Governors don’t want Congress to stick them with the bill for reforming #Obamacare

In typical GOP fashion, Congress is taking care of themselves and their lobbyist pals, and sticking it to everyone else.

Republican governors complain that a GOP proposal to replace former President Barack Obama’s health care law would force millions of lower-income earners off insurance rolls or stick states with the cost of keeping them covered.

Governors, especially those from political battleground states, were generally cool to the bill put forth in the Republican-controlled U.S. House. Some signaled that they would continue working on their own legislation to compete with the measure introduced Monday.

“We’ve said all along, ‘Work with the governors,’ that it should be a governor-led effort and for the Congress to rely on the governors,” Nevada Gov. Brian Sandoval said Tuesday. “Well, they came out with their own bill, which doesn’t include anything that the governors have talked about.”

Republican governors lead 33 states, across all regions, and represent states pivotal to President Donald Trump’s victory in November, including much of the upper Midwest. Their role in the health care debate could influence the biggest public policy changes this year and help determine the party’s future.

House Speaker Paul Ryan defended the bill, casting it as the only proposal in Congress that advances the GOP’s long-promised goal of repealing and replacing the 2010 law. In addition to the doubts among GOP governors, members of Ryan’s own caucus described the speaker’s attitude as a take-it-or-leave-it approach to a proposal that does not do enough to reduce government spending.

Another problem some Republican governors see with the bill is in converting Medicaid coverage from an open-ended federal entitlement to one that operates under a per-capita cap. A cap would not account, for instance, for rapidly rising drug costs, a big part of a state’s Medicaid budget. GOP governors have suggested that any change in the law should give them more autonomy to account for such changes.

Read the whole story in the San Francisco Chronicle


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