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Date: Fri, 12 Jan 2018 06:12:02 -0800
From: "Health Care Program" <hdaklt7597@mail10.92388.hk>
To: "alberto" <alberto@planetline.it>
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WASHINGTON =E2=80=94 With more and more states running out of money for t=
he
Children=E2=80=99s Health care Program, parents took their case to Capito=
l Hill
on Tuesday, pleading with Congress to provide money before their sons and
daughters lose health care and coverage.

But the program, known as CHIP, which insures nearly nine million childre=
n,
took a back seat as lawmakers raced to pass a $1.5 trillion tax cut.
CHIP=E2=80=99s fate, it appears, is now caught up in a messy over an
end-of-the-year deal on using that must be struck by Friday to avert a
government shutdown. =E2=80=9CCHIP is being used as a pawn in larger deba=
tes and
negotiations,=E2=80=9D Linda Nablo, the chief deputy director of the Virg=
inia
Department of Medical Assistance Services, said Tuesday in a meeting. =E2=
=80=9CIt
has fallen victim to the partisanship in Congress. And we are getting ver=
y
close to the point where some children will also be victims.=E2=80=9D Vir=
ginia
sent letters last week to parents of 68,000 children warning them that CH=
IP
coverage would end on Jan. 31 unless Congress took action. Congress has
known since April 2015 that funds for the popular children=E2=80=99s care=
 program
=E2=80=94 created and sustained for two decades with bipartisan support =E2=
=80=94 would
expire this year at the end of September. The Senate Finance Committee
approved a five-year extension of funding for the program in early Octobe=
r,
but did not specify how to pay for it =E2=80=94 and Republicans insist th=
at it
must be paid for. The House passed a bill to provide five years of funds =
in
early November, but those funds would come from public health programs se=
t
up under the Affordable Care Act and an increase in premiums for affluent
care beneficiaries, provisions that are unacceptable to most Democrats.
House Republicans plan to send those same provisions to the Senate again
this week as part of a stopgap using bill, knowing they will be killed.
Meantime, the Alabama Department of Public Health posted a notice on its
website this week saying that it would freeze enrollment in the
Children=E2=80=99s Health care  Program on Jan. 1 and would not renew any
coverage after that date. =E2=80=9CIf Congress does not act soon, coverag=
e for
children now enrolled in CHIP will end on Feb. 1,=E2=80=9D Cathy Caldwell=
, the
director of the Alabama program, said Tuesday in a meeting. Colorado and
Connecticut, among other states, have sent letters informing families tha=
t
their children may soon lose CHIP coverage. =E2=80=9CCongress has not act=
ed to
continue the funding, so we must plan to end the CHIP program on Jan.
31,=E2=80=9D said the letters from the Connecticut Department of Services=
.

To parents of sick children, the gamesmanship in Washington was
incomprehensible, especially as Congress was passing a $1.5 trillion tax
cut with little worry over its cost to the Treasury. =E2=80=9CI am here t=
o call
on the Senate to do the right thing and invest in our nation=E2=80=99s tr=
ue
future, invest in the children, to maintain children=E2=80=99s lives,=E2=80=
=9D said
Sonja Reynolds, who came to the Capitol from Pleasant Grove, Utah. She ha=
s
five children on CHIP, including two with Crohn=E2=80=99s disease, a bad
condition. Every eight weeks, she takes the two with Crohn=E2=80=99s to a
hospital for infusions of Remicade, an expensive biologic thing. Without
CHIP, she said, she could not afford the treatments. Amy Jo Hutchison cam=
e
to Washington with her daughters, 10 and 13, from Wheeling, W.Va. As an
infant, her older daughter was blind in one eye, and CHIP helps pay for
regular one to a pediatric ophthalmologist, Ms. Hutchison said. De=E2=80=99=
Andrea
Choice of Tyler, Tex., said CHIP had been =E2=80=9Ca blessing to me and m=
y
son.=E2=80=9D Her son is 15, regularly needs to see medical specialists a=
nd takes
several medications for a condition known as fecal incontinence or
encopresis. =E2=80=9CWithout CHIP,=E2=80=9D she said, =E2=80=9CI would no=
t have been able to
afford his one , and his medicine would have been difficult for me to get=
.
Angelique Smith came from Lakewood, Colo., with her 5-year-old son,
Malachi, hoping to persuade Senator Cory Gardner, Republican of Colorado,
to join the state=E2=80=99s Democratic senator, Michael Bennet, in pushin=
g for
continuation of CHIP. Parents and children conveyed their message to
Congress on Tuesday, the 80th day since federal CHIP funds expired.
No using bill can clear the Senate without Democratic votes, so the
minority does have leverage, but Democrats also have other priorities in
negotiations over the using bill. They seek protections for young
immigrants brought to the United States illegally as children. They want =
to
be sure that any increase in military using is matched by an increase in
domestic using . Senators from both parties, including the majority chief=
,
Mitch McConnell of Kentucky, may try to attach a bipartisan bill to
stabilize health care markets and hold down care premiums. That proposal
faces fierce resistance from conservative House Republicans who see it as
propping up Obamacare. And some Democrats, especially the 10 up for
re-election next year in states won by President Trump, fear that a
government shutdown would harm their political futures. Republicans and
Democrats blame each other for the stalemate over CHIP. Senator Bob Casey=
,
Democrat of Pennsylvania, told parents on Tuesday that he could not expla=
in
Congress=E2=80=99s failure to fund the program. =E2=80=9CSome members of =
Congress are
obsessed about getting the tax bill done,=E2=80=9D Mr. Casey said. =E2=80=
=9CThey=E2=80=99ve
been waiting for this, some of them, their whole lives. They think it=E2=80=
=99s
the most important thing in the world. But, my God, if you can using mont=
hs
and weeks making sure that the corporate tax rate is just where it needs =
to
be, so that you can satisfy corporate chief, if you can tinker with that,
and have tax breaks for the superrich, if you can work that hard, why is =
it
so hard to get a bipartisan children=E2=80=99s health care bill done?=E2=80=
=9D Senator
Angus King, independent of Maine, offered a possible answer: =E2=80=9CMay=
be it is
because none of our kids are in this program. I venture to say that if th=
e
children of the members of the Senate were in the CHIP program, we would
have met that deadline=E2=80=9D of Sept. 30. While Congress squabbles, st=
ate
officials are sounding the alarm. A survey by the Kaiser Family Foundatio=
n
found that 16 states expect to exhaust their federal CHIP funds by the en=
d
of January, with 21 additional states saying they would run out by the en=
d
of March. The Trump administration has reshuffled money to help states wi=
th
the most urgent needs. But in so doing, it exacerbates the financial
problems that other states will soon face because Congress has not provid=
ed
any new funds.
Republican governors, including Greg Abbott of Texas and Scott Walker of
Wisconsin, have joined Democrats in urgent appeals to Congress, without
much success.

=C2=A9 Gabriella Demczuk for The New York Times

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WASHINGTON =E2=80=94 With more and more states running out of money for t=
he
Children=E2=80=99s Health care Program, parents took their case to Capito=
l Hill
on Tuesday, pleading with Congress to provide money before their sons and
daughters lose health care and coverage.&nbsp;<a
href=3D"http://www.3839.gs/unsubscribe.php?M=3D2551670!G=3D0!LID=3D18!N=3D=
308!D=3Dp_8!lan=3Den!O=3DVW0CJVJ0AShcPFJ5AS4EYFlkVm9bLgdtDmZZPVN7CW0Kb1Q%=
2FAn4BaQ9jAjQLJA%3D%3D">Unsubscribe</a>
 
 
But the program, known as CHIP, which insures nearly nine million childre=
n,
took a back seat as lawmakers raced to pass a $1.5 trillion tax cut.
CHIP=E2=80=99s fate, it appears, is now caught up in a messy over an
end-of-the-year deal on using that must be struck by Friday to avert a
government shutdown. =E2=80=9CCHIP is being used as a pawn in larger deba=
tes and
negotiations,=E2=80=9D Linda Nablo, the chief deputy director of the Virg=
inia
Department of Medical Assistance Services, said Tuesday in a meeting. =E2=
=80=9CIt
has fallen victim to the partisanship in Congress. And we are getting ver=
y
close to the point where some children will also be victims.=E2=80=9D Vir=
ginia
sent letters last week to parents of 68,000 children warning them that CH=
IP
coverage would end on Jan. 31 unless Congress took action. Congress has
known since April 2015 that funds for the popular children=E2=80=99s care=
 program
=E2=80=94 created and sustained for two decades with bipartisan support =E2=
=80=94 would
expire this year at the end of September. The Senate Finance Committee
approved a five-year extension of funding for the program in early Octobe=
r,
but did not specify how to pay for it =E2=80=94 and Republicans insist th=
at it
must be paid for. The House passed a bill to provide five years of funds =
in
early November, but those funds would come from public health programs se=
t
up under the Affordable Care Act and an increase in premiums for affluent
care beneficiaries, provisions that are unacceptable to most Democrats.
House Republicans plan to send those same provisions to the Senate again
this week as part of a stopgap using bill, knowing they will be killed.
Meantime, the Alabama Department of Public Health posted a notice on its
website this week saying that it would freeze enrollment in the
Children=E2=80=99s Health care&nbsp; Program on Jan. 1 and would not rene=
w any
coverage after that date. =E2=80=9CIf Congress does not act soon, coverag=
e for
children now enrolled in CHIP will end on Feb. 1,=E2=80=9D Cathy Caldwell=
, the
director of the Alabama program, said Tuesday in a meeting. Colorado and
Connecticut, among other states, have sent letters informing families tha=
t
their children may soon lose CHIP coverage. =E2=80=9CCongress has not act=
ed to
continue the funding, so we must plan to end the CHIP program on Jan.
31,=E2=80=9D said the letters from the Connecticut Department of Services=
. 
 
To parents of sick children, the gamesmanship in Washington was
incomprehensible, especially as Congress was passing a $1.5 trillion tax
cut with little worry over its cost to the Treasury. =E2=80=9CI am here t=
o call
on the Senate to do the right thing and invest in our nation=E2=80=99s tr=
ue
future, invest in the children, to maintain children=E2=80=99s lives,=E2=80=
=9D said
Sonja Reynolds, who came to the Capitol from Pleasant Grove, Utah. She ha=
s
five children on CHIP, including two with Crohn=E2=80=99s disease, a bad
condition. Every eight weeks, she takes the two with Crohn=E2=80=99s to a
hospital for infusions of Remicade, an expensive biologic thing. Without
CHIP, she said, she could not afford the treatments. Amy Jo Hutchison cam=
e
to Washington with her daughters, 10 and 13, from Wheeling, W.Va. As an
infant, her older daughter was blind in one eye, and CHIP helps pay for
regular one to a pediatric ophthalmologist, Ms. Hutchison said. De=E2=80=99=
Andrea
Choice of Tyler, Tex., said CHIP had been =E2=80=9Ca blessing to me and m=
y
son.=E2=80=9D Her son is 15, regularly needs to see medical specialists a=
nd takes
several medications for a condition known as fecal incontinence or
encopresis. =E2=80=9CWithout CHIP,=E2=80=9D she said, =E2=80=9CI would no=
t have been able to
afford his one , and his medicine would have been difficult for me to get=
.
Angelique Smith came from Lakewood, Colo., with her 5-year-old son,
Malachi, hoping to persuade Senator Cory Gardner, Republican of Colorado,
to join the state=E2=80=99s Democratic senator, Michael Bennet, in pushin=
g for
continuation of CHIP. Parents and children conveyed their message to
Congress on Tuesday, the 80th day since federal CHIP funds expired. 
No using bill can clear the Senate without Democratic votes, so the
minority does have leverage, but Democrats also have other priorities in
negotiations over the using bill. They seek protections for young
immigrants brought to the United States illegally as children. They want =
to
be sure that any increase in military using is matched by an increase in
domestic using . Senators from both parties, including the majority chief=
,
Mitch McConnell of Kentucky, may try to attach a bipartisan bill to
stabilize health care markets and hold down care premiums. That proposal
faces fierce resistance from conservative House Republicans who see it as
propping up Obamacare. And some Democrats, especially the 10 up for
re-election next year in states won by President Trump, fear that a
government shutdown would harm their political futures. Republicans and
Democrats blame each other for the stalemate over CHIP. Senator Bob Casey=
,
Democrat of Pennsylvania, told parents on Tuesday that he could not expla=
in
Congress=E2=80=99s failure to fund the program. =E2=80=9CSome members of =
Congress are
obsessed about getting the tax bill done,=E2=80=9D Mr. Casey said. =E2=80=
=9CThey=E2=80=99ve
been waiting for this, some of them, their whole lives. They think it=E2=80=
=99s
the most important thing in the world. But, my God, if you can using mont=
hs
and weeks making sure that the corporate tax rate is just where it needs =
to
be, so that you can satisfy corporate chief, if you can tinker with that,
and have tax breaks for the superrich, if you can work that hard, why is =
it
so hard to get a bipartisan children=E2=80=99s health care bill done?=E2=80=
=9D Senator
Angus King, independent of Maine, offered a possible answer: =E2=80=9CMay=
be it is
because none of our kids are in this program. I venture to say that if th=
e
children of the members of the Senate were in the CHIP program, we would
have met that deadline=E2=80=9D of Sept. 30. While Congress squabbles, st=
ate
officials are sounding the alarm. A survey by the Kaiser Family Foundatio=
n
found that 16 states expect to exhaust their federal CHIP funds by the en=
d
of January, with 21 additional states saying they would run out by the en=
d
of March. The Trump administration has reshuffled money to help states wi=
th
the most urgent needs. But in so doing, it exacerbates the financial
problems that other states will soon face because Congress has not provid=
ed
any new funds. 
Republican governors, including Greg Abbott of Texas and Scott Walker of
Wisconsin, have joined Democrats in urgent appeals to Congress, without
much success. 
 
&copy; Gabriella Demczuk for The New York Times 
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