Trump’s HHS Nom Endorses Bill That Would Lead To Dramatic Medicaid Cuts

UNITED STATES - NOVEMBER 29: Alex Azar, nominee to be Health and Human Services Secretary, takes his seat for his confirmation hearing in the Senate Health, Education, Labor and Pensions Committee on Wednesday, Nov. ... UNITED STATES - NOVEMBER 29: Alex Azar, nominee to be Health and Human Services Secretary, takes his seat for his confirmation hearing in the Senate Health, Education, Labor and Pensions Committee on Wednesday, Nov. 29, 2017. (Photo By Bill Clark/CQ Roll Call) MORE LESS
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President Donald Trump’s nominee to lead the Department of Health and Human Services, former pharmaceutical executive Alex Azar, said during his confirmation hearing Tuesday morning that he supports legislation that failed in Congress earlier this year that would have repealed much of the Affordable Care Act and converted Medicaid into a shrinking block grant.

“There are elements that are very positive, such as allowing states to run their own budgets,” Azar said, when asked by one of the failed bill’s sponsors about his views on the legislation. “Incentives can be reoriented in a very positive way for more state empowerment through Graham-Cassidy-Heller.”

The Graham-Cassidy bill would have converted federal funding for both Medicaid and Obamacare’s marketplaces into block grants, which would dwindle over time. Blue states that expanded Medicaid under the Affordable Care Act would be hardest hit, losing tens of billions of dollars over time. Most red states would see an initial increase in funding, but would face a funding “cliff” in 2027. The Congressional Budget Office reported that millions more people would be uninsured were the legislation passed and implemented.

The gambit failed when a handful of Republicans defected over the bill’s deep cuts to Medicaid, but GOP lawmakers have vowed to bring the bill back in 2018.

Azar is likely to be confirmed as HHS secretary, and his comments Tuesday indicated he will likely be an ally in this effort.

In an exchange with Sen. Ron Wyden (D-OR), Azar disputed that Graham-Cassidy would cut billions in funding for Medicaid and insurance subsidies for low-income patients.

“Slowing the rate of growth is not a cut, in my mind or the president’s mind,” he said.

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Notable Replies

  1. Paging Mr. Mueller.

    Paging Mr. Mueller.

    Time to drop the bombshells…

  2. Avatar for johnrm johnrm says:

    Can you even image what this would do to the stock values of privately owned insurance companies…by shifting billions even trillions from the public sector to the private sector…on the backs of states and at the expense of insurance consumers… Just think what that would do for Azars self wroth once he ditches once he’s made billions…

  3. I’m glad that Republicans are so strongly in favor of “more state empowerment.” Except for medical marijuana, of course.

    Azar is also against government drug price negotiation. Huh.

  4. Avatar for phi phi says:

    Ha! Try, just try, to take a machete to Medicaid in an election year. I could use a disaster-porn show pick-me-up.

  5. This guy wants to change the name of the department to Ill-Health and Inhumane Services.

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