them lost money with Obamacare.\u003c/p>\n\u003cp>“It’s easier to work up from a low-cost position than it is to work down from a higher-cost position,” said Josh Weisbrod, a health care consultant with Bain and Company. “For an insurer that is used to selling employer plans with rich benefit designs and broad networks, it is difficult for them to transition that to a narrow network of lower cost providers.”\u003c/p>\n\u003cp>But Molina says there’s been a serious downside to his company’s success: a provision of the Affordable Care Act known as “risk transfer.” The program was designed to help insurance companies cover losses, if they ended up with a lot of really sick, expensive patients. The way it works: companies with fewer sick patients pay some of their revenues to the companies that have more.\u003c/p>\n\u003cp>It was a fine idea, Molina said, but the formula lawmakers came up with to calculate risk was all wrong.\u003c/p>\n\u003cfigure id=\"attachment_294593\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-294593\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/02/MARIO-MOLINA_FINAL1-800x532.jpg\" alt=\"Mario Molina, CEO of Molina Healthcare\" width=\"800\" height=\"532\">\u003cfigcaption class=\"wp-caption-text\">Mario Molina, CEO of Molina Healthcare \u003ccite>(Courtesy of Molina Healthcare)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Let’s put it this way: currently Molina Healthcare is returning 25 percent of our premiums to the government, which are then distributed to our competitors,” he said. “So we are really subsidizing our competitors and helping them, rather than forcing them to compete.”\u003c/p>\n\u003cp>And that hit Molina’s bottom line in 2016, resulting in much lower profits than originally projected. Molina said the risk formula factors in the average cost of premiums in the state, which seems to punish efficiency rather than help those who had some bad luck.\u003c/p>\n\u003cp>“I think it was done by well-meaning people who had a theoretical knowledge, but not a practical knowledge of insurance,” he said.\u003c/p>\n\u003cp>Still, Molina remains a fan of the Affordable Care Act overall. His company operates in 12 states and Puerto Rico, and he hopes Congress will consult with him and other insurers as it debates the future of the health law.\u003c/p>\n\u003cp>“It doesn’t need to be scrapped and replaced,” he said. “It needs a tune-up.”\u003c/p>\n\u003cp>He added that if lawmakers need guidance on how to fix Obamacare, they should look at one state that really got it right: California.\u003c/p>\n\u003cp>California insurance regulators \"forced everyone to really compete. and that made everyone kind of sharpen their pencils and do a better job,” he said. “It’s kept everyone on their toes, and, as a result, I think there’s been more stability in the marketplace.”\u003c/p>\n\u003cp>There’s also more predictability. California may have more business regulations than other states, but Molina believes that’s created a level playing field.\u003c/p>\n\u003cp>“The state doesn’t make arbitrary decisions. We can plan from year to year. We understand the rules,” he said. “Imagine if you’re trying to play a game and the rules change in every quarter.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Molina is hoping the newly-elected rule makers at the federal level take this to heart.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Tom Price Confirmed as Secretary of Health and Human Services",
"title": "Tom Price Confirmed as Secretary of Health and Human Services",
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"content": "\u003cp>The Senate confirmed Rep. \u003ca href=\"http://www.npr.org/sections/health-shots/2016/11/28/502566553/trump-chooses-rep-tom-price-an-obamacare-foe-to-run-hhs\">Tom Price\u003c/a> (R-Georgia) early Friday as the new secretary of Health and Human Services.\u003c/p>\n\u003cp>He was approved by a party-line vote of 52-47. Democrats were concerned that the conservative congressman wants to pare down government health programs. They were also troubled by lingering ethics questions over Price's investments.\u003c/p>\n\u003cp>In his new role, Price, a retired orthopedic surgeon from suburban Atlanta who served as chairman of the House Budget Committee, is expected to \u003ca href=\"http://www.npr.org/sections/health-shots/2017/01/03/508074966/republicans-take-the-first-step-to-repeal-obamacare\" target=\"_blank\">implement the repeal\u003c/a> and replacement of the Affordable Care Act, which his colleagues in Congress have been working on this year.\u003c/p>\n\u003cp>Price will oversee a $1 trillion agency, the largest budget of any Cabinet secretary. In addition to Obamacare, HHS administers the Medicare and Medicaid programs and oversees the \u003ca href=\"http://www.npr.org/sections/health-shots/2017/02/01/512687027/hhs-nominee-tom-price-targeted-panel-that-urged-fewer-cancer-screenings\" target=\"_blank\">National Institutes of Health\u003c/a>, among other programs and agencies.\u003c/p>\n\u003cp>With Price's confirmation, HHS now has as its leader a budget hawk who \u003ca href=\"http://tomprice.house.gov/sites/tomprice.house.gov/files/HR%202300%20Empowering%20Patients%20First%20Act%202015.pdf\" target=\"_blank\">has proposed\u003c/a> replacing the Affordable Care Act subsidies that are tied to income, with tax credits to purchase insurance. Tax credits are not determined by an individual's income level.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Price also supports \u003ca href=\"http://www.npr.org/sections/health-shots/2016/11/26/503158039/paul-ryans-plan-to-change-medicare-looks-a-lot-like-obamacare\" target=\"_blank\">the proposal\u003c/a> by House Speaker Paul Ryan to turn Medicare into what some call a \"voucher\" program. Under the plan, beneficiaries would receive \"premium support\" from the government to buy a Medicare health plan through an exchange. The private plans would compete against the traditional government-run program.\u003c/p>\n\u003cp>During his \u003ca href=\"http://www.npr.org/2017/01/18/510472472/senate-health-committee-questions-rep-tom-price-in-hhs-confirmation-hearing\" target=\"_blank\">confirmation hearing\u003c/a>, Price said his goal was that everyone have access to health insurance.\u003c/p>\n\u003cp>\"What I commit to the American people is to keep patients at the center of health care. And what that means to me is making certain every single American has access to affordable health coverage,\" he said.\u003c/p>\n\u003cp>Democrats spent hours on Thursday reading stories from their constituents about how the Affordable Care Act helped them, and tried to make the case that Price is a threat to Medicare, Medicaid and health care for people who have ongoing medical conditions.\u003c/p>\n\u003cp>\"Congressman Price's budget in the House cuts nearly $500 million from Medicare and turns it into a voucher program,\" said \u003ca href=\"https://www.billnelson.senate.gov/\" target=\"_blank\">Sen. Bill Nelson\u003c/a> (D-Florida) during the 30-hour debate.\u003c/p>\n\u003cp>The Obamacare replacement \u003ca href=\"http://tomprice.house.gov/sites/tomprice.house.gov/files/HR%202300%20Empowering%20Patients%20First%20Act%202015.pdf\" target=\"_blank\">Price proposed\u003c/a> included offering tax credits starting at $1,200 a year to allow people to buy health insurance, boosting the use of tax-advantaged health savings accounts and limiting the tax deduction companies take for providing health insurance to workers.\u003c/p>\n\u003cp>Those ideas are the core of what Republicans say they want to do to replace the ACA, but the details of how big the tax credits would be and exactly how the HSAs would be structured are unknown.\u003c/p>\n\u003cp>During his confirmation, Price was dogged by \u003ca href=\"http://www.npr.org/2017/01/18/510459094/tom-price-hhs-nominee-faces-tough-questions-on-stocks-deals-and-obamacare\" target=\"_blank\">questions\u003c/a> about investments he made in health care-related companies.\u003c/p>\n\u003cp>Price says he followed all congressional ethics rules, but his \u003ca href=\"http://www.npr.org/sections/health-shots/2017/01/19/510593180/a-roundup-of-the-controversies-over-rep-tom-prices-investments\" target=\"_blank\">well-timed trades\u003c/a> made it appear that he could have used his position to influence the price of stocks he owned, or that he received special treatment from companies in which he invested.\u003c/p>\n\u003cp>Republicans in the Senate were satisfied with his explanations, however, and the former congressman will be headed to his new office today.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Senate confirmed Rep. \u003ca href=\"http://www.npr.org/sections/health-shots/2016/11/28/502566553/trump-chooses-rep-tom-price-an-obamacare-foe-to-run-hhs\">Tom Price\u003c/a> (R-Georgia) early Friday as the new secretary of Health and Human Services.\u003c/p>\n\u003cp>He was approved by a party-line vote of 52-47. Democrats were concerned that the conservative congressman wants to pare down government health programs. They were also troubled by lingering ethics questions over Price's investments.\u003c/p>\n\u003cp>In his new role, Price, a retired orthopedic surgeon from suburban Atlanta who served as chairman of the House Budget Committee, is expected to \u003ca href=\"http://www.npr.org/sections/health-shots/2017/01/03/508074966/republicans-take-the-first-step-to-repeal-obamacare\" target=\"_blank\">implement the repeal\u003c/a> and replacement of the Affordable Care Act, which his colleagues in Congress have been working on this year.\u003c/p>\n\u003cp>Price will oversee a $1 trillion agency, the largest budget of any Cabinet secretary. In addition to Obamacare, HHS administers the Medicare and Medicaid programs and oversees the \u003ca href=\"http://www.npr.org/sections/health-shots/2017/02/01/512687027/hhs-nominee-tom-price-targeted-panel-that-urged-fewer-cancer-screenings\" target=\"_blank\">National Institutes of Health\u003c/a>, among other programs and agencies.\u003c/p>\n\u003cp>With Price's confirmation, HHS now has as its leader a budget hawk who \u003ca href=\"http://tomprice.house.gov/sites/tomprice.house.gov/files/HR%202300%20Empowering%20Patients%20First%20Act%202015.pdf\" target=\"_blank\">has proposed\u003c/a> replacing the Affordable Care Act subsidies that are tied to income, with tax credits to purchase insurance. Tax credits are not determined by an individual's income level.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Price also supports \u003ca href=\"http://www.npr.org/sections/health-shots/2016/11/26/503158039/paul-ryans-plan-to-change-medicare-looks-a-lot-like-obamacare\" target=\"_blank\">the proposal\u003c/a> by House Speaker Paul Ryan to turn Medicare into what some call a \"voucher\" program. Under the plan, beneficiaries would receive \"premium support\" from the government to buy a Medicare health plan through an exchange. The private plans would compete against the traditional government-run program.\u003c/p>\n\u003cp>During his \u003ca href=\"http://www.npr.org/2017/01/18/510472472/senate-health-committee-questions-rep-tom-price-in-hhs-confirmation-hearing\" target=\"_blank\">confirmation hearing\u003c/a>, Price said his goal was that everyone have access to health insurance.\u003c/p>\n\u003cp>\"What I commit to the American people is to keep patients at the center of health care. And what that means to me is making certain every single American has access to affordable health coverage,\" he said.\u003c/p>\n\u003cp>Democrats spent hours on Thursday reading stories from their constituents about how the Affordable Care Act helped them, and tried to make the case that Price is a threat to Medicare, Medicaid and health care for people who have ongoing medical conditions.\u003c/p>\n\u003cp>\"Congressman Price's budget in the House cuts nearly $500 million from Medicare and turns it into a voucher program,\" said \u003ca href=\"https://www.billnelson.senate.gov/\" target=\"_blank\">Sen. Bill Nelson\u003c/a> (D-Florida) during the 30-hour debate.\u003c/p>\n\u003cp>The Obamacare replacement \u003ca href=\"http://tomprice.house.gov/sites/tomprice.house.gov/files/HR%202300%20Empowering%20Patients%20First%20Act%202015.pdf\" target=\"_blank\">Price proposed\u003c/a> included offering tax credits starting at $1,200 a year to allow people to buy health insurance, boosting the use of tax-advantaged health savings accounts and limiting the tax deduction companies take for providing health insurance to workers.\u003c/p>\n\u003cp>Those ideas are the core of what Republicans say they want to do to replace the ACA, but the details of how big the tax credits would be and exactly how the HSAs would be structured are unknown.\u003c/p>\n\u003cp>During his confirmation, Price was dogged by \u003ca href=\"http://www.npr.org/2017/01/18/510459094/tom-price-hhs-nominee-faces-tough-questions-on-stocks-deals-and-obamacare\" target=\"_blank\">questions\u003c/a> about investments he made in health care-related companies.\u003c/p>\n\u003cp>Price says he followed all congressional ethics rules, but his \u003ca href=\"http://www.npr.org/sections/health-shots/2017/01/19/510593180/a-roundup-of-the-controversies-over-rep-tom-prices-investments\" target=\"_blank\">well-timed trades\u003c/a> made it appear that he could have used his position to influence the price of stocks he owned, or that he received special treatment from companies in which he invested.\u003c/p>\n\u003cp>Republicans in the Senate were satisfied with his explanations, however, and the former congressman will be headed to his new office today.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Threat of Losing Obamacare Brings out Some Formerly Apolitical Californians",
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"content": "\u003cp>ROSEVILLE, Calif. — Until recently, Paul Smith didn’t consider himself much of an activist. But he woke up hours before sunrise on Saturday to attend his first town hall meeting.\u003c/p>\n\u003cp>That meeting near Sacramento, organized by his district’s Congressman Tom McClintock (R-Roseville), sparked a peaceful — if large and raucous — protest over Obamacare, the travel ban and other issues. And it drew national headlines.\u003c/p>\n\u003cp>“I have noticed many of my friends who never speak [about] politics are getting political,” said Smith, a 46-year-old Rocklin, Calif., resident and registered Democrat who works in marketing. He said he did not vote for McClintock.\u003c/p>\n\u003cp>Once on the political sidelines, Smith now finds himself one of the leading members of a group called Indivisible California-04 — named for McClintock’s 4th Congressional district. It is one of hundreds of groups forming across the country to “resist” the Trump Administration’s agenda, which includes repealing and replacing the Affordable Care Act.\u003c/p>\n\u003cp>Alongside veteran protesters, recently galvanized Californians like Smith are demonstrating, calling lawmakers and taking other measures to make their voices heard. For many, the issues are not partisan. They are personal.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Placer County resident Veronica Blake said her mother went without health insurance for nearly 10 years before she died in 2012 from heart disease. She had been diagnosed with breast cancer in her early 30s, and although she beat it after a mastectomy, the preexisting condition made her a high-risk patient whom insurers didn’t want to take on, Blake said.\u003cbr>\nBlake wonders how much longer her mother would have lived if she’d had health insurance all those years. Could her heart problems have been detected and treated earlier?\u003c/p>\n\u003cdiv id=\"attachment_224629\" style=\"width: 780px\" class=\"wp-caption aligncenter\">\u003cimg class=\"wp-image-224629 size-full\" src=\"https://californiahealthline.files.wordpress.com/2017/02/mcclintock-aca-9_770.jpg?w=770&h=513\" alt=\"Veronica Blake (left), 48, of Placer County, said she was interested in learning what Rep. McClintock had to say about the ACA replacement plan, but wasn’t able to get into event. Her mother passed away in 2013. When her mother divorced, she lost her husband’s employer coverage. It was difficult for an insurance to her take her because she had been diagnosed with breast cancer in her 30s, and although it had been cleared through a mastectomy, it was considered a preexisting condition. If her mother would have had insurance and better preventive care, her heart conditions could have been detected earlier and she might have lived longer, Blake said. (Ana B. Ibarra/California Healthline)\" width=\"770\" height=\"513\">\n\u003cp class=\"wp-caption-text\">Veronica Blake, left, 48, of Placer County, said she was interested in learning what Rep. McClintock had to say about the ACA replacement plan, but wasn’t able to get into event. (Ana B. Ibarra/California Healthline)\u003c/p>\n\u003c/div>\n\u003cp>Blake joined hundreds of others at Saturday’s rally, she said, because she has other family members with illnesses that would be considered preexisting conditions and fears that their coverage could be taken away.\u003c/p>\n\u003cp>Laurel Ward, who is a nurse in Placer County, said she made her way to McClintock’s town hall event because of what she sees daily in her crowded emergency room.\u003c/p>\n\u003cp>She also has a younger sister who was able to obtain coverage as a result of the Medi-Cal expansion made possible by the Affordable Care Act. “It’s difficult for young people to afford health insurance,” Ward said. “I know, because I went without insurance when I was a student.”\u003c/p>\n\u003cp>“Without the ACA,” she said. “It’s only going to get worse.”\u003c/p>\n\u003cp>\u003cstrong>‘People Are Angry’\u003c/strong>\u003c/p>\n\u003cp>For Indivisible California-04, the goal is to look ahead to the 2018 election. “We want to change politics in our district,” Smith said.\u003c/p>\n\u003cp>A \u003ca href=\"https://www.indivisibleguide.com/\">website for the Indivisible\u003c/a> movement offers groups a guide said to have been created by former congressional staffers and inspired by the rise of the Tea Party. It allows people to search and sign up for a local activist group, and as of Tuesday, there were 33 groups registered within 25 miles of Sacramento.\u003c/p>\n\u003cp>Jamie Beutler, chair of the rural caucus for the California Democratic Party and a founding member of another group, Indivisible Sierra Nevada, said she thinks these organizations are gaining popularity because people are desperate.\u003c/p>\n\u003cp>“People are angry, they are frustrated and want to do something. This gives them a place to go,” said the Placerville, Calif., resident.\u003c/p>\n\u003cp>Beutler, who is on Medicare and Social Security, worries that cuts to her benefits means she’ll have to sell her home.\u003c/p>\n\u003cp>“I hope this event was a wakeup call [for McClintock],” Beutler said. “His constituents are not happy.”\u003c/p>\n\u003cdiv id=\"attachment_224623\" style=\"width: 780px\" class=\"wp-caption aligncenter\">\u003cimg class=\"wp-image-224623 size-full\" src=\"https://californiahealthline.files.wordpress.com/2017/02/mcclintock-aca-3_770.jpg?w=770&h=513\" width=\"770\" height=\"513\">\n\u003cp class=\"wp-caption-text\">A protest organized near Sacramento sparked a peaceful — if large and raucous — protest over Obamacare. (Ana B. Ibarra/California Healthline)\u003c/p>\n\u003c/div>\n\u003cp>Although McClintock later characterized the gathering as having \u003ca href=\"http://www.latimes.com/politics/essential/la-pol-ca-essential-politics-updates-hundreds-of-people-show-up-for-town-1486246073-htmlstory.html\">“an anarchist element,”\u003c/a> other attendees and a reporter outside the packed auditorium saw an intense but peaceful demonstration, with many senior citizens among the crowd. McClintock was escorted from the town hall meeting by police, but no arrests or citations were made, according to Roseville police.\u003c/p>\n\u003cp>McClintock’s staff did not return a request for comment from California Healthline. But in an i\u003ca href=\"http://www.kcra.com/article/interview-rep-tom-mcclintock-r-roseville-talks-to-kcra-3/8677813\" target=\"_blank\">nterview with with Sacramento television station KCRA\u003c/a> 3 after the meeting, McClintock was critical of some demonstrators.\u003c/p>\n\u003cp>“It made a big impression on me that there is an intolerance in the political left that is running very deep, and the fact that police had to intervene is a serious indication of the growing violence streak within the left,” he said. “This is very disturbing, but I will also say that most of the people there were decent concerned citizens.”\u003c/p>\n\u003cp>Regarding the GOP’s plan to replace the ACA, McClintock told KCRA 3 he expects to see a plan “reported out within the next few weeks.”\u003c/p>\n\u003cp>“We’ll follow the plan that has been proposed by [Republican Congressman and Health and Human Services Secretary nominee] Tom Price over many years … which is restore to individuals the financial means and the wide range of choices to put their families back in charge of their own health care,” McClintock said.\u003c/p>\n\u003cp>Demonstrators also have been active in other largely Republican districts, in California and around the country. About 300 miles south of Roseville, hundreds gathered \u003ca href=\"http://www.fresnobee.com/news/local/article129305619.html\">on Jan. 27\u003c/a> in front of House Majority Leader Kevin McCarthy’s Bakersfield office to advocate for preserving the Affordable Care Act. McCarthy supports replacing it, but advocates point out that the area he represents is highly dependent on Medicaid and Medicare.\u003c/p>\n\u003cdiv id=\"attachment_224626\" style=\"width: 780px\" class=\"wp-caption aligncenter\">\u003cimg class=\"size-full wp-image-224626\" src=\"https://californiahealthline.files.wordpress.com/2017/02/mcclintock-aca-6_770.jpg?w=770&h=513\" alt=\"Helen Cheng, is an internist in El Dorado County. Some of her patients are worried about what might happen to their Covered California plans. “I’m here because of my patients. Getting insurance is a nightmare for some of these people.” (Ana B. Ibarra/California Healthline)\" width=\"770\" height=\"513\">\n\u003cp class=\"wp-caption-text\">Helen Cheng is an internist in El Dorado County. Some of her patients are worried about what might happen to their Covered California plans. “I’m here because of my patients. Getting insurance is a nightmare for some of these people.” (Ana B. Ibarra/California Healthline)\u003c/p>\n\u003c/div>\n\u003cp>\u003ca href=\"http://californiahealthline.org/news/with-a-high-deductible-even-a-doctor-can-short-change-his-health/\" target=\"_blank\">McCarthy represents most of Kern and Tulare counties\u003c/a>, where approximately 150,000 people are enrolled in expanded Medicaid as a result of the ACA, and about another 29,000 have enrolled in a Covered California plan.\u003c/p>\n\u003cp>In an \u003ca href=\"http://www.sacbee.com/opinion/op-ed/article127529659.html#storylink=cpy\" target=\"_blank\">op-ed published in the Sacramento Bee\u003c/a> last month, McCarthy wrote that the Medicaid program is in need of reform.\u003c/p>\n\u003cp>“It is true that millions of Californians receive health insurance coverage through Obamacare and in particular through the Medicaid expansion. But the number of insured matters little when the quality of the insurance is so dismal.”\u003c/p>\n\u003cp>Dennis Revell, chair of the Placer County Republican Party, said that the demonstration outside McClintock’s town hall meeting was one of the most organized he’s seen. But he said it was not a true organic, local movement. People were invited by organizers from across county and state lines, he said, although he offered no evidence of that.\u003c/p>\n\u003cp>The Democratic Party is not as active or organized in Placer County as it is in other counties, which is why Saturday’s event stood out, Revell said.\u003c/p>\n\u003cp>“I think it would be fair to say that the speed at which the Trump administration is moving to deliver on its promises has galvanized the progressive and left to organize to a point that they’ve never had to before,” Revell said.\u003c/p>\n\u003cp>Mark Rosen, a member of Indivisible Auburn, Calif., said organizers are now focused on spreading the word about citizen activism. In his last recruitment meeting, more than 80 local residents showed up wanting to learn more about how to become involved.\u003c/p>\n\u003cp>“It shows that there is an army of people who are profoundly upset,” Rosen said, “and particularly concerned about destroying the progress we’ve made with the ACA.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>CORRECTION: An earlier version of this story incorrectly reported that Veronica Blake's mother had obtained health insurance through Covered California in 2013, shortly before her death. Blake later told California Healthline that she had been mistaken. Her mother had not obtained this insurance before her death, which was in 2012. The story has been updated.\u003cbr>\n\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>ROSEVILLE, Calif. — Until recently, Paul Smith didn’t consider himself much of an activist. But he woke up hours before sunrise on Saturday to attend his first town hall meeting.\u003c/p>\n\u003cp>That meeting near Sacramento, organized by his district’s Congressman Tom McClintock (R-Roseville), sparked a peaceful — if large and raucous — protest over Obamacare, the travel ban and other issues. And it drew national headlines.\u003c/p>\n\u003cp>“I have noticed many of my friends who never speak [about] politics are getting political,” said Smith, a 46-year-old Rocklin, Calif., resident and registered Democrat who works in marketing. He said he did not vote for McClintock.\u003c/p>\n\u003cp>Once on the political sidelines, Smith now finds himself one of the leading members of a group called Indivisible California-04 — named for McClintock’s 4th Congressional district. It is one of hundreds of groups forming across the country to “resist” the Trump Administration’s agenda, which includes repealing and replacing the Affordable Care Act.\u003c/p>\n\u003cp>Alongside veteran protesters, recently galvanized Californians like Smith are demonstrating, calling lawmakers and taking other measures to make their voices heard. For many, the issues are not partisan. They are personal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Placer County resident Veronica Blake said her mother went without health insurance for nearly 10 years before she died in 2012 from heart disease. She had been diagnosed with breast cancer in her early 30s, and although she beat it after a mastectomy, the preexisting condition made her a high-risk patient whom insurers didn’t want to take on, Blake said.\u003cbr>\nBlake wonders how much longer her mother would have lived if she’d had health insurance all those years. Could her heart problems have been detected and treated earlier?\u003c/p>\n\u003cdiv id=\"attachment_224629\" style=\"width: 780px\" class=\"wp-caption aligncenter\">\u003cimg class=\"wp-image-224629 size-full\" src=\"https://californiahealthline.files.wordpress.com/2017/02/mcclintock-aca-9_770.jpg?w=770&h=513\" alt=\"Veronica Blake (left), 48, of Placer County, said she was interested in learning what Rep. McClintock had to say about the ACA replacement plan, but wasn’t able to get into event. Her mother passed away in 2013. When her mother divorced, she lost her husband’s employer coverage. It was difficult for an insurance to her take her because she had been diagnosed with breast cancer in her 30s, and although it had been cleared through a mastectomy, it was considered a preexisting condition. If her mother would have had insurance and better preventive care, her heart conditions could have been detected earlier and she might have lived longer, Blake said. (Ana B. Ibarra/California Healthline)\" width=\"770\" height=\"513\">\n\u003cp class=\"wp-caption-text\">Veronica Blake, left, 48, of Placer County, said she was interested in learning what Rep. McClintock had to say about the ACA replacement plan, but wasn’t able to get into event. (Ana B. Ibarra/California Healthline)\u003c/p>\n\u003c/div>\n\u003cp>Blake joined hundreds of others at Saturday’s rally, she said, because she has other family members with illnesses that would be considered preexisting conditions and fears that their coverage could be taken away.\u003c/p>\n\u003cp>Laurel Ward, who is a nurse in Placer County, said she made her way to McClintock’s town hall event because of what she sees daily in her crowded emergency room.\u003c/p>\n\u003cp>She also has a younger sister who was able to obtain coverage as a result of the Medi-Cal expansion made possible by the Affordable Care Act. “It’s difficult for young people to afford health insurance,” Ward said. “I know, because I went without insurance when I was a student.”\u003c/p>\n\u003cp>“Without the ACA,” she said. “It’s only going to get worse.”\u003c/p>\n\u003cp>\u003cstrong>‘People Are Angry’\u003c/strong>\u003c/p>\n\u003cp>For Indivisible California-04, the goal is to look ahead to the 2018 election. “We want to change politics in our district,” Smith said.\u003c/p>\n\u003cp>A \u003ca href=\"https://www.indivisibleguide.com/\">website for the Indivisible\u003c/a> movement offers groups a guide said to have been created by former congressional staffers and inspired by the rise of the Tea Party. It allows people to search and sign up for a local activist group, and as of Tuesday, there were 33 groups registered within 25 miles of Sacramento.\u003c/p>\n\u003cp>Jamie Beutler, chair of the rural caucus for the California Democratic Party and a founding member of another group, Indivisible Sierra Nevada, said she thinks these organizations are gaining popularity because people are desperate.\u003c/p>\n\u003cp>“People are angry, they are frustrated and want to do something. This gives them a place to go,” said the Placerville, Calif., resident.\u003c/p>\n\u003cp>Beutler, who is on Medicare and Social Security, worries that cuts to her benefits means she’ll have to sell her home.\u003c/p>\n\u003cp>“I hope this event was a wakeup call [for McClintock],” Beutler said. “His constituents are not happy.”\u003c/p>\n\u003cdiv id=\"attachment_224623\" style=\"width: 780px\" class=\"wp-caption aligncenter\">\u003cimg class=\"wp-image-224623 size-full\" src=\"https://californiahealthline.files.wordpress.com/2017/02/mcclintock-aca-3_770.jpg?w=770&h=513\" width=\"770\" height=\"513\">\n\u003cp class=\"wp-caption-text\">A protest organized near Sacramento sparked a peaceful — if large and raucous — protest over Obamacare. (Ana B. Ibarra/California Healthline)\u003c/p>\n\u003c/div>\n\u003cp>Although McClintock later characterized the gathering as having \u003ca href=\"http://www.latimes.com/politics/essential/la-pol-ca-essential-politics-updates-hundreds-of-people-show-up-for-town-1486246073-htmlstory.html\">“an anarchist element,”\u003c/a> other attendees and a reporter outside the packed auditorium saw an intense but peaceful demonstration, with many senior citizens among the crowd. McClintock was escorted from the town hall meeting by police, but no arrests or citations were made, according to Roseville police.\u003c/p>\n\u003cp>McClintock’s staff did not return a request for comment from California Healthline. But in an i\u003ca href=\"http://www.kcra.com/article/interview-rep-tom-mcclintock-r-roseville-talks-to-kcra-3/8677813\" target=\"_blank\">nterview with with Sacramento television station KCRA\u003c/a> 3 after the meeting, McClintock was critical of some demonstrators.\u003c/p>\n\u003cp>“It made a big impression on me that there is an intolerance in the political left that is running very deep, and the fact that police had to intervene is a serious indication of the growing violence streak within the left,” he said. “This is very disturbing, but I will also say that most of the people there were decent concerned citizens.”\u003c/p>\n\u003cp>Regarding the GOP’s plan to replace the ACA, McClintock told KCRA 3 he expects to see a plan “reported out within the next few weeks.”\u003c/p>\n\u003cp>“We’ll follow the plan that has been proposed by [Republican Congressman and Health and Human Services Secretary nominee] Tom Price over many years … which is restore to individuals the financial means and the wide range of choices to put their families back in charge of their own health care,” McClintock said.\u003c/p>\n\u003cp>Demonstrators also have been active in other largely Republican districts, in California and around the country. About 300 miles south of Roseville, hundreds gathered \u003ca href=\"http://www.fresnobee.com/news/local/article129305619.html\">on Jan. 27\u003c/a> in front of House Majority Leader Kevin McCarthy’s Bakersfield office to advocate for preserving the Affordable Care Act. McCarthy supports replacing it, but advocates point out that the area he represents is highly dependent on Medicaid and Medicare.\u003c/p>\n\u003cdiv id=\"attachment_224626\" style=\"width: 780px\" class=\"wp-caption aligncenter\">\u003cimg class=\"size-full wp-image-224626\" src=\"https://californiahealthline.files.wordpress.com/2017/02/mcclintock-aca-6_770.jpg?w=770&h=513\" alt=\"Helen Cheng, is an internist in El Dorado County. Some of her patients are worried about what might happen to their Covered California plans. “I’m here because of my patients. Getting insurance is a nightmare for some of these people.” (Ana B. Ibarra/California Healthline)\" width=\"770\" height=\"513\">\n\u003cp class=\"wp-caption-text\">Helen Cheng is an internist in El Dorado County. Some of her patients are worried about what might happen to their Covered California plans. “I’m here because of my patients. Getting insurance is a nightmare for some of these people.” (Ana B. Ibarra/California Healthline)\u003c/p>\n\u003c/div>\n\u003cp>\u003ca href=\"http://californiahealthline.org/news/with-a-high-deductible-even-a-doctor-can-short-change-his-health/\" target=\"_blank\">McCarthy represents most of Kern and Tulare counties\u003c/a>, where approximately 150,000 people are enrolled in expanded Medicaid as a result of the ACA, and about another 29,000 have enrolled in a Covered California plan.\u003c/p>\n\u003cp>In an \u003ca href=\"http://www.sacbee.com/opinion/op-ed/article127529659.html#storylink=cpy\" target=\"_blank\">op-ed published in the Sacramento Bee\u003c/a> last month, McCarthy wrote that the Medicaid program is in need of reform.\u003c/p>\n\u003cp>“It is true that millions of Californians receive health insurance coverage through Obamacare and in particular through the Medicaid expansion. But the number of insured matters little when the quality of the insurance is so dismal.”\u003c/p>\n\u003cp>Dennis Revell, chair of the Placer County Republican Party, said that the demonstration outside McClintock’s town hall meeting was one of the most organized he’s seen. But he said it was not a true organic, local movement. People were invited by organizers from across county and state lines, he said, although he offered no evidence of that.\u003c/p>\n\u003cp>The Democratic Party is not as active or organized in Placer County as it is in other counties, which is why Saturday’s event stood out, Revell said.\u003c/p>\n\u003cp>“I think it would be fair to say that the speed at which the Trump administration is moving to deliver on its promises has galvanized the progressive and left to organize to a point that they’ve never had to before,” Revell said.\u003c/p>\n\u003cp>Mark Rosen, a member of Indivisible Auburn, Calif., said organizers are now focused on spreading the word about citizen activism. In his last recruitment meeting, more than 80 local residents showed up wanting to learn more about how to become involved.\u003c/p>\n\u003cp>“It shows that there is an army of people who are profoundly upset,” Rosen said, “and particularly concerned about destroying the progress we’ve made with the ACA.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>CORRECTION: An earlier version of this story incorrectly reported that Veronica Blake's mother had obtained health insurance through Covered California in 2013, shortly before her death. Blake later told California Healthline that she had been mistaken. Her mother had not obtained this insurance before her death, which was in 2012. The story has been updated.\u003cbr>\n\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California’s Undocumented Kids—Why They Could be First to Lose Medical Care Under Trump",
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"content": "\u003cp>On a recent rainy morning in Los Angeles, Maria Bernal’s stove clicks to life with a bright blue flame to toast bread on a griddle for her 9-year-old son Edwin to smear with peanut butter. As she scoops papaya chunks into the blender for a smoothie, she recalls her worry during all the years when she couldn’t afford health care and he suffered painful ear infections.\u003c/p>\n\u003cp>The waiting six months to get an appointment for Edwin at a county facility. The nights trying to calm him as he cried in constant pain. The months-long wait for each of three surgeries to insert tubes into his ears. The fear when the medical bills arrived.\u003c/p>\n\u003cp>At the time, she couldn’t afford health care, and he wasn't eligible for regular government-funded Medi-Cal coverage because she had brought Edwin to the United States illegally from Mexico when he was 1. He qualified for a local program and emergency Medi-Cal, but that didn’t provide all the care he needed. Then last year, she heard on TV that California was \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/SB75/SB75_EE_Plan_032116_Final.PDF\" target=\"_blank\">creating a new program\u003c/a> under Medi-Cal to fully cover poor undocumented children. Relieved, she rushed to sign Edwin up. As a result, she says, “I can take him in whenever he needs to go.”\u003c/p>\n\u003cp>Now, however, the ability of Edwin and some 164,000 poor undocumented California children to see a doctor for regular medical care hangs in the balance—with several experts predicting they could be among the first to lose health coverage if the Trump administration carries out its promise to end much of Obamacare, leaving California to try to make up the difference.\u003c/p>\n\u003cp>To be clear, the federal government does pay \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/Medi-CalFAQs2014b.aspx\" target=\"_blank\">limited medical costs\u003c/a> for kids in the country illegally under the restricted-scope Medi-Cal program, which is available to anyone regardless of immigration status for emergency and prenatal services only. Last May, however, California became one of a handful of states to provide \u003ca href=\"http://www.scpr.org/programs/take-two/2016/04/21/48148/medi-cal-for-immigrant-kids-in-us-illegally-starts/\" target=\"_blank\">state-funded full-scope Medi-Cal\u003c/a>, California’s Medicaid program. About 71 percent of the program is funded by the state, according to the state \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/SB-75.aspx\" target=\"_blank\">Department of Health Care Services\u003c/a>, with 29 percent paid for out of \u003ca href=\"https://www.medicaid.gov/medicaid/outreach-and-enrollment/downloads/overview-of-eligibility-for-non-citizens-in-medicaid-and-chip.pdf\" target=\"_blank\">federal funds\u003c/a> for emergency coverage. Also of note: Because the federal government funds emergency services, the state shares enrollee information with federal health officials.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In his most recent \u003ca href=\"http://www.ebudget.ca.gov/2017-18/pdf/BudgetSummary/FullBudgetSummary.pdf\" target=\"_blank\">budget proposal\u003c/a>, Gov. Jerry Brown allocated $279.5 million to cover approximately 185,000 kids in the coming year in what the state has dubbed its Health for All Kids program—double what the program was estimated to cost when it was approved.\u003c/p>\n\u003cp>With the election of Donald Trump, who took office last week, some health policy experts and advocates say the fledgling program is in danger. Assuming the new administration carries out plans to change how Medicaid is funded, California could stand to lose $17 billion the federal government currently provides for the Medi-Cal expansion that California adopted under the Affordable Care Act.\u003c/p>\n\u003cp>Such a cut would leave state leaders unable to fully make up the funding difference—and could force them to revisit a decades-old debate over whether the state has an obligation to care for sick children regardless of their immigration status, or should focus limited resources on citizens and legal residents.\u003c/p>\n\u003cp>It’s impossible to precisely predict the ripple effects. But, said Nancy Gomez, organizing director of the health advocacy organization \u003ca href=\"http://Health%20Access%20California\" target=\"_blank\">Health Access California\u003c/a>: “The first things that are going to go are these optional programs. They are not optional to us. But Health for All Kids are discretionary funds and they may be the first to go.”\u003c/p>\n\u003cp>Trying to make up the gap will be nearly impossible, experts say.\u003c/p>\n\u003cp>“These federal cuts to the broader Medi-Cal program would force California policymakers to make some difficult decisions—raise revenue by unprecedented amounts to maintain the current program, cut benefits, reduce eligibility, or make other cuts to the program,” said Laurel Lucia, manager of the Health Care Program at the UC Berkeley \u003ca href=\"http://laborcenter.berkeley.edu/\" target=\"_blank\">Center for Labor Research and Education\u003c/a>. But, she acknowledged, “if the Legislature decides to take a 'last in, first out' approach to making eligibility cuts in response to federal cuts, state-funded Medi-Cal for undocumented kids would especially be at risk because the expansion started less than one year ago.”\u003c/p>\n\u003cp>That’s as is should be, according to those who insist that anyone in the country illegally should not receive state resources—especially if funding is cut short.\u003c/p>\n\u003cp>“Sacramento should be focused on helping American citizens,” said Robin Hvidston, executive director of \u003ca href=\"https://wethepeoplerising.wordpress.com/\" target=\"_blank\">We The People Rising\u003c/a>, a Claremont-based organization that fights against legislation that it says promotes illegal immigration. The group opposed the expansion, which she contends is merely an open invitation for illegal immigration.\u003c/p>\n\u003cp>“It’s a program our state cannot afford,” she said. “We have a burgeoning homeless crisis in this state, we have disabled people in this state that need help. This energy and our tax dollars should be going to help our suffering American citizens in this state and not those here illegally.”\u003c/p>\n\u003cp>Nonetheless, the lawmaker who \u003ca href=\"https://calmatters.org/articles/californias-undocumented-kidswhy-they-could-be-first-to-lose-medical-care-under-trump/\" target=\"_blank\">authored\u003c/a> the expansion to cover undocumented children, Democratic Sen. Ricardo Lara of Los Angeles, has vowed to protect them.\u003c/p>\n\u003cp>“I will fight to ensure that they remain a priority population in terms of receiving adequate healthcare and meeting their health needs,” Lara said. “It makes economic sense, it’s the moral thing to do.”\u003c/p>\n\u003cp>But in an unmistakable sign that the Democratic-controlled state is changing tactics in response to a less receptive White House, California recently \u003ca href=\"http://khn.org/news/california-withdraws-bid-to-allow-undocumented-immigrants-to-buy-unsubsidized-obamacare-plans/\" target=\"_blank\">retracted\u003c/a> its request for a federal waiver that it had hoped would allow undocumented immigrants of all ages to buy unsubsidized health care via California’s Affordable Care Act exchange. Lara labeled it the “first California casualty of the Trump presidency.”\u003c/p>\n\u003cp>He said the state could always renew its quest for such a waiver, but won’t until it first ensures that the state can protect the data immigrants would be sharing with the federal government by using the health exchange.\u003c/p>\n\u003cp>“It’s very clear and apparent that we are dealing with a hostile administration toward our immigration community,” Lara said. “Given the fact that we are working currently on legislation to protect the privacy of the immigrant communities, we felt that it was appropriate to pull the waiver and focus on the fights ahead with the incoming administration.”\u003c/p>\n\u003cp>President Trump and the Republican-controlled Congress favor establishing caps on Medicaid and changing funding to a block grant formula that sets limits on total spending per state regardless of how many people are in the program. Currently it is funded as an entitlement for all enrollees who qualify.\u003c/p>\n\u003cp>Medicaid is the largest insurer in the country, with 73 million people enrolled, mostly low-income or disabled. In California, 13.5 million people are on Medi-Cal, or roughly one in three Californians. The program grew by 3.6 million people when it was expanded under the Affordable Care Act.\u003c/p>\n\u003cp>A study by the Center on Budget and Policy Priorities found that the proposals to reorganize Medicaid funding would decrease funding by one-third to one-half within a decade.\u003c/p>\n\u003cp>Such federal cuts would trigger a cascade of effects, said Senate President Pro Tem Kevin de Leon (D-Los Angeles).\u003c/p>\n\u003cp>“If the Trump administration decides to remove and take away access to quality healthcare that could possibly drive a budget deficit—and if you drive a budget deficit that means cuts would have to be made,” he said at a health care rally in Los Angeles after the November election. “If cuts have to be made that means other people could be hurt.”\u003c/p>\n\u003cp>But others aren’t ready to concede that outcome, and say there are likely alternatives the state can employ to keep as many people covered as possible.\u003c/p>\n\u003cp>“The reality is if Congress has enough votes to change the Medicaid program into a block grant program, California will struggle to maintain its commitment to the 13.5 million people currently covered,” said Gerald Kominski, director of the UCLA Center for Health Policy Research. “I suspect the governor and Legislature will give higher priority to cutting covered services rather than cutting the number of beneficiaries.”\u003c/p>\n\u003cp>Sen. Lara said he hopes the state resists choosing one group over another—adding that he plans to suggest cutting coverage, as the state has done during lean times, or increasing eligibility thresholds in his fight to keep health care for the neediest across all groups, including undocumented children.\u003c/p>\n\u003cp>As for 9-year-old Edwin Bernal, he says going to the doctor more often is good for him because of his hearing challenges and ear tubes.\u003c/p>\n\u003cfigure id=\"attachment_287952\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-800x533.jpg\" alt=\"Maria Bernal, 30, cooks breakfast for her son Edwin Bernal, 9, before school at their home in Los Angeles. His mother fears that under the Trump administration the program will be in danger.\" width=\"800\" height=\"533\" class=\"size-medium wp-image-287952\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Maria Bernal, 30, cooks breakfast for her son Edwin Bernal, 9, before school at their home in Los Angeles. His mother fears that under the Trump administration the program will be in danger. \u003ccite>(Maria J. Avila/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“My friends talk to me and I’m like ‘what, what,’ because I can’t hear them that good,” he said. “Same with my mom, she tells me something and I don’t really hear her and I don’t do the stuff she tells me because I can’t hear. So it’s better, I can hear her and I’m not getting in more trouble.”\u003c/p>\n\u003cp>If kids like Edwin lose Medi-Cal overage, their health care will depend largely on where they live. \u003c/p>\n\u003cp>In Los Angeles, the county offers a basic low-cost program to everyone regardless of immigration status and emergency Medi-Cal is expected to still be available. Private insurer Kaiser Permanente also offers a community benefit program for kids without legal status who live near their facilities.\u003c/p>\n\u003cp>“It’s going to be a challenge for us and the patients,” said Chona de Leon, senior vice president and chief operating officer at Eisner Pediatric & Family Center, in downtown Los Angeles, where Edwin has received care since he was a baby. \u003c/p>\n\u003cp>Clinics like Eisner would lose the increased funding that has come from previously uninsured patients getting access through the Affordable Care Act. de Leon says they would continue to serve uninsured patients as they always have, although they would have to work hard to find outside funding and donations.\u003c/p>\n\u003cp>But in 11 California counties, including Orange and San Diego, there are no programs for undocumented families to find care for their children outside of charitable clinics and hospital emergency rooms.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://CALmatters.org\" target=\"_blank\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California’s policies and politics.\u003cbr>\n\u003c/em>\u003c/p>\n\n",
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"excerpt": "A medical plan covering some 164,000 poor undocumented California children hangs in the balance. Both experts and families fear a cut-off if the Trump administration carries out its promise to end much of Obamacare. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>On a recent rainy morning in Los Angeles, Maria Bernal’s stove clicks to life with a bright blue flame to toast bread on a griddle for her 9-year-old son Edwin to smear with peanut butter. As she scoops papaya chunks into the blender for a smoothie, she recalls her worry during all the years when she couldn’t afford health care and he suffered painful ear infections.\u003c/p>\n\u003cp>The waiting six months to get an appointment for Edwin at a county facility. The nights trying to calm him as he cried in constant pain. The months-long wait for each of three surgeries to insert tubes into his ears. The fear when the medical bills arrived.\u003c/p>\n\u003cp>At the time, she couldn’t afford health care, and he wasn't eligible for regular government-funded Medi-Cal coverage because she had brought Edwin to the United States illegally from Mexico when he was 1. He qualified for a local program and emergency Medi-Cal, but that didn’t provide all the care he needed. Then last year, she heard on TV that California was \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/SB75/SB75_EE_Plan_032116_Final.PDF\" target=\"_blank\">creating a new program\u003c/a> under Medi-Cal to fully cover poor undocumented children. Relieved, she rushed to sign Edwin up. As a result, she says, “I can take him in whenever he needs to go.”\u003c/p>\n\u003cp>Now, however, the ability of Edwin and some 164,000 poor undocumented California children to see a doctor for regular medical care hangs in the balance—with several experts predicting they could be among the first to lose health coverage if the Trump administration carries out its promise to end much of Obamacare, leaving California to try to make up the difference.\u003c/p>\n\u003cp>To be clear, the federal government does pay \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/Medi-CalFAQs2014b.aspx\" target=\"_blank\">limited medical costs\u003c/a> for kids in the country illegally under the restricted-scope Medi-Cal program, which is available to anyone regardless of immigration status for emergency and prenatal services only. Last May, however, California became one of a handful of states to provide \u003ca href=\"http://www.scpr.org/programs/take-two/2016/04/21/48148/medi-cal-for-immigrant-kids-in-us-illegally-starts/\" target=\"_blank\">state-funded full-scope Medi-Cal\u003c/a>, California’s Medicaid program. About 71 percent of the program is funded by the state, according to the state \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/SB-75.aspx\" target=\"_blank\">Department of Health Care Services\u003c/a>, with 29 percent paid for out of \u003ca href=\"https://www.medicaid.gov/medicaid/outreach-and-enrollment/downloads/overview-of-eligibility-for-non-citizens-in-medicaid-and-chip.pdf\" target=\"_blank\">federal funds\u003c/a> for emergency coverage. Also of note: Because the federal government funds emergency services, the state shares enrollee information with federal health officials.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In his most recent \u003ca href=\"http://www.ebudget.ca.gov/2017-18/pdf/BudgetSummary/FullBudgetSummary.pdf\" target=\"_blank\">budget proposal\u003c/a>, Gov. Jerry Brown allocated $279.5 million to cover approximately 185,000 kids in the coming year in what the state has dubbed its Health for All Kids program—double what the program was estimated to cost when it was approved.\u003c/p>\n\u003cp>With the election of Donald Trump, who took office last week, some health policy experts and advocates say the fledgling program is in danger. Assuming the new administration carries out plans to change how Medicaid is funded, California could stand to lose $17 billion the federal government currently provides for the Medi-Cal expansion that California adopted under the Affordable Care Act.\u003c/p>\n\u003cp>Such a cut would leave state leaders unable to fully make up the funding difference—and could force them to revisit a decades-old debate over whether the state has an obligation to care for sick children regardless of their immigration status, or should focus limited resources on citizens and legal residents.\u003c/p>\n\u003cp>It’s impossible to precisely predict the ripple effects. But, said Nancy Gomez, organizing director of the health advocacy organization \u003ca href=\"http://Health%20Access%20California\" target=\"_blank\">Health Access California\u003c/a>: “The first things that are going to go are these optional programs. They are not optional to us. But Health for All Kids are discretionary funds and they may be the first to go.”\u003c/p>\n\u003cp>Trying to make up the gap will be nearly impossible, experts say.\u003c/p>\n\u003cp>“These federal cuts to the broader Medi-Cal program would force California policymakers to make some difficult decisions—raise revenue by unprecedented amounts to maintain the current program, cut benefits, reduce eligibility, or make other cuts to the program,” said Laurel Lucia, manager of the Health Care Program at the UC Berkeley \u003ca href=\"http://laborcenter.berkeley.edu/\" target=\"_blank\">Center for Labor Research and Education\u003c/a>. But, she acknowledged, “if the Legislature decides to take a 'last in, first out' approach to making eligibility cuts in response to federal cuts, state-funded Medi-Cal for undocumented kids would especially be at risk because the expansion started less than one year ago.”\u003c/p>\n\u003cp>That’s as is should be, according to those who insist that anyone in the country illegally should not receive state resources—especially if funding is cut short.\u003c/p>\n\u003cp>“Sacramento should be focused on helping American citizens,” said Robin Hvidston, executive director of \u003ca href=\"https://wethepeoplerising.wordpress.com/\" target=\"_blank\">We The People Rising\u003c/a>, a Claremont-based organization that fights against legislation that it says promotes illegal immigration. The group opposed the expansion, which she contends is merely an open invitation for illegal immigration.\u003c/p>\n\u003cp>“It’s a program our state cannot afford,” she said. “We have a burgeoning homeless crisis in this state, we have disabled people in this state that need help. This energy and our tax dollars should be going to help our suffering American citizens in this state and not those here illegally.”\u003c/p>\n\u003cp>Nonetheless, the lawmaker who \u003ca href=\"https://calmatters.org/articles/californias-undocumented-kidswhy-they-could-be-first-to-lose-medical-care-under-trump/\" target=\"_blank\">authored\u003c/a> the expansion to cover undocumented children, Democratic Sen. Ricardo Lara of Los Angeles, has vowed to protect them.\u003c/p>\n\u003cp>“I will fight to ensure that they remain a priority population in terms of receiving adequate healthcare and meeting their health needs,” Lara said. “It makes economic sense, it’s the moral thing to do.”\u003c/p>\n\u003cp>But in an unmistakable sign that the Democratic-controlled state is changing tactics in response to a less receptive White House, California recently \u003ca href=\"http://khn.org/news/california-withdraws-bid-to-allow-undocumented-immigrants-to-buy-unsubsidized-obamacare-plans/\" target=\"_blank\">retracted\u003c/a> its request for a federal waiver that it had hoped would allow undocumented immigrants of all ages to buy unsubsidized health care via California’s Affordable Care Act exchange. Lara labeled it the “first California casualty of the Trump presidency.”\u003c/p>\n\u003cp>He said the state could always renew its quest for such a waiver, but won’t until it first ensures that the state can protect the data immigrants would be sharing with the federal government by using the health exchange.\u003c/p>\n\u003cp>“It’s very clear and apparent that we are dealing with a hostile administration toward our immigration community,” Lara said. “Given the fact that we are working currently on legislation to protect the privacy of the immigrant communities, we felt that it was appropriate to pull the waiver and focus on the fights ahead with the incoming administration.”\u003c/p>\n\u003cp>President Trump and the Republican-controlled Congress favor establishing caps on Medicaid and changing funding to a block grant formula that sets limits on total spending per state regardless of how many people are in the program. Currently it is funded as an entitlement for all enrollees who qualify.\u003c/p>\n\u003cp>Medicaid is the largest insurer in the country, with 73 million people enrolled, mostly low-income or disabled. In California, 13.5 million people are on Medi-Cal, or roughly one in three Californians. The program grew by 3.6 million people when it was expanded under the Affordable Care Act.\u003c/p>\n\u003cp>A study by the Center on Budget and Policy Priorities found that the proposals to reorganize Medicaid funding would decrease funding by one-third to one-half within a decade.\u003c/p>\n\u003cp>Such federal cuts would trigger a cascade of effects, said Senate President Pro Tem Kevin de Leon (D-Los Angeles).\u003c/p>\n\u003cp>“If the Trump administration decides to remove and take away access to quality healthcare that could possibly drive a budget deficit—and if you drive a budget deficit that means cuts would have to be made,” he said at a health care rally in Los Angeles after the November election. “If cuts have to be made that means other people could be hurt.”\u003c/p>\n\u003cp>But others aren’t ready to concede that outcome, and say there are likely alternatives the state can employ to keep as many people covered as possible.\u003c/p>\n\u003cp>“The reality is if Congress has enough votes to change the Medicaid program into a block grant program, California will struggle to maintain its commitment to the 13.5 million people currently covered,” said Gerald Kominski, director of the UCLA Center for Health Policy Research. “I suspect the governor and Legislature will give higher priority to cutting covered services rather than cutting the number of beneficiaries.”\u003c/p>\n\u003cp>Sen. Lara said he hopes the state resists choosing one group over another—adding that he plans to suggest cutting coverage, as the state has done during lean times, or increasing eligibility thresholds in his fight to keep health care for the neediest across all groups, including undocumented children.\u003c/p>\n\u003cp>As for 9-year-old Edwin Bernal, he says going to the doctor more often is good for him because of his hearing challenges and ear tubes.\u003c/p>\n\u003cfigure id=\"attachment_287952\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-800x533.jpg\" alt=\"Maria Bernal, 30, cooks breakfast for her son Edwin Bernal, 9, before school at their home in Los Angeles. His mother fears that under the Trump administration the program will be in danger.\" width=\"800\" height=\"533\" class=\"size-medium wp-image-287952\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Maria Bernal, 30, cooks breakfast for her son Edwin Bernal, 9, before school at their home in Los Angeles. His mother fears that under the Trump administration the program will be in danger. \u003ccite>(Maria J. Avila/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“My friends talk to me and I’m like ‘what, what,’ because I can’t hear them that good,” he said. “Same with my mom, she tells me something and I don’t really hear her and I don’t do the stuff she tells me because I can’t hear. So it’s better, I can hear her and I’m not getting in more trouble.”\u003c/p>\n\u003cp>If kids like Edwin lose Medi-Cal overage, their health care will depend largely on where they live. \u003c/p>\n\u003cp>In Los Angeles, the county offers a basic low-cost program to everyone regardless of immigration status and emergency Medi-Cal is expected to still be available. Private insurer Kaiser Permanente also offers a community benefit program for kids without legal status who live near their facilities.\u003c/p>\n\u003cp>“It’s going to be a challenge for us and the patients,” said Chona de Leon, senior vice president and chief operating officer at Eisner Pediatric & Family Center, in downtown Los Angeles, where Edwin has received care since he was a baby. \u003c/p>\n\u003cp>Clinics like Eisner would lose the increased funding that has come from previously uninsured patients getting access through the Affordable Care Act. de Leon says they would continue to serve uninsured patients as they always have, although they would have to work hard to find outside funding and donations.\u003c/p>\n\u003cp>But in 11 California counties, including Orange and San Diego, there are no programs for undocumented families to find care for their children outside of charitable clinics and hospital emergency rooms.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://CALmatters.org\" target=\"_blank\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California’s policies and politics.\u003cbr>\n\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Obamacare Repeal Could Punch $15 Billion Hole in State Budget",
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"content": "\u003cp>When Gov. Jerry Brown unveils his 2017-18 budget Tuesday, there will be one huge question mark hanging over the proposal: What will it cost California when congressional Republicans follow through on their promise to dismantle Obamacare?\u003c/p>\n\u003cp>GOP lawmakers, along with President-elect Donald Trump, have \u003ca href=\"https://ww2.kqed.org/news/2017/01/03/republicans-take-the-first-step-to-repeal-obamacare/\">vowed to repeal the landmark health care law\u003c/a> and replace it with something. But what that something will be is still unknown -- and since California wholeheartedly embraced the Affordable Care Act and insured millions of poor residents through its Medicaid program, Medi-Cal, any rollback is likely to punch a huge hole in the state budget.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/301686124\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Since 2014, Medi-Cal rolls have swelled from about 8 million Californians to about 14 million. One reason: the Affordable Care Act greatly expanded Medicaid eligibility for childless, low-income adults -- more than 3 million new Medi-Cal enrollees have qualified because of that change since 2014. Along with the expanded eligibility came expanded federal funding for Medi-Cal, to the tune of more than $15 billion this fiscal year alone.\u003c/p>\n\u003cp>Now, there are huge questions for both state leaders, who have depended on that federal funding, and the millions of Californians who have benefitted from the expansion of Medi-Cal.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"(I'm) really worried,\" said UC Berkeley graduate student Rebecca Fritton, who enrolled in Medi-Cal last summer when she turned 26 and could no longer get coverage from her mother's insurance plan.\u003c/p>\n\u003caside class=\"pullquote alignright\">'If they got rid of that funding, you would have 3 million people on the streets without health insurance, and we would be dead in the water.'\u003ccite>State Sen. Ed Hernandez\u003c/cite>\u003c/aside>\n\u003cp>Fritton wouldn't have been eligible to join Medi-Cal before Obamacare. But after the health care law? Fritton said enrolling was a breeze -- she was even able to keep her primary care doctor at UCSF when she made the switch.\u003c/p>\n\u003cp>\"This has proven to be such a helpful resource for me ... so it’s just a little scary that it could be taken away.\"\u003c/p>\n\u003cp>But Fritton considers herself lucky -- she has another option.\u003c/p>\n\u003cp>\"We get offered health insurance through Berkeley, but it’s pretty expensive and I already have lots of student loans out,\" she said.\u003c/p>\n\u003cp>That's not the case for many other Medi-Cal recipients, said state Sen. Ed Hernandez, who is an optometrist and chairs the Senate's Health Committee. He said there's no way California could keep those millions of new people insured if federal funding disappeared.\u003c/p>\n\u003cp>\"If they got rid of that funding, you would have 3 million people on the streets without health insurance, and we would be dead in the water. That is my biggest concern,\" he said. \"I mean, we don't have the additional dollars, so if that money is not available, patients won't get access to health care. That's the bottom line.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"UgPaWX92hhGiw9hvTFk5GdsgL7J6tRrH\"]\u003c/p>\n\u003cp>The governor is well aware that funding could disappear, said H.D. Palmer, a spokesman for the Department of Finance. But since the Republican plan is still unclear, California can only budget based on current law, he said.\u003c/p>\n\u003cp>\"We don't know yet what changes are in the works specifically for the Affordable Care Act -- but we know there is a very high likelihood that they will happen, so we recognize it as a broad fiscal pressure on state government,\" Palmer said. \"Until and unless there is a change, however, the ACA constitutes the rules of the road -- those are the governing statutes that we budget by and abide by.\"\u003c/p>\n\u003cp>He said the governor's annual budget revision in May will offer the state an opportunity to tweak Brown's proposal if Republicans have made any concrete decisions by then. In general, he said, Brown's administration is trying to keep costs down because of a number of unknown factors, including potential Obamacare changes and whether California's economy will remain strong.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"One of the things that we are doing is make sure the state doesn't overcommit itself to ongoing levels of spending that may not be sustainable,\" he said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Gov. Jerry Brown unveils his 2017-18 budget Tuesday, there will be one huge question mark hanging over the proposal: What will it cost California when congressional Republicans follow through on their promise to dismantle Obamacare?\u003c/p>\n\u003cp>GOP lawmakers, along with President-elect Donald Trump, have \u003ca href=\"https://ww2.kqed.org/news/2017/01/03/republicans-take-the-first-step-to-repeal-obamacare/\">vowed to repeal the landmark health care law\u003c/a> and replace it with something. But what that something will be is still unknown -- and since California wholeheartedly embraced the Affordable Care Act and insured millions of poor residents through its Medicaid program, Medi-Cal, any rollback is likely to punch a huge hole in the state budget.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/301686124&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/301686124'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Since 2014, Medi-Cal rolls have swelled from about 8 million Californians to about 14 million. One reason: the Affordable Care Act greatly expanded Medicaid eligibility for childless, low-income adults -- more than 3 million new Medi-Cal enrollees have qualified because of that change since 2014. Along with the expanded eligibility came expanded federal funding for Medi-Cal, to the tune of more than $15 billion this fiscal year alone.\u003c/p>\n\u003cp>Now, there are huge questions for both state leaders, who have depended on that federal funding, and the millions of Californians who have benefitted from the expansion of Medi-Cal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"(I'm) really worried,\" said UC Berkeley graduate student Rebecca Fritton, who enrolled in Medi-Cal last summer when she turned 26 and could no longer get coverage from her mother's insurance plan.\u003c/p>\n\u003caside class=\"pullquote alignright\">'If they got rid of that funding, you would have 3 million people on the streets without health insurance, and we would be dead in the water.'\u003ccite>State Sen. Ed Hernandez\u003c/cite>\u003c/aside>\n\u003cp>Fritton wouldn't have been eligible to join Medi-Cal before Obamacare. But after the health care law? Fritton said enrolling was a breeze -- she was even able to keep her primary care doctor at UCSF when she made the switch.\u003c/p>\n\u003cp>\"This has proven to be such a helpful resource for me ... so it’s just a little scary that it could be taken away.\"\u003c/p>\n\u003cp>But Fritton considers herself lucky -- she has another option.\u003c/p>\n\u003cp>\"We get offered health insurance through Berkeley, but it’s pretty expensive and I already have lots of student loans out,\" she said.\u003c/p>\n\u003cp>That's not the case for many other Medi-Cal recipients, said state Sen. Ed Hernandez, who is an optometrist and chairs the Senate's Health Committee. He said there's no way California could keep those millions of new people insured if federal funding disappeared.\u003c/p>\n\u003cp>\"If they got rid of that funding, you would have 3 million people on the streets without health insurance, and we would be dead in the water. That is my biggest concern,\" he said. \"I mean, we don't have the additional dollars, so if that money is not available, patients won't get access to health care. That's the bottom line.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The governor is well aware that funding could disappear, said H.D. Palmer, a spokesman for the Department of Finance. But since the Republican plan is still unclear, California can only budget based on current law, he said.\u003c/p>\n\u003cp>\"We don't know yet what changes are in the works specifically for the Affordable Care Act -- but we know there is a very high likelihood that they will happen, so we recognize it as a broad fiscal pressure on state government,\" Palmer said. \"Until and unless there is a change, however, the ACA constitutes the rules of the road -- those are the governing statutes that we budget by and abide by.\"\u003c/p>\n\u003cp>He said the governor's annual budget revision in May will offer the state an opportunity to tweak Brown's proposal if Republicans have made any concrete decisions by then. In general, he said, Brown's administration is trying to keep costs down because of a number of unknown factors, including potential Obamacare changes and whether California's economy will remain strong.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"One of the things that we are doing is make sure the state doesn't overcommit itself to ongoing levels of spending that may not be sustainable,\" he said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Poll: Most Americans Say Don't Repeal Obamacare Without a Replacement",
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"content": "\u003cp>An overwhelming majority of people disapprove of Republican lawmakers' plan to repeal the Affordable Care Act without having a ready replacement for the health care law, according to a poll released Friday.\u003c/p>\n\u003cp>And judging by the letter-writing and lobbying in the first week of the new congressional session, many health care and business groups agree.\u003c/p>\n\u003cp>A \u003ca href=\"http://kff.org/health-costs/poll-finding/kaiser-health-tracking-poll-health-care-priorities-for-2017\">poll\u003c/a> released Friday by the \u003ca href=\"http://kff.org/about-us/\">Kaiser Family Foundation\u003c/a> finds that 75 percent of Americans say they either want lawmakers to leave Obamacare alone, or repeal it only when they can replace it with a new health care law. Twenty percent of those polled say they want to see the law killed immediately.\u003c/p>\n\u003cp>But Drew Altman, CEO of the Kaiser Family Foundation, says the poll shows lawmakers don't have a strong mandate to repeal Obamacare.\u003c/p>\n\u003cp>\"Most of the American people said they're either against repealing it or they're against repealing it unless Republicans put a replacement plan on the table,\" Altman says. \"They want to see what comes next before they seen the ACA repealed.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Americans are about equally divided over whether Congress should repeal Obamacare, the poll shows. But of the 48 percent who want the law rolled back, about 60 percent want lawmakers to wait until they have an alternative plan.\u003c/p>\n\u003cp>[kaiser_survey]\u003c/p>\n\u003cp>And Obamacare isn't even people's top health care concern. The vast majority -- 67 percent -- say their top priority is finding a way to lower their health care costs.\u003c/p>\n\u003cp>The poll findings come just days after Republicans in the Senate \u003ca href=\"http://www.npr.org/sections/health-shots/2017/01/03/508074966/republicans-take-the-first-step-to-repeal-obamacare\">took the first step\u003c/a> toward repealing President Obama's signature health care law. They voted on Wednesday to move ahead with a budget resolution that will allow them to take funding away from Obamacare, which will effectively gut the law because the subsidies to buy insurance, and the penalties for not doing so, will disappear.\u003c/p>\n\u003cp>Republicans say they intend to vote on repeal, but give the law \u003ca href=\"http://www.npr.org/sections/health-shots/2016/12/12/505285572/obamacares-demise-could-be-quicker-than-republicans-intend\">time to sunset\u003c/a> while they come up with a replacement that will give the millions of people covered under Obamacare access to insurance through some other vehicle.\u003c/p>\n\u003cp>On Thursday, House Speaker Paul Ryan, R-Wis., said the replacement legislation would pass by the end of the year.\u003c/p>\n\u003cp>But \u003ca href=\"http://www.drsforamerica.org/blog/today-we-take-action\">doctors\u003c/a>, hospital groups, \u003ca href=\"https://www.scribd.com/document/333454038/AHIP-doc#from_embed\">insurers\u003c/a> and analysts are skeptical of that strategy. In letters, press releases and \u003ca href=\"https://www.youtube.com/watch?v=Z2qzZvWA-pM&feature=youtu.be\">advertising campaigns\u003c/a>, many organizations have made it clear that they want to see a replacement for the Affordable Care Act in place, or at least outlined, before Congress repeals the current law.\u003c/p>\n\u003cp>A \u003ca href=\"http://www.aha.org/content/16/impact-repeal-aca-report.pdf\">report\u003c/a> released Dec. 6 by the American Hospital Association and Federation of American Hospitals warned that a repeal could cost hospitals hundreds of billions and said \"any reconsideration of the ACA should be accompanied at the same time by provisions that guarantee similar coverage to those who would lose it.\"\u003c/p>\n\u003cp>A \u003ca href=\"https://www.ama-assn.org/ama-letter-congressional-leaders-reform-health-care-system\">letter\u003c/a> sent Tuesday from the American Medical Association urged lawmakers to release details of their Obamacare replacement before repealing the current law.\u003c/p>\n\u003cp>\"Patients and other stakeholders should be able to clearly compare current policy to new proposals so they can make informed decisions about whether it represents a step forward in the ongoing process of health reform,\" the letter said.\u003c/p>\n\u003cp>Dr. Andrew Gurman, president of the American Medical Association, says people should be able to evaluate the proposed Obamacare replacement before the current law is thrown out.\u003c/p>\n\u003cp>\"People in this country need to understand what it is they're being asked to substitute for what's there now so they can have an informed opinion about whether it's better or not,\" \u003ca href=\"https://www.ama-assn.org/andrew-w-gurman-md\">Gurman\u003c/a> says.\u003c/p>\n\u003cp>And repeal and delay?\u003c/p>\n\u003cp>\"We have a concern that that creates uncertainty in insurance markets and uncertainty in people about whether they're going to have continuity of coverage,\" Gurman adds.\u003c/p>\n\u003cp>He says he and his members talk with lawmakers regularly.\u003c/p>\n\u003cp>A \u003ca href=\"http://www.commonwealthfund.org/Publications/Issue-Briefs/2017/Jan/Repealing-Federal-Health-Reform.\">separate study\u003c/a> released Thursday projects that a straight repeal of the law could kill 3 million jobs across the country by 2021.\u003c/p>\n\u003cp>That study, by the \u003ca href=\"http://publichealth.gwu.edu/\">Milken Institute School of Public Health\u003c/a> at George Washington University, finds that about a third of those lost jobs would come from health care, and the rest would be in other industries such as retail, construction, finance and insurance. Total business output could be cut by as much as $2.6 billion over four years, the report says. California, Florida and Texas would be most affected.\u003c/p>\n\u003cp>Leighton Ku, the report's lead author, says the debate over ACA repeal has focused almost completely on insurance coverage and has ignored the broader economic impact.\u003c/p>\n\u003cp>\"The payments you make to health care then become income for workers and income for other businesses. And this spreads out,\" \u003ca href=\"http://publichealth.gwu.edu/departments/health-policy-and-management/leighton-ku\">Ku\u003c/a> says. \"Health care is almost a fifth of the US economy, so as you begin to change health care, there are repercussions that go across all sectors.\"\u003c/p>\n\u003cp>Ku says he can't estimate what economic impact Obamcare replacement would have because Republicans have yet to lay out their plans.\u003c/p>\n\u003cp>\"It's a mystery,\" he says.\u003c/p>\n\u003cp>\u003cstrong>Editor's note:\u003c/strong> \u003cem>The Kaiser Family Foundation supports Kaiser Health News, an editorially independent program that produces news reports heard on NPR and published on \u003c/em>\u003ca href=\"http://NPR.org\">NPR.org\u003c/a>. \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>An overwhelming majority of people disapprove of Republican lawmakers' plan to repeal the Affordable Care Act without having a ready replacement for the health care law, according to a poll released Friday.\u003c/p>\n\u003cp>And judging by the letter-writing and lobbying in the first week of the new congressional session, many health care and business groups agree.\u003c/p>\n\u003cp>A \u003ca href=\"http://kff.org/health-costs/poll-finding/kaiser-health-tracking-poll-health-care-priorities-for-2017\">poll\u003c/a> released Friday by the \u003ca href=\"http://kff.org/about-us/\">Kaiser Family Foundation\u003c/a> finds that 75 percent of Americans say they either want lawmakers to leave Obamacare alone, or repeal it only when they can replace it with a new health care law. Twenty percent of those polled say they want to see the law killed immediately.\u003c/p>\n\u003cp>But Drew Altman, CEO of the Kaiser Family Foundation, says the poll shows lawmakers don't have a strong mandate to repeal Obamacare.\u003c/p>\n\u003cp>\"Most of the American people said they're either against repealing it or they're against repealing it unless Republicans put a replacement plan on the table,\" Altman says. \"They want to see what comes next before they seen the ACA repealed.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Americans are about equally divided over whether Congress should repeal Obamacare, the poll shows. But of the 48 percent who want the law rolled back, about 60 percent want lawmakers to wait until they have an alternative plan.\u003c/p>\n\u003cp>[kaiser_survey]\u003c/p>\n\u003cp>And Obamacare isn't even people's top health care concern. The vast majority -- 67 percent -- say their top priority is finding a way to lower their health care costs.\u003c/p>\n\u003cp>The poll findings come just days after Republicans in the Senate \u003ca href=\"http://www.npr.org/sections/health-shots/2017/01/03/508074966/republicans-take-the-first-step-to-repeal-obamacare\">took the first step\u003c/a> toward repealing President Obama's signature health care law. They voted on Wednesday to move ahead with a budget resolution that will allow them to take funding away from Obamacare, which will effectively gut the law because the subsidies to buy insurance, and the penalties for not doing so, will disappear.\u003c/p>\n\u003cp>Republicans say they intend to vote on repeal, but give the law \u003ca href=\"http://www.npr.org/sections/health-shots/2016/12/12/505285572/obamacares-demise-could-be-quicker-than-republicans-intend\">time to sunset\u003c/a> while they come up with a replacement that will give the millions of people covered under Obamacare access to insurance through some other vehicle.\u003c/p>\n\u003cp>On Thursday, House Speaker Paul Ryan, R-Wis., said the replacement legislation would pass by the end of the year.\u003c/p>\n\u003cp>But \u003ca href=\"http://www.drsforamerica.org/blog/today-we-take-action\">doctors\u003c/a>, hospital groups, \u003ca href=\"https://www.scribd.com/document/333454038/AHIP-doc#from_embed\">insurers\u003c/a> and analysts are skeptical of that strategy. In letters, press releases and \u003ca href=\"https://www.youtube.com/watch?v=Z2qzZvWA-pM&feature=youtu.be\">advertising campaigns\u003c/a>, many organizations have made it clear that they want to see a replacement for the Affordable Care Act in place, or at least outlined, before Congress repeals the current law.\u003c/p>\n\u003cp>A \u003ca href=\"http://www.aha.org/content/16/impact-repeal-aca-report.pdf\">report\u003c/a> released Dec. 6 by the American Hospital Association and Federation of American Hospitals warned that a repeal could cost hospitals hundreds of billions and said \"any reconsideration of the ACA should be accompanied at the same time by provisions that guarantee similar coverage to those who would lose it.\"\u003c/p>\n\u003cp>A \u003ca href=\"https://www.ama-assn.org/ama-letter-congressional-leaders-reform-health-care-system\">letter\u003c/a> sent Tuesday from the American Medical Association urged lawmakers to release details of their Obamacare replacement before repealing the current law.\u003c/p>\n\u003cp>\"Patients and other stakeholders should be able to clearly compare current policy to new proposals so they can make informed decisions about whether it represents a step forward in the ongoing process of health reform,\" the letter said.\u003c/p>\n\u003cp>Dr. Andrew Gurman, president of the American Medical Association, says people should be able to evaluate the proposed Obamacare replacement before the current law is thrown out.\u003c/p>\n\u003cp>\"People in this country need to understand what it is they're being asked to substitute for what's there now so they can have an informed opinion about whether it's better or not,\" \u003ca href=\"https://www.ama-assn.org/andrew-w-gurman-md\">Gurman\u003c/a> says.\u003c/p>\n\u003cp>And repeal and delay?\u003c/p>\n\u003cp>\"We have a concern that that creates uncertainty in insurance markets and uncertainty in people about whether they're going to have continuity of coverage,\" Gurman adds.\u003c/p>\n\u003cp>He says he and his members talk with lawmakers regularly.\u003c/p>\n\u003cp>A \u003ca href=\"http://www.commonwealthfund.org/Publications/Issue-Briefs/2017/Jan/Repealing-Federal-Health-Reform.\">separate study\u003c/a> released Thursday projects that a straight repeal of the law could kill 3 million jobs across the country by 2021.\u003c/p>\n\u003cp>That study, by the \u003ca href=\"http://publichealth.gwu.edu/\">Milken Institute School of Public Health\u003c/a> at George Washington University, finds that about a third of those lost jobs would come from health care, and the rest would be in other industries such as retail, construction, finance and insurance. Total business output could be cut by as much as $2.6 billion over four years, the report says. California, Florida and Texas would be most affected.\u003c/p>\n\u003cp>Leighton Ku, the report's lead author, says the debate over ACA repeal has focused almost completely on insurance coverage and has ignored the broader economic impact.\u003c/p>\n\u003cp>\"The payments you make to health care then become income for workers and income for other businesses. And this spreads out,\" \u003ca href=\"http://publichealth.gwu.edu/departments/health-policy-and-management/leighton-ku\">Ku\u003c/a> says. \"Health care is almost a fifth of the US economy, so as you begin to change health care, there are repercussions that go across all sectors.\"\u003c/p>\n\u003cp>Ku says he can't estimate what economic impact Obamcare replacement would have because Republicans have yet to lay out their plans.\u003c/p>\n\u003cp>\"It's a mystery,\" he says.\u003c/p>\n\u003cp>\u003cstrong>Editor's note:\u003c/strong> \u003cem>The Kaiser Family Foundation supports Kaiser Health News, an editorially independent program that produces news reports heard on NPR and published on \u003c/em>\u003ca href=\"http://NPR.org\">NPR.org\u003c/a>. \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Lawmakers returned to Washington and wasted no time getting to work on the repeal of Obamacare.\u003c/p>\n\u003cp>Sen. Mike Enzi, R-Wyo., \u003ca href=\"http://www.enzi.senate.gov/public/index.cfm/news-releases?ContentRecord_id=0F1E3FBC-A679-4B7C-9789-F11B233EF456&ContentType_id=AE7A6475-A01F-4DA5-AA94-0A98973DE620&Group_id=91d2f483-0ad8-44ac-bcc4-fc2c82d75e07\">introduced a resolution\u003c/a> just hours after the new Congress convened Tuesday that will serve as the vehicle for repealing much of the president's signature health care law.\u003c/p>\n\u003cp>\"Today, we take the first steps to repair the nation's broken health care system, removing Washington from the equation and putting control back where it belongs: with patients, their families, and their doctors,\" Enzi, chairman of the Senate Budget Committee, said in a press release posted on his website Tuesday.\u003c/p>\n\u003cp>It's the first step in Republican lawmakers' plan to fulfill their most ardent campaign promise — to \u003ca href=\"http://www.npr.org/sections/health-shots/2017/01/02/506446779/obamacare-is-first-item-on-congress-chopping-block\">repeal the Affordable Care Act\u003c/a> and replace it with a Republican alternative.\u003c/p>\n\u003cp>Republicans have to use a special legislative maneuver, called a budget resolution, to undo the ACA because they don't have enough votes to overcome a Democratic filibuster in the Senate. Budget bills aren't subject to filibuster, so lawmakers will be able to repeal the parts of the law that have budget and tax implications.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That means they can essentially gut the law, removing all the subsidies that help low- and middle-income people buy health insurance and getting rid of the smorgasbord of taxes — on medical devices, insurance companies and wealthy individuals — that pay for those subsidies.\u003c/p>\n\u003cp>Enzi's resolution calls on the Senate to get a bill to the Senate Budget Committee by Jan. 27.\u003c/p>\n\u003cp>[contextly_sidebar id=\"IEHAZElYfsNcL0jjOV8i1WVIIpm777Em\"]\u003c/p>\n\u003cp>Republican lawmakers say they don't want the 20 million people who have newly gained insurance because of the ACA to lose their coverage. So they plan to phase out Obamacare over time while they devise a replacement plan that they say will make affordable health insurance available to everyone, without the much-hated mandate to buy insurance if you don't want it.\u003c/p>\n\u003cp>Many analysts are skeptical that this \"repeal and delay\" strategy will work.\u003c/p>\n\u003cp>\"The most likely end result of 'repeal and delay' would be less secure insurance for many Americans, procrastination by political leaders who will delay taking any proactive steps as long as possible, and ultimately no discernible movement toward a real marketplace for either insurance or medical services,\" said Joe Antos and James Capretta of the conservative \u003ca href=\"https://www.aei.org/\">American Enterprise Institute\u003c/a> in \u003ca href=\"http://healthaffairs.org/blog/2017/01/03/the-problems-with-repeal-and-delay/\">a blog\u003c/a> published Tuesday in \u003cem>Health Affairs\u003c/em>.\u003c/p>\n\u003cp>Antos and Capretta say a partial repeal with no replacement would lead insurance companies to pull out of the Obamacare market altogether, leaving those who get coverage there today with no insurance at all.\u003c/p>\n\u003cp>It's not clear exactly what will be included in the actual repeal bill. The best model we have now is a \u003ca href=\"https://www.congress.gov/bill/114th-congress/house-bill/3762\">bill passed \u003c/a>by the House and Senate and \u003ca href=\"http://www.politico.com/story/2016/01/obama-vetoes-obamacare-repeal-bill-217505\">vetoed by President Obama\u003c/a> last year.\u003c/p>\n\u003cp>That bill eliminated the mandate for individuals to have insurance coverage right away but delayed the other parts of the repeal for two years.\u003c/p>\n\u003cp>\"I can see how it would be hard for Republicans to maintain the individual mandate, which is possibly the most objectionable part of the ACA in their view,\" says \u003ca href=\"http://kff.org/person/larry-levitt/\">Larry Levitt\u003c/a>, a senior vice president at the Kaiser Family Foundation. \"On the other hand, getting rid of the individual mandate immediately risks a collapse of the individual insurance market.\"\u003c/p>\n\u003cp>The ACA includes the mandate to ensure that both sick and healthy people buy insurance to spread the costs across a broad population and keep premiums low. If Republicans follow the model of last year's bill and eliminate the mandate immediately, many healthy people would forgo insurance, and the price of coverage for sick people would spiral out of control, analysts say.\u003c/p>\n\u003cp>\"That is a prescription for health plan disaster during this transition and brings into question just how many plans would stay in the program for 2018,\" says \u003ca href=\"http://healthpolicyandmarket.blogspot.com/\">Robert Laszewski\u003c/a>, a health policy consultant.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\">NPR.org\u003c/a>.\u003c/p>\n\n",
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"excerpt": "Senate Republicans introduced a budget resolution that starts the process to defund key chunks of the Affordable Care Act. President-elect Donald Trump says he'll sign a bill.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Lawmakers returned to Washington and wasted no time getting to work on the repeal of Obamacare.\u003c/p>\n\u003cp>Sen. Mike Enzi, R-Wyo., \u003ca href=\"http://www.enzi.senate.gov/public/index.cfm/news-releases?ContentRecord_id=0F1E3FBC-A679-4B7C-9789-F11B233EF456&ContentType_id=AE7A6475-A01F-4DA5-AA94-0A98973DE620&Group_id=91d2f483-0ad8-44ac-bcc4-fc2c82d75e07\">introduced a resolution\u003c/a> just hours after the new Congress convened Tuesday that will serve as the vehicle for repealing much of the president's signature health care law.\u003c/p>\n\u003cp>\"Today, we take the first steps to repair the nation's broken health care system, removing Washington from the equation and putting control back where it belongs: with patients, their families, and their doctors,\" Enzi, chairman of the Senate Budget Committee, said in a press release posted on his website Tuesday.\u003c/p>\n\u003cp>It's the first step in Republican lawmakers' plan to fulfill their most ardent campaign promise — to \u003ca href=\"http://www.npr.org/sections/health-shots/2017/01/02/506446779/obamacare-is-first-item-on-congress-chopping-block\">repeal the Affordable Care Act\u003c/a> and replace it with a Republican alternative.\u003c/p>\n\u003cp>Republicans have to use a special legislative maneuver, called a budget resolution, to undo the ACA because they don't have enough votes to overcome a Democratic filibuster in the Senate. Budget bills aren't subject to filibuster, so lawmakers will be able to repeal the parts of the law that have budget and tax implications.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That means they can essentially gut the law, removing all the subsidies that help low- and middle-income people buy health insurance and getting rid of the smorgasbord of taxes — on medical devices, insurance companies and wealthy individuals — that pay for those subsidies.\u003c/p>\n\u003cp>Enzi's resolution calls on the Senate to get a bill to the Senate Budget Committee by Jan. 27.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Republican lawmakers say they don't want the 20 million people who have newly gained insurance because of the ACA to lose their coverage. So they plan to phase out Obamacare over time while they devise a replacement plan that they say will make affordable health insurance available to everyone, without the much-hated mandate to buy insurance if you don't want it.\u003c/p>\n\u003cp>Many analysts are skeptical that this \"repeal and delay\" strategy will work.\u003c/p>\n\u003cp>\"The most likely end result of 'repeal and delay' would be less secure insurance for many Americans, procrastination by political leaders who will delay taking any proactive steps as long as possible, and ultimately no discernible movement toward a real marketplace for either insurance or medical services,\" said Joe Antos and James Capretta of the conservative \u003ca href=\"https://www.aei.org/\">American Enterprise Institute\u003c/a> in \u003ca href=\"http://healthaffairs.org/blog/2017/01/03/the-problems-with-repeal-and-delay/\">a blog\u003c/a> published Tuesday in \u003cem>Health Affairs\u003c/em>.\u003c/p>\n\u003cp>Antos and Capretta say a partial repeal with no replacement would lead insurance companies to pull out of the Obamacare market altogether, leaving those who get coverage there today with no insurance at all.\u003c/p>\n\u003cp>It's not clear exactly what will be included in the actual repeal bill. The best model we have now is a \u003ca href=\"https://www.congress.gov/bill/114th-congress/house-bill/3762\">bill passed \u003c/a>by the House and Senate and \u003ca href=\"http://www.politico.com/story/2016/01/obama-vetoes-obamacare-repeal-bill-217505\">vetoed by President Obama\u003c/a> last year.\u003c/p>\n\u003cp>That bill eliminated the mandate for individuals to have insurance coverage right away but delayed the other parts of the repeal for two years.\u003c/p>\n\u003cp>\"I can see how it would be hard for Republicans to maintain the individual mandate, which is possibly the most objectionable part of the ACA in their view,\" says \u003ca href=\"http://kff.org/person/larry-levitt/\">Larry Levitt\u003c/a>, a senior vice president at the Kaiser Family Foundation. \"On the other hand, getting rid of the individual mandate immediately risks a collapse of the individual insurance market.\"\u003c/p>\n\u003cp>The ACA includes the mandate to ensure that both sick and healthy people buy insurance to spread the costs across a broad population and keep premiums low. If Republicans follow the model of last year's bill and eliminate the mandate immediately, many healthy people would forgo insurance, and the price of coverage for sick people would spiral out of control, analysts say.\u003c/p>\n\u003cp>\"That is a prescription for health plan disaster during this transition and brings into question just how many plans would stay in the program for 2018,\" says \u003ca href=\"http://healthpolicyandmarket.blogspot.com/\">Robert Laszewski\u003c/a>, a health policy consultant.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\">NPR.org\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Obamacare Enrollment is Beating Last Year’s Early Pace",
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"content": "\u003cp>Despite the Affordable Care Act’s rising prices, decreased insurer participation and a vigorous political threat to its survival, consumer enrollment for 2017 is outpacing last year’s, according to new federal data and reports from state officials around the country.\u003c/p>\n\u003cp>Americans’ anxiety about how a new Republican-controlled Congress and President-elect Donald Trump will repeal and replace the health law is helping fuel early enrollment gains in the online marketplaces that sell individual coverage, state exchange officials and health consultants said.\u003c/p>\n\u003cp>Healthcare.gov, the federal marketplace which handles coverage for 39 states, enrolled 6.4 million people from Nov. 1 through Monday, about 400,000 more than at the same time a year ago, the Health and Human Services Department said Wednesday. Monday was the deadline in those states to sign up for coverage starting Jan. 1, but open enrollment will continue until Jan. 31 for 2017 coverage.\u003c/p>\n\u003cp>“The marketplace is strong … and now we know the doomsday predictions about the marketplace are not coming true,” HHS Secretary Sylvia Burwell said in a press briefing.\u003c/p>\n\u003cp>The surge in sign-ups on the federal marketplace mirrors activity on several state-run Obamacare exchanges, according to figures obtained from states independently by Kaiser Health News. Minnesota, with more than 54,000 enrollees as of Monday, doubled the number of sign-ups it had at the same time last year. Colorado, Massachusetts and Washington had enrollment growth of at least 13 percent compared to a year ago.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Because of the new administration and the high likelihood of changes coming to the ACA, it is creating a sense of urgency” for people to enroll, said Michael Marchand, director of communications for the Washington Health Benefit Exchange. Enrollment exceeded 170,000 customers on the Washington exchange as of this week, up 13 percent compared to same time a year ago.\u003c/p>\n\u003cp>Other state exchanges saw moderate increases: Connecticut, 3 percent; Idaho, 4 percent; Maryland, 1 percent. California’s enrollment is about same as a year ago. Rhode Island’s enrollment dropped to 27,555 from 31,900 for the same period last year. State exchange officials cited a drop in customers who were automatically renewed because UnitedHealthcare dropped out.\u003c/p>\n\u003cp>About 12.7 million people enrolled in the state and federal exchanges for 2016 coverage at the end of the previous enrollment season. HHS predicted in October that an additional 1.1 million people would sign up for 2017 coverage. Burwell said Wednesday that her department is sticking with that projection, even though “the headwinds have increased” since the election.\u003c/p>\n\u003cp>Obamacare, now in its fourth open enrollment season, took some heavy blows this year after several big insurers — including UnitedHealthcare, Humana and Aetna — withdrew from many marketplaces for 2017 because of heavy financial losses. At the same time, remaining insurers increased premiums by 25 percent on average.\u003c/p>\n\u003cp>All of that, plus a changed political climate in Washington, was expected to dampen enrollment. While the surprise presidential election outcome may have been the primary force for changing those expectations, other factors also have fueled enrollment growth this fall, state officials pointed out in interviews.\u003c/p>\n\u003cp>More people who don’t qualify for government subsidies are buying health plans on the exchanges because it’s an easier way to compare available plans in one place. Noting that trend, Premera Blue Cross in Washington recently stopped selling individual coverage off the exchange.\u003c/p>\n\u003cp>In Minnesota, higher government subsidies — which reduce premiums for people with lower incomes — is the main reason why more people have signed up, according to Allison O’Toole, CEO of MNsure, the state-run exchange. The subsidy amount is tied to the cost of the second-lowest silver plan on the exchange, so as premiums rise for that plan, the subsidy rises too. Premiums soared by an average 50 percent in Minnesota for second-lowest silver.\u003c/p>\n\u003cp>Another factor driving earlier enrollment in that state was caps set by several Minnesota insurers on the number of new enrollees they would accept. People signed up earlier to make sure they could get the plan they wanted, according to O’Toole.\u003c/p>\n\u003cp>Minnesota’s growth is surprising because one of its biggest carriers, Blue Cross and Blue Shield of Minnesota, stopped selling its most popular health plan on the exchange. That forced about 20,000 people to change insurers or switch from Blue Cross’ PPO, which has a broad provider network, to its HMO plan with a narrower network.\u003c/p>\n\u003cp>In Colorado, the 18 percent increase in enrollment so far has exceeded officials’ expectations, said Luke Clarke, the spokesman for Connect for Health Colorado, the state exchange. “We had an office pool and no one picked a number that high,” he said. “It was a healthy surprise,” particularly because premiums increased in the state by about 20 percent on average.\u003c/p>\n\u003cp>Conservatives warn it’s still too early for Obamacare supporters to celebrate.\u003c/p>\n\u003cp>“I suspect that some states saw big increases because local advocacy groups were able to tell their constituents that they should enroll before Trump is sworn in and Republicans take over Congress — thereby pretty much guaranteeing that they get a full year’s coverage regardless of what Republicans might do on repeal,” said Joe Antos, a health economist with the American Enterprise Institute, a conservative think tank.\u003c/p>\n\u003cp>Under that scenario, large enrollment increases this fall might be followed by a dropoff in January over the 2016 numbers and the final enrollment tally could end up similar this year’s, he said. Antos noted the true enrollment figures will be known once people pay for their coverage and stay enrolled for the full year.\u003c/p>\n\u003cp>“As with everything related to ACA,” Antos said, “it’s easy to find a happy story if you squint hard enough and don’t wait for the enrollment process to complete — or the plan year to end.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a> (KHN) is a national health policy news service. It is an editorially independent program of the \u003ca href=\"http://www.kff.org/\">Henry J. Kaiser Family Foundation\u003c/a>.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Despite the Affordable Care Act’s rising prices, decreased insurer participation and a vigorous political threat to its survival, consumer enrollment for 2017 is outpacing last year’s, according to new federal data and reports from state officials around the country.\u003c/p>\n\u003cp>Americans’ anxiety about how a new Republican-controlled Congress and President-elect Donald Trump will repeal and replace the health law is helping fuel early enrollment gains in the online marketplaces that sell individual coverage, state exchange officials and health consultants said.\u003c/p>\n\u003cp>Healthcare.gov, the federal marketplace which handles coverage for 39 states, enrolled 6.4 million people from Nov. 1 through Monday, about 400,000 more than at the same time a year ago, the Health and Human Services Department said Wednesday. Monday was the deadline in those states to sign up for coverage starting Jan. 1, but open enrollment will continue until Jan. 31 for 2017 coverage.\u003c/p>\n\u003cp>“The marketplace is strong … and now we know the doomsday predictions about the marketplace are not coming true,” HHS Secretary Sylvia Burwell said in a press briefing.\u003c/p>\n\u003cp>The surge in sign-ups on the federal marketplace mirrors activity on several state-run Obamacare exchanges, according to figures obtained from states independently by Kaiser Health News. Minnesota, with more than 54,000 enrollees as of Monday, doubled the number of sign-ups it had at the same time last year. Colorado, Massachusetts and Washington had enrollment growth of at least 13 percent compared to a year ago.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Because of the new administration and the high likelihood of changes coming to the ACA, it is creating a sense of urgency” for people to enroll, said Michael Marchand, director of communications for the Washington Health Benefit Exchange. Enrollment exceeded 170,000 customers on the Washington exchange as of this week, up 13 percent compared to same time a year ago.\u003c/p>\n\u003cp>Other state exchanges saw moderate increases: Connecticut, 3 percent; Idaho, 4 percent; Maryland, 1 percent. California’s enrollment is about same as a year ago. Rhode Island’s enrollment dropped to 27,555 from 31,900 for the same period last year. State exchange officials cited a drop in customers who were automatically renewed because UnitedHealthcare dropped out.\u003c/p>\n\u003cp>About 12.7 million people enrolled in the state and federal exchanges for 2016 coverage at the end of the previous enrollment season. HHS predicted in October that an additional 1.1 million people would sign up for 2017 coverage. Burwell said Wednesday that her department is sticking with that projection, even though “the headwinds have increased” since the election.\u003c/p>\n\u003cp>Obamacare, now in its fourth open enrollment season, took some heavy blows this year after several big insurers — including UnitedHealthcare, Humana and Aetna — withdrew from many marketplaces for 2017 because of heavy financial losses. At the same time, remaining insurers increased premiums by 25 percent on average.\u003c/p>\n\u003cp>All of that, plus a changed political climate in Washington, was expected to dampen enrollment. While the surprise presidential election outcome may have been the primary force for changing those expectations, other factors also have fueled enrollment growth this fall, state officials pointed out in interviews.\u003c/p>\n\u003cp>More people who don’t qualify for government subsidies are buying health plans on the exchanges because it’s an easier way to compare available plans in one place. Noting that trend, Premera Blue Cross in Washington recently stopped selling individual coverage off the exchange.\u003c/p>\n\u003cp>In Minnesota, higher government subsidies — which reduce premiums for people with lower incomes — is the main reason why more people have signed up, according to Allison O’Toole, CEO of MNsure, the state-run exchange. The subsidy amount is tied to the cost of the second-lowest silver plan on the exchange, so as premiums rise for that plan, the subsidy rises too. Premiums soared by an average 50 percent in Minnesota for second-lowest silver.\u003c/p>\n\u003cp>Another factor driving earlier enrollment in that state was caps set by several Minnesota insurers on the number of new enrollees they would accept. People signed up earlier to make sure they could get the plan they wanted, according to O’Toole.\u003c/p>\n\u003cp>Minnesota’s growth is surprising because one of its biggest carriers, Blue Cross and Blue Shield of Minnesota, stopped selling its most popular health plan on the exchange. That forced about 20,000 people to change insurers or switch from Blue Cross’ PPO, which has a broad provider network, to its HMO plan with a narrower network.\u003c/p>\n\u003cp>In Colorado, the 18 percent increase in enrollment so far has exceeded officials’ expectations, said Luke Clarke, the spokesman for Connect for Health Colorado, the state exchange. “We had an office pool and no one picked a number that high,” he said. “It was a healthy surprise,” particularly because premiums increased in the state by about 20 percent on average.\u003c/p>\n\u003cp>Conservatives warn it’s still too early for Obamacare supporters to celebrate.\u003c/p>\n\u003cp>“I suspect that some states saw big increases because local advocacy groups were able to tell their constituents that they should enroll before Trump is sworn in and Republicans take over Congress — thereby pretty much guaranteeing that they get a full year’s coverage regardless of what Republicans might do on repeal,” said Joe Antos, a health economist with the American Enterprise Institute, a conservative think tank.\u003c/p>\n\u003cp>Under that scenario, large enrollment increases this fall might be followed by a dropoff in January over the 2016 numbers and the final enrollment tally could end up similar this year’s, he said. Antos noted the true enrollment figures will be known once people pay for their coverage and stay enrolled for the full year.\u003c/p>\n\u003cp>“As with everything related to ACA,” Antos said, “it’s easy to find a happy story if you squint hard enough and don’t wait for the enrollment process to complete — or the plan year to end.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a> (KHN) is a national health policy news service. It is an editorially independent program of the \u003ca href=\"http://www.kff.org/\">Henry J. Kaiser Family Foundation\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Amid Sign-Up Surge, Covered California Extends Enrollment Deadline",
"title": "Amid Sign-Up Surge, Covered California Extends Enrollment Deadline",
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"content": "\u003cp>Californians are signing up in higher numbers than they did last year for health plans sold on the state’s health insurance exchange, despite great uncertainty over the future of Obamacare.\u003c/p>\n\u003cp>More than 25,000 new consumers chose new Covered California plans in just two days earlier this week, exchange officials said Wednesday.\u003c/p>\n\u003cp>Because of the last-minute rush, Covered California officials have extended the enrollment deadline for coverage that begins Jan. 1. Consumers now have until midnight on Dec. 17 to choose plans. Coverage purchased after this Saturday’s deadline will start either on Feb. 1 or March 1.\u003c/p>\n\u003cp>Since open enrollment began Nov. 1, more than 153,000 new people have signed up for 2017 coverage, compared with 144,000 at this time last year, Covered California officials said. In addition, more than 1.2 million people with existing Covered California plans have renewed their coverage for next year.\u003c/p>\n\u003cp>President-elect Donald Trump and Republican leaders in Congress have promised to repeal the Affordable Care Act, the health reform law under which Covered California was established. The exchange, like others around the U.S., sells health coverage that comes with federal tax subsidies to help people of modest means pay the premiums.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Republican lawmakers say they want a repeal bill ready by Inauguration Day on Jan. 20, but that timetable \u003ca href=\"http://khn.org/news/gops-timetable-for-getting-repeal-to-trump-may-be-ambitious/\" target=\"_blank\">may be too ambitious\u003c/a>. Still, Obamacare enrollment \u003ca href=\"http://www.usnews.com/news/health-care-news/articles/2016-12-14/obamacare-sees-strong-enrollment-despite-price-hikes-repeal-threats\" target=\"_blank\">has been surging\u003c/a> in California and nationwide.\u003c/p>\n\u003cp>Peter Lee, Covered California’s executive director, said he brought his staff together the day after Election Day and told them not to be deterred by the upcoming change in in the White House.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“One of the things I said [is] ‘now’s not the time to be looking for a job; now’s the time to be doing your job.’ And that’s exactly what people at Covered California have been doing,” Lee said at a health symposium in Sacramento on Tuesday.\u003c/p>\n\n",
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"nprByline": "\u003cstrong>\u003ca href=\"http://californiahealthline.org/news/author/pauline-bartolone\">Pauline Bartolone\u003c/a>\u003c/strong>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Californians are signing up in higher numbers than they did last year for health plans sold on the state’s health insurance exchange, despite great uncertainty over the future of Obamacare.\u003c/p>\n\u003cp>More than 25,000 new consumers chose new Covered California plans in just two days earlier this week, exchange officials said Wednesday.\u003c/p>\n\u003cp>Because of the last-minute rush, Covered California officials have extended the enrollment deadline for coverage that begins Jan. 1. Consumers now have until midnight on Dec. 17 to choose plans. Coverage purchased after this Saturday’s deadline will start either on Feb. 1 or March 1.\u003c/p>\n\u003cp>Since open enrollment began Nov. 1, more than 153,000 new people have signed up for 2017 coverage, compared with 144,000 at this time last year, Covered California officials said. In addition, more than 1.2 million people with existing Covered California plans have renewed their coverage for next year.\u003c/p>\n\u003cp>President-elect Donald Trump and Republican leaders in Congress have promised to repeal the Affordable Care Act, the health reform law under which Covered California was established. The exchange, like others around the U.S., sells health coverage that comes with federal tax subsidies to help people of modest means pay the premiums.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Republican lawmakers say they want a repeal bill ready by Inauguration Day on Jan. 20, but that timetable \u003ca href=\"http://khn.org/news/gops-timetable-for-getting-repeal-to-trump-may-be-ambitious/\" target=\"_blank\">may be too ambitious\u003c/a>. Still, Obamacare enrollment \u003ca href=\"http://www.usnews.com/news/health-care-news/articles/2016-12-14/obamacare-sees-strong-enrollment-despite-price-hikes-repeal-threats\" target=\"_blank\">has been surging\u003c/a> in California and nationwide.\u003c/p>\n\u003cp>Peter Lee, Covered California’s executive director, said he brought his staff together the day after Election Day and told them not to be deterred by the upcoming change in in the White House.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“One of the things I said [is] ‘now’s not the time to be looking for a job; now’s the time to be doing your job.’ And that’s exactly what people at Covered California have been doing,” Lee said at a health symposium in Sacramento on Tuesday.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Awaiting Trump, Community Clinics Plan for an Uncertain Future",
"title": "Awaiting Trump, Community Clinics Plan for an Uncertain Future",
"headTitle": "KPCC | State of Health | KQED News",
"content": "\u003cp>Chance Rearden used to get health insurance through his job in the entertainment industry. But when his hours fell off, he didn't qualify for coverage anymore.\u003c/p>\n\u003cp>At the time, Rearden wasn't old enough to get Medicare and he couldn't afford to pay out of pocket for treatment. So, he says, he often skipped going to the doctor.\u003c/p>\n\u003cp>Then the Affordable Care Act took effect, and under its expansion of Medicaid eligibility, Rearden was able to sign up for California's version of the program, Medi-Cal.\u003c/p>\n\u003cp>\"I've been able to get medical attention that I otherwise wouldn't be able to afford to get,\" he says.\u003c/p>\n\u003cp>Rearden, now 66, gets treated at the Saban Community Clinic near Los Angeles' Fairfax District, where he receives primary care and has seen specialists, including a dermatologist and a podiatrist.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But with the incoming Trump administration looking to repeal the Affordable Care Act, he's scared his benefits will dry up. One key piece of the Republican plan is turning Medicaid into a block grant program, which could mean less money for California to run Medi-Cal.\u003c/p>\n\u003cp>A lot of people who have benefited from the Medi-Cal expansion are worried about losing their coverage, and the community clinics that serve many of them are concerned that they'll have to cut back on some of their services.\u003c/p>\n\u003cp>\u003cstrong>\"Most vulnerable and poorest patients\"\u003c/strong>\u003c/p>\n\u003cp>Saban Community Clinic nurse practitioner Stacy Nadler says her Medi-Cal patients are asking her all sorts of questions, like, \"Will their specialists still be covered? Do you think they'll still be able to see the chiropractor or the neurosurgeon? Or they're planning a surgery for next year. What do I think is going to happen?\"\u003c/p>\n\u003cp>Nadler doesn't have the answers. Neither does clinic CEO Julie Hudman. But she knows there's a lot at stake for her patients.\u003c/p>\n\u003cp>\"A lot of the folks that we see are single adults,\" Hudman says. \"They're maybe more transitional. They're homeless patients. They have behavioral health challenges. They're really, to be honest, some of the most vulnerable and poorest patients of all.\"\u003c/p>\n\u003cp>Before the Affordable Care Act, eligibility for Medicaid depended on a variety of factors, including income, household size, family status, disability and more. Under Obamacare, people can qualify on income alone if their household makes less than 138 percent of the federal poverty level - $16,395 for an individual and $33,534 for a family of four, according to the California Department of Health Care Services.\u003c/p>\n\u003cp>About half of the clinic's 18,000 patients were uninsured prior to the Affordable Care Act, says Hudman. They paid very little for treatment – maybe a co-pay of $5 or $10. Almost all of those patients qualified for Medi-Cal after the health law expanded eligibility, she says. \u003c/p>\n\u003cp>That's made a big difference for the bottom line, Hudman says, explaining that Medi-Cal pays the clinic around $200 per patient visit.\u003c/p>\n\u003cp>These days, more than half of Saban's revenue comes from health insurance programs. The possibility of losing some of that money is forcing Hudman to make some hard decisions.\u003c/p>\n\u003cp>She says she was looking to lease or buy a fourth facility, but with Trump's election that plan is on hold.\u003c/p>\n\u003cp>\"We had a lot of momentum moving forward and now we've just sort of … stalled,\" she says.\u003c/p>\n\u003cp>Hudman has also decided to freeze her plans to expand free services, like help for the homeless.\u003c/p>\n\u003cp>\"I'm not willing to move forward and take some of those risks that I think are what our community and our patients need,\" she says. \"I need to make sure that we're able to pay our bills and pay our staff.\"\u003c/p>\n\u003cfigure id=\"attachment_271077\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO-800x534.jpg\" alt=\"Saban Community Clinic CEO Julie Hudman says she's placed expansion plans on hold amidst the uncertainty over the future of Obamacare.\" width=\"800\" height=\"534\" class=\"size-medium wp-image-271077\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO-520x347.jpg 520w, https://ww2.kqed.org/app/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Saban Community Clinic CEO Julie Hudman says she's placed expansion plans on hold amidst the uncertainty over the future of Obamacare. \u003ccite>( Maya Sugarman/KPCC)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A lot of health centers are in a similar situation, according to Louise McCarthy, president and CEO of the Community Clinic Association of Los Angeles County. She says it's frustrating not knowing exactly what Trump and the Republican-led Congress will do.\u003c/p>\n\u003cp>In the end, though, \"the populations [the clinics] serve are there and are going to stay there,\" she says. \"So the question is, how do you broker the resources to do it?\"\u003c/p>\n\u003cp>\u003cstrong>Paul Ryan's \"A Better Way\" proposal\u003c/strong>\u003c/p>\n\u003cp>The most detailed Republican plan for repealing and replacing the Affordable Care Act is House Speaker Paul Ryan's (R-Wisconsin) \u003ca href=\"http://abetterway.speaker.gov/_assets/pdf/ABetterWay-HealthCare-PolicyPaper.pdf\" target=\"_blank\">\"A Better Way\"\u003c/a> proposal.\u003c/p>\n\u003cp>It argues that Medicaid's structure is financially unsustainable over the long term and is unfair to states, whose governors and legislatures \"know better than Washington bureaucrats where there are unmet needs and opportunities to cut down on waste, fraud, and abuse.\"\u003c/p>\n\u003cp>The Affordable Care Act's Medicaid expansion unfairly dedicates a greater share of federal dollars to people who make more than the poorest program participants, according to Ryan's plan. \u003c/p>\n\u003cp>The proposal suggests Medicaid be transformed to either provide states with a fixed block grant or a set allotment for each patient, along with the authority to adjust eligibility and benefits \"in a way that better meets the needs of their state populations, promotes personal responsibility and healthy behaviors, and encourages a more holistic approach to care.\"\u003c/p>\n\u003cp>The blueprint proposes that states could base eligibility on requiring \"able-bodied individuals to seek a job, be employed, or participate in a training or educational program,\" as some states have done under a 2012 Supreme Court ruling that gave them the choice of opting out of the Medicaid expansion. \u003c/p>\n\u003cp>The ultimate goal, according to Ryan's plan, is to help Medicaid recipients get off of the program and onto private health coverage. \u003c/p>\n\u003cp>\"As state reforms reduce dependence on government assistance, the people helped would enter the workforce, have insurance, and be able to lift themselves up the economic ladder,\" it says.\u003c/p>\n\u003cp>Meanwhile, community clinics are seeking to reassure Medi-Cal patients nervous about the future. Saban nurse practitioner Nadler says she recently saw a man who wanted to get his high blood pressure under control. He got Medi-Cal through the Obamacare expansion and she says he's worried that if the law is repealed, he might not get his medications anymore.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>She recalls telling him, \"we're not going to treat you any differently than we did before. We need to stabilize your blood pressure no matter what, whether you have health insurance or not. Even if you don't have health insurance, I'm sure we're going to still take care of you.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Chance Rearden used to get health insurance through his job in the entertainment industry. But when his hours fell off, he didn't qualify for coverage anymore.\u003c/p>\n\u003cp>At the time, Rearden wasn't old enough to get Medicare and he couldn't afford to pay out of pocket for treatment. So, he says, he often skipped going to the doctor.\u003c/p>\n\u003cp>Then the Affordable Care Act took effect, and under its expansion of Medicaid eligibility, Rearden was able to sign up for California's version of the program, Medi-Cal.\u003c/p>\n\u003cp>\"I've been able to get medical attention that I otherwise wouldn't be able to afford to get,\" he says.\u003c/p>\n\u003cp>Rearden, now 66, gets treated at the Saban Community Clinic near Los Angeles' Fairfax District, where he receives primary care and has seen specialists, including a dermatologist and a podiatrist.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But with the incoming Trump administration looking to repeal the Affordable Care Act, he's scared his benefits will dry up. One key piece of the Republican plan is turning Medicaid into a block grant program, which could mean less money for California to run Medi-Cal.\u003c/p>\n\u003cp>A lot of people who have benefited from the Medi-Cal expansion are worried about losing their coverage, and the community clinics that serve many of them are concerned that they'll have to cut back on some of their services.\u003c/p>\n\u003cp>\u003cstrong>\"Most vulnerable and poorest patients\"\u003c/strong>\u003c/p>\n\u003cp>Saban Community Clinic nurse practitioner Stacy Nadler says her Medi-Cal patients are asking her all sorts of questions, like, \"Will their specialists still be covered? Do you think they'll still be able to see the chiropractor or the neurosurgeon? Or they're planning a surgery for next year. What do I think is going to happen?\"\u003c/p>\n\u003cp>Nadler doesn't have the answers. Neither does clinic CEO Julie Hudman. But she knows there's a lot at stake for her patients.\u003c/p>\n\u003cp>\"A lot of the folks that we see are single adults,\" Hudman says. \"They're maybe more transitional. They're homeless patients. They have behavioral health challenges. They're really, to be honest, some of the most vulnerable and poorest patients of all.\"\u003c/p>\n\u003cp>Before the Affordable Care Act, eligibility for Medicaid depended on a variety of factors, including income, household size, family status, disability and more. Under Obamacare, people can qualify on income alone if their household makes less than 138 percent of the federal poverty level - $16,395 for an individual and $33,534 for a family of four, according to the California Department of Health Care Services.\u003c/p>\n\u003cp>About half of the clinic's 18,000 patients were uninsured prior to the Affordable Care Act, says Hudman. They paid very little for treatment – maybe a co-pay of $5 or $10. Almost all of those patients qualified for Medi-Cal after the health law expanded eligibility, she says. \u003c/p>\n\u003cp>That's made a big difference for the bottom line, Hudman says, explaining that Medi-Cal pays the clinic around $200 per patient visit.\u003c/p>\n\u003cp>These days, more than half of Saban's revenue comes from health insurance programs. The possibility of losing some of that money is forcing Hudman to make some hard decisions.\u003c/p>\n\u003cp>She says she was looking to lease or buy a fourth facility, but with Trump's election that plan is on hold.\u003c/p>\n\u003cp>\"We had a lot of momentum moving forward and now we've just sort of … stalled,\" she says.\u003c/p>\n\u003cp>Hudman has also decided to freeze her plans to expand free services, like help for the homeless.\u003c/p>\n\u003cp>\"I'm not willing to move forward and take some of those risks that I think are what our community and our patients need,\" she says. \"I need to make sure that we're able to pay our bills and pay our staff.\"\u003c/p>\n\u003cfigure id=\"attachment_271077\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO-800x534.jpg\" alt=\"Saban Community Clinic CEO Julie Hudman says she's placed expansion plans on hold amidst the uncertainty over the future of Obamacare.\" width=\"800\" height=\"534\" class=\"size-medium wp-image-271077\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO-520x347.jpg 520w, https://ww2.kqed.org/app/uploads/sites/27/2016/12/KPCC-Community-Clinic-CEO.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Saban Community Clinic CEO Julie Hudman says she's placed expansion plans on hold amidst the uncertainty over the future of Obamacare. \u003ccite>( Maya Sugarman/KPCC)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A lot of health centers are in a similar situation, according to Louise McCarthy, president and CEO of the Community Clinic Association of Los Angeles County. She says it's frustrating not knowing exactly what Trump and the Republican-led Congress will do.\u003c/p>\n\u003cp>In the end, though, \"the populations [the clinics] serve are there and are going to stay there,\" she says. \"So the question is, how do you broker the resources to do it?\"\u003c/p>\n\u003cp>\u003cstrong>Paul Ryan's \"A Better Way\" proposal\u003c/strong>\u003c/p>\n\u003cp>The most detailed Republican plan for repealing and replacing the Affordable Care Act is House Speaker Paul Ryan's (R-Wisconsin) \u003ca href=\"http://abetterway.speaker.gov/_assets/pdf/ABetterWay-HealthCare-PolicyPaper.pdf\" target=\"_blank\">\"A Better Way\"\u003c/a> proposal.\u003c/p>\n\u003cp>It argues that Medicaid's structure is financially unsustainable over the long term and is unfair to states, whose governors and legislatures \"know better than Washington bureaucrats where there are unmet needs and opportunities to cut down on waste, fraud, and abuse.\"\u003c/p>\n\u003cp>The Affordable Care Act's Medicaid expansion unfairly dedicates a greater share of federal dollars to people who make more than the poorest program participants, according to Ryan's plan. \u003c/p>\n\u003cp>The proposal suggests Medicaid be transformed to either provide states with a fixed block grant or a set allotment for each patient, along with the authority to adjust eligibility and benefits \"in a way that better meets the needs of their state populations, promotes personal responsibility and healthy behaviors, and encourages a more holistic approach to care.\"\u003c/p>\n\u003cp>The blueprint proposes that states could base eligibility on requiring \"able-bodied individuals to seek a job, be employed, or participate in a training or educational program,\" as some states have done under a 2012 Supreme Court ruling that gave them the choice of opting out of the Medicaid expansion. \u003c/p>\n\u003cp>The ultimate goal, according to Ryan's plan, is to help Medicaid recipients get off of the program and onto private health coverage. \u003c/p>\n\u003cp>\"As state reforms reduce dependence on government assistance, the people helped would enter the workforce, have insurance, and be able to lift themselves up the economic ladder,\" it says.\u003c/p>\n\u003cp>Meanwhile, community clinics are seeking to reassure Medi-Cal patients nervous about the future. Saban nurse practitioner Nadler says she recently saw a man who wanted to get his high blood pressure under control. He got Medi-Cal through the Obamacare expansion and she says he's worried that if the law is repealed, he might not get his medications anymore.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>She recalls telling him, \"we're not going to treat you any differently than we did before. We need to stabilize your blood pressure no matter what, whether you have health insurance or not. Even if you don't have health insurance, I'm sure we're going to still take care of you.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "In California, Planned Parenthood Girds for Potentially Grim Future Under Trump",
"title": "In California, Planned Parenthood Girds for Potentially Grim Future Under Trump",
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"content": "\u003cp>President-elect Donald Trump has pledged to defund Planned Parenthood, to appoint conservative Supreme Court justices who could overturn Roe v. Wade and to prohibit late-term abortions. He has also vowed to repeal and replace the Affordable Care Act, which expanded access to contraception.\u003c/p>\n\u003cp>The anti-abortion platform of Trump and Vice President-elect Mike Pence appeals to many conservatives around the nation but worries many women’s health providers.\u003c/p>\n\u003cp>We spoke to Kathy Kneer, CEO and president of Planned Parenthood Affiliates of California, about the organization’s future under the incoming administration. Planned Parenthood provides primary care, reproductive health services, sex education and abortions across the nation. The 100-year-old organization has about 650 health centers, including 115 in California.\u003c/p>\n\u003cp>The conversation has been edited for clarity and length.\u003c/p>\n\u003cp>\u003cstrong>Q: Who do Planned Parenthood centers serve in California?\u003cbr>\n\u003c/strong>\u003cbr>\nWe serve 850,000-plus men and women a year. Throughout the state of California, our patients are 80 percent served through the Medicaid program and the federal Title X family planning program.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Q: What sort of services do they receive?\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>The basic service that people come to Planned Parenthood for is reproductive health care, specifically contraception. Often times, they come because they think they are pregnant. We wish they would come for birth control first, but they [often] come for a pregnancy test. That then opens the door to discuss with the patients how we can help them with their contraceptive method.\u003c/p>\n\u003cp>So 97 percent of overall services [in California] are for non-abortion services. We also do annual exams. The most important feature is your breast exam to make sure you are not having early stage breast cancer. Also, we screen for STDs — and in California right now, we are having an epidemic of STDs.\u003c/p>\n\u003cp>\u003cstrong>Q: Are women coming in after the election making different decisions about their care than they did before?\u003cbr>\n\u003c/strong>\u003cbr>\nIt’s not just whether Planned Parenthood gets defunded, it’s if contraception gets defunded as a result of a repeal of the Affordable Care Act. I think that’s making women think differently about their contraceptive needs. But it’s a little too soon for us to say that women are switching or that they are coming in only for IUDs [intrauterine devices]. We had already been seeing a dramatic increase prior to the election of women electing IUDs. That’s been a trend really in the last three years and it has really taken off in the last year. Women are much more knowledgeable about it and are aware that there is an effective long-term [contraceptive] method.\u003c/p>\n\u003cp>\u003cstrong>Q: Are centers advising women to do anything differently because of the new administration?\u003cbr>\n\u003c/strong>\u003cbr>\nWe advise all women that they should come in and get screened and onto birth control before they need it … and learn how to have safe sex to protect against STDs as well as pregnancy. That has always been our mantra and that will continue to be our mantra.\u003c/p>\n\u003cp>\u003cstrong>Q: What do you anticipate happening with the new administration’s pledge to defund Planned Parenthood and to repeal the Affordable Care Act?\u003cbr>\n\u003c/strong>\u003cbr>\nTrump is proposing to figure out how to defund Planned Parenthood. It is not clear that he really means that, because we have not seen him necessarily stand by everything he said. But the repeal of Obamacare is the biggest threat for women who are not on Medicaid. It’s very important that women understand that if you are in Covered California, you could lose access to birth control or have to pay a copay.\u003c/p>\n\u003cp>The good news is that California passed a law that says insurance companies must give you a year’s supply. So if you are in Covered California and you need birth control, make sure that after January 1, you go get your new prescription and you ask for it in advance. And it will be with no copay. That way you will have a year’s supply of birth control regardless of what the Trump administration does.\u003c/p>\n\u003cp>I don’t believe they are going to end the family planning benefit in the Medicaid program, so women on Medi-Cal will continue to have access to it.\u003c/p>\n\u003cp>\u003cstrong>Q: How exactly could Trump defund Planned Parenthood, and what would that mean for the organization?\u003cbr>\n\u003c/strong>\u003cbr>\nThere are different pathways he could take. He could issue an executive order his first day in office to restrict the Title X federal family planning program and eliminate any providers who also provide abortion. We know that [Trump] could do that easily with a stroke of a pen. That would have two impacts. One is the loss of those federal family planning dollars, but also the loss of … a federal drug program that allows us to provide drugs at a deeply discounted rate. It would be very hard for our affiliates to make up that loss.\u003c/p>\n\u003cp>There is also the Medicaid program. Federal law says that states must allow any willing and eligible provider to participate in the Medicaid program. But [Republicans] can change that law in the budget reconciliation process. It’s a majority vote bill in both houses. That bill would go to the president, and if he signed it, we would be denied eligibility to participate in the federal Medicaid program.\u003c/p>\n\u003cp>It’s potentially very devastating. And it’s devastating for people in California. Women in California really need to understand that what happens in [Washington] D.C. around reproductive health care will impact how women access care in California.\u003c/p>\n\u003cp>\u003cstrong>Q: How is Planned Parenthood preparing to respond to Trump’s pledges?\u003cbr>\n\u003c/strong>\u003cbr>\nAt the national level, we are certainly going to see if there is any litigation that can be done. At the state level, we will be doing the same thing. Are there steps from a legal perspective we can take to really guarantee that women in California will have access to reproductive health care?\u003c/p>\n\u003cp>\u003cstrong>Q: What are you seeing in terms of donations here in California and nationally since the election?\u003cbr>\n\u003c/strong>\u003cbr>\nNationally, we know that they are up. But it’s also getting close to the end of the year and people are making their year-end donations. There are no private donations that can subsidize the volume of government funds spent on those services. There isn’t that much money available in terms of private donations.\u003c/p>\n\u003cp>\u003cstrong>Q: Is it possible the state of California would step up if the federal government cut off funding for Planned Parenthood? Are you talking to state officials?\u003cbr>\n\u003c/strong>\u003cbr>\nThat’s what I am starting to do. I have an appointment with the governor’s office. Our first goal is to let them know our grim assessment. We are going to talk to them about Proposition 56 [the tobacco tax that increased funds for Medi-Cal]. We were originally going to talk to the governor’s administration about making sure that some of the money is targeted to women’s reproductive health care services. We’ve had to expand that agenda to help us delay and defeat any Trump actions hostile to California.\u003c/p>\n\u003cp>What helps is that … family planning services are recognized to be cost-effective in the state o\u003ca href=\"http://agorman@kff.org\" target=\"_blank\">\u003c/a>f California by preventing unintended births. They are so cost-effective that the state … pays for undocumented women to have access to family planning services.\u003c/p>\n\u003cp>And if we went away, there is no place for those patients to go. Often times, [Planned Parenthood] centers are geographically located where there aren’t other providers.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>This story was produced by \u003ca href=\"http://khn.org/\" target=\"_blank\">Kaiser Health News\u003c/a>, an editorially independent program of the \u003ca href=\"http://kff.org/\" target=\"_blank\">Kaiser Family Foundation\u003c/a>.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>President-elect Donald Trump has pledged to defund Planned Parenthood, to appoint conservative Supreme Court justices who could overturn Roe v. Wade and to prohibit late-term abortions. He has also vowed to repeal and replace the Affordable Care Act, which expanded access to contraception.\u003c/p>\n\u003cp>The anti-abortion platform of Trump and Vice President-elect Mike Pence appeals to many conservatives around the nation but worries many women’s health providers.\u003c/p>\n\u003cp>We spoke to Kathy Kneer, CEO and president of Planned Parenthood Affiliates of California, about the organization’s future under the incoming administration. Planned Parenthood provides primary care, reproductive health services, sex education and abortions across the nation. The 100-year-old organization has about 650 health centers, including 115 in California.\u003c/p>\n\u003cp>The conversation has been edited for clarity and length.\u003c/p>\n\u003cp>\u003cstrong>Q: Who do Planned Parenthood centers serve in California?\u003cbr>\n\u003c/strong>\u003cbr>\nWe serve 850,000-plus men and women a year. Throughout the state of California, our patients are 80 percent served through the Medicaid program and the federal Title X family planning program.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Q: What sort of services do they receive?\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>The basic service that people come to Planned Parenthood for is reproductive health care, specifically contraception. Often times, they come because they think they are pregnant. We wish they would come for birth control first, but they [often] come for a pregnancy test. That then opens the door to discuss with the patients how we can help them with their contraceptive method.\u003c/p>\n\u003cp>So 97 percent of overall services [in California] are for non-abortion services. We also do annual exams. The most important feature is your breast exam to make sure you are not having early stage breast cancer. Also, we screen for STDs — and in California right now, we are having an epidemic of STDs.\u003c/p>\n\u003cp>\u003cstrong>Q: Are women coming in after the election making different decisions about their care than they did before?\u003cbr>\n\u003c/strong>\u003cbr>\nIt’s not just whether Planned Parenthood gets defunded, it’s if contraception gets defunded as a result of a repeal of the Affordable Care Act. I think that’s making women think differently about their contraceptive needs. But it’s a little too soon for us to say that women are switching or that they are coming in only for IUDs [intrauterine devices]. We had already been seeing a dramatic increase prior to the election of women electing IUDs. That’s been a trend really in the last three years and it has really taken off in the last year. Women are much more knowledgeable about it and are aware that there is an effective long-term [contraceptive] method.\u003c/p>\n\u003cp>\u003cstrong>Q: Are centers advising women to do anything differently because of the new administration?\u003cbr>\n\u003c/strong>\u003cbr>\nWe advise all women that they should come in and get screened and onto birth control before they need it … and learn how to have safe sex to protect against STDs as well as pregnancy. That has always been our mantra and that will continue to be our mantra.\u003c/p>\n\u003cp>\u003cstrong>Q: What do you anticipate happening with the new administration’s pledge to defund Planned Parenthood and to repeal the Affordable Care Act?\u003cbr>\n\u003c/strong>\u003cbr>\nTrump is proposing to figure out how to defund Planned Parenthood. It is not clear that he really means that, because we have not seen him necessarily stand by everything he said. But the repeal of Obamacare is the biggest threat for women who are not on Medicaid. It’s very important that women understand that if you are in Covered California, you could lose access to birth control or have to pay a copay.\u003c/p>\n\u003cp>The good news is that California passed a law that says insurance companies must give you a year’s supply. So if you are in Covered California and you need birth control, make sure that after January 1, you go get your new prescription and you ask for it in advance. And it will be with no copay. That way you will have a year’s supply of birth control regardless of what the Trump administration does.\u003c/p>\n\u003cp>I don’t believe they are going to end the family planning benefit in the Medicaid program, so women on Medi-Cal will continue to have access to it.\u003c/p>\n\u003cp>\u003cstrong>Q: How exactly could Trump defund Planned Parenthood, and what would that mean for the organization?\u003cbr>\n\u003c/strong>\u003cbr>\nThere are different pathways he could take. He could issue an executive order his first day in office to restrict the Title X federal family planning program and eliminate any providers who also provide abortion. We know that [Trump] could do that easily with a stroke of a pen. That would have two impacts. One is the loss of those federal family planning dollars, but also the loss of … a federal drug program that allows us to provide drugs at a deeply discounted rate. It would be very hard for our affiliates to make up that loss.\u003c/p>\n\u003cp>There is also the Medicaid program. Federal law says that states must allow any willing and eligible provider to participate in the Medicaid program. But [Republicans] can change that law in the budget reconciliation process. It’s a majority vote bill in both houses. That bill would go to the president, and if he signed it, we would be denied eligibility to participate in the federal Medicaid program.\u003c/p>\n\u003cp>It’s potentially very devastating. And it’s devastating for people in California. Women in California really need to understand that what happens in [Washington] D.C. around reproductive health care will impact how women access care in California.\u003c/p>\n\u003cp>\u003cstrong>Q: How is Planned Parenthood preparing to respond to Trump’s pledges?\u003cbr>\n\u003c/strong>\u003cbr>\nAt the national level, we are certainly going to see if there is any litigation that can be done. At the state level, we will be doing the same thing. Are there steps from a legal perspective we can take to really guarantee that women in California will have access to reproductive health care?\u003c/p>\n\u003cp>\u003cstrong>Q: What are you seeing in terms of donations here in California and nationally since the election?\u003cbr>\n\u003c/strong>\u003cbr>\nNationally, we know that they are up. But it’s also getting close to the end of the year and people are making their year-end donations. There are no private donations that can subsidize the volume of government funds spent on those services. There isn’t that much money available in terms of private donations.\u003c/p>\n\u003cp>\u003cstrong>Q: Is it possible the state of California would step up if the federal government cut off funding for Planned Parenthood? Are you talking to state officials?\u003cbr>\n\u003c/strong>\u003cbr>\nThat’s what I am starting to do. I have an appointment with the governor’s office. Our first goal is to let them know our grim assessment. We are going to talk to them about Proposition 56 [the tobacco tax that increased funds for Medi-Cal]. We were originally going to talk to the governor’s administration about making sure that some of the money is targeted to women’s reproductive health care services. We’ve had to expand that agenda to help us delay and defeat any Trump actions hostile to California.\u003c/p>\n\u003cp>What helps is that … family planning services are recognized to be cost-effective in the state o\u003ca href=\"http://agorman@kff.org\" target=\"_blank\">\u003c/a>f California by preventing unintended births. They are so cost-effective that the state … pays for undocumented women to have access to family planning services.\u003c/p>\n\u003cp>And if we went away, there is no place for those patients to go. Often times, [Planned Parenthood] centers are geographically located where there aren’t other providers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"order": 1
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"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
"site": "radio",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
"title": "Freakonomics Radio",
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"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"meta": {
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"apple": "https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
"site": "news",
"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
"site": "news",
"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
"meta": {
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/id73801135",
"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
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},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
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