Price Must Answer Questions on Devastating Health Cuts
June 8, 2017
As Secretary Price prepares to testify before Congress on Trump’s budget today, here is a look at some of the many devastating cuts to health care and services for millions of Americans that he will have to defend:
Trump proposed a $610 billion cut to Medicaid, despite his repeated promises not to cut the program.
The Hill: “President Trump will propose massive cuts to the Medicaid program for fiscal year 2018, according to a budget document posted by the Department of Health and Human Services. In total, the budget proposes cutting Medicaid spending by $610 billion over 10 years. That's on top of more than $800 billion in cuts called for under the House-passed ObamaCare repeal bill, the American Health Care Act.”
Trump proposed cutting CHIP funding by at least 20 percent – or $5.8 billion – over the next two years.
Washington Post: “Funding for the Children’s Health Insurance Program (CHIP) would be slashed by at least 20 percent for the next two fiscal years. According to the budget document, the administrator favors a renewal of CHIP, a program created 20 years ago for the children of lower-working class families and which currently insures 5.6 million children.”
The Hill: “The budget also includes a $5.8 billion cut to the Children’s Health Insurance Program (CHIP), which helps families that make too much money to qualify for Medicaid.”
Trump’s budget proposed ending a protection against eligibility rollbacks for CHIP beneficiaries.
Modern Healthcare: “The draft budget also ends a provision that prevented states from narrowing the pool of eligible CHIP beneficiaries below what it was in 2010, the first year the ACA kicked in.”
Trump’s budget would convert Medicaid to a block grant, which could reduce services, and allow states to impose work requirements for certain Medicaid beneficiaries.
The Hill: “The HHS budget, which was posted online and then quickly deleted, also calls for changing how Medicaid is financed. The proposal would transition the joint federal-state program from a traditional entitlement to either a block grant or per capita cap. It would also allow states to impose work requirements for certain Medicaid beneficiaries.”
NPR: “The budget mirrors the changes in Medicaid included in the health care overhaul bill passed by the House earlier this month… Medicaid pays for services — including personal care, shopping or cooking for the elderly, and occupational therapy and work support for the disabled — that allow people to continue to live on their own. Under the law, those services are considered optional. But Medicaid is required to pay for nursing home and institutional care. ‘We'll see a return to more people with disabilities and more older adults not having access to services that allow them to remain at home,” says Barbara Beckert, director of the Milwaukee office of Disability Rights Wisconsin. ‘Instead, we may see people forced into institutions, forced into nursing homes.’”
Trump proposed massive cuts to the National Institute of Health and CDC, which could hurt efforts to halt the spread of diseases like AIDS, Zika, and Ebola.
Politico: “Trump proposes dramatic cuts to NIH, CDC budgets. The proposal to reduce NIH's budget by nearly 20 percent is nearly identical to the so-called skinny budget the administration released in March. And it comes weeks after Congress gave the biomedical research agency a $2 billion boost in its 2017 spending bill. The cut to CDC also is nearly 20 percent.”
Trump’s budget would cut funding to programs that fight cancer, respiratory diseases, HIV/AIDS, and other chronic diseases.
Washington Post: “The president’s budget seeks an $82 million cut at the center that works on vaccine-preventable and respiratory diseases, such as influenza and measles. It proposes a cut of $186 million from programs at CDC’s center on HIV/AIDS, viral hepatitis, sexually transmitted infections and tuberculosis prevention.”
Washington Post: “The president's budget seeks an $82 million cut at the center that works on vaccine-preventable and respiratory diseases, such as influenza and measles.”
Washington Post: “President Trump's 2018 budget request, delivered to Congress on Tuesday with the title ‘A New Foundation for American Greatness,’ has roiled the medical and science community with a call for massive cuts in spending on scientific research, medical research, disease prevention programs and health insurance for children of the working poor. The National Cancer Institute would be hit with a $1 billion cut compared to its 2017 budget.”
Washington Post: “President Donald Trump’s 2018 budget request to Congress seeks massive cuts in spending on health programs, including medical research, disease prevention programs and health insurance for children of the working poor … The National Heart, Lung and Blood Institute would see a $575 million cut, and the National Institute of Allergy and Infectious Diseases would see a reduction of $838 million.”
Trump wanted to cut nearly $400 million from mental health and substance abuse treatment programs.
Politico: “Budget takes ax to mental health and substance abuse treatment programs. The proposal would target the federal mental health and substance abuse treatment agency with nearly $400 million in cuts while keeping funding for many initiatives aimed at fighting the opioid epidemic flat. The budget for the Substance Abuse and Mental Health Services Administration cuts the Community Mental Health Services block grant by $116 million and reduces other state mental health grants by $136 million. Substance abuse treatment grants for states would fall by $73 million and public awareness programs would decline by $74 million.”
Trump’s budget did not propose a solution to drug pricing.
Politico: “What Trump's budget does — and doesn't do — on drug pricing. The budget doesn’t contain any of his oft-touted ideas for addressing drug pricing, like calling for government negotiations in Medicare Part D.”
Under Trump’s budget, Planned Parenthood would be barred from receiving any HHS funding.
Washington Post: “Planned Parenthood would be barred from receiving any HHS funding, according to a fact sheet accompanying the budget release — a prohibition that would apply not just to Medicaid but to all programs. The fact sheet notes that this move ‘follows through on a campaign promise’ to block federal dollars from ‘certain entities that provide abortions, including Planned Parenthood.’”
Trump’s budget would zero out funding for HHS community service block grants by 2018, which are awarded to communities around the country to address the public health implications of poverty.
STAT: “One of the biggest line-item cuts in the entire budget comes from HHS Community Services Block Grants, a $714 million pool of money awarded to communities around the country to address issues of poverty — and often poverty’s public health implications. Those grants would be zeroed out entirely in 2018 under the White House’s funding request.”