Affordable Care Act

Recent Posts

Scott: Senate health care vote is ‘disappointing’

MONTPELIER — Republican Gov. Phil Scott said Tuesday he is disappointed the U.S. Senate has voted to begin debating a repeal of the Affordable Care Act without a clearly defined path forward. Scott, in a telephone interview from Aspen, Co., where he is attending the Republican Governors Association quarterly meeting, said health care has dominated the two-day summit. “Suffice it to say, there are lot of differing opinions on what’s happening and what’s best for our individual states,” the governor said. Some states, like Vermont, have expanded Medicaid under the Affordable Care Act and stand to lose significant federal funding under the plans pushed by Republicans in Congress. As a result, Scott said there is no consensus among the 33 GOP governors on whether Congress should be moving forward with efforts to repeal the ACA. Continue Reading →

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Leahy, Sanders vote no, but Senate moves to debate ACA repeal

MONTPELIER — Vermont Sens. Patrick Leahy and Bernie Sanders are lashing out after the Senate voted Tuesday to begin debating a health care plan that would repeal parts of the Affordable Care Act and leave tens of millions of Americans without health insurance. Both Leahy, a Democrat, and Sanders, an independent, voted Tuesday afternoon against a motion to proceed to debate on a House-passed health care bill. The vote was held Tuesday before Senate Majority Leader Mitch McConnell, R-Ky., revealed the legislative language that senators will be debating, however. The process used by the Republican majority and the secretive nature of the Senate GOP’s plan have drawn the ire of Vermont’s two senators. Continue Reading →

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Scott: Trump looking to tone down immigration rhetoric

MONTPELIER — Gov. Phil Scott said he believes Republican President Donald Trump is looking to walk back his rhetoric on immigration after attending meetings with the president on Sunday and Monday. Scott was in Washington, D.C., over the weekend and into Monday for a National Governors Association meeting. Scott attended the annual Governor’s Ball at the White House on Sunday evening, as well as a meeting at the White House with the president Monday morning. The White House events were a first for Scott, who told reporters last week that he had never before visited the famed building, even as a tourist. Scott has emerged as one of the president’s most vocal critics when it comes to immigration policy among the Republican governors. Continue Reading →

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Welch warns state lawmakers about pending health care changes

MONTPELIER — Congressman Peter Welch told Vermont lawmakers Wednesday that he is working to thwart Republicans from completely unraveling the Affordable Care Act, an action he said would be “one of the most reckless fiscal actions.”

Welch, a Democrat and the state’s lone member of the U.S. House, will begin serving under his third president Friday when Republican President-elect Donald Trump is sworn into office. He was first elected in 2006, and served two years under President George W. Bush and eight years under President Barack Obama. During Obama’s tenure, House Republicans voted 65 times to repeal the federal Affordable Care Act, a landmark health care reform bill Obama signed into law. Now, with a Republican Congress and an incoming Republican Congress, Welch warned Wednesday that major changes are coming that could be disruptive to Vermonters and all Americans. “It’s as though the discussion is ideological, that getting rid of this will give people more freedom,” he told lawmakers. Continue Reading →

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Scott not sold on exchange report, will outline plan in budget address

MONTPELIER — Gov.-elect Phil Scott says a recent report recommending that the state stick with Vermont Health Connect has not necessarily changed his belief that the state should abandon the exchange as he prepares to outline his path forward later this month. Scott, a Republican who will be sworn in as Democratic Gov. Peter Shumlin’s successor on Thursday, promised during his campaign against Democratic gubernatorial candidate Sue Minter that he would seek to join the federal exchange or partner with other states, while shuddering Vermont Health Connect. The Strategic Solutions Group, an independent party hired by the Legislature to determine whether the state should stick with or abandon the exchange, released its report just before Christmas. The report noted the state’s exchange has “significant deficiencies” and more work is needed if it is to be sustainable. But it also asserted that sticking with Vermont Health Connect is preferable to the solutions Scott proposed during the campaign. Continue Reading →

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Shumlin: Obamacare critical for Vermonters

MONTPELIER — Gov. Peter Shumlin is defending Obamacare and the state’s health care exchange as President-elect Donald Trump signals his intention to decimate them, a move the governor says will be an “extraordinary disaster for Vermonters.”

Shumlin, who is nearing the final month of his governorship, used a Montpelier news conference Tuesday to defend the federal and state health care reform efforts during his six years in office. He said Vermont Health Connect, the state’s online health insurance marketplace created under the federal Affordable Care Act, is finally working as anticipated when it launched in Oct. 2013. “I personally believe that Vermont now has among the best functioning state exchanges in America and probably the best functioning state exchanges in America,” the governor said. The open enrollment process, which has struggled in past years as technology faltered, is “proceeding smoothly,” Shumlin argued. Continue Reading →

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Green Mountain Care Board backs all-payer model

MONTPELIER — The Green Mountain Care Board on Wednesday voted to advance a draft agreement with the federal government that seeks to transform the way health care providers are paid in Vermont, paving the way for the state and federal government to begin implementation. Gov. Peter Shumlin and his top health care officials negotiated for nearly two years with the federal government on the so-called all-payer model. It will be based on the Accountable Care Organization model — groups of doctors, hospitals and other health care providers that come together to provide coordinated care. The concept is intended to provide better information about a patient’s medical history among providers. The all-payer model includes private insurance as well as government programs like Medicaid and Medicare as payers. Continue Reading →

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Republicans call for assessment of Vermont Heath Connect

MONTPELIER — Vermont’s top republicans are calling for an independent assessment of Vermont Health Connect to determine if it’s worth keeping. On Friday, Lt. Gov. Phil Scott, Senate Minority Leader Joe Benning and House Minority Leader Don Turner called for the Green Mountain Care Board to conduct an assessment of the state’s beleaguered health care exchange. “If you find yourself in a hole, stop digging,” said Scott, whose remarks follow testimony offered earlier this week to the House Health Care Committee from Garton Consulting, which recommended an independent assessment. Sen. Benning, R-Caledonia, reviewed a two-year time line of blown deadlines, cost overruns and lack of functionality for Vermont Health Connect. “Vermonters have suffered a long history of broken promises and missed deadlines on this frustrating path to affordable and dependable health care,” Benning said. Continue Reading →

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Cadillac Tax impact less than initial estimates

MONTPELIER — The impact of a tax on high-end insurance plans slated to begin in 2018 is not expected to impact the state as much as initially thought, according to the Legislature’s Joint Fiscal Office and the Shumlin administration. The so-called Cadillac Tax, part of the federal Affordable Care Act passed in 2010, will impose a 40 percent non-deductible excise tax on health insurance plans that exceed $10,200 for an individual and $27,500 for a family beginning in 2018. The tax is indexed to inflation and will rise over time. “We have some IRS guidance, but federal regulations have not been issued. To be perfectly candid, the IRS guidance raises as many questions as it answers. Accordingly, whether and how to properly average benefit costs and adjust tax thresholds still needs additional clarification. Continue Reading →

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Two years late: Is Vermont Health Connect Finally Ready?

MONTPELIER — Gov. Peter Shumlin had not even decided to run for the state’s top office when the federal Affordable Care Act was signed into law in March 2010, but the landmark legislation would soon begin to shape his governorship in ways he could not have imagined. Shumlin, who was sworn into office in January 2011, began his tenure as the state’s chief executive with a trademark swagger. Now as he approaches the end, having announced in June that he will not seek a fourth term, he is hoping to leave in place a working exchange that he has championed, but which has struggled for two years and one month to meet Vermonters’ expectations. The governor held a news conference Thursday to announce that the site should finally work today, Nov. 1, as the open enrollment period for 2016 health care plans begins. Continue Reading →

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