Charles Gaba's blog

  • The California Assembly has approved a bill to designate pregnancy as a qualifying life event to allow women to purchase health plans through Covered California outside of the regular open enrollment period. The bill is now set for review by the state Senate.
  • In New York, three separate bills have been drafted with the same goal, in a bid to increase the odds that a version will be passed.
  • Moves like the one in California could influence federal policy on the issue, suggests Christina Postolowski, health policy manager at Young Invincibles. 

Some Guy, 2 days ago:

Sec. Burwell responded in the only rational way possible: By pointing out that if [the Republican Party is] absolutely determined to destroy the lives of millions of likely voters across 34 states (including swing states like Florida, Ohio, Michigan and Wisconsin) while simultaneously forcing insurance premiums up an additional 35% - 45% for everyone else in those states (on top of whatever they were set to go up already), when it would literally take about 5 minutes for them to "fix" the very issue that they ginned up as the "problem" in the first place, there's not a hell of a lot that she can do to stop them.

...None of the above options involve anything that Sec. Burwell has any control over.

In other words, her only "contingency plan" is "try to convince the Republicans controlling the Supreme Court, Congress or those states to stop being colossal jackasses and actually do something to help the people they're supposed to be serving."

Not a plan likely to succeed, of course...but it's a plan.

For the backstory on the Luis Lang Saga, see here, here, here, here, here and here.

All caught up? OK, then...

A couple quick developments in the ongoing saga of Luis Lang, the guy from South Carolina with serious medical and insurance issues whose story went viral a few weeks back.

Yes, I've posted this a couple of times before, but Stewart really does such a fantastic job of boiling the case down to its essence.

(Note: The other case referred to, "Halbig", is a virtually identical case which was basically replaced by the "King" version)

I've been occasionally chastized for my occasional use of less-than-professional language. Terms like "pile of crap" or, rarely, more crass terminology.

Now and then I think, "hey, I should probably tone down the language here!"

And then, the Speaker of the United States House of Representatives, the 3rd in line to the Presidency, is reduced to issuing grade-school insults taken from 3-month old New York Post op-eds written by FOX News correspondents...

#ObamaCare stinks even with subsidies” http://t.co/ZNYfywAkjR

— Speaker John Boehner (@SpeakerBoehner) June 10, 2015

...and suddenly I don't feel too bad about myself.

That is all.

Over at the Washington Post, Greg Sargent notes that Mitch McConnell, as expected, is following the standard Republican playbook when it comes to...well, everything, really: Blame President Obama.

BAIER: Doesn’t this hold some potential problems for the GOP? What do you think the solution is if you have to deal with this quickly?

McCONNELL: Depending on what the Supreme Court decides, we’ll have a proposal that protects the American people from a very bad law. Obamacare was the single worst piece of legislation that’s been passed in the last half century. The single biggest step in the direction of Europeanizing our country…What we will do is offer a proposal to protect the American people.

Setting aside the "Europeanizing" part for the moment (seriously, I always wonder about the impact on foreign policy/diplomatic relations with our allies whenever a Republican says something like this), Sargent lays out the GOP's options:

Four quick stories which aren't quite worth their own full entry:

There's not any new info here, but this bit pretty much summarizes what you'll be seeing across 2/3 of the country in a worst-case scenario:

...HealthCare.gov, the federally run exchange, is where 27-year-old Kathryn Ryan, a restaurant server in Philadelphia, turned for health coverage, as soon as the law took effect.

"I was excited because if it weren't for Obamacare, I wouldn't be insured at all," she says. "I wouldn't have the ability to go to the doctor."

She can afford health insurance thanks to a $200 a month subsidy that brings her premium down to $60 a month.

Ryan, who's also studying social work, is one of nearly 400,000 Pennsylvanians who have qualified for income-based financial assistance. But like a lot of people, she had no idea that a case before the Supreme Court puts at risk the subsidies in states like Pennsylvania that rely on the federally run exchange.

The DC exchange just issued a welcome-but-unexpected update; as usual, they do this weird thing where they're including the cumulative totals dating back to October 1, 2013, which is pretty much pointless (this would be like measuring how well Chrysler is doing in 2015 by counting every car they've sold since 1925).

Still, by simply measuring the difference between the numbers on different dates, it's easy enough to measure:

From October 1, 2013 to April 26, 2015, 106,364 people have enrolled in health insurance coverage through DC Health Link in private insurance or Medicaid:

 22,354 people enrolled in a private qualified health plan,
 67,761 people have been determined eligible for Medicaid, and
 16,249 people enrolled through the DC Health Link small business marketplace (includes Congressional enrollment)

Today's update:

In my latest exclusive over at healthinsurance.org, I break out the post-King v. Burwell carnage by the numbers. The short version?

  • Around 6.5 Million people losing an average of $272 per month in tax credits
  • Likely around 8.5 Million people losing their healthcare coverage entirely
  • Likely around 4.5 million people having to pay exorbitant rates in order to hold onto their policies
  • A potential additional "bonus" bit of nastiness for millions of people which I'm praying wouldn't come to pass

While I go into the detail on each of these in the full entry, here's a table showing how it all breaks out.

Column A is the hard effectuated APTC-receiving enrollees as of 3/31, directly from the Centers for Medicare & Medicaid report last week.

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