@KimPerales Ohio has a trigger law in the 2026 budget that would rollback Ohio's Medicaid Expansion automatically if federal funding matching dropped a certain percentage. That would remove coverage for at least 770,000 people in Ohio.

The law specifies that if the federal matching rate (FMAP) for medical assistance provided to Group VIII enrollees is set below 90%, ODM must immediately terminate medical assistance for members of the group.

It passed the House and is moving to the Senate now. Ohio is a trifecta GOP control super-majority state. Both the House and Senate, Governorship and the Supreme Court. #Medicaid #Ohio #ACA #USPol

https://www.kff.org/status-of-state-medicaid-expansion-decisions/

House Bill 96 — Make state operating appropriations for FY 2026-27 page 4740, Section 333.360. GROUP VIII TRANSITION PLAN
https://www.legislature.ohio.gov/legislation/136/hb96

12 of them signed a letter which says they're "only" willing to throw the #ACA expansion population listed under the bus. This ranges from anywhere between 3.5% - 22.3% of their constituents. But at least those 12 say they won't screw over the *rest* of the Medicaid/CHIP population!

ADDENDUM: Here's the 42 House Republicans who won last fall by 15 points or less, along with the estimated number & percent of their constituents who are enrolled in Medicaid via #ACA expansion (plus 3 others who won by higher margins but signed the Medicaid letter). (corrected version!)

The GOP been trying to kill the #ACA for FIFTEEN YEARS. When are they going to learn it’s a losing strategy?

The #5thCircuit's ruling also rejected the govt's request to remove certain offending words from the #ACA provision at issue - a process called severing - in order to make that part of the #law conform to the #Constitution. That issue is also part of the appeal before #SCOTUS.

The #SupremeCourt's decision is expected by the end of June.

Before the case was narrowed to the #AppointmentsClause issue, the lawsuit included a #religious objection to being required to cover pre-exposure #prophylaxis for #HIV. They claimed that such drugs "facilitate & encourage homosexual behavior, prostitution, sexual promiscuity & intravenous drug use."

"The secretary can remove them at will, & the threat of removal is the ultimate tool for control over final decisions on recommendations," #Trump #DOJ lawyers wrote.

For this & other reasons, DOJ lawyers argued, the #USPSTF's members should be seen as so-called "inferior officers," meaning they can be lawfully appointed by an executive branch dept head - like #HHS secy #RFKJr - & do not require #Senate confirmation under the #Constitution.

Several #Texas #Christians & 2 small businesses sued in federal court in Texas in 2020 to challenge the #USPSTF,'s structure. It is the latest in a years-long series of challenges to the 2010 #law, Pres #Obama's signature #legislative achievement, to reach #SCOTUS.

If the justices uphold the lower court's ruling, #health associations said in a filing, life-saving tests & treatments that have been cost-free would become subject to co-pays & deductibles.

The #Trump admin has appealed a lower court's determination that the US Preventive Services Task Force #USPSTF, which under the #ACA has a major hand in choosing what services will be covered, is composed of members who were not validly appointed. Its 16 members are appointed by the secy of #HHS [currently #RFKJr] w/o #Senate confirmation.

#SCOTUS is set on Monday to consider the legality of a provision of the #AffordableCareAct #law [aka #Obamacare], that helps ensure that #health #insurers cover #PreventiveMedicalCare such as #cancer screenings at no cost to #patients.

#Trump #USPSTF #ACA #HHS #RFKJr #Senate
#law #medicine #HealthCare

The post goes into a lot more detail about this as it relates to the #ACA, but the larger point is that Trump/Vance/Musk/RFK/Oz's "solution" to reducing the cost of healthcare essentially amounts to...throwing that 10% of the population under the bus. PRESTO! HEALTHCARE COSTS JUST DROPPED BY 2/3!

In any event, the point is that those last 10 people eat up a whopping 67% of ALL healthcare spending out of our hypothetical group of 100 people. Before the #ACA, these sickest ~10% of the population were considered "uninsurable at any cost" and were basically shunned by the insurance industry.

This post focuses on the #ACA & the individual health insurance market, but most of it applies to RFK/Oz/Vance/Trump's eugenicist stance about the rest of the population as well.

@SeaFury oh my god the #aca jobs in particular. Fingers crossed for a fruitful outcome for you!