From: Congressman Mark Amodei <xxxxxx@congressnewsletter.net>
Date: April 28, 2017 at 2:02:21 PM PDT
To: "xxxxxx@" <dhhs.nv.gov xxxxxx@dhhs.nv.gov>
Subject: Amodei Report: Health Care Update
Reply-To: <2100141763.55984.299@congressnewsletter.net>

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ABOUT DISTRICT SERVING YOU ISSUES MEDIA CENTER CONTACT April 28, 2017 Dear Friend, With health care being at the forefront of our agenda this week in the House, I think it’s important to continue focusing on the salient facts. Following extensive coordination and discussions with Nevada Medicaid officials and House leadership staff about the Medicaid portion of the American Health Care Act, I’ve been left with the following conclusions: 21% of Nevada’s insured population is insured through Medicaid; The national average is 20%. Based on numbers supplied from Governor Sandoval’s Administration which I believe to be credible, if this bill were to become law, after 48 months, there will be a nearly $240 million funding shortfall for Medicaid in Nevada. Additionally, it does nothing to make the proposed Medicaid reforms (which impact three times that many Nevadans) more workable for Nevada.    It’s no surprise to businesses or taxpayers that the tax climate in Nevada has been challenging over the last several legislative sessions. Therefore, I will not vote for a bill that leaves the 2019 Legislative Session and Nevada’s new Governor with a nearly quarter of a billion dollar loss in funding. My resolve is further strengthened by President Trump’s recent tax proposal which his Administration has expressly said “pays for itself”. I’m wondering why we need to take nearly $1 trillion out of Medicaid nationwide to pay for a “self-funded” tax proposal.   With respect to the private market reforms, I’ve been left with the following conclusions:  Those who purchase their health insurance on the private market represent 7% of the Nevada insurance market; The nationwide average is 7%. My analysis of the latest revisions to the private market provision of the American Health Care Act is as follows: States would be able to submit waivers to Health and Human Services (HHS) on certain Essential Health Benefit (EHB) Requirements. Under this amendment, there is no way to estimate how much premiums would be reduced nationwide because it would be dependent upon which EHB requirements the states choose to waive. Considering the Nevada State Legislature recently passed a bill which reiterated its commitment to essential health benefits as understood under the Affordable Care Act (SB 394), it is unlikely the state would soon waive any EHB requirements making certain that the amendment has no premium impact on Nevada. My staff and I will continue to evaluate any and all suggestions and changes in regards to the American Health Care Act. It’s important to note that most health care reform issues must be resolved through legislation that requires 60 votes in the Senate and extensive regulatory work by HHS Secretary Tom Price. While I will continue to keep an open mind, if the current plan is the bill that comes to the Floor for a vote –  I will not be supporting it.    For additional information, please visit my website at amodei.house.gov or call my Washington office: (202) 225-6155, Reno office: (775) 686-5760 or Elko office: (775) 777-7705. To receive updates on what I am doing in Washington and in Nevada’s 2nd District follow me on Facebook, Twitter, Instagram and Youtube. Sincerely, Mark E. Amodei Reno Office 5310 Kietzke Lane, Suite 103 Reno, NV 89511 Phone: (775) 686-5760 Fax: (775) 686-5711 Washington Office 332 Cannon House Office Building Washington, DC 20515 Phone: (202) 225-6155 Fax: (202) 225-5679 Elko Office 905 Railroad Street, Suite 104 D Elko, NV 89801 Office: (775) 777-7705 Fax: (775) 753-9984 Unsubscribe | Update My Profile | Privacy Policy