GOP Introduces Legislation To Allow Any Employer To Deny Any Preventive Health Service
Earlier today, in response to criticism from Catholic groups, the White House altered its regulation requiring employers and insurers to provide no-cost contraception coverage as part of their health care plans. Churches and religious nonprofits that primarily employ people of the same faith are still exempt from the requirement, but now religiously affiliated colleges, universities, and hospitals that wish to avoid providing birth control can do so. Their employees will still receive contraception coverage at no additional cost sharing directly from the insurer. But Republicans and some conservative Catholic groups are not satisfied with the accommodation and hope to use their false claim of “religious persecution” to deny women access to preventive health services. Despite Obama’s decision to shield nonprofit religious institutions from offering birth control benefits, next week Sen. Roy Blunt (R-MO) is expected to offer an amendment that would permit any employer or insurance plan to exclude any health service, no matter how essential, from coverage if they morally object to it:
(6) RESPECTING RIGHTS OF CONSCIENCE WITH REGARD TO SPECIFIC ITEMS OR SERVICES — “(A) FOR HEALTH PLANS. — A health plan shall not be considered to have failed to provide the essential health benefits package described in subsection (a) (or preventive health services described in section 2713 of the Public Health Services Act), to fail to be a qualified health plan, or to fail to fulfill any other requirement under this title on the basis that it declines to provide coverage of specific items or services because — “(i) providing coverage (or, in the case of a sponsor of a group health plan, paying for coverage) of such specific items or services is contrary to the religious beliefs or moral convictions of the sponsor, issuer, or other entity offering the plan; or “(ii) such coverage (in the case of individual coverage) is contrary to the religious beliefs or moral convictions of the purchaser or beneficiary of the coverage.
Under the measure, an insurer or an employer would be able to claim a moral or religious objection to covering HIV/AIDS screenings, Type 2 Diabetes treatments, cancer tests or anything else they deem inappropriate or the result of an “unhealthy” or “immoral” lifestyle. Similarly, a health plan could refuse to cover mental health care on the grounds that the plan believes that psychiatric problems should be treated with prayer.
Individuals too can opt out of coverage if it is contrary to their religious or moral beliefs, radically undermining “the basic principle of insurance, which involves pooling the risks for all possible medical needs of all enrollees.” As the National Women’s Law Center explains, Blunt’s language is vague enough that “insurers may be able to sell plans that do not cover services required by the new health care law to an entire market because one individual objects, so all consumers in a market lose their right to coverage of the full range of critical health services.” As a result, a man “purchasing an insurance plan offered to women and men could object to maternity coverage, so the plan would not have to cover it, even though such coverage is required as part of the essential health benefits.”
Read the full amendment here.
By: Igor Volsky, Think Progress, February 10, 2012
“War On Contraception”: GOP Lawmakers Seek To Deny Coverage To Others That They Enjoy
Republican congressional leaders are entering the fray over the Obama administration’s weeks-old decision to require employer-provided health insurance to cover contraception, including for some religious organizations that don’t employ a majority of people of that faith. The decision has been a hot topic on the campaign trail in recent days, but today, Speaker John Boehner (R-OH) took the House floor to slam it, calling it an “unambiguous attack on religious freedom in our country” and vowed to repeal the regulation. Senate Minority Leader Mitch McConnell (R-KY) had a similarly sharp indictmentyesterday. Watch it:
But missed in this debate is the fact Boehner and McConnell’s own health insurance plans covers contraception, something they now want to deny to others.
Since 1998, every insurer participating in the Federal Employees Health Benefit Program (FEHBP) — including members of Congress — has had access to comprehensive contraceptive coverage, including emergency contraception, such as the morning after pill. Republican lawmakers now want to prevent access to the coverage they enjoy to employees of religious organizations who may not be of that religion or who disagree with anti-contraception doctrine (89 percent of Catholics say contraception decision should be theirs, not the church’s).
By: Alex Seitz-Wald, Think Progress, February 8, 2012
Rick Santorum’s Cynicism: A Fine Day To Discuss The Value Of The Affordable Care Act
This morning brings some sad news, that Rick Santorum’s daughter, Bella, has been hospitalized in Philadelphia. The child has Trisomy 18, a particularly heartbreaking genetic condition.
I do not share the opinion that it is distasteful to discuss the political issues surrounding a tragedy, that there should be some kind of grace period. If you want to argue for or against gun control in the wake of a school shooting, have at it. Why should the very day an issue gets maximum media saturation be the one day we can’t discuss its political contours?
Point being, I think it’s okay to point out that under the Affordable Care Act, insurers can’t deny coverage to children with a preexisting condition or disability.
[T]he law actually prevents insurance carriers from denying coverage to individuals with pre-existing conditions (and disabilities), prohibits health plans from putting a lifetime dollar limit on benefits and offers new options for long-term care. This is why groups like the American Association of People with Disabilities, National Organization For Rare Disorders, and The Arc of the United States not only support the law, but have filed an amicus brief in its defense.
And it’s equally okay to remind voters that Santorum, in an act of startling cynicism, continues to equate the ACA with socialism, even suggesting that it would lead to the death of his daughter. His claim that he’s “fighting for Bella and other children like her” — and, by extension, proponents of the ACA are not — is spurious.
By all accounts, Santorum’s daughter has beaten the odds. She’s gotten marvelous healthcare. I have yet to encounter a decent justification from either Santorum or his fellow candidates for denying the nation’s children the same opportunity.
By: Elon Green, Washington Monthly Political Animal, January 29, 2012
PolitiFact’s Pants On Fire For Choosing “Ryan Will End Medicare” As “Lie Of The Year”
This morning, PolitiFact announcedthat the Democrats’ charge that Rep. Paul Ryan (R-WI) budget will end Medicare is the biggest lie of the year — even though it’s 100 percent true!
Here is why: Ryan’s plan ends traditional fee-for-service program and forces all future retirees to ultimately enroll in private coverage.
Under his proposal, beginning in 2022, people turning 65 will receive a pre-determined “premium support” payment to purchase private insurance. Insurers will offer a basic package of benefits, but traditional Medicare — the program that President Lyndon Johnson enacted in 1965 — will literally stop enrolling new beneficiaries. Rather than paying health care providers directly — and using its market clout to secure better bargains and other efficiencies for enrollees — the government would now pay multiple private health insurers pre-determined amounts per beneficiary to act as middle men between patients and providers.
It will no longer guarantee seniors a defined package of benefits, but will instead only offer a defined contribution towards their health care costs. As the Congressional Budget Office (CBO) analysis of Ryan’s proposal explains, “the payment for 65-year-olds in 2022 is specified to be $8,000, on average, which is approximately the same dollar amount as projected net federal spending per capita for 65-year-olds in traditional Medicare.” However every subsequent year, as health care costs increase, the government’s contribution “would grow at a slower rate,” inflation, and the age of the enrollee. By 2030, under the proposal, the premium support would “only cover 32 percent of a typical 65-year-old’s total health care spending” and would decrease every subsequent year.
PolitiFact concedes that this is, in fact, “a huge change to the current program.” But it’s more than that. Capping costs to beneficiaries, closing the traditional fee-for-service program, and forcing seniors to enroll in new private coverage, ends Medicare by eliminating everything that has defined the program for the last 46 years.
By: Igor Volsky, Think Progress, December 20, 2011
GOP Congressman Equates Purchasing Health Insurance With Buying An Expensive Vacation Home
Just when you thought it could not get more ridiculous, GOP Congressman and Chairman of the House Appropriations Labor-Health and Human Services subcommittee, Denny Rehberg, has come up with a novel idea. He wants the Congressional super committee to solve $1.2 trillion in deficit reduction by simply killing off the expansion of Medicaid and the subsidies that will open the door to health care for millions of Americans.
In making his argument, Rehberg noted that expanding the Medicaid safety net program, and providing subsidies to low and middle class workers, is akin to the “expensive vacation home” that the average American would choose not to buy if that American was facing a deficit as serious as the nation’s.
Before getting to the heart of Rehberg’s suggestion, one can’t help but wonder what makes the Congressman think that the “average” American can afford an expensive vacation home (or any vacation home for that matter) on what the average American earns, even if that American is not in debt?
But should we be surprised by the Congressman’s view of the world? This is the same Denny Rehberg who is not only listed as number 23 on the list of the wealthiest members of Congress, but is the same Congressman Rehberg who had no idea what the minimum wage was in his own state (check out this video as it is priceless.)
Of course, far more important is Rehberg’s inability to grasp that getting treatment for cancer or unblocking that clogged artery that is going to make someone a widow or widower is not quite the same as purchasing a vacation home—expensive or otherwise.
And while life might not be worth living for Rep. Rehberg and friends without that idyllic home on the lake, the average American would still prefer to remain alive, thank you very much, which is precisely why Medicaid coverage was extended to more people and subsidies are to be made available to the working poor and middle-class so that medical care will become an option in their lives.
When asked how low and middle class Americans will manage to purchase health care, should the mandate requiring them to do so be found to be Constitutional by SCOTUS, Rehberg answered that Health and Human Services would be able to grant waivers to those who cannot afford coverage without Medicaid or subsidies.
Thus, Rehberg’s solution is to simply leave millions of Americans without coverage by way of a waiver. Nice.
Health Care For America Now’s Executive Director, Ethan Rome, put it this way:
Rep. Rehberg’s proposal is yet another part of the Republican assault on the middle class. Denny Rehberg says that basic health care is a luxury item, as if a mother in Montana taking her children to the doctor or a cancer patient getting treatment is the same as buying ‘an expensive vacation home.’
Considering that estimates place the uninsured under age 65 in Montana at somewhere between 16 percent and 20 percent of the population, a number well in excess of the national average, I suspect that Rehberg’s fellow Montanan’s might disagree with his approach.
Let’s hope they voice that disagreement at the ballot box next November.
By: Rick Ungar, Mother Jones, October 6, 2011