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Graham-Cassidy Bill: By The Numbers

by Countable | 9.20.17

What's the story?

The Congressional Budget Office (CBO) has said it’s aiming to provide a "preliminary assessment of the Graham-Cassidy bill by early next week," but it will unable to provide “point estimates of the effects on the deficit, health insurance coverage, or premiums for at least several weeks.”

Republicans, however, only have until September 30th to pass the bill using the reconciliation process; after that, health-care legislation will require 60 votes to clear the Senate.

Graham-Cassidy essentially gives states control of the health-care markets. So rather than the federal government funding Medicaid and providing subsidies, the money would be given to states in the form of a block grant. States could then use these funds to develop any health-care system they choose.

While we won’t know the preliminary CBO assessment until early next week, there are some figures we do know.

Here’s the latest GOP health-care repeal and replace bill by the numbers:

50 - number of votes needed for the bill to pass the Senate before Sept. 30

1 – number of votes the previous "skinny repeal" bill failed by (Sens. Susan Collins of Maine, Lisa Murkowski of Alaska, and John McCain of Arizona voted "no”)

15 million – number of Americans the CBO estimated would lose health coverage under the similar "skinny repeal"

$1 trillion – dollars the Graham-Cassidy bill would send to states in the form of block grants from 2020 to 2026

1/3 –percentage of Medicaid expansion and subsidy funding cut by 2026

$0 – amount the federal government will pay in block grants in 2027

34 – number of states that would receive reduced funding (states that expanded Medicaid would be hardest hit by Graham-Cassidy; according the bill’s estimates, California would lose $800 billion)

$35 billion – amount Texas would gain from 2020 through 2026 (as the Chicago Tribune noted, "States with relatively low medical costs, skimpy Medicaid benefits and no program expansion would win out.")

$0 – amount individuals and employers would be fined for not having health care (i.e., the individual and employer mandate are eliminated)

0% – amount medical device manufacturers would be taxed

$6,650 and $13,300 – the maximum contributions to individual and family health savings accounts—nearly double what it is currently

$0 – amount of federal funding Planned Parenthood would receive (the bill strips funding for one year)

15 - number of Republican governors who signed a letter endorsing the bill

10 – number of governors who signed a letter opposing Graham-Cassidy

What do you think? Do the numbers sway you? Are there other numbers that matter more? Hit the Take Action button, tell your reps how to vote on Graham-Cassidy, then comment below.

—Josh Herman

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(Photo Credit: CarlosLijo / iStockphoto)

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(181)
  • Kimberly
    09/20/2017
    ···

    Congress and the GOP need to stop pursuing a vendetta against President Obama and the American people who support him and the ACA. This continued attempt to repeal is not about taxes or capitalism. The continued efforts to repeal are about racism and classism and denying the most vulnerable members of society affordable health care because members of the GOP consider these people to be inferior and unworthy of equal access to health care. This is not the America I believe in. Continued attempts to repeal the ACA are counter to the wishes of a majority of Americans. It is past time for Congress cease and desist this vendetta and pursue actions to benefit the nation as a whole.

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  • Ben
    09/20/2017
    ···

    We are again faced with a flawed bill that is being rushed through the Senate without Committee input and careful deliberation. Millions will lose their coverage and there will be unforeseen consequences. Without a CBO score, this is just irresponsible gamesmanship that could have life and death consequences for many people. When will Congress begin to act like statesmen instead of political hacks?

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  • Chris
    09/20/2017
    ···

    This bill will kick tens of millions off healthcare. We all will pay the bill to cover the costs of these millions returning to ERs as their primary providers. It will make it so that insurance companies can and will hike premiums on people who have any physical conditions. It even classifies pregnancy as a medical condition and allows insurance companies to increase an expecting mother's premiums more than $20k. I'm not sure how republicans supporting this bill can even pretend to be pro-life. If we are a truly Christian nation as the GOP would want us to believe, where is there even a shred of Christian values in this bill? This bill will make healthcare impossible for low-income individuals, disproportionately individuals of color. How can any republican who rebuked Trump's comments in the wake of Charlottesville square that with supporting a bill that disproportionately affects people of color negatively? How can so-called financial conservatives believe we have money for the wall but not for healthcare to keep citizens alive? This isn't about a difference in opinion, this is about right and wrong.

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  • Shel
    09/20/2017
    ···

    An open letter to Bill Cassidy and Lindsey Graham Dear Bill and Lindsey: By pushing legislation that will reduce or eliminate access to health care for millions of people without providing a replacement, and after Cassidy lying to Jimmy Kimmel's face about preserving the "Kimmel Test" for any legislation he proposed, please look the American public in the eye and answer these questions: Just what exactly do YOU get out of this? What benefit can the American PUBLIC expect to derive from this bill? Why are you trying to rush this through without adequate hearings, consultation, or CBO scoring? What is the upside to this disastrous, cynical, inhumane perversion of "regular order" and basic human decency? Sheldon Keitel Battle Creek, MI

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  • Bob
    09/20/2017
    ···

    Time to support Medicare For All! The insurance companies are making record profits, and lobbying for more loopholes to exclude patients that will cost insurers money. Lets gut the health insurance industry and use those taxpayer subsidized profits to invest in patient level care, not paper pushing bureaucratic insurance companies. For years, health insurers have dictated the terms of our healthcare, remember 'Managed Care'?, when they have a built in profit motive. Despite the negative connotation of 'socialized medicine' other western nations spend far less and have provably better patient outcomes than the U.S. system. in 2017 healthcare should be a right, not a perk for the affluent.

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  • Kodiwodi
    09/20/2017
    ···

    Personally, I'm just tired of the GOP ramming bills down our throats after back door meetings with themselves, no CBO data and no input from constituents or the other side of Senate. This behavior reminds me of cockroaches scurrying from the light not caring about anything but their own survival.

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  • Abbi
    09/20/2017
    ···

    Why are they so dead set on keeping us unhealthy? Don't they want us to be able to buy homes or stuff so they can make money off it? Their donors need us to pay taxes so they can get their damn corporate welfare, if you have a goose that lays golden eggs you keep it healthy to lay more eggs not neglect it and act like you're better than it! Idiots!!

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  • Mary
    09/20/2017
    ···

    This bill is a travesty. On a personal level it will financially ruin my family and contribute the death of at least two family members We have worked hard and have responsibly contributed to the financial fabric of the country. On a societal level it demonstrates how this administration and Republicans view our most vulnerable citizens. We all deserve to be treated with dignity and respect rather than as commodities at the mercy of those who seek to benefit no one but themselves, unwilling to live by the rules they inflict on others. Those who vote no on this bill will be rewarded. We will actively campaign against anyone who voted yes and will contribute with contributions and action to support their opponents.

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  • Barbara
    09/20/2017
    ···

    Senators please vote against this nightmare. This isn't healthcare it's Death care. People with preexisting conditions using your insane list, would exclude99% of the normal public. Pregnancy is a preexisting condition? Rape is a preexisting condition? How evil does a person have to be to vote for this bill? VOTE NO ON THIS BILL. It's a horrible mess! VOTE NO! PLEASE!

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  • Judith
    09/20/2017
    ···

    This is even worse than their previous proposals! Premiums will skyrocket and God-forbid anyone gets sick, ever, with anything! Projections are that people's premiums (not even their total medical costs) could be as high as $75,000 a year if they get sick! That's just the premium! And this horrible bill would also reintroduce life time limits on coverage (assuming anyone could afford coverage), making it a death sentence for people with chronic illnesses. What is wrong with these money-grubbing RepubliKKKlans that they need to be so cruel and heartless!?!? Only 12% of the country approved of the last proposal and this one is even worse! Stop pretending that you are doing this for the American people, it's empirically not true! Finally, all peer reviewed studies have shown that the economy does BETTER and medical costs are LESS when more people are covered. Get serious about either FIXING Obamacare or implementing Universal coverage for all, but stop this horrific effort to destroy people's lives! You will be judged harshly, both in this life and the next (if you believe in that, which your gullible Evangelical base thinks you do).

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  • DrRichSwier
    09/20/2017
    ···

    Time to repeal Obamacare. Giving the taxpayers back their money is good. Empowering the states to take care of their citizens is good. The states need to insure that Medicaid only goes to those who truly qualify. The Medicaid system is filled with fraud, waste and abuse. This is the end of a failure. That's good.

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  • JTJ
    09/20/2017
    ···

    Well you can't count on Countable. They report on the numbers that promote their liberal agenda. How about the other numbers reporting the savings to taxpayers? I'm all for giving choice to the states. It's certainly not the deregulation that I want, but it is a small step in the right direction.

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  • Michele
    09/20/2017
    ···

    This is another terrible bill. The federal government with the GOP as the majority could give a rats ass about the American people. The Republicans conveniently use The Federalist when it's something they want yet they want the states to follow federal laws on things they don't like. I know the ACA needs a lot of work, this bill will not be better for Americans. We need a Medicare for all type of system and nothing less. If you believe the insurance companies are going to cut rates, decrease deductibles and give better coverage I've got a bridge to sell you.

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  • Mira
    09/21/2017
    ···

    The Graham-Cassidy bill is an insult to the American people. The ACA has helped so many and any attempt to defang it is reprehensible.

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  • Garrett
    09/21/2017
    ···

    Congress and the GOP need to stop pursuing a vendetta against President Obama and the American people who support him and the ACA. This continued attempt to repeal is not about taxes or capitalism. The continued efforts to repeal are about racism and classism and denying the most vulnerable members of society affordable health care because members of the GOP consider these people to be inferior and unworthy of equal access to health care. This is not the America I believe in. Continued attempts to repeal the ACA are counter to the wishes of a majority of Americans. It is past time for Congress cease and desist this vendetta and pursue actions to benefit the nation as a whole.

    Like (5)
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  • SirRobert
    09/20/2017
    ···

    I am SICK AND TIRED of these efforts using BS rules requiring 51 votes instead of 60 to railroad healthcare or any other legalization!! Trumpcare by ANY name = NO REELECTION for anybody supporting these efforts to take away healthcare and dismantle this cornerstone of our society! You have funding for a wall? Fund the Federal Obamacare subsidies and work on a single payer healthcare system!!

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  • Bonnie
    09/21/2017
    ···

    For those who care about healthcare for their loved ones, please get informed and reach out to your representatives in Congress and Senate. Many of us have excellent healthcare coverage, so this may not affect us directly ... however, we have loved ones with pre-existing conditions that each of the states will be able to deny coverage for under the terms of this newly proposed bill. Our collective healthcare coverage is not something that should be treated as a nuisance to be rubber stamped so politicians can move on to the next bill. It must be carefully drafted to ensure that our loved ones won't be screwed in the long run .... one of whom is my child (who has Type 1 Diabetes and will be shit out of luck when he hits 26). God bless us, one and all.

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  • Lovisa
    09/20/2017
    ···

    The Republicans need to stop trying to MURDER the American people by ripping away their healthcare!!!! We want a BIPARTISAN APPROACH to fixing the current system!!!

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  • Pegls1
    09/21/2017
    ···

    The problem here has a long history. When Reagan passed the law that stated hospitals cannot refuse treatment due to the lack of Insurance or the ability to pay, that law made health care a taxpayer subsidized industry. The Federal government repayed hospitals for all the emergency room visits of people who could not afford to have regular insurance. So they only went to the hospital when they were REALLY sick. To cover the cost hospitals jacked prices for more reimbursement $$$ and also charged higher fees to those who DID have insurance. . The snowball effect of this is what sent insurance rates higher, fewer people could afford insurance, small business owners couldn't afford to get insurance for their themselves and the ACA was enacted to try to control the rising costs of insurance & Healthcare. It is NOT perfect but it did slow the rate increases and did provide a baseline for covered care. Block grants to the states will tangle the industry and create a patchwork of standards, will not allow the insurance to travel with a person when they aren't in their home state, and since Reagan's law is still in effect we will be once again paying for emergency care for those who have no insurance. Block grants to the states didn't work for welfare reform, in too many cases the grants were used as a slush fund. It WILL happen again. Either Fix what is wrong with the ACA or go to a national single payer plan. Graham /Cassidy is going to cost us WAY more in the long run. Vote NO.

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  • Joni
    09/21/2017
    ···

    Any bill to revise healthcare needs time, attention, details, as well as feedback and input from those of us who work on the front lines with patients. Rushing something through for the sake of meeting a self imposed deadline is irresponsible. We need national quality of care. Period. This bill doesn't cut it and attempting to move forward without CBO details shows it's about politics and not what is best for the American people.

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