The  New  Healthcare  Fight  King  v.  Burwell  

Spring  2015  

The  Affordable  Care  Act  is  working.  

16+  Million  Americans  have  gained  health  coverage.  

HHS/ASPE,  03.16.2015  

90%  of  Americans    now  have    

health  insurance.  

Gallup,  04.13.2015  

REAL  IMPACT.  REAL  LIVES  

REAL  IMPACT.  REAL  LIVES.  

New York •  Nearly  410,000    ge-ng  coverage  through  Marketplace.  

•  Seventy-­‐four  percent  are  receiving  tax  credits  to  make  their  coverage  affordable.  

•  More  than  569,000  ge-ng  coverage  through  Medicaid.  

CAP  Fact  Sheets,  02.04.2015  

Everything we’ve won is at risk.

King v. Burwell

New  Yorker  March  9,  2015  Issue  

NYT,  08.20.2014  

“This  bastard  has  to  be  killed  as  a  maHer  of  poliIcal  hygiene.    

“I  do  not  care  how  this  is  done,  whether  it’s  dismembered,    whether  we  drive  a  stake  through  its  heart,  whether  we  tar  and  feather  it  and  drive  it  out  of  town,  whether  we  strangle  it.”    

 Michael  Greve,  Compe88ve  Enterprise  Ins8tute  

 Speaking  at  a  conference  repealing  Obamacare,  December  2010  

SUBSIDIES AT RISK  

Kaiser  Family  FoundaOon,  February  2015  

Subsidies  at  Risk  

Subsidies  Secure  

New  Yorker  March  9,  2015  Issue  

King  v.  Burwell    

 is  “rabid  parRsanship,”    

   not  “serious  legal  reasoning.”    

 Paul  Krugman,    

 Nobel  Prize  economist  and  New  York  Times  columnist  

NYT,  11.09.2015  

REPEAL

REPEAL

REPEAL  

King  v.  Burwell    -­‐    Repeal  by  another  name.  

 

New  Yorker  March  9,  2015  Issue  

“What  I  expect    

is  that  the  Supreme Court is  going  to  render  a    

body blow to  Obamacare    from  which  I  don’t  think  it  will  ever  recover.”  

 

 

Roll  Call,  01.08.2015  

Senator  John  Cornyn  (TX)  

What’s at stake?

BAD

DECISION.  

CHAOS

ACROSS THE COUNTRY  

•  More  than  8  million  people  lose  health  insurance.  

•  10,000  more  people  die  every  year  because  of  lack  of  coverage.  

•  Premiums  jump  47  percent.    •  Millions  risk  losing  coverage  because  of  pre-­‐

exisIng  condiIons.  Urban  InsOtute,  Rand  CorporaOon,  Commonwealth  Fund,  APHA,  2015  

CHAOS FOR PROVIDERS  

•  An  esImated  $22  billion  in  healthcare  spending  would  be  lost.    

•  $12  billion  in  uncompensated  care  will  be  created,  crippling  hospitals  and  community  health  centers.  

•  Major  urban  and  rural  hospitals  will  close,  severely  reducing  access  to  care.  

HHS/ASPE,  03.23.2015,  Urban  InsOtute,  02.12.2015  

TWO AMERICAS  

SUBSIDIES AT RISK  

Kaiser  Family  FoundaOon,  February  2015  

Subsidies  at  Risk  

Subsidies  Secure  

MEDICAID EXPANSION  

Kaiser  Family  FoundaOon,  April  2015  

Has  Not  Expanded  Medicaid  

Has  Expanded  Medicaid  

END OF

OBAMACARE  

NaRonal  Tax  Credit  Snapshot  

87%    The  percent  of  people  who  receive  tax  credits.  

72%    The  average  premium  savings.  

$105  The  average  monthly  premium  people  pay.  

 

$268 = Avg. monthly tax credit

$3,216 = Avg. yearly credit /

amount people would lose.  

 *Based  on  avg.  “Silver”  premium  of  $373  month  /  $4,476  year.    

HHS/ASPE,  02.09.2015  

American  Hospital  AssociaOon  (AHA),  Amicus  Brief,  King  v.  Burwell  

Mother  Jones,  02.09.2015  

WE’RE  FIGHTING  BACK.  

OUR STRATEGY TO WIN

Build  a  powerful  voice  for  healthcare  of  advocates,  providers,  and  industry  leaders.  

1.   Raise  the  stakes.    2.   Move  the  law  forward.  

3.   Hold  opponents  accountable.  

4.   Make  healthcare  a  winning  issue  in  2016.    

Everyone  in  Health  Care  is  United  

More  than  Thirty  Friend  of  the  Court  (Amicus)  Briefs,  including:    

Catholic  Healthcare  AssociaRon      

America’s  Health  Insurance  Plans      

American  Hospital  AssociaRon,  FederaRon  of  American  Hospitals,  AssociaRon  of  American  Medical  Colleges  and  America’s  EssenRal  Hospitals      

 Members  of  Congress  and  100  State  Legislators  (by  the  ConsRtuRonal  Accountability  Center)  

 NaRonal  AssociaRon  of  Community  Health  Centers,  American  College  Of  Physicians,  American  Nurses  AssociaRon,  

AssociaRon  of  Asian  Pacific  Community  Health  OrganizaRons,  and  23  State  Primary-­‐Care  AssociaRons    

American  Academy  Of  Pediatrics,  American  Academy  of  Family  Physicians,  Children’s  Health  Fund,  Children’s  Hospital  AssociaRon,  First  Focus,  March  of  Dimes,  NaRonal  Physicians  Alliance    

 Twenty-­‐two  states  and  DC  (three  Rmes  more  than  the  challengers)  

 Legal  scholars,  economists,  historians,  health  and  law  school  deans  

 Service  Employees  InternaRonal  Union  

 Families  USA  

    King  v.  Burwell,  SCOTUSblog  

What  the  Hospitals  Say  

 “We  will  not  mince  words:  PeRRoners’  posiRon,  if accepted, would be a disaster for millions of lower and middle-income Americans.    “The  serious  financial  impacts  on  hospitals  from  PeRRoners’  interpretaRon  are  too  important  for  the  Court  to  ignore.  At  the  end  of  the  day,  hospitals  must  be  allowed  to  cover  their  costs.  If  they  cannot,  paRents  will  suffer  in  the  long  run.”      “This  is  no  abstract  case  about  principles  of  statutory  construcRon.    PeRRoners’  posiRon,  if accepted, means many more people will get sick, go bankrupt, or die.

 American  Hospital  AssociaOon  (AHA),  Amicus  Brief,  King  v.  Burwell  

King  v.  Burwell,  SCOTUSblog  

NURSES:    DON’T  FAIL  OUR  PATIENTS  

•  61%    -­‐  Support  the  tax  credits  (Dems  79  to  7,  Ind  54  to  21,  Reps  49  to  22).  

•  71%    -­‐  Want  the  credits  available  in  all  fiay  states.  

•  51%    -­‐  Believe  a  win  for  the  challengers  would  be  because  of  poliIcs,  not  the  law.    

•  59%    -­‐  Feel  less  favorable  toward  GOP  when  told  they  support  taking  away  the  tax  credits.  

Hart  Research  Associates  for  SEIU,  02.2015  

WHEN  INFORMED,  THE  PUBLIC  AGREES  

WHAT YOU CAN DO

1.   Stand  Up.  Speak  Out.  

2.   Host  a  briefing.  

3.   Social  Media.  

4.   Highlight  how  people  are  benefiRng  from  Law.  

5.   Plan  for  48  hours  following  decision.    

WE  PASSED  IT.      

WE  PROMOTED  IT.      

WE  HAVE  TO  FIGHT  TO  PROTECT  IT.