The Affordable Care Act is turning 10. Where does the landmark law go next?
WASHINGTON — The Affordable Care Act is turning 10 this week, and it’s still in the news and still facing an existential threat from Republican critics even as some of its benefits have become widely accepted.
Among the ACA’s core features: It barred insurers from turning away customers or charging more based on pre-existing conditions, created a new subsidized market for individual private insurance, expanded Medicaid to higher income workers, eliminated lifetime and annual caps on benefits and allowed young adults to stay on their parents’ plan until age 26.
In many ways, the 2020 election has been a debate about its legacy. Vermont Sen. Bernie Sanders ran on moving all Americans to a Medicare for All system, rather than private insurance, while former Vice President Joe Biden has argued building on the ACA to make its benefits more generous.
On the Republican side, President Trump is backing a lawsuit to overturn the law in its entirety, which the Supreme Court is set to hear this Fall. He reiterated his support for that effort over the weekend, saying it would allow him to “get rid of the bad health care and put in a great health care” even as the country deals with the coronavirus pandemic with a health care system tied to the ACA.
The White House has not announced a detailed replacement plan for the law, and Biden asked Trump and Republican state officials on Monday to drop the lawsuit.
Former Montana Sen. Max Baucus, who shepherded the ACA as chair of the Senate Finance Committee said the law was a “good start” toward universal coverage. The law reduced the number of uninsured by about 20 million people after its implementation, according to the Kaiser Family Foundation.
But that number has ticked up under President Trump and the health care system still faces rising costs for hospitals and drugs. That unsteadiness has led Baucus to embrace a single-payer health care system.
“I felt at the time we were not ready for single payer,” Baucus told NBC News. “But down the road we’re going to move in that direction. Why? Because our current system, even under the legislation that passed, is still too inefficient. Too many dollars are being spent that don’t provide health care.”
While Baucus may agree with Sanders on the broad policy direction, he thinks Biden would be best to shepherd the next health care goal through because the next Democratic administration must seek common ground with Republicans.
“We should try extremely hard for it to be nonpartisan and maybe begin with smaller steps at first,” he said. “Otherwise if you jam something down somebody’s throat, it’s not durable. The other side will try to figure out how to submarine it or undermine it as they did with the ACA.”
There are some signs that the law is becoming more entrenched. The GOP faced a backlash in 2017 when they tried unsuccessfully to partially repeal the law and scale back its benefits. And, while still divided along partisan lines, the latest NBC/WSJ poll found the ACA with its highest net rating: 42 percent of registered voters believe it was a good idea, versus 35 percent who say it was a bad idea.
But the ACA has struggled to meet some of its goals and the way it’s been implemented isn’t the same as supporters envisioned when it was passed.
The law’s regulations on insurers and lack of subsidies for customers making over 400 percent of the federal poverty limit have left many middle and upper income Americans facing premiums that are high or unaffordable.
“If they can’t get coverage through their job, those individuals’ premiums have skyrocketed,” said Avik Roy, founder of The Foundation for Research on Equal Opportunity and critic of the law. “It could have been done in a much more effective way that guaranteed coverage for people who were sick, but also made it more affordable to people who are healthy.”
The law has also changed over the years. President Trump’s 2017 tax bill zeroed out the ACA’s individual mandate — which penalized people for going without insurance. And some sources of funding, like a tax on more generous employer plans, have been eliminated.
The Supreme Court ruled that states had to voluntarily participate in its expansion of Medicaid, but 14 states haven’t. The Trump administration has also expanded access to insurance options outside of the law’s regulations, including plans that factor in pre-existing conditions.
Kathleen Sebelius, the Health and Human Services Secretary under President Obama, told NBC News the law had been undermined but believes its legacy is secure.
“The country has moved to a place where there is a vast majority of people who feel health care is a right,” she said. “I don’t think that was a given 10 years ago and it’s not just in the Democratic Party. People may have a different idea how to get there, but it’s a basic premise that people support.”
Biden ally Larry Rasky passes away at 69
WASHINGTON —Larry Rasky, a close ally of former Vice President Joe Biden who played a key role in the super PAC that boosted Biden during the Democratic presidential primary, has died.
Rasky’s eponymous public relations firm confirmed his death in a brief statement on Sunday.
“Larry was a giant in so many ways, not just professionally but personally. He loved and was loved by so many. He always treated the company like a family and we are all shocked and saddened by the news of his passing. He has left an indelible imprint on everyone he touched and the company that bears his name will go on in his spirit,” the statement from Rasky Partners read.
He was 69 years old, according to the Boston Globe. The paper said the cause of death was not yet known.
Rasky was a longtime public relations professional who worked with a lanundry list of Democratic politicians — including Biden, then-Massachusetts Rep. Ed Markey (who is now a senator), former Massachusetts Sen. John Kerry and President Jimmy Carter.
Having worked as Biden’s press secretary during his 1988 presidential bid, he served as Biden’s communications director during his 2008 presidential campaign.
This cycle, he served as the treasurer to Unite the Country, the super PAC backing Biden.
Biden remembered Rasky during an interview with the Globe as a “real friend” who gave him “confidence.”
“He was also generous and sharp and he just had a spirit about him. His passion for politics was amazing,” Biden told the paper.
“No matter how down I was going into something, that ridiculous laugh of his would always make a difference. He always knew when to kid and when not to kid.”
“I think the reason people loved him was his deep loyalty to his friends and the causes he believes in,” Markey told the Globe. “It’s something that just drew people to him, and it’s why so many people are missing him today.”
Others shared their memories of Rasky on Twitter as the news broke Sunday.
Sanders wins big in Democrats Abroad primary, party says
WASHINGTON — Vermont Independent Sen. Bernie Sanders has won the Democrats Abroad presidential primary, the contest held by Americans living overseas, according to results announced Monday
Julia Bryan, the group’s global chair, shared those results on a Monday morning video conference in part due to the coronavirus outbreak that has paralyzed the world.
She said that Sanders won 57.9 percent of the almost 40,000 ballots, with former Vice President Joe Biden following with 22.7 percent and Massachusetts Sen. Elizabeth Warren winning 14.3 percent.
“We saw a 15 percent increase in voter participation over our 2016 primary number,” Bryan said on the call.
“It’s particularly impressive considering the challenges we had with the virus shutting down so many of our centers.”
She added that raw voter turnout was the highest in the United Kingdom, Germany, Canada, France and Mexico.
NBC’s Decision Desk has projected Sanders’ victory but has not yet allocated Democratic National Convention delegates based on those results. But Bryan said that per the Democrats Abroad rules, Sanders would receive nine delegates and Biden four based on the results.
Not including the Democrats Abroad result, the Decision Desk projects Biden has won 1,165 delegates so far to Sanders’ 851.
Biden calls on Trump to drop Obamacare lawsuit amid coronavirus crisis
WASHINGTON — On the 10th anniversary of the Affordable Care Act being signed into law, former Vice President Joe Biden is calling on President Donald Trump and Republicans to put politics aside during the coronavirus crisis and drop their lawsuit against the landmark health care legislation he helped shepherd through Congress.
In a letter addressed to Trump, Mississippi Gov. Tate Reeves and 18 state attorneys general, Biden is asking them to recognize that the law they are seeking to repeal gives Americans the assurance they need during a public health crisis like the one that has currently paralyzed the country.
“At a time of national emergency, which is laying bare the existing vulnerabilities in our public health infrastructure, it is unconscionable that you are continuing to pursue a lawsuit designed to strip millions of Americans of their health insurance,” Biden writes.
“You are letting partisan rancor and politics threaten the lives of your constituents, and that is a dereliction of your sworn duty.”
Biden has staunchly defended building on the Affordable Care Act, also known as Obamacare, throughout his campaign. His plan calls for adding a public option like Medicare that would provide coverage to Americans if they do not want to keep their private plan or are uninsured. His position has often come under fire by his most progressive rivals who describe his plan as a moderate approach to reforming the broken system.
The former vice president often tells his crowds how difficult it was to pass President Barack Obama’s landmark legislation to remind them that a complete overhaul of the healthcare system, as proposed in Medicare for All, would be impossible to pass through an already divided Congress.
In his first letter addressed directly to the president as a candidate for his job, Biden said that many Americans can rely on accessing healthcare during the coronavirus scare thanks to the Affordable Care Act.
“It is the reason 100 million people with pre-existing conditions—including conditions like asthma and diabetes that make them at higher-risk for adverse health impacts from the coronavirus—don’t have to worry about being charged more or denied coverage,” he writes.
Biden argues that “no underlying constitutional flaw” exists within Obamacare, citing that the Supreme Court has already upheld the law twice. The only reason Texas v U.S. is being argued, Biden said, is because Congressional Republicans zeroed out the individual mandate statute in 2017, bringing into question its legality.
“History will judge all of us by how we respond to this pandemic,” Biden warned. “The public health imperative we now face is bigger than politics and it requires all of us to summon the courage to lead and to do what is right for the American people.”
Sanders’ campaign raises over $2 million for coronavirus charities
BURLINGTON, Vt. — The Bernie Sanders campaign is focusing its resources on fighting the coronavirus pandemic, and his supporters appear to be following suit. In the last 48 hours, the Sanders campaign said they’ve raised more than $2 million from 50,000 donations for select charities.
The charities were selected by the Sanders campaign to help those suffering from the outbreak: Meals on Wheels, No Kid Hungry, Restaurant Workers’ Community Foundation COVID-19 Emergency Relief Fund, One Fair Wage Emergency Fund and the National Domestic Workers Alliance.
In addition to using his campaign to funnel money to charities, Sanders also released a $2 trillion proposal to fight this virus, which would include the U.S. government covering all medical bills accrued during this time period, speeding up testing, invoking emergency powers to scale up production of supplies like surgical masks and ventilators and providing substantial unemployment insurance to those who lose jobs as a result of the outbreak.
The campaign says the last two days are just the start, and they intend to raise money for other charities over the coming days.
Sanders turns his campaign to coronavirus relief
Bernie Sanders is shifting his focus from building political support to supporting efforts to respond to the coronavirus spread. The Vermont senator announced on Friday that he will host an online roundtable in Burlington, Vt., where he is “assessing the state of his campaign.”
The roundtable will be the first public comments from Sanders since he snapped at a reporter on Wednesday for asking about his timeline for deciding on the future of his campaign. Sanders has not publicly addressed Tuesday night’s primaries, which were unanimously won by former Vice President Joe Biden.
Since then, Sanders senior adviser Tim Tagaris said the campaign has used social media platforms, email and text lists to “educate and activate people around his coronavirus response and raise big-money for charities helping people impacted.” On Thursday, the campaign sent an email to supporters prompting them to use a campaign-established fundraising page to donate to up to five charities helping people during the pandemic.
Sanders also released a $2 trillion proposal on Monday that he said he would present to Democratic leadership that includes having Medicare, as it exists now, pay for all medical bills accrued during this emergency, whether or not the bill is related to the coronavirus.
Bloomberg gives $18 million to DNC in lieu of starting his own group to beat Trump
WASHINGTON — Former New York City Mayor Michael Bloomberg is transferring $18 million left in the accounts of his now-defunct presidential campaign to the Democratic National Committee and forgoing, for now, creating his own independent political group to help Democrats in November.
“While we considered creating our own independent entity to support the nominee and hold the President accountable, this race is too important to have many competing groups with good intentions but that are not coordinated and united in strategy and execution,” Bloomberg’s campaign said in a memo to the DNC. “The dynamics of the race have also fundamentally changed, and it is critically important that we all do everything we can to support our eventual nominee and scale the Democratic Party’s general election efforts.”
The funds will be put towards the DNC’s battleground buildup program, to hire data and operations staffers, among other efforts, in a dozen states that will be important in the general election.
Bloomberg will also offer to transfer campaign field offices the billionaire’s campaign set up and paid for to local state Democratic Parties as in-kind contributions. His staff, some of which were planning to transfer to work for Bloomberg’s independent entity in six battleground states, are all being laid off. They will be paid through the first week of April and have full benefits through the end of April.
“With this transfer from the Bloomberg campaign, Mayor Bloomberg and his team are making good on their commitment to beating Donald Trump,” DNC Chair Tom Perez said in a statement. “This will help us invest in more organizers across the country to elect the next president and help Democrats win up and down the ballot.”
However, this differs significantly from the message the Bloomberg campaign pushed since his entrance into the presidential race in November. The plan, if not the nominee himself, was to fund a sizable campaign effort through the general election working to elect the Democratic nominee, paying his large staff and keeping a sizable amount of offices open.
Bloomberg spent more than $400 million on his presidential campaign and is worth an estimated $50 billion, according to Forbes, so $18 million is a relatively small amount for one of the richest men in the world.
Since ending his campaign earlier this month after a disappointing showing in Super Tuesday contests, Bloomberg has given to other pro-Democratic groups, such as a $2 million contribution to the group Swing Left, and he’s pledged at least $40 million to fight the coronavirus pandemic.
Under campaign finance laws, while the contribution is well in excess of contribution limits from individuals, campaigns are allowed to make unlimited contributions to party committees.
Yang nonprofit announces coronavirus relief effort for the Bronx
As Congress and the White House work to pass an emergency economic stimulus bill in response to the coronavirus pandemic, former Democratic presidential candidate Andrew Yang is taking matters into his own hands.
Yang’s new nonprofit organization, Humanity Forward, announced Friday it will be distributing at least $1 million in $1,000 cash payments to 1,000 working poor households in the Bronx as part of a coronavirus relief fund in partnership with other organizations.
“Given the nature of this crisis, we thought it was imperative to act now and get money into people’s hands, and also demonstrate that this is exactly what our government should be doing,” Yang told NBC News.
The one-time payments will be provided within the next two weeks to clients of Neighborhood Trust Financial Partners, a financial empowerment nonprofit. Additionally, Humanity Forward is also partnering with One Fair Wage, a nonprofit advocacy group, to support service workers across New York City who have been impacted by COVID-19-related closures — through cash relief payments of $213 to symbolize the $2.13 an hour tipped minimum wage.
“The coronavirus has seized up our economy and sent it into a tailspin and the people that are suffering most are service workers,” Yang told NBC News. “New York City is also the most densely populated part of the country, and if there’s any place you would want people to have the ability to stay home and look after themselves and their families, it would be in New York.”
Sources familiar with Yang’s thinking say the entrepreneur is seriously considering a run for New York City mayor, where he could implement UBI at a local level — he even spoke with Michael Bloomberg recently about a potential bid.
His organization’s coronavirus relief effort will also include $100,000 in micro-grants of $250 or $500 to individuals who request emergency funds directly via Twitter, Facebook and Instagram.
Yang said the direct cash payment proposal in the Senate GOP relief bill is going to be an “instrumental and vital” game-changer for millions of Americans.
“I’m thrilled that they’re landing on direct cash in Americans’ hands,” he said. “If it had been up to me, I perhaps wouldn’t have means-tested it at that level, but it’s going to help tens of millions of Americans and that’s the goal. So I’m glad that they’re heading in the right direction.”
Yang was critical of the Trump administration’s response to the crisis, but hopes the president will support an emergency universal basic income plan regardless of any political downside for Democrats.
“Most everyone thinks that they botched the handling of trying to impede the spread of the virus initially, so I can’t imagine anyone who thinks that this is going to be a political positive for the Trump administration,” said Yang. “We’re in this mess, we have to try and take care of our people.”
Yang added that his team has been in communication with the White House legislative office, providing research on cash transfers for citizens to the Treasury Department. Yang says he also has been in contact with former Vice President Joe Biden’s campaign, but would not speculate on cabinet possibilities.
Yang said his current priority is providing immediate relief to those most affected by the coronavirus, but he hopes to fund UBI pilot programs in the future
“I think people are going to like it, and that after it happens in response to this crisis, then people will say, ‘Wait a minute, I’d probably like it no matter what, and it will prepare us for the next crisis,’” Yang said.
Yang is confident that exploring universal basic income will be part of the conversation in the general election.
“Americans are going to be dramatically impacted by getting money into our hands, and I think there’s a real chance that this becomes a major issue in the 2020 election itself — and it may be in the Democratic Party platform,” Yang told NBC News. “I believe that this is going to become the law of the land sometime in the next number of months and years because it’s going to be hard to put the genie back in the bottle honestly.”
“I would never be someone who would wish this terrible crisis and pandemic on our country, but I do believe that our campaign might have advanced this particular solution right at the right time.”
Disability community vote up for grabs in 2020, poll finds
WASHINGTON — A new poll finds that more than half of potential voters in battleground states say they have a disability (16 percent), a family member with one (32 percent), or a close friend who does (11 percent), and the voting bloc is largely contested ahead of the 2020 elections.
The results released by the Democratic polling firm, Greenberg Quinlan Rosner Research (GQRR), and the disability rights organization, RespectAbility, also show that the disability community favors Joe Biden over Senator Bernie Sanders in head-to-heads with President Trump.
Among battleground voters in the disability community, 49 percent prefer Biden compared to 44 percent who support the president — only a five point difference, which is within the poll’s margin of error. With Sanders as the Democratic nominee however, 45 percent favor Trump while 44 percent prefer Sanders.
For those identifying as personally having a disability, Biden has a greater advantage. 53 percent of the group back the former vice president versus Trump’s 41 percent. Just 45 percent of disabled voters prefer Sanders compared to a close 44 percent who support Trump.
The results from the disability community closely resemble the results from all voters interviewed in battleground states. Similar to that subset, 49 percent and 45 percent of all voters support Biden and Trump respectively. Trump holds a one percentage point lead over Sanders, 46 percent to 45 percent, among all voters.
On a phone call with reporters Thursday, the Chairman of RespectAbility, Steve Bartlett, said that the poll results reveal that the disability community “is a very large segment of the voting public” and that the demographic is really “up for grabs” this election season.
“Candidates should not take this lightly,” he said, noting that attention to disability issues can garner candidates more support from the voting bloc.
In Senate and House races, the poll shows that the disability community leans slightly Democratic but is largely split between supporting Democratic and Republican candidates. In a generic Senate vote in the battleground states, half of the disability community reported they would back the Democratic candidate while 47 percent would support the Republican. On the House side, just over half — 51 percent — said they would vote Democratic compared to 46 percent who would go with the Republican.
Health care was top of mind for voters in the disability community with nearly 40 percent of the group reporting that the issue is an important consideration in determining which candidate to support in the 2020 elections. The economy and jobs came in a close second with just over one third of the disability community highlighting the issue.
Only eight percent said that the novel coronavirus is a major issue for them heading into the elections though, GQRR CEO, Stan Greenberg, said that these numbers will likely change as the pandemic worsens.
The poll was conducted by Greenberg Research and Democracy Corps, and interviewed 1,000 registered voters over the phone from March 9 to March 16 in sixteen presidential and Senate battleground states. The states included Arizona, Colorado, Florida, Georgia, Iowa, Nevada, New Hampshire, New Mexico, North Carolina, Maine, Michigan, Minnesota, Ohio, Pennsylvania, Virginia, and Wisconsin.
590 respondents are members of the disability community and reflect voters in battleground states overall in terms of their demographic makeup. The poll’s margin of error is three percent.
National parties give House members, candidates new campaign guidelines amid coronavirus
WASHINGTON — Congressional candidates plodding ahead in light of the coronavirus pandemic have received some recent guidance from national party organizations as they look to balance the needs of their campaigns with new public health restrictions.
A Democratic Congressional Campaign Committee spokesperson told NBC News that the organization is “urging campaigns to follow the guidance of national experts and their local public health experts and make sure that they are continuing to connect with voters, but doing that safely,” while erring on the side of caution to keep their campaign staff, volunteers and voters all safe.
The DCCC is also recommending that campaigns shift where possible to virtual events like tele-town halls, virtual phone banks or live-streamed roundtables.
National Republican Congressional Committee Chairman Rep. Tom Emmer, R-Minn., sent Republican House members a memo that ran through some suggested “best practices” on issues like fundraising, public events and communications.
Some of that guidance mimics what the DCCC told their members — the NRCC suggests limiting grassroots events, shifting field work to phone canvassing and launching tele-town halls.
On fundraising, Emmer cautioned that candidates should continue to fundraise but “be sensitive that your donors may have suffered financial losses during this pandemic” and ask their donors how they are holding up in light of the crisis.
Emmer specifically asked members to reconsider “snarky” comments and be sure not to spread misinformation.
“At times like this you need to ask yourself if your press release or snarky comment are in poor taste,” Emmer wrote. “If you share information on the coronavirus, do it from trusted sources like the Center for Disease Control and the Department of Health and Human Services. Do not spread misinformation from politicized news stories.”
Chris Pack, the NRCC’s communications director, told NBC that the campaign arm sent additional guidance to non-incumbent candidates. Emmer left his member with this: “Do not get complacent. Use common sense, but put the health of yourself, your campaign staff and volunteers, and constituents at the forefront of every decision,” he wrote.
Biden, Sanders campaigns ramping down ad spending amid coronavirus spread
WASHINGTON – With the coronavirus outbreak prompting several states to postpone their primary elections, former Vice President Joe Biden and Vermont Independent Sen. Bernie Sanders are slowing their ad spending to a virtual halt.
A Biden campaign spokesman told NBC News there is “no plan right now” to go up with TV or radio ads, largely because their ad strategy focuses on creating ads based on the issues voters in that upcoming primary state find to be most important. Facebook’s ad-tracker shows the campaign is still running digital ads on the platform, however.
That same tracker shows that Sanders isn’t currently running any Facebook ads. And data from Advertising Analytics shows that the Sanders campaign is dark on traditional media too (television and radio).
As the Biden campaign continues to iron out the best ways to campaign in this unprecedented time for presidential politics, the spokesman caveated that their current plan for remaining silent on the airwaves could change. One area where investments could be made is in digital ads now that most people are turning to video websites like YouTube and Hulu while they work from home.
Biden ads featured in states from Michigan to Georgia featured President Barack Obama thanking Biden for his commitment to “Service” and Biden’s call for Democrats to unite in an ad called “Always” to defeat President Donald Trump. They also rolled out new Spanish-language ads in Florida, Arizona and Illinois discussing Biden’s records on guns, healthcare and the need for leadership to prevent future global panic like the one caused by coronavirus.
Unite the Country, the Super PAC supporting Biden’s candidacy, will also not be on the airwaves or on digital in the coming weeks as they focus on expanding their group with sights set on the general election, Steve Schale, a top strategist for the group, told NBC News.
After projected losses in the Florida, Illinois and Arizona primaries on Tuesday night, Sanders’ campaign manager, Faiz Shakir, said in a statement that Sanders “is going to be having conversations with supporters to assess his campaign” but that “In the immediate term, however, he is focused on the government response to the coronavirus outbreak and ensuring that we take care of working people and the most vulnerable.”
Through March 10, before the campaign was completely upended by coronavirus, the Sanders campaign had significantly outspent the Biden campaign on the television and radio airwaves—$42.2 million to $14.6 million respectively.
—Mike Memoli contributed.