Reid Overstates Reduction in Uninsured

Senate Majority Leader Harry Reid incorrectly claimed that 9 million Americans “have health care that didn’t have it before” because of the Affordable Care Act. That figure includes an unknown number who previously had insurance but switched to a policy sold through the exchanges, plus an unknown number of Medicaid recipients who renewed their coverage.

 

Reid made the statement on CBS’ “Face the Nation” on Jan. 5, saying:

Reid, Jan. 5: [R]ight now, as we speak, there are 9 million Americans … who have health care that didn’t have it before. We have, as you know, we have 3 million Medicare [Medicaid]. We have 3 million on their policies because they haven’t reached, they haven’t reached age 26. And we’ll have more than 2 million. They’re coming.

The 9 million figure includes three categories of Americans: 2.1 million who have selected plans on the federal or state insurance marketplaces, or exchanges; 3.9 million who were determined to be eligible for Medicaid and the Children’s Health Insurance Program (higher than the 3 million figure Reid used); and an estimated 3.1 million young adults under the age of 26 who were able to join their parents’ policies as a result of the ACA.

But it’s wrong to assume, as Reid does, that all of those people were previously uninsured.
Let’s start with those who were uninsured. Some may consider the inclusion of the 3.1 million young adults an attempt to puff up the numbers after a slow, glitch-filled and, by any standard, unsuccessful launch of the exchanges last fall. After all, this provision of the law was implemented in September 2010. But this is the one estimate that’s made up exclusively of those gaining insurance. The estimate comes from the Department of Health and Human Services, which said in a June 2012 press release that the figure was based on the National Health Interview Survey conducted by the National Center for Health Statistics, which found an increase in the percentage of young adults (age 19 to 25) with insurance between September 2010 and December 2011. (Some among this estimate may well have gained coverage in another manner — other than being added to their parents’ plans — but the number does represent an increase in the insured in an age group directly affected by the law at the time.)

It’s the other two categories that include folks who did have health coverage before, contrary to Reid’s remarks.

The 2.1 million people who selected exchange plans include some who had insurance but switched to these marketplace plans, such as those whose insurers canceled specific plans or even pulled out of the individual insurance market altogether. And, as Washington Post Fact Checker Glenn Kessler pointed out, it even includes Reid, who, like other previously insured members of Congress are required to get their coverage through the exchanges, rather than the Federal Employees Health Benefits Program, as they did before.
Then there’s the Medicaid estimate. Marilyn Tavenner, administrator of the Centers for Medicare & Medicaid Services, announced on Dec. 31 that 3.9 million “learned they’re eligible for coverage through Medicaid and the Children’s Health Insurance Program (CHIP) in October and November.” She noted: “These numbers include new eligibility determinations and some Medicaid and CHIP renewals.”

So, some portion of that 3.9 million — a figure that comes from state reports — includes Americans who already had Medicaid or CHIP and are simply renewing, and it could include those who had insurance through another source and are now eligible for Medicaid. CMS doesn’t have such a breakdown on these Medicaid-eligible folks. The figure also includes those who were previously eligible for Medicaid (before the ACA) and are now signing up. Some of those previously eligible folks may not have been influenced by the law; others may have been prompted to seek coverage because of the individual mandate, or because they’ve heard so much about the health care law.

One last note: Americans buying their own insurance don’t have to go through the exchanges; they can buy directly from an insurance carrier. It’s possible some of the previously uninsured have done so, but we know of no estimate for that.

What we do know is that it’s incorrect to say, as Reid did, that the 9 million figure represents “Americans who have health care that didn’t have it before.”

The nonpartisan Congressional Budget Office has estimated that in 2014, due to the Affordable Care Act, the number of uninsured would decline by 14 million, with 7 million joining the exchanges, 9 million gaining Medicaid and CHIP, and 2 million fewer Americans getting coverage through the individual market. It remains to be seen how closely reality will track with those estimates.

– Lori Robertson

Rodman

Any other time or place this creep would have been put against a wall and shot. They use to call them traitors, but now the kids call them basketball stars.

Chamber of Commerce vows to fight ObamaCare employer mandate in 2014

The head of the U.S. Chamber of Commerce vowed Wednesday to fight ObamaCare's so-called employer mandate and other "onerous" provisions in the year ahead, even as the pro-business group acknowledged the bill as a whole cannot be repealed in the current climate.
The agenda was outlined by Commerce President and CEO Thomas Donohue, in his annual Washington address. Though the law's requirement on mid-sized and large businesses to provide health coverage to workers was delayed by a year, Donohue said the Chamber still plans to lobby against that mandate in 2014.
“In 2014, we will work to repeal onerous health care taxes; repeal, delay, or change the employer mandate; and give companies and their employees more flexibility in the choice of health insurance plans,” Donohue said. He also cited immigration reform, entitlement reform and more domestic energy production as other major objectives.
“We’re not going to get rid of [the Affordable Care Act] so we’re going to have to find ways to make it work,” Donohue said afterward. “It’s a massive tax bill. It’s a massive rules-and-regulations system. And lots of people are worried about how they are going to get their health care.”
In his speech, Donohue said the health insurance cancellations that “swamped” the individual market last year are expected to hit the small business market even harder this year. And many firms are not hiring and are cutting workers’ hours because of the law’s mandates, he said -- despite claims by the Obama administration to the contrary.
Donohue deflected a question after the speech about how long of a delay he wants for the employer mandate, which requires businesses with 50 or more full-time employees to offer insurance, saying only that he was speaking in “broad terms.”
“We’ll delay what we have to delay,” he said. “Whatever we have to keep, we’ll keep.”
As further indication that the chamber doesn’t support the ObamaCare repeal effort by the Tea Party and others in the most conservative wing of the Republican Party, Donohue suggested those trying to extract spending cuts or other deals when negotiating over raising the federal debt ceiling “are not helping us.”
He also made clear the Chamber will support candidates in the 2014 elections who “want to work within the legislative process.”
Despite the Chamber’s apparent resignation to ObamaCare being here to stay, he said the group would “head to court to sue” if necessary to achieve its objectives on health care and other issues.
Donohue said the Chamber repeatedly warned Congress and the administration about ObamaCare’s many flaws and argued problems with the president’s signature law go beyond the rollout of the websites on which Americans buy insurance policies from private companies.
“The administration is obviously committed to keeping the law in place, so the Chamber has been working pragmatically to fix those parts of ObamaCare that can be fixed,” he said. “Computers can be fixed.”