medicaid expansion doing this to 2024, 7 years from now. and i have to say republicans need plan b. if you want to rip this away rip it away like a band-aid, rip it away like a band-aid, what incentives can get insurers to serve 2 people? neil: the vote is still scheduled for the july 4th research, unlike speaker paul ryan, mitch mcconnell doesn't care whether the votes are there, he is sending a message to donald trump, i will be here long after that. he will go through with the vote whether the votes i there were not. what do you think? >> the way i looked at mitch mcconnell he was getting away from i'm done. after that, this thing is going to get carved up like a smoked sturgeon. the biggest thing we have going forward, we spent $574 billion last year and higher this year, next year, the year after, i spent a little time reading the bill, the words grants, waiver, tax credit, subsidies were all over it, government centric and never going to end. the new york times telling you, that is not going to happen. >> a lot of democrats say this is heartless and mean. we have a government

and generally the big sticking point is medicaid and how long and how far should the medicaid expansion rollbacks go and should we cap medicaid? offer block grants? medicaid seems to be the biggest issue though there are smaller issues, defunding planned parenthood for one year for example is something senator murkowski said she can't get behind. senator collins expressed concerns behind that. there are some little nuances in the bill as well that could be negotiated this week. >> david, do you expect the cbo score to help or hurt mitch mcconnell as he tries to rally his troops to vote for the bill before the fourth of july recess? >> i do think it'll probably hurt that effort, but i still expect that effort to succeed. mcconnell is a really savvy operate, he knows his caucus really well. that's the dynamic we saw in the house and it'll repeat in the senate? >> what do you think he'll be willing to sacrifice first in order to get the job done? >> well, i think the thing he's going to do to bring in rob portman from ohio, shelley from west virginia, they'r unhappy about the opioid treatm

>> you mentioned the medicaid expansion, this is a state at expanded medicaid. we had a republican govrks one of the few to expand medicaid. there is now a bill sitting on his desk that has gotten a lot of attention that would be medicaid for all. in other words, universal healthcare in the state of nevada. there's a lot of emotion behind that. no telling whether the governor will sign. 50/50 at best. healthcare is big in nevada. we've had a lot of uninsured. medicaid helped hundreds of thousands. you have u.s. senator dean heller, the only republican incumbent running in a state won by clinton going all over the map on medicaid expansion first saying that he wants to phase it out, then coming back today and correcting that and saying, well, he's not so sure. that issue of medicaid expansion and the only country in the state to have medicaid for all if the government signs -- governor signs the bill is a huge issue here. >> sreenivasan: i want to ask about the level of support that exists for the president among voters who stuck with him in the polls. recent pol

over the next ten years. >> first of all, wisconsin's getting no funding from medicaid expansion. so i wouldn't see anybody in wisconsin actually affected by what we're trying to do to rein in the out of control costs of medicaid expansion. but, wolf, i have yet to be in a hearing where we're describing a problem often exacerbated by government, where the solution wasn't more spending, and not solving the problems. we need to address the root cause mp the problem in health care, which is out of control spending s. it okay with you there will be zero hearings in the senate on this important legislation which affects, what, 1/6 of the u.s. economy between now and the end of next week when your majority leader mitch mcconnell wants a vote? >> it's not okay with me. we don't have any of time, both members and the public to completely evaluate this bill, see the scoring. see all the debate within the public realm. whether there's a hearing or not, this thing needs to be fully vetted. i need to have enough time to evaluate it myself and get infrut wisconsinites. very clear with leadersh

back medicaid expansion. and that could potentially cut this treatment center's medicaid funding by 75%. jim lawrence is ceo of oriana house. >> 98% of our folks weren't eligible for medicaid. now 98% are. >> reporter: what did medicaid expansion allow you to do? >> it allowed us to get people into treatment, which was key. otherwise, they would be out on waiting lists. people would overdose. >> reporter: the opioid epidemic claimed 4,100 lives in ohio last year. 308 here in akron. what would you say to the folks in washington who are talking about cutting back on medicaid? >> please don't do it. you're going to have the blood of a lot of innocent people on your hands. >> reporter: the body count is so overwhelming here that the medical examiner's office had to call in a mobile morgue to help house victims. it will be here through the july 4th weekend, anthony, when another surge in deaths is expected. >> adriana diaz in ohio for us tonight. thanks, adriana. >>> when we come back, if you because your carpet n

including medicaid expansion. but it does not go as far as the house version, and that has already cost some conservative support. 4 senators will not support it . saying they are not ready to vote on the bill as written, cruz and paul. and lee and johnson. johnson by the way, his job was saved in election by one president trump. altogether bad news for the majority leader mcconnell who can afford only two votes for it to pass. fox news chief congressional correspondent mike emanuel on capitol hill with our report. >> obamacare is a disaster, it is dead. we're putting in a plan today that is going to be negotiated. we would love to have some democrat support, but they are obstructionists, they will never support, we hopefully will get something done. hopefully something with heart. reporter: the scrapping of obamacare, and replace it with a better system of released today, key differences with house republican people are on tax credits to help tea people buy coverage, in house they are based on age, in senate, age

. >> the bill repeals the individual mandate, phases out the medicaid expansion, removes taxes on the wealthy and one year defunds planned parenthood. austin, first to you since you're away from doug and me. if nothing is done to obamacare, what happens? >> if nothing is done to obamacare, that depends a lot on what donald trump does in the background. there are a lot of regulatory things. >> what if he does nothing? what if they leave it alone, what happens? totally even on the regulatory front? >> in the markets where they have had problems and some of the insurers have pulled out, you'd likely see prices go up. in a lot of those markets, it would just continue to be what it has been. you'd get the subsidies. you'd have 75% of the people paying $100 or month. >> doug, all the democrats came out very fired up against this. i suspect many have not read it because they -- but they didn't get a chance to. they didn't get to participate. it seems to me that we're all fighting but we're not talking and trying to fix any of these problems. >> i think ultimately the process is not going to

the bill instant medicaid expansion. and cuts the funding for the medicaid program by nearly $800 billion. a program that is been a vital part of our social fabric since 1965. this bill, and i don't like to say this but it is mean. ththe president said that of the house bill. i don't like to characterize something that way. but it is mean and would have far-reaching effects for millions of americans across the country. this past weekend i hosted a health care forum in burnsville. minnesota. it's a suburb south ofthe twin minneapolis, of the twin cities. it was on the importance of medicaid and how the republican plans cuts, these devastatingta cuts would affect minnesotans. over 230 people showed up to share their stories about howha medicaid change their lives, and it was very moving. take, for example, and i think it's really important to tell this in terms of not in numbers, and the numbers are pretty stark, but in terms of people. this one story, brandon and his mom spoke, brandon and sherry. they are both from burns

one thing we did understand about medicaid expansion is when people get on with their own on it for about 18 months. people think they get on this and on like the their absolute not. they try to get a job. some of them have problems. i do know how many of you are aware of, i'm sure most of you are aware of the problems that are connected to drug abuse and how hard it is for somebody to get clean and to stay clean but the same issue is there with the mentally ill. who need constant treatment if they suffer from some of the very severe illnesses. of course the chronically ill need to be covered as well, and if you don't have a system that does that you have a problem. you have a loss of coverage of millions of people, the about the funding they're putting into medicaid, just medicate as a a whole, is even less than what the house had and what house had was really not adequate. we may been able to struggle through with it if we received massive flexibility including the ability to exclude pharmaceutical companies from being able to put high-priced drugs on our formulary but we are not given

the medicaid expansion is another significant change. they want to push the rollback back a few years. however, at the end of the day, you're looking at ending this program, whether you do it in three years, six years. you are talking about ending a program that currently covers about 14 million americans or so. that is a few more years for that program, but ultimately ending at the same result. >> peter, i know there's sort of a contrarian theory that part of why mitch mcconnell wants to do this quickly is because he doesn't want it to pass. tell me the logic. >> i don't know if i think he doesn't want it to pass. i think it is possible that he doesn't have a strong preference one way or the other. the republican agenda also includes things like raising the debt ceiling, getting to tax reform. this bill would help them get to revenue neutral tax reform. but i think mcconnell may look at this and think the politics of this are not great. look at the way it's polling. look at republicans' total unwillingness and inability to explain and d

asy are not as affected those medicaid expansions, as well as the hospitals that tend to feel the burden of medicaid patients that come to them. they end up having to have bigger expenses. you can see here, this is a much bigger reaction when you saw with aetna. more people are coming through their doors with medicaid coverage as opposed to being uncovered. that is going to be more positive for these hospitals. thatcularly the hospitals are geographically in low income areas or areas with folks have a lot of medicaid coverage. the two groups that you are going to see affected here again are the medicaid exposed insurers and the medicaid area exposed hospitals. care as well, a big spike up in the shares. ,he copy at with all of this this is something we have been talking about all along, we don't know what the final version of the bill is going to be or if it's going to pass. there are still a lot of questions about this but we see that market reaction nonetheless, guys. we will continue to cover the much awaited senate version of the american health care act after this. this is bloomberg

many of our patients have utilized and benefitted from the medicaid expansion. so if that goes away, we're concerned about the care, the lack of care this our patients may get. >> president trump was elected on what he promised the american people and i think they should get behind him and try it. maybe it won't work. but at least give it a try. >> as the health care debate wages on capitol hill, medical professionals and residents in east liverpool, ohio, are reacting to the republican proposal. joining me is ron mott in east liverpo liverpool, and dr. john torres. ron, what are you hearing from people in ohio, sort of ground zero of the health care debate? >> yeah, hey there, andrea. a lot of folks are concerned about losing health care benefits, especially those who were given health care with this medicaid expansion a few years back. we spoke to one 28-year-old who decided to stop working full time to pursue a college degree and told me yesterday that if somehow she loses her medicaid coverage, that she got through this sxapexpansion, she may hav quit her st

expansion, give in to medicaid expansion and let that go for many more years, the more you are careful about the regulation, the more you lose conservatives. >> right. >> so that is really the issue. that's what they've been trying to get. that -- that finite middle, is there is one, behind closed doors. >> talk about what happened last nice pap congressional women's baseball game. softball. either one. >> uh-huh. >> you were the announcer and there was just this -- honestly a very special night because of the return there of crystal griner. tell us about it. >> it was so -- so cool. amazing to watch and be a part of. right. i was an announcer along with andrea mitchell, our colleague from nbc and senate gloit senat globechar. she was there. i got to announce she was there. imagine the emotion of everybody there. both chambers there to see it and pay tribute to this american hero who was just -- you know, trying to protect steve scalise. she was, and is, on his detail, and in that -- job that she was doing, ended up saving so many -- by all accounts, so many lives. there's no question,

by ending medicaid expansion in states around the country. it will mean 22 million americans are kicked off of coverage. and then if that wasn't enough, starting in 2025, the plan will institute even more drastic medicaid cuts that every year become a deeper cut than the year before, and it will literally mean death by a billion cuts for millions of americans who will lose their health care coverage, especially those suffering from substance use disorders. medicaid covers about one-third of americans with an opioid use disorder and pays for nearly half of the medication-assisted treatments in massachusetts. taking away this treatment would be a death sentence for thousands of americans. a vision without funding is a hallucination. the republicans are saying that we'll find the will to take care of these people with opioid treatments. well, you can't will your way to dealing with an opioid crisis. it's a disease. you need funding. you need treatment. and right now there are millions of americans that don't have the treatment they need. medicai

it also changes from the house bill to medicaid expansion. that is an important point for several senators who come from medicaid expansion states. it's a more gradual process. there's a shift in how people will be able to finance some of their subsidies. there's more tacked on at age and income as well. when it's compared to the affordable care act subsidies, that is set at a maximum level. it will be dropped to 350%. there's a lot of changes we are seeing it's worth noting, there are opportunities to amend the bill. senators that have concerns, it's likely if those concerned are multiplied by several, they may be addressed t. question is, as it is presented, when senators come out, how they feel, what signals they give. there's an important aspect, the cbo score should come next week. it will help senators make up their mind. all that happens is how you get to 50 votes. this policy is important on the political level and for every day individuals. can they get their members there on both fronts? they want to vote thursday. john? >> we are w

it says medicaid expansion will be treated like every other person on medicaid. if you're in expanded medicaid the federal government pay force roughly 100% of your cost. if you're in regular medicaid it pays, on average, 50%. what the senate bill does say is why are we differentiating between the two? folks on traditional medicaid are the lowest income, the one in need of medical care probably more than the other, and we're paying money for half of their money, as opposed to the state, but the rest we're paying 100% thaemplt saying, no, let's equalize it, put everybody in the same path and let the states decide how to prioritize that money as opposed to the federal government doing so. and it creates waivers, flexibility, this will result in better health care for that population than what we have today. >> paul? >> there are score cankeepers here. they've manipulated -- cuts medicaid more deeply. they tried to put the time verizon outside of what the congressional budget office can score it. we're brothers of faith in the catholic church. catholic bishops point

how do you propose we pay for all of this medicaid expansion? >> well, first of all, are you talking about the federal government or the state? because we -- >> both. >> well, when we expanded medicaid in louisiana, we knew that the largest share of that would be ten cents on the dollar. and so our expansion plan accounts for that. and we can certainly pay our share. we cannot pay, once it goes down to 85 cents, 80 cents on the dollar, our plan no longer works. now, the simple argument about why the united states can afford this is because what they're planning to do with the savings realized from these draconian cuts to medicaid is to give a tax cut of the about the exact amount of the cuts to the medicaid program. so i believe we can afford it. i believe we can afford it. and if we're going to fight the opioid epidemic, if we're going to make sure that our labor force is healthy enough to be productive and go to work, we've got to invest in our people. these are working poor people who were caught. their employers don't offer insurance. they d

we know where medicaid expansion senator stands. because you have another week to go through this their base lines won't change. they compromise now or move forward. we'll see if that threat has teeth. one thing to keep in mind, wolf. when senators go home at the end of this week long recess, there are plans to protest to be everywhere they are to try and drive up the pressure to oppose this bill. that is pressure i can tell you senate leaders would rather their members not face. that is why they want to have a vote this week. >> all right, phil mattingly on capitol hill. we'll see if that vote takes place. >>> also tonight we are hearing the trump administration feels vindicated after the u.s. supreme court allowed part of the embattled travel ban take effect. the president declined to discuss that with the indian prime minister tonight. let's go to white house correspondent jim accosta. jim, are you surprised the president didn't bring this up? >> reporter: not surprised. they told us before the news conference he was not going to

so this chart just deals with one of the medicaid problems, medicaid expansion. so ending medicaid expansion in nevada, west virginia, arkansas, and alaska, just four states, right. so alaska, they project will lose $2 billion worth in medicaid over the decade. arkansas would lose $7 billion. west virginia would lose $12 billion. and nevada would lose $12 billion. so that adds up to $33 billion federal medicaid cuts from ending medicaid expansion. $33 billion just four states. by the way, not really high-population states. there is no california, new york, texas, big states like that. so $33 billion lost in medicaid. in just those four states. what does this orange bar graph show? the same number, $33 billion, tax cut for the 400 highest income households in the country. the same number. so 400 households get a tax cut of $33 billion, not in some other bill down the road, not in some other year, not in a budget bill or a tax bill. they get this massive tax cut in what's called a health care bill. and at the same time it's equivalent to the total medicaid laws in

medicaid expansion phased out. deep medicaid cuts after 2025. obamacare taxes on the wealthy gone. and planned parenthood funding ended for a year. nick, you have written that these deep medicaid cuts, what they could do to people who are wrestling with this opioid crisis. i want to walk through the math for a minute. we can pull up the graphic. 20% of all americans are covered by medicaid. nearly half of births, more than 40% of kids, more than 60% of people living in nursing homes. what happens to all of these people tied to medicaid? >> essentially this threatens the safety net the u.s. has had for half a century. i wonder if we in the media have miscast this in part as simply a repeal of obamacare and, you know, it would indeed be that but more fundamentally it would be a repeal of medicaid as we know it. and, you know, as you say, 40% of american kid depend on it. you know, 60% of adults in nursing homes. this is really a pillar of life in the u.s. and at a time when we have a national emergency with the opioid addiction, more people dying in any one year of drug overdoses tha

obviously the medicaid expansion, the opioid issue are the areas of greatest concern for me. if it moves in a direction that i think imperils particularly the medicaid expansion issue and the opportunities there, i -- you know, i could have some problems with that. i'm going to do my best to push back as hard as they're going to push on their side. >> so shelly moore capito having some issues there as well. how likely do you think it is that senate majority leader mitch mcconnell gets this bill through the senate within a week as he wants to do? >> you know capitol hill. things take much longer than republicans wanted to get passed. this will probably not get done by next week. as they make the bill more conservative to win over those four hold-outs yesterday, they risk losing those moderates that are worried about the voters in their states that could get hurt if you yank this whole medicaid expansion. those poor voters who voted for trump but, you know, they -- the senators, they want to make sure that their constituents are protected. >> let me ask you about president trum

back medicaid expansion and that could potentially cut this treatment center's medicaid funding by 75%. jim lawrence is ceo of orianna house. >> 98% of them weren't covered, now 98% are. >> what does it allow them to do? >> it allows them to get into treatment. >> reporter: the opioid epidemic claimed 4,100 lives in ohio last year, 308 here in akron. what would you say to the folks in washington who are talking about cutting back on medicaid? >> please don't do it. you're going to have the blood of a lot of ino e sent people on your hands. >> reporter: the body count is so overwhelming here that the medical examiner's office had to call in a mobile morgue to help house victims. it will be here through the july 4th weekend when another surge in deaths is expected. adriana diaz, cbs news, akron, ohio. >>> our topic stories this morning, protesters gathered in new york and los angeles last night when a revised version of president trump's travel ban went into effect. travelers from six mostly muslim countries will be granted visas only if they can show a bon feed family connection or an e

something that takes away the entire medicaid expansion that hobbles the exchanges is a way of trying to take down the essential positives of the affordable care act. the >> jon: as one of the architects of obamacare and slamming the senate plan for repealing and replacing the affordable care act while critics say that the plan would got benefits for the poor to take pay tax cuts for the healthy. thanks both of you for being here. dr. siegel, to you first. the claim by dr. ezekiel manual that this bill would gut medicaid, is that accurate? >> no, it's not accurate, there needs to be some compromise on medicaid. you have to understand that switching to block grants through the states may actually be a way to introduce tightening the belt on medicaid. let's talk about that. look at the overuse of medicaid. as a physician, i want to tell you that 30% of doctors won't see medicaid patients, they come in without a co-pay, without a deductible. a lot of times, they'll ask for things they already have like a wheelchair. they'll ask for another thing in two years. all of that is great, but it

medicaid expansion. ending medicaid expansion in nevada, west virginia, arkansas andalaska. just four states . so alaska, they project it will lose $2 billion worth in medicaid over the decade. arkansas would lose seven. west virginia would lose 12 and nevada would lose 12. that adds up to $33 billion federal medicaid cuts ending medicaid expansion. $33 billion just for states. by the way, not really high population states. there's no california, new york or texas or big states like that so $3 billion lost in medicaid. $33 billion lost in medicaid in just those four states. what does this orange bar graph show? the same number,$33 billion in tax cuts for the highest income households in the country. the same number . so 400 households get a tax-cut of $33 billion, not in some other bill down the road, not in some other year , not in a budget bill or a tax bill, they get this massive tax-cut in what's called a health care bill. and at the same time it's equivalent to the total medicaid loss in just four states. it gets worse if you add more states. guess what, if you add up a

>> the medicaid expansion starting to be phased out. this happens every time they pass a bill. that's not a coincidence at all. >> we'll take paul ryan in just a second. he's giving a statement and when he starts to take questions, we'll dip into this. why is this deadline happening? this thing seems to be going in the wrong direction right now for the white house. we saw overnight the pendulum start to swing away from where they wanted it to be. why the rush? will that change? >> i think today is critically important for that and the messaging that pence is delivering on the hill and in his dinner tonight. a clearer sense tonight of what will happen next with this bill. >> what is the prediction, caitlin? >> i'm not sure. i'm struggling to see a path here. there might still be one. people put faith in mitch mcconnell and his ability to rangel h wrangle his members. >> let's listen in to what house speaker paul ryan has to say about this right now. >> the cbo, you have confidence in the impartiality? >> he is actually a republican appointee. if i'm not mistaken, tom price appoi

expansion, and changing medicaid financing. that would be pretty big and would really transform the program. right now the way medicaid works is that the federal government essentially has an open-ended commitment to funding the program, that they would pay a certain percentage of every enrollee's bills. under the house passed bills, everyone would get a lump sum, this is your amount, we hope you can stay within the budget, but we are not giving you more money if you can't. that would be a huge change.it would change the way medicaid works. a lot of experts expect states couldn't violence the budget with more efficiency.they would really have to cut back on benefits . it's fair to describe this as a very fundamental change to the medicaid program. david: the most intellectually serious critiques of obamacare, have said that the benefits of health insurance are often exaggerated. when you look in the literature, it has clear initial benefits, but it doesn't necessarily have huge benefits in people's outcomes. it is hard to find

the house bill would end medicaid expansion in three years and give states a block grant to fund medicaid as they see fit. the senate version phases out medicaid expansion more slowly, starting in 2021, but makes deeper cuts to the overall medicaid program by sharply reducing federal funding over time. while the senate proposal does extend medicaid's expansion life a few years longer than the house bill, the end result is the same. low-income adults will likely be kicked off the roles. >> this is going to hurt the people who worked hardest to elect trump. >> reporter: republicans argue that the federal government cannot afford increased costs and americans losing kovrcovera. >> i really want freedom in choices to allow americans to buy health coverage that fits their needs and that they can afford. >> reporter: it is this argument at the core of the decision-making process for unsided gop senators. for conservatives, the bill doesn't go far enough. but for moderates who faces a reelection bid in purple nevada in 2019 thinks this bill could impact a lot of people. >> not the answer. it's s

offf's the capping medicaid expansion. how do issue will be conservatives react? where is ted cruz and rand paul on this? can they get to 50? a lot here appeases the moderates. i do not see a ton in here that will be activating the base. what about elements we talked about in the roundtable? support for opioid addicts? in the bill, at least not in this version. do you think we will see a good amount question mark even mcconnell calls this the beginning of discussion. do you think we will see considerable changes made? >> sure. they will wheel and deal. up withte has to come the same $119 billion in savings in their pastars legislation. that is just the rules of the reconciliation process. they will have to see where this -- where this comes out and do some tinkering. i'm sure they will talk to individual senators and think about various amounts of money and programs, grants, etc.. a really interesting thing in this that i noticed was a critical -- free radical change. the bill would actually allow those of us with health savings theunts to contribute up to maximum

in fact, about 1.2 million residents gained health insurance through the medicaid expansion. but all that may be about to change. the republican plan to replace the affordable care act, passed by the house of representatives in may and now being considered by the senate, would fundamentally alter medicaid in two key ways. first, the a.c.a.'s medicaid expansion, that offered states the option of covering most non- disabled, childless adults with incomes below and just above the poverty line, would end within several years. >> we're going to get this passed through the senate. i feel so confident. >> reporter: the house bill, which president trump cheered in may but has since reportedly called "mean," also calls for converting the entire program from one with no cap on dollars spent, to one where states get a fixed amount of money. it would give state governments more flexibility about how to spend medicaid dollars, but would cut the amount they receive by more than $800 billion over a decade, according to the congressional budget office. >> i think we'll have ample opportunity

medicaid expansion is providing quality, affordable health coverage to northern 50,000 granite staters including coverage for behavorial health and substance disorder treatment. experts have said it is the number one tool we have to fight this crisis. we should be coming together here just as we did in my home state. to support those on the front lines and help those who are struggling with addiction. while members of both parties and the administration have discussed this crises, we need these words to be matched by action. host: the "washington journal" touches on this. opioid crisis poses challenges for bill. they talking about legislation. opioid crisis has become sticking point in the republican plan to dismantle portion of the affordable care act with key gop senators hesitating. several provision of the aca known as obamacare millions of americans seeking substance abuse treatment to gain coverage including through an expansion of the medicaid health program for the poor. the house repealing repealing the aca would roll back that medicaid expansion beginning in 2020 and allow in

>> if that medicaid expansion goes away and if there is no coverage, that's a bad thing, willie. on the other hand, if they move from medicaidthing, if they mov medicaid to private insurance, that could be a good thing. for example the individual market is doing so poorly because there are so few people in the individual market. if we take those folks off of medicaid expansion, putting them in the individual market, it expands the risk pool and actually helps lower premiums for others who are in that pool. >> is that definitely what happens to those people in you got to think of a family in indiana who is covered by that medicaid expansion. wait a minute, i don't want this taken away if i don't know what's over the hill. >> that's what i'm looking at, but the tax credits in the senate bill are far more generous than the tax credits in the house bill, so as that family moves over, we want to make sure there is not a big cliff, oh, are you on medicaid, you don't get a meal. >> proprietary. >> if we make it you are on medicaid, but you move over into a generous cred nate allows to y

you come from a state that is a medicaid expansion state. you've got a senator who said he can't support this. when i last talked to you, you were on the fence about this house bill. you did end up voting in favor of it. >> that was because we went and did a deep dive on medicaid expansion. everybody talks about medicaid without differing between the the traditional and expansion. on the house bill on extangs, basically said if you're on it rk you can stay on it until you're 65 unless you eastern over eastern over 138%. you mentioned when you talk b about the cbo, they need to put their head on a swivel and look at 360 degrees. in nevada, one of the things governor sandoval takes credit for is that unemployment is dropping. they get their insurance through private plans, so it is reas reasonable to hope that as the unemployment picture continues to develop that more people are going to be joining that group and therefore rk not need the safety net which when you dif wrennuate between traditional medicaid and expansion in nevada, the expansio

both medicaid expansion and medicaid itself. and can you talk about who is covered by medicaid? like cap the babies born in this country are paid for by medicaid. >> medicaid is the primary insurance coverage program for low in lower income americans. many children -- most children in the united states, more under medicaid than any other kind of coverage. , porcine ors citizens, low income, disabled people, and other working low income working adults who have no other options for coverage. about one third of the medicaid program consists of low-income senior citizens and disabled. they actually account for two thirds of the spending on the program. so if you want to take a meat ax to the medicaid program, it is really impossible to implement cuts at that level without on lowdamaging impacts income, disabled, and elderly, as well as children, parents, and families. amy: nursing homes? >> nursing homes is very much a part of the benefits that low income seniors get. had few families have grandparents or parents who have gone into long-term care and not at some point needed help fr

i can see in my medicaid expansion population the availability of treatment and how well it's working and how they're accessing preventative care and their primary care doctors. i want to preserve that. i think medicaid does preserve that. i'm not in opposition to making sure that those folks, if they move from medicaid expansion into the market, that they have extremely good coverage for medicaid at a very good price. that's the crux, if there is a transition it has to be seamless. the 184,000 west virginians i said repeatedly, i won't drop you off a cliff. in my view the senate bill was too much of a cliff and i'm working hard with my colleagues and rob portman with it to make sure we have that assurance that very vulnerable population has access to affordable care. >> what did you get from the president that he understands these granular issues and economic dynamics and he can help control the healthcare process. >> i was at the meeting yesterday. i thought the president was very good. he listened to everybody in our disparate views. we have been to meeting after meeting and heard

we saw, for example, that looking at medicaid expansions, you know, medicaid is often criticized, oh, it doesn't work. we found clear evidence that medicaid does work. you had medicaid expansions at about five years, you see a 6% reduction in deaths. and that's for real. so the consequence, you take a trillion dollars out of healthcare coverage it's going to weaken the entire health system, it will mean increased medical debts, untreated sickness and deaths. >> so, doctor, i saw you nodding all way through the doctor's assessment of this report. so aside from the politics, you know, i have an opinion, people know that i'm not quiet about it, but you as a medical expert looking at this objectively, if, in fact, a trillion dollars is taken out of medicaid, if in fact medical coverage is not expanded, just from a pure medical point of view and i would say the senate bill does both, it does not expand coverage and it does take a trillion dollars out of healthcare, from a pure medical point of view this could affect people's lives in terms of length of life and in terms of how they view th

the medicaid expansion is gone. ripped up and flushed down the toilet. the rest of the medicaid progr program, for senate republicans it wasn't enough the hospital was going to toss grandparents at a nursing homes or/funding for people with disabilities, or pull the plug on healthcare's on babies weren't in soon. republicans wanted to go bigger. the republican bill claims to protect kids with disabilities by leaving them out of the calculations that decide how big the medicaid cuts will be in each state.ng i don't know if the republicans were expecting a round ofding applause for pitting kids with the breathing tubes against vulnerable seniors or someone needing treatment for addiction, but i know this exemption won't do a thing to help these kids. for the republican cut still/hundreds of billions of dollars from medicaid leaving states with no choice but to cut services that kids with disabilities desperately need. medicaid is the program that provides health insurance to one in five americans. are 230 million kids, to nearly two out of every three peop

the medicaid expansion has also been very effective. do we go more along the lines of public programs, but if we want to build on the private insurance market, this is probably the best way to go. there are certainly problems and weaknesses in the marketplace right now they need to be addressed. this can be done in a bipartisan way if we are committed to this approach. but this truly is probably the best way we can structure private insurance markets if that is the , centerpiece of the effort toward universal coverage. david: peter and sarah, let's close on the politics. the republicans seem highly unlikely to get any democratic votes on the bill that takes health care insurance away from millions of people. they just have to do this with republican votes. they have 52 republicans and they can afford to lose only two of them. who are the republicans who seem wobbly in supporting this bill? sara: you can look at more moderate senators like lisa murkowski or susan collins, who have voiced concern about medicaid expansion and what it would

this is a bill that would end medicaid as we know it, rolling back medicaid expansion, cutting federal support for the program even more than the house bill which cut medicaid by $800 billion. let me remind everyone in this chamber medicaid is not just a health insurance program for americans struggling in poverty, though that is an important and necessary part of it. medicaid is increasingly a middle-class program. medicaid is how many americans is -- are able to access opioid abuse treatment. medicaid foots the bill for two-thirds of all americans living in nursing homes, and medicaid provide the cushion, particularly in rural areas, so hospitals can survive and give top-notch health care to all of us. from what is reported, in just three short years under the senate bill, millions will be cut off medicaid coverage. and then starting in 2025, the plan will institute even more medicaid cuts and each year those cuts get deeper than the year before. within 10 years of this new funding system, the cuts to medicaid could total hundreds of billions of dollars above the more than 800 billio

lawmakers are back in their districts, and the debate over medicaid expansion is playing out far from the capital. >>> rise of the machines. well, not so fast. why some say robots will not steal jobs and that they may in fact create them. those stories and more tonight on "nightly business report" for wednesday, may 31st. >>> good evening, everyone, and welcome. i'm sue herera. tyler mathisen is off tonight. the month of may is in the books. and what a month it was. earnings results were upbeat. the global economy steadied. and volatility was subdued except for a slide mid-month driven by political turmoil. investors plowed money into the nasdaq which saw gains more than double that of the s&p 500. today the dow dropped 20 points. nasdaq was off four and s&p 500 fell one. the decline in energy shares trapped the price of crude, which touched a three-week low to settle below $50 a barrel. >>> tonight it's time for a new segment we're going to debut. it's called "investors edge." we'll help you see what the pros see by highlighting the information they use so you can make investment dec

expansion people got all worked up. i love the way he thinks it the way he does his job as governor. isn't it great to realize republicans and democrats can stand on the same podium on a very tough issue and get along this is the way it used to be. we can get this done. i can't express how they've been working on this for a long time and the notion that the senate is going to do a bill in a short amount of time is a bad joke. we've been calling this the own health care bill just because there is no improvement. it takes an amount of courage and the others who had serious conversations about these bills, that courage this isn't a political decision, it is a moral issue. i have looked at some of the numbers colorado would see with 188,000 people in colorado. more than half of them would be in rural parts of the state. that is the place it's harder to get more medical coverage as it is. there's 50,000 people right now through the private exchanges by not giving them stability we are going to end up cutting coverage, and ag

. >> especially for the medicaid, the rollback of the medicaid expansion. will majority leader mcconnell roll back some of the house proposals on the medicaid expansion? because senator portman and others are talking about issues that matter to them. it's that issue. >> he's gonna have to if he's gonna get votes -- i mean, senator portman is not one who is going to leave mitch mcconnell in the lurch. but other senators, senator collins, murr could you sci, you have to have a more generous bill to get these senators. but the idea that the president is calling this bill mean, that did not sit well with a lot of house members who walked the plank on it. >> but they still all have to work together. the shooting overshadowed some major developments in the russia investigation. president trump confirmed via tweet that the federal special counsel is looking at him for possible obstruction of justice. the president tweeted, i am being investigated for firing the f.b.i. director, by the man who told me to fire the f.b.i. director. witch hunt. adam entous, one of the