One Senator says he’ll make sure Medicaid cuts Never Occur

If you believe Senator Josh, I have a bridge to sell you. The solution to the Pres is for all of the senators to band together and tell Herr Tr__p no more. Doing things after you vote is just another way of saying, “oh well, the majority beat me.” No character today, just followers,

Sen. Josh Hawley says he’ll make sure Medicaid cuts in Trump bill he voted for ‘never take effect’, You Tube

while

“Trump bill’s health effects won’t be felt until after midterms” as reported by Axios

Trumps bill is the opposite of Hawley’s if you believe him.

President Trump’s tax and spending bill cuts nearly $1 trillion in Medicaid and other health policy changes looming over the midterm elections.

• But the real effects likely won’t be felt until well after the ballots are cast.

Why it matters: Despite negative polls and headlines, bill supporters could be insulated from political blame by a slow drip of policy changes that will play out over the next decade — a contrast to when the GOP tried to repeal Obamacare in 2017.

• “Republicans backloaded a lot of the Medicaid and ACA cuts.”According to executive vice president Larry Levitt, KFF. “There will be few tangible effects in health care from this bill before the midterms.”

• Work requirements (which account for many of the nearly 12 million people projected to lose coverage under the bill) will not kick in until 2027. States can get extensions.

• Beneficiaries will get warnings ahead of time. Able-bodied recipients ages 19 to 64 will not actually be dropped from program rolls for failure to meet or properly report the required 80 hours a month until after November 2026.

• Increases in the frequency of Medicaid eligibility checks will be every six months (starting on Dec. 31, 2026). People in the Medicaid expansion population retaining coverage under the new system could have to pay up to $35 in cost-sharing per service (starts October 2028).

Medicaid provider taxes and state-directed payments phase outs to states and hospitals helping fund their share of program costs and which hospitals rely upon for funding, begins in 2028.

• The $930 billion cut to federal Medicaid funding will force states to make corresponding cuts to their programs or pick up a greater share of obligations. Those will not take effect right away,

People covered through the Affordable Care Act exchanges will see changes more swiftly. The bill does not extend the Biden-era enhanced premium subsidies, which are set to expire on Jan. 1, 2026.

• Obamacare premiums would increase by more than 75% on average for enrollees next year without the enhanced subsidies. That would give Democrats “a very potent talking point going into the midterms,” according to Levitt-KFF.

• Medicaid funding of Planned Parenthood will also be cut off for next year under the bill — a change the family planning organization said could result in the closure of nearly 200 clinics.

• Restrictions on which lawfully residing immigrants can access Medicaid will go into effect on Oct. 1, 2026, just before the primaries.

Hospitals and clinics will plan budgets ahead. Thay are already making contingencies for the Medicaid cuts and coverage losses. It will translate into facility closures or the elimination of some services. Many are already in dire economic conditions. This extends to rural and inner-city hospitals. Community Hospital, in McCook, NE, announced it is closing as a result of uncertainty over the upcoming Medicaid cuts, Nebraska Public Media.

Patient advocates and provider groups will likely press Congress to further delay the provisions or stop them from taking effect. The complete impact will be felt over a period of time. Congress should look at the ACA subsidies and return the maximum to 600% of PPL to cover more people.

It is going to be an interesting battle by Hawley and Trump.