“I love you dearly but I’m a ‘no’ vote on your amendment.”
Representative Jody Hack tells a colleague she can’t support his position.

The Big Deal this Week: ACA Repeal and Replace Bill is released

The new legislation is called “The America Health Care Act” and would reverse many of the provisions of the Affordable Care Act. The legislation is controversial. Proponents say the bill will “lower costs, expand choices and put Americans back in charge of their own health care.” Opponents say as many of 15 million fewer people will be covered, rolling back progress of the ACA and increasing costs for women and seniors. Four Republican senators from states that have expanded Medicaid, say the Medicaid cuts are unacceptable. Some House Republicans say it doesn’t go far enough, labeling the new act as “Obamacare 2.0”. Speaker Ryan has indicated he has the votes to pass the bill.

Politico Pulse has summarized the new provisions: 

WHAT'S IN 'THE AMERICA HEALTH CARE ACT' - Among the key provisions:

- The bill would repeal the ACA's individual mandate and instead allow insurance companies to charge a 30 percent surcharge if consumers don't keep "continuous" insurance coverage.

- But it would preserve popular Obamacare provisions like allowing children to stay on their parents' insurance plans until age 26 and requiring insurers to accept everyone regardless of pre-existing conditions.

- It would shift Medicaid away from its current open-ended federal matching payments to a per capita cap model, which could force states to shrink their programs and possibly lead to millions of current enrollees losing coverage.

- It would offer financial support to states that didn't expand Medicaid under the ACA by making a series of funding changes and reinstating disproportionate share hospital payments.

- It would eliminate a slew of taxes included in the ACA, including the medical device tax, the tanning tax, a tax on high earners and a tax on investments.

- Republicans would replace Obamacare subsidies with new age-based tax credits ranging from $2,000 to $4,000 to help individuals pay for coverage.

See the bill text and the summary from the Energy & Commerce Committee.

See the bill text and the summary from the Ways & Means Committee.

News of the Week

Gov. Kate Brown says GOP health proposal would be harmful http://www.statesmanjournal.com/story/news/politics/2017/03/07/gov-kate-brown-says-gop-health-proposal-would-harmful/98882636/

Walden Wall Street Journal Op-ed on The Health Bill You’ve Waited For: https://waysandmeans.house.gov/icymi-brady-walden-wall-street-journal-op-ed-american-health-care-act/

Health coverage for hundreds of thousands of Oregonians at risk: http://www.oregonlive.com/business/index.ssf/2017/03/republican_plan_would_cut_bill.html

Oregon Dems, GOP differ: http://www.opb.org/news/article/oregon-democrats-republicans-affordable-care-act-replacement/

Bill Watch: HB 3391 Reproductive Health Equity Act of 2017

An updated reproductive health bill was unveiled at the Women’s Health and Wellness Alliance meeting this week. Sponsors say the bill would establish comprehensive coverage for the full spectrum of reproductive health services regardless of insurance coverage. The bill is up for a hearing in the House Health Care Committee on March 15.

Health-Related Bill hearings and other activities 

Monday, March 13

HB 2534 Primary Care Residency Programs Public Hearing

https://olis.leg.state.or.us/liz/2017R1/Downloads/MeasureDocument/HB2524/Introduced

HB 2644 Vitamin K administration to newborns Work Session

https://olis.leg.state.or.us/liz/2017R1/Downloads/MeasureDocument/HB2644/Introduced

HB 2643 Rear-facing car seats for children under two years of age Possible Reconsideration and Work Session*

https://olis.leg.state.or.us/liz/2017R1/Downloads/MeasureDocument/HB2643/Introduced

Tuesday, March 14

SB 754 Tobacco 21 Work Session

https://olis.leg.state.or.us/liz/2017R1/Downloads/MeasureDocument/SB754/Introduced

SB 816 ED Department Data (to measure psychiatric boarding) Public Hearing

https://olis.leg.state.or.us/liz/2017R1/Downloads/MeasureDocument/SB816/Introduced

Wednesday, March 15

SB 51, Behavioral Health Task Force (place holder for Behavioral Health Collaborative Recommendations) Public Hearing Note: amendments aren’t ready yet.

https://olis.leg.state.or.us/liz/2017R1/Downloads/MeasureDocument/SB51/Introduced

SB 833 Requires hospitals to facilitate peer support referrals to patients discharged following a suicide attempt. 

https://olis.leg.state.or.us/liz/2017R1/Downloads/MeasureDocument/SB833/Introduced

SB 860 Mental health parity investigations Public Hearing

https://olis.leg.state.or.us/liz/2017R1/Downloads/MeasureDocument/SB860/Introduced

HB 3391 Reproductive Health Equity Public Hearing

https://olis.leg.state.or.us/liz/2017R1/Downloads/MeasureDocument/HB3391/Introduced

Thursday, March 16

HB 3262 Requires DHS to adopt rules related to prescription of psychotropic medications for elderly and disabled. Public Hearing

https://olis.leg.state.or.us/liz/2017R1/Downloads/MeasureDocument/HB3262/Introduced

Friday, March 17

HB 2122 CCO Reform Work Session

https://olis.leg.state.or.us/liz/2017R1/Downloads/MeasureDocument/HB2122/Introduced

HB 2979 CCO enrollment Public Hearing

https://olis.leg.state.or.us/liz/2017R1/Downloads/MeasureDocument/HB2122/Introduced

HB 2980 Community Mental Health contracts Public Hearing

https://olis.leg.state.or.us/liz/2017R1/Downloads/MeasureDocument/HB2980/Introduced

Legislative Session 101: Reconsideration*

This is the process for taking a second vote on a measure. In committee this week, legislators were tied on a vote for amendments to HB 2643, the rear-facing car seat bill. (The amendment was to delay implementation until 2019 to allow time for educating the public about the new law.) One legislator (from the majority party) was excused that day, so they will reconsider the motion at the next committee hearing. Think of it as a “do-over”, or an opportunity to line up the votes.

For more information about the legislative process, please contact Katy King.

June 2017

May 2017

April 2017

March 2017

February 2017

November 2016

September 2016

09/25/2016 September 2016

June 2016

April 2016

March 2016

February 2016

02/26/2016 Legislative Update

January 2016

December 2015

November 2015

October 2015

July 2015

June 2015

May 2015

April 2015

04/13/2015 Session Update

March 2015

February 2015

02/13/2015 News Update

02/06/2015 Session Update

January 2015