Morning Briefing
Summaries of health policy coverage from major news organizations
ACA Enrollment To Reopen For Three Months; Biden Aims To Roll Back Medicaid Barriers
President Biden ordered Thursday the reopening of the Affordable Care Act鈥檚 federal insurance marketplaces for three months to give millions of Americans who need coverage during the coronavirus pandemic an extended chance to buy health plans. The directive, part of a series of executive actions the president is taking during his first days in office, is a down payment on his pledge to make health care more accessible and affordable and a sign of his determination to rehabilitate the landmark law after four years of Republican battering. Those goals have taken on more urgency as 25 million people have been infected with the coronavirus and millions of others have lost jobs. (Goldstein, 1/28)
The actions are the first in a series of moves Biden is planning to shore up a law he campaigned on expanding. Though former President Donald Trump failed to repeal Obamacare, his administration weakened the law through executive action and advanced policies that would shrink enrollment in its expansion of Medicaid to poor adults. But Biden鈥檚 more ambitious plans for bolstering the Affordable Care Act will require help from Congress. Democrats in full control of Washington, D.C., for the first time since the ACA's passage face the challenge of maintaining Americans鈥 newfound affection for the law while addressing growing voter angst over soaring health care costs. (Luthi, 1/28)
Mr. Biden used Thursday鈥檚 appearance at the White House to begin shoring up health care programs and policies that have been critical to a Democratic resurgence. Perhaps no policy is as important to him as the Affordable Care Act, which he helped secure as President Barack Obama鈥檚 vice president. President Donald J. Trump tried and failed to overturn the law, then weakened it with executive actions and rules, including making it easier for people to buy cheap, short-term plans that are not required to cover pre-existing medical conditions. 鈥淭he best way to describe them: to undo the damage Trump has done,鈥 Mr. Biden said of his actions during a brief signing ceremony in the Oval Office. 鈥淭here鈥檚 nothing new that we鈥檙e doing here, other than restoring the Affordable Care Act and restoring the Medicaid to the way it was.鈥 (Stolberg and Goodnough, 1/28)
The executive order told federal regulators to look into policies that could undermine protections for people with preexisting conditions, undercut the individual marketplace or reduce coverage affordability or financial assistance. CMS will revisit Medicaid and ACA demonstrations and waivers that decrease coverage or "undermine the programs." ... Former CMS Administrator Seema Verma made Medicaid work requirements central to her effort to modify the program. Proponents argued the waivers would encourage people to work and ensure people didn't receive benefits if they didn't qualify for them. Of the 13 states CMS approved for a work requirement, Arkansas was the only state to completely implement its experiment. (Brady and Tepper, 1/28)
The Biden administration hopes to quickly help those uninsured in Georgia, as well as in 11 other states, by providing incentives to expand Medicaid. The efforts won't be easy, however: Some state leaders, like Gov. Brain Kemp last year, pursued a variation of Medicaid expansion pushed by the Trump administration 鈥 a version that undercuts the federal insurance program, implements work requirements and leaves hundreds of thousands of people without access to coverage. (McCausland, 1/28)
KHN: KHN鈥檚 鈥榃hat The Health?鈥: The Long Road To Unwinding Trump Health Policies聽
Thursday was 鈥渉ealth day鈥 in President Joe Biden鈥檚 sprint to launch his presidency, and he signed two executive orders addressing health coverage and women鈥檚 reproductive rights. The orders will reopen enrollment under the Affordable Care Act from February to May and reverse the so-called Mexico City policy that limits funding to international health groups that perform or support the right to abortion. (1/28)