GOP Senators Cry Foul Over Medicaid Expansion Repeal

The House Republican plan to phase out the Obamacare Medicaid expansion by 2020 may be a nonstarter for some Senate Republicans-and could potentially threaten the larger repeal-and-replace process. Shortly before House lawmakers revealed a revamped version of their Obamacare repeal-and-replace bill Monday evening, four Republican senators sent a letter to Majority Leader Mitch McConnell saying they would not support an earlier draft from Feb. 10 that repeals Medicaid expansion because it “does not meet the test of stability for individuals currently enrolled in the program.”

GOP Hopes to Enlist Trump in Entitlement Reforms

Republicans in Congress are hopeful that despite his campaign promises to the contrary, President Trump will at some point embrace reforms to major entitlement programs long sought by GOP lawmakers to rein in federal spending and debt. Trump campaigned on preserving Medicare and Social Security, putting him at odds with most of his GOP primary opponents and the majority of the party.

Republican senator would let states keep Obamacare if they want

Republican Sen. Bill Cassidy is making an offer to Democrats he hopes they won’t refuse: If their states like Obamacare, they can keep it. A doctor who worked for decades in charity hospitals and clinics before joining Congress, Cassidy plans to introduce soon an updated version of his health care plan aimed at giving states flexibility to keep Obamacare, nix it entirely or transition to a new system of health savings accounts and automatic health plan enrollment.

Mental health malfeasance

The 21st Century Cures Act signed by President Barack Obama contains smart, well-designed mental-health provisions. But unless President-elect Donald Trump and Tom Price, his nominee for secretary of health and human services, “drain the swamp” at the Substance Abuse and Mental Health Services Administration and the Center for Mental Health Services, many of the new law’s useful provisions could be negated or undone by the permanent bureaucracy.