February 2017

February 17, 2017

Join Health Care For All's contingent at the "We will Persist"- Boston Rally

As the Massachusetts Congressional delegation gets ready to go back to D.C., let's join together, stand with our allies in Congress and continue to send a clear message to Washington: We will continue to fight. Our voices will not be silenced. We will persist. We need to speak up and take action to protect our communities and to protect health care access for millions of residents.

Tuesday, February 21
2 PM - 3 PM
Irish Famine Memorial
294 Washington St, Boston, MA 02108

Speakers:
U.S. Representative Joe P. Kennedy
U.S. Senator Ed Markey                             

Sponsors:
32BJ SEIU
1199 SEIU
SEIU 888
Health Care For All
Mass Senior Action Council

 

You want to help save health care but cannot make it to the rally? No problem! You can participate on the phone banks that HCFA will be co-hosting next week with 1199 SEIU. We will be calling voters in Maine to ask senators in that state to vote against repeal of the Affordable care Act. 

 

 
February 17, 2017

Today, the Massachusetts Budget and Policy Center released a report highlighting the major federal funding sources received by the state to provide access to affordable health care, help children thrive, assist low-income families, and care for veterans.

According to the report, federal revenue currently accounts for approximately 25% of the Massachusetts state budget, totaling about $11 billion in state fiscal year 2017. Of that $11 billion, $9.44 billion comes in the form of reimbursement for state spending on Medicaid.  Federal funding for the Children’s Health Insurance Program brings in an additional $534 million. MassHealth, the state’s combined Medicaid and Children’s Health Insurance Program (CHIP), provides health insurance to 1.9 million Bay State residents, including over 645,000 children and hundreds of thousands of seniors and people with disabilities

A number of proposals expected to be debated by Congress in the coming months will certainly impact state budgets across the country, including Massachusetts.  The state’s MassHealth budget in particular faces three major threats:  repeal of the Affordable Care Act (ACA), major restructuring of the Medicaid program, and funding for CHIP.

The ACA contains a provision that expands Medicaid coverage to adults earning up to 133% of the Federal Poverty Level and increases the federal reimbursement rate for state spending on this population. The state will spend and expected $2.096 billion on the expansion population in 2017, with the federal government picking up 86% of the cost, or $1.824 billion (as opposed to 50% for most of the remaining Medicaid spending). The ACA also included a 23% enhanced matching rate for CHIP spending – increasing Massachusetts’ rate from 65% to 88%. If the ACA is repealed, Massachusetts could lose some or all of the $776 million in enhanced Medicaid funding, or even all of the $1.824 billion in federal reimbursement for the expansion population, in addition to the $139.6 million in increased CHIP reimbursement.

Congressional Republicans are also moving towards transforming federal Medicaid funding into a block grant or per-capita caps. If they are successful, rather than state’s receiving reimbursement for Medicaid spending, each state will instead receive a set amount each year – resulting in up to 25% in reductions to federal Medicaid funding for Massachusetts. These proposals simply shift health care costs from the federal government to state governments, forcing state policymakers to make difficult decisions, such as slashing eligibility, benefits and provider rates. In addition, MassHealth’s progress toward innovation – investing in keeping people health and changing the payment system to promote value – could also be constrained with the move to block grants or per-capita caps.

In addition, federal funding for the CHIP program expires in September, 2017. If Congress does not act to reauthorize and fund the program, the Commonwealth will be faced with the choice of picking up the state would have to pick up the full costs of this program, or reduce the number of children covered and the benefits they receive.

The MassBudget report drives home the point that all states, including Massachusetts, depend on a partnership with the federal government to share in the cost of providing health care to needy children, people living with disabilities, seniors, veterans, and low income and working families. If the ACA is repealed, if CHIP is not funded, or if Medicaid is gutted, Massachusetts will face significant budget challenges and difficult choices that could have devastating impacts on the ability of low-income individuals and families, children, seniors and people with disabilities to access health care services.

February 14, 2017

As the Trump administration and congressional Republicans rush to take healthcare away from 30 million Americans, increase our healthcare costs, endanger the care we deliver and threaten our jobs, our Massachusetts Congressional Delegation has been leading the charge to fight back. Our members of Congress know we deserve better, and our patients and communities do, too.

Send your thanks to our Members of Congress as part of 1199 SEIU's Valentine's Day campaign!

 

Write your own email and tell your member of Congress:

"I am a voter in your district and a healthcare worker. I am writing to thank you for fighting to protect the healthcare that my family and so many Massachusetts residents depend on. The Affordable Care Act must not be repealed without a plan to keep and improve the healthcare of our patients and consumers. Please continue fighting for a plan that protects care for 30 million hardworking Americans, preserves coverage for patients with pre-existing conditions, and maintains Medicaid funding for seniors, children and people with disabilities.Thank you again for fighting to protect quality, affordable healthcare - keep it up!"

You can also use your Facebook, Twitter and Instagram accounts to thank your member of Congress:

"My name is [name], I am a voter in [hometown] and a healthcare worker at [facility]. I want to thank our entire Massachusetts Congressional Delegation for fighting to protect the healthcare that my family and so many Massachusetts residents depend on. The Affordable Care Act must not be repealed without a plan to keep and improve our healthcare. We care for Massachusetts together, and I am proud to stand with you. Thank you again for fighting to protect quality, affordable healthcare - keep it up!"

 

Happy Valentine's Day from Health Care For All! 

 

 

February 14, 2017

Nick Littlefiled speaking at HCFA's 2014 For The People event

All of us at Health Care For All were saddened to hear of the loss of Nick Littlefield in early February. Nick was a longtime champion of health care reform in America and Massachusetts, and his integrity and commitment to the cause will never be forgotten. Beginning his career as a lawyer committed to ethical practice and principles, Nick served as an assistant United States Attorney, taught at Harvard Law, was a leading partner at a Boston law firm, and fought public corruption as the chief counsel of the Ward Commission.

However, we here at Health Care For All will remember Nick most as the longtime lead health care staffer for the late Senator Ted Kennedy. For over a decade, Nick and Senator Kennedy fought tirelessly to extend and enhance health care coverage to millions of Americans. Together, they struggled to promote progressive causes such as protecting children’s health, securing family and medical leave for working families, cementing civil rights in the health care system, and fighting for the most vulnerable. Included below is a sampling of some of the crucial legislation that Nick Littlefield was instrumental in advancing:

  • The Ryan White CARE Act
  • Medicare Part D
  • The Child Care and Development Block Grant
  • The National Health Service Corps Revitalization Amendments
  • The Employee Pension Protection Act
  • The Civil Rights Act of 1991
  • The Drug-Free Schools and Communities Amendments
  • National Institutes of Health Revitalization Act
  • The Family and Medical Leave Act
  • The National and Community Service Trust Act
  • Health Insurance Portability and Accountability Act of 1996
  • The Children’s Health Insurance and Lower Deficit Act
  • The State Children’s Health Insurance Program
  • The Americans with Disabilities Act
  • The first minimum wage increase since 1981

HCFA honored Nick at its annual “For The People” event in 2014. Still strong despite his advancing illness, Nick brought a message of hope and perseverance in the fight for health care justice. You can see his talk here:

As we mourn Nick, our thoughts are with his wife, his three children, and his grandchildren. Through his work with Senator Kennedy, Nick was able to improve the lives of millions of Americans. His talent and dedication made our nation healthier and more humane. For these reasons and more, Nick is deserving of tremendous admiration. He will be sorely missed.

A memorial service will be held at Sanders Theater in Cambridge, Massachusetts on Friday, March 3, 2017, at 11:00 am.    

 -The Staff of Health Care For All