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WebinarPost-Election 2020: What’s Next for Health Policy?
November 18, 2020
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Post-Election 2020: What’s Next for Health Policy?
Improving Health Is Our Policy
Billy Wynne, ChairmanWynne Health Group
November 18, 2020
Foundations
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+Presidential Election
3
Joe Biden has won 306 electoral votes and 50.8% of the popular vote.
Source: CNN
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+Congressional Races
50 R and 48 D, 2 runoffs in GA
◼ Flipped seats: 2 D and 1 R
(+1 net gain for D).
◼ Senate Majority Leader
Mitch McConnell (R-KY)
reelected.
◼ In 2022, 12 seats held by
D, including Harris’ seat in
CA, and 22 seats held by R
are up for election.
219 D and 204 R, 12 not yet
called
◼ +6 net Republican gain as of
Sunday, November 15.
◼ House Speaker Nancy Pelosi
(D-CA) expected to
maintain leadership position.
4
Senate House
Senate majority unclear; Democrats maintain smaller House majority
Note: election results current as of November 15, 2020.
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+Biden’s Top Health Care Priorities
5
COVID-19 Pandemic Response
Coverage Expansion and ACA Stabilization
Health Equity
Lower Medicare Age to 60
Drug Pricing
Surprise Medical Billing
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+Policy Pathways & Variables
Standard Legislation
Reconciliation Legislation
Congressional Review Act
Notice & Comment
Rulemaking
Subregulatory Guidance
Waivers
COVID-19
ACA Lawsuit
Make-up of
Congress
6
Policy Pathways Variables
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+COVID-19 Pandemic Response
7
Legislative
• Automatically increase FMAP funding during crisis
• Increase funding for CDC and other public health initiatives
• Guarantee coverage for COVID-19 testing, vaccines, and treatment
• Expand ACA subsidies and offer temporary, platinum-level federal plan on Exchange
Regulatory
• Open 90-day special enrollment period in ACA Exchanges
• Replace heads of FDA, CDC, and other relevant agencies
• Replace COVID-19 task force with Biden appointees
• Shore up national stockpile by invoking the Defense Production Act
• National Emergencies Act can be used to waive aspects of Medicaid and Medicare law
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+Coverage Expansion & ACA Stabilization
◼ Create a public option
◼ Tie premium subsidies to gold-level plans
◼ Cap premiums at 8.5% of income
◼ Remove 400% FPL limit on premium subsidies
◼ Fix the “family glitch”
◼ Lower Medicare age to 60
◼ Mitigate ACA lawsuit
◼ Use 1332 waivers to support
state public option programs
and other coverage
initiatives
◼ Fully allocate funds for ACA
enrollment outreach
◼ Reverse Medicaid work
requirements
8
Legislative Regulatory
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+Health Equity
9
Testing strategies for addressing
SDOH through CMMI demos
Directing all federal
agencies to ensure data-
driven strategies to
advance health equity
Leveraging AHRQ’s National
Health Care Quality and Disparities
Report
Rolling back Trump-era
reforms that discriminate
against LGBTQ+ community
Increasing funding to strengthen
public health infrastructure and health
equity research*
*requires legislation
Improving cultural
competence of health care
workforce
Biden’s health equity
platform includes focus on:
• Funding for health
equity research
• Greater focus on
addressing social
determinants of health
(SDOH) through
innovation
• Using data-driven
approaches to address
inequities
Note: CMMI is Center for Medicare and Medicaid Innovation and AHRQ is Agency for Healthcare Research and Quality
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+Additional Key Issues
Legislative Regulatory
Drug Pricing • Permit HHS to negotiate Medicare
drug prices
• Cap Medicare Part D OOP costs
• Impose caps on price inflation
• Support state drug importation
programs
• Test reforms to Medicare Rx
reimbursement via CMMI
Surprise Billing &
Transparency
• Require benchmark pricing or
arbitration for surprise medical bills
• Continue Medicare transparency
requirements
Immigrant Health • Remove statutory barriers to ACA,
Medicaid, and Children’s Health
Insurance Program coverage
• Reverse public charge rule
• Permit states to cover immigrant
classes via waiver
Rural Health & Workforce • Increase funding for community
health centers, National Health
Services Corp, and Graduate
Medical Education
• Expand funding for community
health workers
• Expand telehealth and
broadband access
• Use CMMI demos to support rural
health transformation
• Establish office of primary care
within AHRQ
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Thank You!
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WebinarPost-Election 2020: What’s Next for Health Policy?
November 18, 2020