Phone Interview w/ Emma Durmain (Charleston Post and Courier) Where: EEOB 2528 When: Wed Mar 08 12:00:00 2017 (America/New_York) Until: Wed Mar08 12:10:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Czwartacki, John S. EOP/OMB" (b) (6) "Baker, John" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) Call in: (b) (6) Topic: What it's like coming back to Capitol Hill to chat with his former Freedom Caucus colleagues about this health care bill and what it's like being on the other side of the negotiating table OMB-American Oversight-000001 1 OM B048FY17127b_000000017 Special Majority Whip Staff Legislative Briefing - Health Care Reform Where: HC-5 When: Fri Feb 24 15:00:00 2017 (America/New_York) Until: Fri Feb 24 16:00:00 2017 (America/New_York) Organiser: "Freeland, Jeffrey K. EOP/OMB" (b) (6) Required Attendee: "Freeland, Jeffrey K. EOP/OMB" (b) (6) Special Majority Whip Staff Legislative Briefing - Health Care Reform Friday, February 24, 2017 I 3:00PM I HC-5 We strongly encourage you to join us on Friday at 3:00 p.m. in HC-5 for a Special Majority Whip Staff Legislative Briefing related to health care reform. NOTE· The topics discussed will be the same as the previous health care briefings. IDs will be checked at the door #It# Majority Whip Scalise's Floor Office H-329, The Capitol 1(b) Matt Bravo, Floor Director 1(b) (6) (6) Chris Hodgson, Deputy Floor Director 1(b) Ben Napier, Floor Assistant 1(b) (6) (6) OMB-American Oversight-000002 1 OMB048FY17127b_000000018 Phone Interview w/ Emma Durmain (Charleston Post and Courier) Where: EEOB 2528 When: Wed Mar 08 12:00:00 2017 (America/New_York) Until: Wed Mar08 12:10:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Mulvaney, John M. EOP/OMB" (b) (6) "Czwartacki, John S. EOP/OMB" (b) (6) "Baker, John" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) Call in: (b) (6) Topic: What it's like coming back to Capitol Hill to chat with his former Freedom Caucus colleagues about this health care bill and what it's like being on the other side of the negotiating table OMB-American Oversight-000003 1 OMB048FY17127b_000000048 Accepted: Health legislation Where: EEOB 248 When: Fri Feb 10 15:30:00 2017 (America/New_York) Until: Fri Feb 10 16:30:00 2017 (America/New_York) Organiser: Required Attendee: Optional Attendee: OMB-American Oversight-000004 1 OMB048FY17127b_OOOOOOOSO Meet w/ Scott Serota (CEO of BCBSA) Where: EEOB 2528 When: Tue Mar07 16:45:00 2017 (America/New_York) Until: Tue Mar07 17:15:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Vought, Russell T. EOP/OMB" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Anderson, Jessica C. EOP/OMB" (b) (6) John Cerisano is@J(b) (6) Topic: With Blue Cross Blue Shield being the largest private health insurer across America, they want to make sure that any repeal and replace bill fully understands what is needed for them to preserve their presence nationwide. Thanks! -----Original Message----From: Pickitt, Kailey M. EOP/OMB Sent: Monday, February 27, 2017 2:47 PM To: Doyle, Emma K. EOP/OMB (b) (6) ; Vought, Russell T. EOP/OMB (b) (6) Subject: RE: I know you are swamped Is Mike the best one to reach out to to schedule? -----Original Message----- OMB-American Oversight-000005 1 OMB048FY17127b_000000111 From: Doyle, Emma K. EOP/OMB Sent: Monday, February 27, 2017 2:26 PM ; To: Vought, Russell T. EOP/OMB (b) (6) Pickitt, Kailey M. EOP/OMB (b) (6) Subject: RE: I know you are swamped I agree, we just need to have a sense of what it's about so we have the right people in the room -----Original Message----From: Vought, Russell T. EOP/OMB Sent: Monday, February 27, 2017 2:19 PM To: Pickitt, Kailey M. EOP/OMB (b) (6) Cc: Doyle, Emma K.EOP/OMB(b) (6) Subject: FW: I know you are swamped I think its worth doing this one -----Original Message----From: Michael Solon (b) (6) Sent: Monday, February 27, 2017 1 :43 PM To: Vought, Russell T. EOP/OMB (b) (6) Subject: Re: I know you are swamped Sorry. Texting at stop light. OMB mulvaney. You've heard of the guy right (ps damn proud of u boy). Mike Solon (b) (6) >On Feb 27, 2017, at 1 :40 PM, Vought, Russell T. EOP/OMB (b) (6) OMB-American Oversight-000006 2 wrote: OMB048FY17127b_000000111 > > OMB orOPM? > > Sent from my iPhone > >>On Feb 27, 2017, at 1 :36 PM, Michael Solon (b) (6) wrote: >> >>And I can hold off. But one thing requires action. Scott Serota, CEO of BCBSA needs to meet with the OMP director as soon as possible. A former Gramm staffer, John Cerisano, of BCBSA is making the request. Can you forward this on to the appropriate person? Thanks >> >> >> Mike Solon » (b) (6) OMB-American Oversight-000007 3 OMB048FY17127b_000000111 Meeting: Update on Healthcare Bill Where: VPOTUS' Office When: Mon Mar 06 15:20:00 2017 (America/New_York) Until: Mon Mar 06 16:20:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Doyle, Emma K. EOP/OMB" (b) (6) 'Vought, Russell T.EOP/OMB"(b) (6) "Anderson, Jessica C. EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) OMB-American Oversight-000008 1 OMB048FY17127b_000000114 Meeting: Update on Healthcare Bill Where: VPOTUS' Office When: Mon Mar 06 15:20:00 2017 (America/New_York) Until: Mon Mar 06 16:20:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Mulvaney, John M. EOP/OMB" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) "Vought, Russell T.EOP/OMB"(b) (6) "Anderson, Jessica C. EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) OMB-American Oversight-000009 1 OMB048FY17127b_000000150 Meet w/ Scott Serota (CEO of BCBSA) Where: EEOB 2528 When: Tue Mar07 16:30:00 2017 (America/New_York) Until: Tue Mar07 17:00:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Mulvaney, John M. EOP/OMB" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Anderson, Jessica C. EOP/OMB" (b) (6) John Cerisano is@J(b) (6) Topic: With Blue Cross Blue Shield being the largest private health insurer across America, they want to make sure that any repeal and replace bill fully understands what is needed for them to preserve their presence nationwide. Thanks! -----Original Message----From: Pickitt, Kailey M. EOP/OMB Sent: Monday, February 27, 2017 2:47 PM To: Doyle, Emma K. EOP/OMB (b) (6) ; Vought, Russell T. EOP/OMB (b) (6) Subject: RE: I know you are swamped Is Mike the best one to reach out to to schedule? OMB-American Oversight-000010 1 OMB048FY17127b_000000152 -----Original Message----From: Doyle, Emma K. EOP/OMB Sent: Monday, February 27, 2017 2:26 PM To: Vought, Russell T. EOP/OMB (b) (6) ; Pickitt, Kailey M. EOP/OMB (b) (6) Subject: RE: I know you are swamped I agree, we just need to have a sense of what it's about so we have the right people in the room -----Original Message----From: Vought, Russell T. EOP/OMB Sent: Monday, February 27, 2017 2:19 PM To: Pickitt, Kailey M. EOP/OMB (b) (6) Cc: Doyle, Emma K.EOP/OMB(b) (6) Subject: FW: I know you are swamped I think its worth doing this one -----Original Message----From: Michael Solon (b) (6) Sent: Monday, February 27, 2017 1 :43 PM To: Vought, Russell T. EOP/OMB (b) (6) Subject: Re: I know you are swamped Sorry. Texting at stop light. OMB mulvaney. You've heard of the guy right (ps damn proud of u boy). Mike Solon (b) (6) OMB-American Oversight-000011 2 OMB048FY17127b_000000152 >On Feb 27, 2017, at 1 :40 PM, Vought, Russell T. EOP/OMB (b) (6) wrote: > > OMB orOPM? > > Sent from my iPhone > >>On Feb 27, 2017, at 1 :36 PM, Michael Solon (b) (6) wrote: >> >>And I can hold off. But one thing requires action. Scott Serota, CEO of BCBSA needs to meet with the OMP director as soon as possible. A former Gramm staffer, John Cerisano, of BCBSA is making the request. Can you forward this on to the appropriate person? Thanks >> >> >> Mike Solon » (b) (6) OMB-American Oversight-000012 3 OMB048FY17127b_000000152 Sunday Show: ABC Where: CNN Studio - 820 First St NE When: Sun Mar 12 08:20:00 2017 (America/New_York) Until: Sun Mar 12 10:20:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Mulvaney, John M. EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) Hey Alexa, The Director is good to go for both ABC and CBS Sunday shows. He will go to the CBS studio and do a live hit with George (ABC) at 9 AM then do a pretape with John Dickerson (CBS) directly following. The topics will include healthcare (mostly) with a possible sprinkle of budget. Kailey, The Director will need to arrive to the studio by 8:40. Please find studio details below: ADDRESS: Face the Nation 2020 M Street NW Washington, DC 20036 PHONE: (b) (6) E-MAIL: OMB-American Oversight-000013 1 OMB048FY17127b_000000155 (b) (6) Many thanks, Coalter Coalter Baker Office of Management and Budget Direct: (b) (6) Mobile: (b) (6) OMB-American Oversight-000014 2 OMB048FY17127b_000000155 Healthcare Meeting Pre-Brief Where: (b) (5) When: Wed Mar 08 16:45:00 2017 (America/New_York) Until: Wed Mar 08 17:00:00 2017 (America/New_York) Organiser: "Hunter, Mallory G. EOP/WHO" (b) (6) Required Attendees: "Hunter, Mallory G. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Teller, Paul S. EOP/WHO" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) RP "Ambrosini, Michael J. EOP/WHO" (b) (6) Optional Attendees: "Curry, Catherine E. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) From: Hunter, Mallory G. EOP/WHO Sent: Wednesday, March 8, 2017 2:17 PM To: Short, Marc T. EOP/WHO (b) (6) Teller, Paul S. EOP/WHO (b) (6) ; Mulvaney, John M. EOP/OMB (b) (6) Cc: Curry, Catherine E. EOP/WHO(b) (6) Pickitt, Kailey M. EOP/OMB ; Westerhout, Madeleine E. EOP/WHO (b) (6) (b) (6) (b) (6) Subject: Healthcare Meeting Pre-Brief: 4:45pm All, (b) (5) Thank you! Mallory Hunter Executive Assistant to the Chief of Staff Office: (b) (6) I Cell: (b) (6) (b) (6) OMB-American Oversight-000015 1 OMB048FY17127b_000000159 Phone Interview w/ Emma Durmain (Charleston Post and Courier) Where: EEOB 2528 When: Wed Mar 08 12:00:00 2017 (America/New_York) Until: Wed Mar08 12:10:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Mulvaney, John M. EOP/OMB" (b) (6) "Czwartacki, John S. EOP/OMB" (b) (6) "Baker, John" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) Call in: (b) (6) Topic: What it's like coming back to Capitol Hill to chat with his former Freedom Caucus colleagues about this health care bill and what it's like being on the other side of the negotiating table OMB-American Oversight-000016 1 OMB048FY17127b_000000162 Meeting: Update on Healthcare Bill Where: (b) (5) When: Mon Mar 06 15:20:00 2017 (America/New_York) Until: Mon Mar 06 16:20:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Mulvaney, John M. EOP/OMB" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) "Vought, Russell T.EOP/OMB"<(b) (6) "Anderson, Jessica C. EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) OMB-American Oversight-000017 1 OMB048FY17127b_000000163 Health legislation Where: EEOB 248 When: Fri Feb 10 15:30:00 2017 (America/New_York) Until: Fri Feb 10 16:30:00 2017 (America/New_York) Organiser: "Reilly, Tom M. EOP/OMB" <"/o=organization/ou=exchange administrative group (fydibohf23spdlt)/cn=recipients/cn =d3eecfac0eb34f2ab9021ca18c 72fef2-reilly, tho"> Required Attendees: "Reilly, Tom M. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Winfree, Paul L. EOP/WHO" (b) (6) "Blase, Brian C. EOP/WHO" (b) (6) "Talento, Kathryn F. EOP/WHO" (b) (6) "Campau, Alexandra P. EOP/WHO" (b) (6) "Meeks, Daris D. EOP/OVP" (b) (6) ''Vought, Russell T.EOP/OMB"(b) (6) "Anderson, Jessica C. EOP/OMB" (b) (6) "Barnett, Patti A EOP/OMB" (b) (6) "Sills, Sara R.EOP/OMB"(b) (6) "Conant, Ann M. EOP/WHO" (b) (6) OMB-American Oversight-000018 1 OM B048FY17127b_000000170 NEC Healthcare Meeting Where: COS Office When: Thu Mar 02 17:00:00 2017 (America/New_York) Until: Thu Mar02 18:00:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: 'Vought, Russell T.EOP/OMB"<(b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB"(b) (6) "Anderson, Jessica C. EOP/OMB" (b) (6) OMB-American Oversight-000019 1 OMB048FY17127b_000000174 Meet w/ Scott Serota (CEO of BCBSA) Where: EEOB 2528 When: Tue Mar07 16:45:00 2017 (America/New_York) Until: Tue Mar07 17:15:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Mulvaney, John M. EOP/OMB" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Anderson, Jessica C. EOP/OMB" (b) (6) "Grogan, Joseph J. EOP/OMB" (b) (6) "Reilly, Tom M. EOP/OMB" (b) (6) John Cerisano is@J(b) (6) Topic: With Blue Cross Blue Shield being the largest private health insurer across America, they want to make sure that any repeal and replace bill fully understands what is needed for them to preserve their presence nationwide. Thanks! -----Original Message----From: Pickitt, Kailey M. EOP/OMB Sent: Monday, February 27, 2017 2:47 PM To: Doyle, Emma K. EOP/OMB (b) (6) ; Vought, Russell T. EOP/OMB (b) (6) Subject: RE: I know you are swamped Is Mike the best one to reach out to to schedule? OMB-American Oversight-000020 1 OM B048FY17127b_000000175 -----Original Message----From: Doyle, Emma K. EOP/OMB Sent: Monday, February 27, 2017 2:26 PM To: Vought, Russell T. EOP/OMB (b) (6) ; Pickitt, Kailey M. EOP/OMB (b) (6) Subject: RE: I know you are swamped I agree, we just need to have a sense of what it's about so we have the right people in the room -----Original Message----From: Vought, Russell T. EOP/OMB Sent: Monday, February 27, 2017 2:19 PM To: Pickitt, Kailey M. EOP/OMB (b) (6) Cc: Doyle, Emma K. EOP/OMB (b) (6) Subject: FW: I know you are swamped I think its worth doing this one -----Original Message----From: Michael Solon (b) (6) Sent: Monday, February 27, 2017 1 :43 PM To: Vought, Russell T. EOP/OMB (b) (6) Subject: Re: I know you are swamped Sorry. Texting at stop light. OMB mulvaney. You've heard of the guy right (ps damn proud of u boy). Mike Solon (b) (6) OMB-American Oversight-000021 2 OM B048FY17127b_000000175 >On Feb 27, 2017, at 1 :40 PM, Vought, Russell T. EOP/OMB (b) (6) wrote: > > OMB orOPM? > > Sent from my iPhone > >>On Feb 27, 2017, at 1 :36 PM, Michael Solon (b) (6) wrote: >> >>And I can hold off. But one thing requires action. Scott Serota, CEO of BCBSA needs to meet with the OMP director as soon as possible. A former Gramm staffer, John Cerisano, of BCBSA is making the request. Can you forward this on to the appropriate person? Thanks >> >> >> Mike Solon » (b) (6) OMB-American Oversight-000022 3 OM B048FY17127b_000000175 Health legislation Where: EEOB 248 When: Fri Feb 10 15:30:00 2017 (America/New_York) Until: Fri Feb 10 16:30:00 2017 (America/New_York) Organiser: "Reilly, Tom M. EOP/OMB" (b) (6) Required Attendees: "Bremberg, Andrew P. EOP/WHO" (b) (6) "Winfree, Paul L. EOP/WHO" (b) (6) "Blase, Brian C. EOP/WHO" (b) (6) "Talento, Kathryn F. EOP/WHO" (b) (6) "Campau, Alexandra P. EOP/WHO" (b) (6) "Meeks, Daris D. EOP/OVP" (b) (6) ''Vought, Russell T.EOP/OMB"<(b) (6) "Anderson, Jessica C. EOP/OMB" (b) (6) "Barnett, Patti A. EOP/OMB" (b) (6) "Sills, Sara R.EOP/OMB"<(b) (6) "Conant, Ann M. EOP/WHO" (b) (6) OMB-American Oversight-000023 1 OM B048FY17127b_000000176 NEC Healthcare Meeting Where: COS Office When: Thu Mar 02 17:00:00 2017 (America/New_York) Until: Thu Mar02 18:00:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Mulvaney, John M. EOP/OMB" (b) (6) 'Vought, Russell T.EOP/OMB"(b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Anderson, Jessica C. EOP/OMB" (b) (6) OMB-American Oversight-000024 1 OM B048FY17127b_000000178 hold for healthcare meeting When: Fri Feb 10 15:30:00 2017 (America/New_York) Until: Fri Feb 10 16:00:00 2017 (America/New_York) Organiser: "Anderson, Jessica C. EOP/OMB" (b) (6) OMB-American Oversight-000025 Health Insurance Reading Where: 2528 When: Tue Feb 21 15:00:00 2017 (America/New_York) Until: Tue Feb 21 16:00:00 2017 (America/New_York) Organiser: "Mulvaney, John" (b) (6) Required Attendee: "Mulvaney, John" (b) (6) OMB-American Oversight-000026 1 OMB048FY17127b_000000181 Daily Health Care Meeting Where: COS office When: Mon Mar 06 18:00:00 2017 (America/New_York) Until: Mon Mar 06 18:30:00 2017 (America/New_York) Recurs: every week on Monday, Tuesday, Thursday, and Friday from 6:00 PM to 6:30 PM Organiser: "Curry, Catherine E. EOP/WHO" (b) (6) Required Attendees: "Curry, Catherine E. EOP/WHO" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) "Stepien, William EOP/WHO" (b) (6) Optional Attendees: Reince Priebus (b) (6) "Ambrosini, Michael J. EOP/WHO" (b) (6) "Hoelscher, Douglas L. EOP/WHO" (b) (6) "Kirkland, William H. EOP/WHO" (b) (6) "Conway, Kellyanne E. EOP/WHO" (b) (6) Attachments: Unnamed Attachment -----Original Message----From: Short, Marc T. EOP/WHO Sent: Monday, March 6, 2017 9:36 AM To: Ditto, Jessica E. EOP/WHO (b) (6) OMB-American Oversight-000027 ; Dubke, Michael D. EOP/WHO 1 OMB048FY17127b_000000202 (b) (6) >; Meyer, Joyce Y. EOP/WHO (b) (6) ; Dearborn, Rick A. Cohn, Gary D. EOP/WHO (b) (6) ; Mulvaney, ; Vought, Russell T. EOP/OMB ; Bremberg, Andrew P. EOP/WHO (b) (6) ; Sifakis, (b) (6) George A. EOP/WHO (b) (6) Kushner, Jared C. EOP/WHO (b) (6) Bannon, Stephen K. EOP/WHO (b) (6) ; Reince Priebus (b) (6) ; Stepien, William EOP/WHO (b) (6) Cc: Curry, Catherine E. EOP/WHO (b) (6) Subject: Health Care EOP/WHO (b) (6) John M. EOP/OMB (b) (6) Folks, (b) (5) Thanks for your attention to the calendar invites forthcoming. OMB-American Oversight-000028 2 OMB048FY17127b_000000202 Healthcare Meeting Pre-Brief Where: (b) (5) When: Wed Mar 08 16:45:00 2017 (America/New_York) Until: Wed Mar 08 17:00:00 2017 (America/New_York) Organiser: "Hunter, Mallory G. EOP/WHO" (b) (6) Required Attendees: "Short, Marc T. EOP/WHO" (b) (6) "Teller, Paul S. EOP/WHO" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) RP <(b) (6) "Ambrosini, Michael J. EOP/WHO" (b) (6) Optional Attendees: "Curry, Catherine E. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) From: Hunter, Mallory G. EOP/WHO Sent: Wednesday, March 8, 2017 2:17 PM To: Short, Marc T. EOP/WHO (b) (6) ; Teller, Paul S. EOP/WHO (b) (6) ; Mulvaney, John M. EOP/OMB (b) (6) Cc: Curry, Catherine E. EOP/WHO (b) (6) ; Pickitt, Kailey M. EOP/OMB ; Westerhout, Madeleine E. EOP/WHO (b) (6) (b) (6) (b) (6) Subject: Healthcare Meeting Pre-Brief: 4:45pm All, (b) (5) (b) (5) Thank you! Mallory Hunter Executive Assistant to the Chief of Staff Office: (b) (6) 1Cell:(b) (6) (b) (6) OMB-American Oversight-000029 1 OMB048FY17127b_000000219 NEC Healthcare Meeting Where: COS Office When: Thu Mar 02 17:00:00 2017 (America/New_York) Until: Thu Mar02 18:00:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Mulvaney, John M. EOP/OMB" (b) (6) 'Vought, Russell T.EOP/OMB"<(b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Anderson, Jessica C. EOP/OMB" (b) (6) OMB-American Oversight-000030 1 OMB048FY17127b_000000227 Daily Health Care Meeting Where: Roosevelt Room When: Fri Mar 10 17:30:00 2017 (America/New_York) Until: Fri Mar 10 18:00:00 2017 (America/New_York) Organiser: "Curry, Catherine E. EOP/WHO" (b) (6) Required Attendees: "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) ''Vought, Russell T.EOP/OMB"(b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A.EOP/WHO"<(b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Eisner-Poor, Kaitlyn E.EOP/WHO"<(b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E.EOP/WHO"<(b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Clark, Justin R.EOP/WHO"<(b) (6) "Stepien, William EOP/WHO" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) Optional Attendees: RP "Ambrosini, Michael J. EOP/WHO" (b) (6) "Hoelscher, Douglas L. EOP/WHO" (b) (6) "Kirkland, William H. EOP/WHO" (b) (6) "Conway, Kellyanne E. EOP/WHO" (b) (6) OMB-American Oversight-000031 1 OMB048FY17127b_000000275 Daily Health Care Meeting Where: Roosevelt Room When: Mon Mar 06 18:00:00 2017 (America/New_York) Until: Mon Mar 06 18:30:00 2017 (America/New_York) Recurs: every week on Monday, Tuesday, Thursday, and Friday from 6:00 PM to 6:30 PM Organiser: "Curry, Catherine E. EOP/WHO" (b) (6) Required Attendees: "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO"(b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) "Stepien, William EOP/WHO" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) Optional Attendees: RP (b) (6) "Ambrosini, Michael J. EOP/WHO" (b) (6) "Hoelscher, Douglas L. EOP/WHO" (b) (6) "Kirkland, William H. EOP/WHO" (b) (6) "Conway, Kellyanne E. EOP/WHO" (b) (6) *Moving to the Roosevelt Room going forward ----Original Message----From: Short, Marc T. EOP/WHO OMB-American Oversight-000032 1 OMB048FY17127b_000000281 Sent: Monday, March 6, 2017 9:36 AM To: Ditto, Jessica E. EOP/WHO (b) (6) ; Dubke, Michael D. EOP/WHO ; Meyer, Joyce Y. EOP/WHO(b) (6) Dearborn, Rick A. (b) (6) EOP/WHO (b) (6) ; Cohn, Gary D. EOP/WHO (b) (6) ; Mulvaney, John M. EOP/OMB (b) (6) ; Vought, Russell T. EOP/OMB ; Bremberg, Andrew P. EOP/WHO (b) (6) ; Sifakis, (b) (6) George A. EOP/WHO (b) (6) ; Kushner, Jared C. EOP/WHO (b) (6) Bannon, Stephen K. EOP/WHO (b) (6) ; Reince Priebus (b) (6) ; Stepien, William EOP/WHO (b) (6) Cc: Curry, Catherine E. EOP/WHO (b) (6) Subject: Health Care Folks, (b) (5) Thanks for your attention to the calendar invites forthcoming. OMB-American Oversight-000033 2 OMB048FY17127b_000000281 Daily Health Care Meeting Where: COS Office When: Tue Mar07 17:30:00 2017 (America/New_York) Until: Tue Mar07 18:00:00 2017 (America/New_York) Organiser: "Curry, Catherine E. EOP/WHO" (b) (6) Required Attendees: "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO"(b) (6) "Sifakis, George A. EOP/WHO" <(b) (6) "Teller, Paul S. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) "Stepien, William EOP/WHO" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) Optional Attendees: RP (b) (6) "Ambrosini, Michael J. EOP/WHO" (b) (6) "Hoelscher, Douglas L. EOP/WHO" (b) (6) "Kirkland, William H. EOP/WHO" (b) (6) "Conway, Kellyanne E. EOP/WHO" (b) (6) *3/6- Moving Tuesday's meeting to 5:30 pm OMB-American Oversight-000034 1 OMB048FY17127b_000000283 Daily Health Care Meeting Where: Roosevelt Room When: Wed Mar 08 18:00:00 2017 (America/New_York) Until: Wed Mar 08 18:30:00 2017 (America/New_York) Organiser: "Curry, Catherine E. EOP/WHO" (b) (6) Required Attendees: "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Stepien, William EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) Moving to 6pm for 3/8 OMB-American Oversight-000035 1 OMB048FY17127b_000000287 Daily Health Care Meeting Where: COS office When: Tue Mar07 17:30:00 2017 (America/New_York) Until: Tue Mar07 18:00:00 2017 (America/New_York) Organiser: "Curry, Catherine E. EOP/WHO" (b) (6) Required Attendees: "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO"(b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) "Stepien, William EOP/WHO" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) Optional Attendees: RP "Ambrosini, Michael J. EOP/WHO" (b) (6) "Hoelscher, Douglas L. EOP/WHO" (b) (6) "Kirkland, William H. EOP/WHO" (b) (6) "Conway, Kellyanne E. EOP/WHO" (b) (6) *3/6- Moving Tuesday's meeting to 5:30 pm OMB-American Oversight-000036 1 OMB048FY17127b_000000289 Daily Health Care Meeting Where: COS Office When: Wed Mar 08 17:30:00 2017 (America/New_York) Until: Wed Mar 08 18:00:00 2017 (America/New_York) Recurs: every week on Wednesday from 5:30 PM to 6:00 PM Organiser: "Curry, Catherine E. EOP/WHO" (b) (6) Required Attendee: "Mulvaney, John M. EOP/OMB" (b) (6) -----Original Message----From: Short, Marc T. EOP/WHO Sent: Monday, March 6, 2017 9:36 AM To: Ditto, Jessica E. EOP/WHO (b) (6) ; Dubke, Michael D. EOP/WHO ; Meyer, Joyce Y. EOP/WHO (b) (6) ; Dearborn, Rick A. (b) (6) EOP/WHO (b) (6) ; Cohn, Gary D. EOP/WHO (b) (6) ; Mulvaney, John M. EOP/OMB (b) (6) ; Vought, Russell T. EOP/OMB ; Bremberg, Andrew P. EOP/WHO (b) (6) ; Sifakis, (b) (6) George A. EOP/WHO (b) (6) ; Kushner, Jared C. EOP/WHO (b) (6) ; Bannon, Stephen K. EOP/WHO (b) (6) ; Reince Priebus (b) (6) ; Stepien, William EOP/WHO (b) (6) Cc: Curry, Catherine E. EOP/WHO(b) (6) Subject: Health Care Folks, (b) (5) Thanks for your attention to the OMB-American Oversight-000037 1 OMB048FY17127b_000000292 Canceled: Daily Health Care Meeting Where: Roosevelt Room When: Wed Mar 08 17:30:00 2017 (America/New_York) Until: Wed Mar 08 18:00:00 2017 (America/New_York) Recurs: every week on Wednesday from 5:30 PM to 6:00 PM Organiser: "Curry, Cat E. EOP/WHO" (b) (6) Required Attendees: "Curry, Cat E. EOP/WHO" (b) (6) "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) ''Vought, Russell T.EOP/OMB"<(b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Perez-Rivera, Diana (CMS/OA)" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Stepien, William EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E.EOP/WHO"<(b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) "Eisner-Poor, Kaitlyn E.EOP/WHO"<(b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Clark, Justin R.EOP/WHO" "Arbes, Sarah (HHS/ASL)" (b) (6) Optional Attendees: "Long, Dylan D. CIV EOP" (b) (6) "Ambrosini, Michael J. EOP/WHO" (b) (6) "Hoelscher, Douglas L. EOP/WHO" (b) (6) OMB-American Oversight-000044 1 OMB048FY17127b_000000310 "Kirkland, William H. EOP/WHO" (b) (6) "Conway, Kellyanne E. EOP/WHO" (b) (6) "Talento, Kathryn F. EOP/WHO" (b) (6) "Campau, Alexandra P. EOPJWHO" (b) (6) "Twomey, John K. (OS/IOS)" (b) (6) Attachments: Unnamed Attachment (324.61 kB); Unnamed Attachment (330.24 kB); Unnamed Attachment (178.69 kB); Unnamed Attachment Unnamed Attachment Unnamed Attachment .7 *Moving to the Roosevelt Room going forward -Original Message----From: Short, Marc T. EOP/WHO Sent: Monday, March 6, 2017 9:36 AM To: Ditto, Jessica E. EOP/WHO (b) (6) ; Dubke, Michael D. EOP/WHO ; Meyer, Joyce Y. EOPJWHO (b) (6) ; Dearborn, Rick A. (b) (6) EOP/WHO (b) (6) Cohn, Gary D. EOP/WHO (b) (6) ; Mulvaney, John M. EOP/OMB (b) (6) ; Vought, Russell T. EOP/OMB >; Bremberg, Andrew P. EOP/WHO (b) (6) ; Sifakis, (b) (6) George A. EOP/WHO (b) (6) ; Kushner, Jared C. EOPJWHO (b) (6) Bannon, Stephen K.EOP/WHO(b) (6) ; Reince Priebus (b) (6) ; Stepien, William EOP/WHO (b) (6) Cc: Curry, Catherine E. EOP/WHO (b) (6) Subject: Health Care Folks, (b) (5) Thanks for your attention to the calendar invites forthcoming. OMB-American Oversight-000045 2 OMB048FY17127b_000000310 Where: Roosevelt Room When: Mon Mar 06 18:00:00 2017 (America/New_York) Until: Mon Mar 06 18:30:00 2017 (America/New_York) Required Attendees: "Curry, Cat E. EOP/WHO" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) "Stepien, William EOP/WHO" (b) (6) "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) OMB-American Oversight-000046 1 OMB048FY17127b_000000311 "Stepien, William EOP/WHO" (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) Optional Attendees: Reince Priebus "Ambrosini, Michael J. EOP/WHO" (b) (6) "Hoelscher, Douglas L. EOP/WHO" (b) (6) "Kirkland, William H. EOP/WHO" (b) (6) "Conway, Kellyanne E. EOP/WHO" (b) (6) "Long, Dylan D. EOP" (b) (6) "Ambrosini, Michael J. EOP/WHO" (b) (6) "Hoelscher, Douglas L. EOP/WHO" (b) (6) "Kirkland, William H. EOP/WHO" (b) (6) "Conway, Kellyanne E. EOP/WHO" (b) (6) -----Original Message----From: Short, Marc T. EOP/WHO Sent: Monday, March 6, 2017 9:36 AM To: Ditto, Jessica E. EOP/WHO (b) (6) ; Dubke, Michael D. EOP/WHO ; Meyer, Joyce Y. EOP/WHO (b) (6) ; Dearborn, Rick A. (b) (6) EOP/WHO (b) (6) ; Cohn, Gary D. EOP/WHO (b) (6) ; Mulvaney, John M. EOP/OMB (b) (6) ; Vought, Russell T. EOP/OMB ; Bremberg, Andrew P. EOP/WHO (b) (6) ; Sifakis, (b) (6) George A. EOP/WHO (b) (6) ; Kushner, Jared C. EOP/WHO (b) (6) Bannon, Stephen K. EOP/WHO (b) (6) ; Reince Priebus (b) (6) ; Stepien, William EOP/WHO (b) (6) Cc: Curry, Catherine E. EOP/WHO (b) (6) Subject: Health Care Folks, (b) (5) Thanks for your attention to the calendar invites forthcoming. OMB-American Oversight-000047 2 OMB048FY17127b_000000311 Where: COS Office When: Tue Mar07 17:30:00 2017 (America/New_York) Until: Tue Mar07 18:00:00 2017 (America/New_York) Required Attendees: "Stepien, William EOP/WHO" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Sifakis, George A EOP/WHO" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Dearborn, Rick A EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Ditto, Jessica E. EOP/WHO" (b) (6) "Curry, Catherine E. EOP/WHO" (b) (6) "Curry, Catherine E. EOP/WHO" (b) (6) "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A EOP/WHO" (b) (6) "Teller, Paul S. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) OMB-American Oversight-000048 1 OMB048FY17127b_000000312 "Stepien, William EOP/WHO" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) Optional Attendees: "Conway, Kellyanne E. EOP/WHO" (b) (6) "Kirkland, William H. EOP/WHO" (b) (6) "Hoelscher, Douglas L. EOP/WHO" (b) (6) "Ambrosini, Michael J. EOP/WHO" (b) (6) Reince Priebus (b) (6) "Long, Dylan D. EOP" (b) (6) "Ambrosini, Michael J. EOP/WHO" (b) (6) "Hoelscher, Douglas L. EOP/WHO" (b) (6) "Kirkland, William H. EOP/WHO" (b) (6) "Conway, Kellyanne E. EOP/WHO" (b) (6) *3/6- Moving Tuesday's meeting to 5:30 pm OMB-American Oversight-000049 2 OMB048FY17127b_000000312 When: Fri Mar 10 17:30:00 2017 (America/New_York) Until: Fri Mar 10 18:00:00 2017 (America/New_York) Required Attendees: "Curry, Catherine E. EOP/WHO" (b) (6) "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) "Stepien, William EOP/WHO" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) Optional Attendees: "Long, Dylan D. EOP" (b) (6) "Ambrosini, Michael J. EOP/WHO" (b) (6) "Hoelscher, Douglas L. EOP/WHO" (b) (6) "Kirkland, William H. EOP/WHO" (b) (6) "Conway, Kellyanne E. EOP/WHO" (b) (6) OMB-American Oversight-000050 1 OMB048FY17127b_000000313 When: Thu Mar 16 16:00:00 2017 (America/New_York) Until: Thu Mar 16 16:30:00 2017 (America/New_York) Required Attendees: "Curry, Catherine E. EOP/WHO" (b) (6) "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) "Stepien, William EOP/WHO" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) "Pavlik, Jennifer L. EOP/OVP" (b) (6) "Patenaude, Meghan C. EOP/OVP" (b) (6) Optional Attendees: "Long, Dylan D. EOP" (b) (6) "Ambrosini, Michael J. EOP/WHO" (b) (6) "Hoelscher, Douglas L. EOP/WHO" (b) (6) "Kirkland, William H. EOP/WHO" (b) (6) "Conway, Kellyanne E. EOP/WHO" (b) (6) "Talento, Kathryn F. EOP/WHO" (b) (6) "Campau, Alexandra P. EOP/WHO" (b) (6) Moving the 3/16 meeting due to the St. Patrick's day reception OMB-American Oversight-000051 1 OMB048FY17127b_000000314 When: Mon Mar 20 15:30:00 2017 (America/New_York) Until: Mon Mar 20 16:00:00 2017 (America/New_York) Required Attendees: "Curry, Cat E. EOP/WHO" (b) (6) "Curry, Cat E. EOP/WHO" (b) (6) "Ditto, Jessica E. EOP/WHO"(b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) "Stepien, William EOP/WHO" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) Optional Attendees: "Long, Dylan D. CIV EOP" (b) (6) "Ambrosini, Michael J. EOP/WHO" (b) (6) "Hoelscher, Douglas L. EOP/WHO" (b) (6) "Kirkland, William H. EOP/WHO" (b) (6) "Conway, Kellyanne E. EOP/WHO" (b) (6) "Talento, Kathryn F. EOP/WHO" <(b) (6) "Campau, Alexandra P. EOP/WHO" (b) (6) "Twomey, John K. (OS/IOS)" (b) (6) *moving 3/20 to 3:30 pm OMB-American Oversight-000052 1 OMB048FY17127b_000000315 When: Tue Mar2116:30:002017 (America/New_York) Until: Tue Mar2117:00:002017 (America/New_York) Required Attendees: "Curry, Cat E. EOP/WHO" (b) (6) "Curry, Cat E. EOP/WHO" (b) (6) "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO"(b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) "Stepien, William EOP/WHO" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) "Teller, Paul S. EOP/WHO" (b) (6) "Pavlik, Jennifer L. EOP/OVP" (b) (6) "Patenaude, Meghan C. EOP/OVP" (b) (6) "Wall, Kathryn E. EOP/OVP" (b) (6) Optional Attendees: "Long, Dylan D. CIV EOP" (b) (6) "Ambrosini, Michael J. EOP/WHO" <(b) (6) "Hoelscher, Douglas L. EOP/WHO" (b) (6) "Kirkland, William H. EOP/WHO" (b) (6) "Conway, Kellyanne E. EOP/WHO" (b) (6) "Talento, Kathryn F. EOP/WHO" (b) (6) "Campau, Alexandra P. EOP/WHO" (b) (6) "Twomey, John K. (OS/IOS)" (b) (6) *moving to 4:30 pm for Tuesday 2/21 OMB-American Oversight-000053 1 OMB048FY17127b_000000316 Meeting Forward Notification: Meeting: Update on Healthcare Bill Where: (b) (5) When: Mon Mar 06 15:20:00 2017 (America/New_York) Until: Mon Mar 06 16:20:00 2017 (America/New_York) Organiser: "Pickitt, Kailey M. EOP/OMB" (b) (6) Required Attendee: "Mulvaney, John M. EOP/OMB" (b) (6) Your meeting was forwarded Pickitt, Kailey M. EOP/OMB has forwarded your meeting request to additional recipients. Meeting Meeting: Update on Healthcare Bill Meeting Time Monday, 06 March 2017 15:20-16:20. Recipients Doyle, Emma K. EOP/OMB Vought, Russell T. EOP/OMB Anderson, Jessica C. EOP/OMB Sellers, Douglas C. EOP/OMB Hanlon, Daniel EOP/OMB All times listed are in the following time zone: (UTC-05:00) Eastern Time (US & Canada) Sent by Microsoft Exchange Server 2013 OMB-American Oversight-000054 1 OMB048FY17127b_000000331 Accepted: NEC Healthcare Meeting Where: COS Office When: Thu Mar 02 17:00:00 2017 (America/New_York) Until: Thu Mar02 18:00:00 2017 (America/New_York) Organiser: Required Attendee: Optional Attendee: OMB-American Oversight-000055 1 OMB048FY17127b_000000334 Meeting Forward Notification: NEC Healthcare Meeting Where: COS Office When: Thu Mar 02 17:00:00 2017 (America/New_York) Until: Thu Mar02 18:00:00 2017 (America/New_York) Organiser: "Pickitt, Kailey M. EOP/OMB" (b) (6) Required Attendee: "Mulvaney, John M. EOP/OMB" (b) (6) Your meeting was forwarded Pickitt, Kailey M. EOP/OMB has forwarded your meeting request to additional recipients. Meeting NEC Healthcare Meeting Meeting Time Thursday, 02 March 2017 17:00-18:00. Recipients Vought, Russell T. EOP/OMB Doyle, Emma K. EOP/OMB Hanlon, Daniel EOP/OMB Sellers, Douglas C. EOP/OMB Anderson, Jessica C. EOP/OMB All times listed are in the following time zone: (UTC-05:00) Eastern Time (US & Canada) Sent by Microsoft Exchange Server 2013 OMB-American Oversight-000056 1 OMB048FY17127b_000000340 Meet w/ Scott Serota (CEO of BCBSA) Where: EEOB 2528 When: Tue Mar07 16:45:00 2017 (America/New_York) Until: Tue Mar07 17:15:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Mulvaney, John M. EOP/OMB" (b) (6) "Grogan, Joseph J. EOP/OMB" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Anderson, Jessica C. EOP/OMB" (b) (6) John Cerisano is@J(b) (6) Topic: With Blue Cross Blue Shield being the largest private health insurer across America, they want to make sure that any repeal and replace bill fully understands what is needed for them to preserve their presence nationwide. Thanks! -----Original Message----From: Pickitt, Kailey M. EOP/OMB Sent: Monday, February 27, 2017 2:47 PM To: Doyle, Emma K. EOP/OMB (b) (6) ; Vought, Russell T. EOP/OMB (b) (6) Subject: RE: I know you are swamped Is Mike the best one to reach out to to schedule? OMB-American Oversight-000057 1 OMB048FY17127b_000000388 -----Original Message----From: Doyle, Emma K. EOP/OMB Sent: Monday, February 27, 2017 2:26 PM To: Vought, Russell T. EOP/OMB (b) (6) ; Pickitt, Kailey M. EOP/OMB (b) (6) Subject: RE: I know you are swamped I agree, we just need to have a sense of what it's about so we have the right people in the room -----Original Message----From: Vought, Russell T. EOP/OMB Sent: Monday, February 27, 2017 2:19 PM To: Pickitt, Kailey M. EOP/OMB (b) (6) Cc: Doyle, Emma K.EOP/OMB<(b) (6) Subject: FW: I know you are swamped I think its worth doing this one -----Original Message----From: Michael Solon (b) (6) Sent: Monday, February 27, 2017 1 :43 PM To: Vought, Russell T. EOP/OMB (b) (6) Subject: Re: I know you are swamped Sorry. Texting at stop light. OMB mulvaney. You've heard of the guy right (ps damn proud of u boy). Mike Solon (b) (6) OMB-American Oversight-000058 2 OMB048FY17127b_000000388 >On Feb 27, 2017, at 1 :40 PM, Vought, Russell T. EOP/OMB (b) (6) wrote: > > OMB orOPM? > > Sent from my iPhone > >>On Feb 27, 2017, at 1 :36 PM, Michael Solon (b) (6) wrote: >> >>And I can hold off. But one thing requires action. Scott Serota, CEO of BCBSA needs to meet with the OMP director as soon as possible. A former Gramm staffer, John Cerisano, of BCBSA is making the request. Can you forward this on to the appropriate person? Thanks >> >> >> Mike Solon » (b) (6) OMB-American Oversight-000059 3 OMB048FY17127b_000000388 Meeting RE: health Where: Andrew's Office When: Fri Mar 10 16:30:00 2017 (America/New_York) Until: Fri Mar 10 17:00:00 2017 (America/New_York) Organiser: "Salvi, Mary E.EOP/WHO"(b) (6) Required Attendees: "Bremberg, Andrew P. EOP/WHO" (b) (6) "Winfree, Paul L. EOP/WHO" (b) (6) "Grogan, Joseph J. EOP/OMB" (b) (6) "Blase, Brian C. EOP/WHO" (b) (6) "Talento, Kathryn F. EOP/WHO" (b) (6) "Campau, Alexandra P. EOPJWHO" (b) (6) OMB-American Oversight-000060 1 OMB048FY17127b_000000517 Meeting RE: health Where: Andrew's Office When: Fri Mar 10 16:30:00 2017 (America/New_York) Until: Fri Mar 10 17:00:00 2017 (America/New_York) Organiser: "Salvi, Mary E.EOP/WHO"<(b) (6) Required Attendees: "Salvi, Mary E.EOP/(b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Winfree, Paul L. EOP/WHO" (b) (6) "Grogan, Joseph J. EOP/OMB" (b) (6) "Blase, Brian C. EOP/WHO" (b) (6) "Talento, Kathryn F. EOP/WHO" (b) (6) "Campau, Alexandra P. EOP/WHO" (b) (6) OMB-American Oversight-000061 1 OM B048FY17127b_000000660 Meet w/ Scott Serota (CEO of BCBSA) Where: EEOB 2528 When: Tue Mar07 16:45:00 2017 (America/New_York) Until: Tue Mar07 17:15:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB"(b) (6) Required Attendees: "Mulvaney, John M. EOP/OMB" (b) (6) "Grogan, Joseph J. EOP/OMB" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Anderson, Jessica C. EOP/OMB"(b) (6) John Cerisano is@J(b) (6) Topic: With Blue Cross Blue Shield being the largest private health insurer across America, they want to make sure that any repeal and replace bill fully understands what is needed for them to preserve their presence nationwide. Thanks! -----Original Message----From: Pickitt, Kailey M. EOP/OMB Sent: Monday, February 27, 2017 2:47 PM To: Doyle, Emma K. EOP/OMB (b) (6) ; Vought, Russell T. EOP/OMB (b) (6) Subject: RE: I know you are swamped Is Mike the best one to reach out to to schedule? OMB-American Oversight-000062 1 OMB048FY17127b_000000671 -----Original Message----From: Doyle, Emma K. EOP/OMB Sent: Monday, February 27, 2017 2:26 PM To: Vought, Russell T. EOP/OMB (b) (6) ; Pickitt, Kailey M. EOP/OMB (b) (6) Subject: RE: I know you are swamped I agree, we just need to have a sense of what it's about so we have the right people in the room -----Original Message----From: Vought, Russell T. EOP/OMB Sent: Monday, February 27, 2017 2:19 PM To: Pickitt, Kailey M. EOP/OMB (b) (6) Cc: Doyle, Emma K.EOP/OMB(b) (6) Subject: FW: I know you are swamped I think its worth doing this one -----Original Message----From: Michael Solon (b) (6) Sent: Monday, February 27, 2017 1 :43 PM To: Vought, Russell T. EOP/OMB (b) (6) Subject: Re: I know you are swamped Sorry. Texting at stop light. OMB mulvaney. You've heard of the guy right (ps damn proud of u boy). Mike Solon (b) (6) OMB-American Oversight-000063 2 OMB048FY17127b_000000671 >On Feb 27, 2017, at 1 :40 PM, Vought, Russell T. EOP/OMB (b) (6) wrote: > > OMB orOPM? > > Sent from my iPhone > >>On Feb 27, 2017, at 1 :36 PM, Michael Solon (b) (6) wrote: >> >>And I can hold off. But one thing requires action. Scott Serota, CEO of BCBSA needs to meet with the OMP director as soon as possible. A former Gramm staffer, John Cerisano, of BCBSA is making the request. Can you forward this on to the appropriate person? Thanks >> >> >> Mike Solon » (b) (6) OMB-American Oversight-000064 3 OMB048FY17127b_000000671 Page 1 of 1 hold for healthcare meeting When: Fri Feb 10 15:30:00 2017 (America/New_York) Until: Fri Feb 10 16:00:00 2017 (America/New_York) Organiser: "Anderson, Jessica C. EOP/OMB" (b) (6) OMB-American Oversight-000065 mhtml:https://ringtail.apps.pitc.gov/Ringtail/Documents/Document/ImageViewer/File?docu... 6/5/2017 Meet w/ Scott Serota (CEO of BCBSA) Where: EEOB 252B When: Tue Mar07 16:45:00 2017 (America/New_York) Until: Tue Mar07 17:15:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendee: "Grogan, Joseph J. EOP/OMB" (b) (6) John Cerisano is@J(b) (6) Topic: With Blue Cross Blue Shield being the largest private health insurer across America, they want to make sure that any repeal and replace bill fully understands what is needed for them to preserve their presence nationwide. Thanks! -----Original Message----From: Pickitt, Kailey M. EOP/OMB Sent: Monday, February 27, 2017 2:47 PM To: Doyle, Emma K. EOP/OMB (b) (6) ; Vought, Russell T. EOP/OMB (b) (6) Subject: RE: I know you are swamped Is Mike the best one to reach out to to schedule? -----Original Message----From: Doyle, Emma K. EOP/OMB Sent: Monday, February 27, 2017 2:26 PM OMB-American Oversight-000066 1 OMB048FY17127b_000000813 To: Vought, Russell T. EOP/OMB (b) (6) ; Pickitt, Kailey M. EOP/OMB (b) (6) Subject: RE: I know you are swamped I agree, we just need to have a sense of what it's about so we have the right people in the room -----Original Message----From: Vought, Russell T. EOP/OMB Sent: Monday, February 27, 2017 2:19 PM To: Pickitt, Kailey M. EOP/OMB (b) (6) Cc: Doyle, Emma K.EOP/OMB<(b) (6) Subject: FW: I know you are swamped I think its worth doing this one -----Original Message----From: Michael Solon (b) (6) Sent: Monday, February 27, 2017 1 :43 PM To: Vought, Russell T. EOP/OMB (b) (6) Subject: Re: I know you are swamped Sorry. Texting at stop light. OMB mulvaney. You've heard of the guy right (ps damn proud of u boy). Mike Solon (b) (6) >On Feb 27, 2017, at 1 :40 PM, Vought, Russell T. EOP/OMB (b) (6) wrote: > > OMB orOPM? OMB-American Oversight-000067 2 OMB048FY17127b_000000813 > > Sent from my iPhone > >>On Feb 27, 2017, at 1 :36 PM, Michael Solon (b) (6) wrote: >> >>And I can hold off. But one thing requires action. Scott Serota, CEO of BCBSA needs to meet with the OMP director as soon as possible. A former Gramm staffer, John Cerisano, of BCBSA is making the request. Can you forward this on to the appropriate person? Thanks >> >> >> Mike Solon » (b) (6) OMB-American Oversight-000068 3 OMB048FY17127b_000000813 Sunday Show: ABC Where: CNN Studio - 820 First St NE When: Sun Mar 12 08:20:00 2017 (America/New_York) Until: Sun Mar 12 10:20:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Sellers, Douglas C. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) Hey Alexa, The Director is good to go for both ABC and CBS Sunday shows. He will go to the CBS studio and do a live hit with George (ABC) at 9 AM then do a pretape with John Dickerson (CBS) directly following. The topics will include healthcare (mostly) with a possible sprinkle of budget. Kailey, The Director will need to arrive to the studio by 8:40. Please find studio details below: ADDRESS: Face the Nation 2020 M Street NW Washington, DC 20036 PHONE: (b) (6) E-MAIL: OMB-American Oversight-000069 1 OMB048FY17127b_000000917 (b) (6) Many thanks, Coalter Coalter Baker Office of Management and Budget Direct: (b) (6) Mobile: (b) (6) OMB-American Oversight-000070 2 OMB048FY17127b_000000917 Daily Health Care Meeting Where: Roosevelt Room When: Mon Mar 06 18:00:00 2017 (America/New_York) Until: Mon Mar 06 18:30:00 2017 (America/New_York) Organiser: "Curry, Catherine E. EOP/WHO" (b) (6) Required Attendees: "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) ''Vought, Russell T.EOP/OMB"(b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A.EOP/WHO"<(b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E.EOP/WHO"<(b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Eisner-Poor, Kaitlyn E.EOP/WHO"<(b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Clark, Justin R.EOP/WHO" "Ambrosini, Michael J. EOP/WHO" (b) (6) "Hoelscher, Douglas L. EOP/WHO" (b) (6) "Kirkland, William H. EOP/WHO" (b) (6) "Conway, Kellyanne E. EOP/WHO" (b) (6) *3/6- Moving Tuesday's meeting to 5:30 pm OMB-American Oversight-000083 1 OMB048FY17127b_000000954 Sunday Shows: ABC and CBS Where: Face the Nation - 2020 M Street NW When: Sun Mar 12 08:40:00 2017 (America/New_York) Until: Sun Mar 12 10:40:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Sellers, Douglas C. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) Hey Alexa, The Director is good to go for both ABC and CBS Sunday shows. He will go to the CBS studio and do a live hit with George (ABC) at 9 AM then do a pretape with John Dickerson (CBS) directly following. The topics will include healthcare (mostly) with a possible sprinkle of budget. Kailey, The Director will need to arrive to the studio by 8:40. Please find studio details below: ADDRESS: Face the Nation 2020 M Street NW Washington, DC 20036 PHONE: (b) (6) E-MAIL: OMB-American Oversight-000084 1 OMB048FY17127b_000000967 (b) (6) Many thanks, Coalter Coalter Baker Office of Management and Budget Direct: (b) (6) Mobile: (b) (6) OMB-American Oversight-000085 2 OMB048FY17127b_000000967 Phone Interview w/ Emma Durmain (Charleston Post and Courier) Where: EEOB 2528 When: Wed Mar 08 12:00:00 2017 (America/New_York) Until: Wed Mar08 12:10:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Czwartacki, John S. EOP/OMB" (b) (6) "Baker, John" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) Call in: (b) (6) Topic: What it's like coming back to Capitol Hill to chat with his former Freedom Caucus colleagues about this health care bill and what it's like being on the other side of the negotiating table OMB-American Oversight-000086 1 OMB048FY17127b_000000968 Meet w/ Scott Serota (CEO of BCBSA) Where: EEOB 252B When: Tue Mar07 16:45:00 2017 (America/New_York) Until: Tue Mar07 17:15:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendee: "Reilly, Tom M. EOP/OMB" (b) (6) John Cerisano is@J(b) (6) Topic: With Blue Cross Blue Shield being the largest private health insurer across America, they want to make sure that any repeal and replace bill fully understands what is needed for them to preserve their presence nationwide. Thanks! -----Original Message----From: Pickitt, Kailey M. EOP/OMB Sent: Monday, February 27, 2017 2:47 PM To: Doyle, Emma K. EOP/OMB (b) (6) ; Vought, Russell T. EOP/OMB (b) (6) Subject: RE: I know you are swamped Is Mike the best one to reach out to to schedule? -----Original Message----From: Doyle, Emma K. EOP/OMB Sent: Monday, February 27, 2017 2:26 PM OMB-American Oversight-000087 1 OMB048FY17127b_000000971 To: Vought, Russell T. EOP/OMB (b) (6) ; Pickitt, Kailey M. EOP/OMB (b) (6) Subject: RE: I know you are swamped I agree, we just need to have a sense of what it's about so we have the right people in the room -----Original Message----From: Vought, Russell T. EOP/OMB Sent: Monday, February 27, 2017 2:19 PM To: Pickitt, Kailey M. EOP/OMB (b) (6) Cc: Doyle, Emma K.EOP/OMB<(b) (6) Subject: FW: I know you are swamped I think its worth doing this one -----Original Message----From: Michael Solon (b) (6) Sent: Monday, February 27, 2017 1 :43 PM To: Vought, Russell T. EOP/OMB (b) (6) Subject: Re: I know you are swamped Sorry. Texting at stop light. OMB mulvaney. You've heard of the guy right (ps damn proud of u boy). Mike Solon (b) (6) >On Feb 27, 2017, at 1 :40 PM, Vought, Russell T. EOP/OMB (b) (6) wrote: > > OMB orOPM? OMB-American Oversight-000088 2 OMB048FY17127b_000000971 > > Sent from my iPhone > >>On Feb 27, 2017, at 1 :36 PM, Michael Solon (b) (6) wrote: >> >>And I can hold off. But one thing requires action. Scott Serota, CEO of BCBSA needs to meet with the OMP director as soon as possible. A former Gramm staffer, John Cerisano, of BCBSA is making the request. Can you forward this on to the appropriate person? Thanks >> >> >> Mike Solon » (b) (6) OMB-American Oversight-000089 3 OMB048FY17127b_000000971 Meet w/ Scott Serota (CEO of BCBSA) Where: EEOB 252B When: Tue Mar07 16:45:00 2017 (America/New_York) Until: Tue Mar07 17:15:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendee: "Grogan, Joseph J. EOP/OMB" (b) (6) John Cerisano is@J(b) (6) Topic: With Blue Cross Blue Shield being the largest private health insurer across America, they want to make sure that any repeal and replace bill fully understands what is needed for them to preserve their presence nationwide. Thanks! -----Original Message----From: Pickitt, Kailey M. EOP/OMB Sent: Monday, February 27, 2017 2:47 PM To: Doyle, Emma K. EOP/OMB (b) (6) ; Vought, Russell T. EOP/OMB (b) (6) Subject: RE: I know you are swamped Is Mike the best one to reach out to to schedule? -----Original Message----From: Doyle, Emma K. EOP/OMB Sent: Monday, February 27, 2017 2:26 PM OMB-American Oversight-000090 1 OMB048FY17127b_000000972 To: Vought, Russell T. EOP/OMB (b) (6) ; Pickitt, Kailey M. EOP/OMB (b) (6) Subject: RE: I know you are swamped I agree, we just need to have a sense of what it's about so we have the right people in the room -----Original Message----From: Vought, Russell T. EOP/OMB Sent: Monday, February 27, 2017 2:19 PM To: Pickitt, Kailey M. EOP/OMB (b) (6) Cc: Doyle, Emma K.EOP/OMB<(b) (6) Subject: FW: I know you are swamped I think its worth doing this one -----Original Message----From: Michael Solon (b) (6) Sent: Monday, February 27, 2017 1 :43 PM To: Vought, Russell T. EOP/OMB (b) (6) Subject: Re: I know you are swamped Sorry. Texting at stop light. OMB mulvaney. You've heard of the guy right (ps damn proud of u boy). Mike Solon (b) (6) >On Feb 27, 2017, at 1 :40 PM, Vought, Russell T. EOP/OMB (b) (6) wrote: > > OMB orOPM? OMB-American Oversight-000091 2 OMB048FY17127b_000000972 > > Sent from my iPhone > >>On Feb 27, 2017, at 1 :36 PM, Michael Solon (b) (6) wrote: >> >>And I can hold off. But one thing requires action. Scott Serota, CEO of BCBSA needs to meet with the OMP director as soon as possible. A former Gramm staffer, John Cerisano, of BCBSA is making the request. Can you forward this on to the appropriate person? Thanks >> >> >> Mike Solon » (b) (6) OMB-American Oversight-000092 3 OMB048FY17127b_000000972 Meet w/ Scott Serota (CEO of BCBSA) Where: EEOB 2528 When: Tue Mar07 16:45:00 2017 (America/New_York) Until: Tue Mar07 17:15:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Vought, Russell T. EOP/OMB" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Anderson, Jessica C. EOP/OMB" (b) (6) John Cerisano is@J(b) (6) Topic: With Blue Cross Blue Shield being the largest private health insurer across America, they want to make sure that any repeal and replace bill fully understands what is needed for them to preserve their presence nationwide. Thanks! -----Original Message----From: Pickitt, Kailey M. EOP/OMB Sent: Monday, February 27, 2017 2:47 PM To: Doyle, Emma K. EOP/OMB (b) (6) Vought, Russell T. EOP/OMB (b) (6) Subject: RE: I know you are swamped Is Mike the best one to reach out to to schedule? -----Original Message----- OMB-American Oversight-000093 1 OMB048FY17127b_000000974 From: Doyle, Emma K. EOP/OMB Sent: Monday, February 27, 2017 2:26 PM >; To: Vought, Russell T. EOP/OMB (b) (6) Pickitt, Kailey M. EOP/OMB (b) (6) Subject: RE: I know you are swamped I agree, we just need to have a sense of what it's about so we have the right people in the room -----Original Message----From: Vought, Russell T. EOP/OMB Sent: Monday, February 27, 2017 2:19 PM To: Pickitt, Kailey M. EOP/OMB (b) (6) Cc: Doyle, Emma K.EOP/OMB<(b) (6) Subject: FW: I know you are swamped I think its worth doing this one -----Original Message----From: Michael Solon (b) (6) Sent: Monday, February 27, 2017 1 :43 PM To: Vought, Russell T. EOP/OMB (b) (6) Subject: Re: I know you are swamped Sorry. Texting at stop light. OMB mulvaney. You've heard of the guy right (ps damn proud of u boy). Mike Solon (b) (6) >On Feb 27, 2017, at 1 :40 PM, Vought, Russell T. EOP/OMB (b) (6) OMB-American Oversight-000094 2 wrote: OMB048FY17127b_000000974 > > OMB orOPM? > > Sent from my iPhone > >>On Feb 27, 2017, at 1 :36 PM, Michael Solon (b) (6) wrote: >> >>And I can hold off. But one thing requires action. Scott Serota, CEO of BCBSA needs to meet with the OMP director as soon as possible. A former Gramm staffer, John Cerisano, of BCBSA is making the request. Can you forward this on to the appropriate person? Thanks >> >> >> Mike Solon » (b) (6) OMB-American Oversight-000095 3 OMB048FY17127b_000000974 Meeting: Update on Healthcare Bill Where: (b) (5) When: Mon Mar 06 15:20:00 2017 (America/New_York) Until: Mon Mar 06 16:20:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Doyle, Emma K. EOP/OMB" (b) (6) 'Vought, Russell T.EOP/OMB"<(b) (6) "Anderson, Jessica C. EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) OMB-American Oversight-000096 1 OMB048FY17127b_000000977 NEC Healthcare Meeting Where: COS Office When: Thu Mar 02 17:00:00 2017 (America/New_York) Until: Thu Mar 02 18:00:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Vought, Russell T. EOP/OMB" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Anderson, Jessica C. EOP/OMB" (b) (6) OMB-American Oversight-000097 "Health Proposals" Where: EEOB Room 238 When: Fri Jan 27 15:30:00 2017 (America/New_York) Until: Fri Jan 27 16:30:00 2017 (America/New_York) Organiser: "Hudgins, Kathy M. EOP/OMB" (b) (6) Required Attendees: "Reilly, Tom M. EOP/OMB" (b) (6) "Barnett, Patti A. EOP/OMB" (b) (6) "Crato, Catherine E. EOP/OMB" (b) (6) "Finnegan, Sean C. EOP/OMB" (b) (6) "Czin, Ashley N. EOP/OMB" (b) (6) "Sills, Sara R.EOP/OMB"<(b) (6) "Kellett, Hunter S. EOP/OMB" (b) (6) "Sacker, Erica M. EOP/OMB" (b) (6) ''Vought, Russell T.EOP/OMB"<(b) (6) "Herz, James P. EOP/OMB" (b) (6) "Blase, Brian C. EOP/WHO" (b) (6) "Winfree, Paul L. EOP/WHO" (b) (6) CR-EEOB-OMB-238 (b) (6) OMB-American Oversight-000098 1 OMB048FY17127b_000000988 Canceled: Daily Health Care Meeting Where: Roosevelt Room When: Wed Mar 08 17:30:00 2017 (America/New_York) Until: Wed Mar 08 18:00:00 2017 (America/New_York) Recurs: every week on Wednesday from 5:30 PM to 6:00 PM Organiser: "Curry, Cat E. EOP/WHO" (b) (6) Required Attendees: "Curry, Catherine E. EOP/WHO" (b) (6) "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Perez-Rivera, Diana (CMS/OA)" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Stepien, William EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) OMB-American Oversight-000099 "Short, Marc T. EOP/WHO" (b) (6) "Clark, Justin R. EOP/WHO"(b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) "Teller, Paul S. EOP/WHO" (b) (6) "Harrison, Jessica (OS/IOS)" (b) (6) CMS SV1 (b) (6) "Arbes, Sarah (HHS/ASL)" (b) (6) "Pavlik, Jennifer L. EOP/OVP" (b) (6) "Patenaude, Meghan C. EOP/OVP" (b) (6) "Koenig, Andrew D. EOP/WHO" (b) (6) Optional Attendees: "Long, Dylan D. CIV EOP" (b) (6) "Twomey, John K. (OS/IOS)" (b) (6) Attachments: Unnamed Attachment (169.98 kB); Canceled: Daily Health Care Meeting (193.54 kB) Meeting will take place in the Roosevelt Room -----Original Message----From: Short, Marc T. EOP/WHO Sent: Monday, March 6, 2017 9:36 AM To: Ditto, Jessica E. EOP/WHO (b) (6) ; Meyer, Joyce Y. EOP/WHO (b) (6) (b) (6) Dearborn, Rick A. EOP/WHO (b) (6) Vought, Russell T. EOP/OMB (b) (6) Kushner, Jared C. EOP/WHO (b) (6) Reince Priebus (b) (6) (b) (6) Cc: Curry, Catherine E. EOP/WHO (b) (6) Subject: Health Care Folks, (b) (5) OMB-American Oversight-000100 ; ; Bremberg, Andrew P. EOP/WHO ; Sifakis, George A. EOP/WHO (b) (6) (b) (6) ; ; Cohn, Gary D. EOP/WHO ; Mulvaney, John M. EOP/OMB (b) (6) (b) (6) (b) (6) ; Dubke, Michael D. EOP/WHO ; Bannon, Stephen K. EOP/WHO ; Stepien, William EOP/WHO ; Thanks for your attention to the OMB-American Oversight-000101 Canceled: Daily Health Care Meeting When: Wed Mar 29 17:30:00 2017 (America/New_York) Until: Wed Mar 29 18:00:00 2017 (America/New_York) Required Attendees: "Curry, Catherine E. EOP/WHO" (b) (6) "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Perez-Rivera, Diana (CMS/OA)" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Stepien, William EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) "Teller, Paul S. EOP/WHO" (b) (6) "Harrison, Jessica (OS/IOS)" (b) (6) CMS SV1 (b) (6) "Arbes, Sarah (HHS/ASL)" (b) (6) "Pavlik, Jennifer L. EOP/OVP" (b) (6) "Patenaude, Meghan C. EOP/OVP" (b) (6) "Koenig, Andrew D. EOP/WHO" (b) (6) Optional Attendees: "Long, Dylan D. CIV EOP" (b) (6) "Twomey, John K. (OS/IOS)" (b) (6) Meeting will take place in the Roosevelt Room -----Original Message----From: Short, Marc T. EOP/WHO Sent: Monday, March 6, 2017 9:36 AM To: Ditto, Jessica E. EOP/WHO (b) (6) ; Dubke, Michael D. EOP/WHO ; Meyer, Joyce Y. EOP/WHO (b) (6) ; Dearborn, Rick A. (b) (6) EOP/WHO (b) (6) ; Cohn, Gary D. EOP/WHO (b) (6) ; Mulvaney, John M. EOP/OMB (b) (6) ; Vought, Russell T. EOP/OMB OMB-American Oversight-000102 1 OMB048FY17127b_000001034 (b) (6) ; Bremberg, Andrew P. EOP/WHO (b) (6) ; Sifakis, George A. EOP/WHO (b) (6) ; Kushner, Jared C. EOP/WHO (b) (6) ; Bannon, Stephen K. EOP/WHO (b) (6) ; Reince Priebus (b) (6) ; Stepien, William EOP/WHO (b) (6) Cc: Curry, Catherine E. EOP/WHO (b) (6) Subject: Health Care Folks, (b) (5) Thanks for your attention to the OMB-American Oversight-000103 2 OMB048FY17127b_000001034 Canceled: Daily Health Care Meeting Where: Roosevelt Room When: Mon Mar 06 18:00:00 2017 (America/New_York) Until: Mon Mar 06 18:30:00 2017 (America/New_York) Recurs: every week on Monday, Tuesday, Thursday, and Friday from 6:00 PM to 6:30 PM Organiser: "Curry, Cat E. EOPJWHO" (b) (6) Required Attendees: "Curry, Catherine E. EOPJWHO" (b) (6) "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) ''Vought, Russell T.EOP/OMB"<(b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOPJWHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Perez-Rivera, Diana (CMS/OA)" (b) (6) "Harrison, Jessica (OS/IOS)" (b) (6) "Eisner-Poor, Kaitlyn E.EOPJWHO"<(b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOPJWHO" (b) (6) "Griswold, Julia C. EOPJWHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E.EOP/WHO"(b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Clark, Justin R.EOP/WHO"<(b) (6) "Stepien, William EOP/WHO" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) "Teller, Paul S. EOP/WHO" (b) (6) "Pavlik, Jennifer L. EOP/OVP" (b) (6) "Patenaude, Meghan C. EOP/OVP" (b) (6) "Wall, Kathryn E. EOP/OVP" (b) (6) CMS SV1 (b) (6) "Arbes, Sarah (HHS/ASL)" (b) (6) Optional Attendees: RP (b) (6) "Ambrosini, Michael J. EOP/WHO" (b) (6) "Hoelscher, Douglas L. EOP/WHO" (b) (6) OMB-American Oversight-000104 1 OMB048FY17127b_000001043 "Kirkland, William H. EOP/WHO" (b) (6) "Conway, Kellyanne E. EOP/WHO" (b) (6) "Talento, Kathryn F. EOP/WHO" (b) (6) "Campau, Alexandra P. EOPJWHO" (b) (6) "Twomey, John K. (OS/IOS)" (b) (6) Attachments: Unnamed Attachment (179.71 kB); Unnamed Attachment (184.83 kB); Unnamed Attachment (168.45 kB); Unnamed Attachment 92 Unnamed Attachment Unnamed Attachment \L.,,u __,...,. *Moving to the Roosevelt Room going forward -Original Message----From: Short, Marc T. EOP/WHO Sent: Monday, March 6, 2017 9:36 AM To: Ditto, Jessica E. EOP/WHO (b) (6) ; Dubke, Michael D. EOP/WHO ; Meyer, Joyce Y. EOPJWHO (b) (6) ; Dearborn, Rick A. (b) (6) EOP/WHO (b) (6) ; Cohn, Gary D. EOP/WHO (b) (6) ; Mulvaney, John M. EOP/OMB (b) (6) Vought, Russell T. EOP/OMB ; Bremberg, Andrew P. EOP/WHO (b) (6) ; Sifakis, (b) (6) George A. EOP/WHO (b) (6) ; Kushner, Jared C. EOPJWHO (b) (6) ; Bannon, Stephen K.EOP/WHO<(b) (6) ; Reince Priebus (b) (6) ; Stepien, William EOP/WHO (b) (6) Cc: Curry, Catherine E. EOP/WHO (b) (6) Subject: Health Care Folks, (b) (5) Thanks for your attention to the calendar invites forthcoming. OMB-American Oversight-000105 2 OMB048FY17127b_000001043 "Health Proposals" Where: EEOB Room 238 When: Fri Jan 27 15:30:00 2017 (America/New_York) Until: Fri Jan 27 16:30:00 2017 (America/New_York) Organiser: "Hudgins, Kathy M. EOP/OMB" (b) (6) Required Attendees: "Hudgins, Kathy M. EOP/OMB" (b) (6) "Reilly, Tom M. EOP/OMB" (b) (6) "Barnett, Patti A. EOP/OMB" (b) (6) "Crato, Catherine E. EOP/OMB" (b) (6) "Finnegan, Sean C. EOP/OMB" (b) (6) "Czin, Ashley N. EOP/OMB" (b) (6) "Sills, Sara R. EOP/OMB" (b) (6) "Kellett, Hunter S. EOP/OMB" (b) (6) "Sacker, Erica M. EOP/OMB" (b) (6) 'Vought, Russell T.EOP/OMB"<(b) (6) "Herz, James P. EOP/OMB" (b) (6) "Blase, Brian C. EOP/WHO" (b) (6) "Winfree, Paul L. EOP/WHO" (b) (6) CR-EEOB-OMB-238 (b) (6) OMB-American Oversight-000106 1 OMB048FY17127b_000001066 Accepted: NEC Healthcare Meeting Where: COS Office When: Thu Mar 02 17:00:00 2017 (America/New_York) Until: Thu Mar 02 18:00:00 2017 (America/New_York) Organiser: Required Attendee: Optional Attendee: OMB-American Oversight-000107 Accepted: Health legislation Where: EEOB 248 When: Fri Feb 10 15:30:00 2017 (America/New_York) Until: Fri Feb 10 16:30:00 2017 (America/New_York) Organiser: Required Attendee: Optional Attendee: OMB-American Oversight-000108 1 OMB048FY17127b_000001134 Accepted: "Health Proposals" Where: EEOB Room 238 When: Fri Jan 27 15:30:00 2017 (America/New_York) Until: Fri Jan 27 16:30:00 2017 (America/New_York) Organiser: Required Attendee: Optional Attendee: OMB-American Oversight-000109 Scalise: WHIP LD ALERT - Budget Reconciliation Text & Supporting Documents From: "Hodgson, Chris" (b) (6) To: "Hodgson, Chris" (b) (6) Cc: "Bravo, Matt" (b) (6) , "Napier, Ben" (b) (6) Date: Mon, 06 Mar 2017 18:15:33 -0500 Good evening, Repeal and Replace is here! Text of the FY2017 Budget Reconciliation Legislative Recommendations is now available. The Energy & Commerce Committee print can be found here and the Ways & Means Committee print can be found here. Please find below links to the House Energy & Commerce and Ways & Means Committee documents ahead of their markups this week: • Energy & Commerce Committee Press Release: https://energycommerce.house.gov/news-center/pressreleases/energy-and-commerce-republicans-release-legislation-repeal-and-replace • Energy & Commerce Committee Section-by-Section: htt : ener commerce.house. ov sites re ublicans.ener by-Section%20Summary Final.pdf commerce.house. ov files documents Section- • • Ways & Means Committee Press Release: https://waysandmeans.house.gov/american-health-care-act/ Ways & Means Committee Section-by-Section: https://waysandmeans.house.gov/wpcontent/up loads/2017 /03/03.06.17-Section-by-Section.pdf • Ways & Means Committee Two-Pager: b!!.R~_:LL~_9_V:~.§l_D_Q.!!)_~.§1_':!.~:_bg_y_~~,gQyf~J?-= contentLuploads/2017 L03L03.06.17-American HealthCareAct Summary.pdf Let us know if you have any questions. Thanks, -Chris Chris Hodgson Deputy Floor Director Majority Whip Steve Scalise (LA-01) Office: (b) (6) Mobile: (b) (6) OMB-American Oversight-000110 1 OMB048FY17127b_000001491 REMINDER -TODAY: Special Majority Whip Staff Legislative Briefing Health Care Reform From: "Napier, Ben" (b) (6) To: "Napier, Ben"(b) (6) Cc: "Hodgson, Chris" (b) (6) Date: Fri, 24 Feb 2017 10:24:47 -0500 Special Majority Whip Staff Legislative Briefing- Health Care Reform February 24, 2017 I 3:00PM I HC-5 We strongly encourage you to join us today at 3:00 p.m. in HC-5 for a Special Majority Whip Staff Legislative Briefing related to health care reform. NOTE: The topics discussed will be the same as the previous health care briefings. IDs will be checked at the door ### Majority Whip Scalise's Floor Office H-329, The Capitol Matt Bravo, Floor Director I (b) (6) Chris Hodgson, Deputy Floor Director I (b) (6) Ben Napier, Floor Assistant I (b) (6) OMB-American Oversight-000111 I (b) (6) 1 OMB048FY17127b_000001550 Sunday Shows: ABC and CBS Where: Face the Nation - 2020 M Street NW When: Sun Mar 12 08:40:00 2017 (America/New_York) Until: Sun Mar 12 10:40:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Sellers, Douglas C. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) Hey Alexa, The Director is good to go for both ABC and CBS Sunday shows. He will go to the CBS studio and do a live hit with George (ABC) at 9 AM then do a pretape with John Dickerson (CBS) directly following. The topics will include healthcare (mostly) with a possible sprinkle of budget. Kailey, The Director will need to arrive to the studio by 8:40. Please find studio details below: ADDRESS: Face the Nation 2020 M Street NW OMB-American Oversight-000112 Washington, DC 20036 PHONE: (b) (6) E-MAIL: (b) (6) Many thanks, Coalter Coalter Baker Office of Management and Budget Direct: (b) (6) Mobile:(b) (6) OMB-American Oversight-000113 WHIP LD ALERT - What They Are Saying & Supporting Documents for the American Health Care Act From: "Herrle, Cindy'' (b) (6) To: "Howard, Benjamin" (b) (6) Ever1y (b) (6) (b) (6) (b) (6) , Dan Kowalski (b) (6) , Hazen Marshall (b) (6) , "Freeland, Jeff K. EOP/OMB" (b) (6) , George , Jane Lee , Monica Popp Date: Thu, 09 Mar 2017 16:26:00 -0500 Attachments: 3-8-17 Anthem AHCA Letter.pdf (213.58 kB); What they Are Saying - Full Support Compilation.docx (133.25 kB) E Good afternoon, The Ways and Means and Energy and Commerce Committees have both reported out their portions of the American Health Care Act. Please find below further information on refundable tax credits, press releases from both committees, and round two of {/What they are saying about the American Health Care Act" (the full compilation of quotes is attached). Attached is a letter of support from the CEO of Anthem, Inc. Additionally, key quotes and letters of support can be found on the Majority Whip's website here. This page continues to be updated as the House moves through this process. Let us know if you have any questions. Thanks, -Chris Chris Hodgson Deputy Floor Director Majority Whip Steve Scalise (LA-01) Office: (b) (6) Mobile: (b) (6) ### VERIFIED: Refundable tax credits are longstanding conservative policy goals Refundable tax credits. They are an important component of the American Health Care Act (AHCA), designed to give people who don't receive health care at work the same tax benefit as those who do. The goal is to equalize the tax treatment of health care regardless of where you buy it and help create a vibrant individual market. OMB-American Oversight-000114 1 OMB048FY17127b_000001915 Some people have been posing the question, where did this policy come from? VERIFIED: These credits have long been part of the conservative health care reform ideal, supported by arch-conservatives in Congress as well as right-leaning think tanks going back for decades. VERIFIED: Refundable tax credits encompass fundamental conservative principles: they utilize the free market and empower individuals. Of course they all differed slightly in their details, but the idea in all is the same: provide resources to people on the individual market to help them purchase coverage and spur market forces. VERIFIED: These policy proposals aren't abstract. Let's take a look at a few examples of concrete proposals that include a refundable tax credit to purchase health coverage: • The Patient Choice, Affordability, and Responsibility, and Empowerment Act - this Obamacare replacement plan includes an "age-adjusted, advanceable, refundable tax credit to buy health coverage," just like the AHCA. It was authored by, among others, former Senator Tom Coburn (R-OK), a legendary conservative and physician. • The Empowering Patients First Act - This plan introduced over numerous Congresses by current HHS Secretarv Tom Price was very popular with House conservatives. Last year, it had 84 co-sponsors in the House. • The Health Care Freedom Act of 2009 - The very first section of this bill provides for a "refundable tax credit for health insurance coverage." It was introduced by former Senator Jim Demint (R-SC), famed conservative and current president of the Heritage Foundation. The American Enterprise Institute (AEI) has also supported the policy. Here in a 2012 paper, an AEI scholar writes: "the reform approach advocated here would address this issue by providing anyone without a large employer health plan with a refundable tax credit that could be used only to secure health insurance coverage." More recently, in 2016, AEI wrote: "A critical component of a replacement plan will need to be a refundable tax credit for health insurance for those households without access to employer-provided coverage." The Heritage Foundation has a very long record of supporting a refundable tax credit. Its website is packed with articles from its scholars proposing a tax credit similar to the one in the AHCA. In 2000, one scholar wrote, "Refundable tax credits represent the best way to address the problem of uninsurance." The article insists on three criteria that are all explicitly in the AHCA. For just a few other examples, Heritage argued for the idea here in 2005, here in 2007, and here in 2010. The 2017 Project was an effort spearheaded by conservative Bill Kristal. The plan it released last year says, "Ending the unfairness in the tax code by offering a refundable tax credit for the purchase of insurance through the individual market is the core element of a well-conceived alternative." And of course, there are other plans out there that, while approaching the issue in a different way, include tax credits for health care costs. The plan recently introduced by Senator Rand Paul (R-KY) for example, "Provides individuals the option of a tax credit of up to $5,000 per taxpayer for contributions to an HSA." ### Energy and Commerce Committee Advances Legislation to Repeal and Replace Obamacare OMB-American Oversight-000115 2 OMB048FY17127b_000001915 Mar 9, 2017 Press Release WASHINGTON, DC-The Energy and Commerce Committee today passed legislation as part of House Republican efforts to repeal and replace Obamacare. Earlier this week, the Energy and Commerce Committee and Ways and Means Committee introduced ill"_<.lft1~g!_~J:1tiY§__i:i:;:.£Q!tn11~.1141!!!9!!~ that the Budget Committee will compile into one reconciliation package. 'Today, the House took a decisive step forward in fulfilling a promise to the American people that has been years in the making: repealing and replacing Obamacare with affordable, patient-centered reforms. After conducting an open and transparent markup, we are proud to put forth a plan that represents a Better Way for patients and families," said full committee Chairman Greg Walden (R-OR). "Under our plan, we preserve important provisions like protecting patients with pre-existing conditions while implementing important reforms to provide states with greater flexibility, lower cost for families, and greater choice for patients," continued Walden. "We're one step closer to helping American families across the country obtain and maintain affordable health care." Specifically, the Energy and Commerce legislation: • Creates a Patient and State Stability Fund - This new and innovative fund give states broad flexibility to design programs that best serve their unique populations. They can also use funds to increase access to preventative services. • Responsibly unwinds Obamacare's Medicaid expansion - By freezing new enrollment at the end of2019 and grandfathering in current enrollees, we protect patients and offer a stable transition. • Strengthens Medicaid - Using a per capita allotment, our legislation ensures a fair funding formula for states while creating a viable financial future for the program. ### Ways and Means Republicans Take Historic Action to Repeal Obamacare & Ensure More Americans Have Access to Affordable Care MARCH 9, 2017- PRESS RELEASES Today the House Ways and Means Committee approved the American Health Care Act (AHCA). This legislation will: • Repeal Obamacare's massive taxes-including eliminating the unpopular individual and employer mandate penalties that have forced Americans to buy expensive insurance they do not want or need; • Help Americans access health care options that are tailored to their needs by providing a monthly tax credit; and • Empower individuals and families to spend their health care dollars the way they OMB-American Oversight-000116 3 OMB048FY17127b_000001915 want and need by enhancing and expanding Health Savings Accounts. Upon approving the legislation, Ways and Means Committee Chairman Kevin Brady (RTX) said: "Ways and Means Republicans just passed legislation that will help Americans finally have access to affordable health care. We voted repeatedly to end Obamacare's crushing taxes and mandates and ensure patients have more power over their own health care. This legislation reflects President Trump's strong commitment to improving health care for all Americans. I sincerely thank my colleagues for their hard work and commitment to delivering on the President's promise." ### I J WHAT THEY ARE SAYING ABOUT THE AMERICAN HEALTH CARE ACT - PART II The time to act is now. The American Health Care Act addresses the challenges immediately facing the Individual market and will ensure more affordable health plan choices for consumers in the short term, including through the expanded use of health savings accounts (HSAs). -Anthem, Inc. "We appreciate the work that the administration and Congress have undertaken so far to begin stabilizing the individual market, and we are very pleased that the House bill envisions providing a smooth transition for consumers in 2018 and 2019, including making coverage more affordable by eliminating the tax on health insurance policies," -Blue Cross Blue Shield "The legislation's continuous coverage requirements will improve affordability and better ensure a stable insurance market. We also support the flexibility for insurers to offer a broader range of plan options that will attract more consumers by meeting their needs and state of health. Consumers will be further empowered by the repeal of the tax increase on health savings accounts and the repeal of limitations on contributions to flexible spending accounts and health savings accounts. -Healthcare Leadership Council (HLC) "We are encouraged by the steps taken to advocate for health care reform that will address cost containment and flexibility for consumers and employers. Restoring health care choices by expanding Health Savings Accounts, allowing small business to pool together resources and purchase insurance across state lines and eliminating the employer mandate penalties will lay the ground work for a 21 5 t century, market-based, system. The American Health Care Act is a step in the right direction" -International Association of Franchisers "Repealing the [medical device] tax will provide medical technology innovators with the long-term certainty necessary to support future job growth and sustainable, cutting-edge R&D that will ultimately lead to the OMB-American Oversight-000117 4 OMB048FY17127b_000001915 next generation of breakthroughs in patient care and treatment. We urge the House and Senate to act expeditiously to pass this important legislation." - Advanced Medical Technology Association (AdvaMed) "The 'American Health Care Act' repeals the medical device tax which will result in greater investments in medical cures, lower healthcare costs and more high-tech manufacturing jobs in communities across the United States." -Medical Device Manufacturers Association "The National Business Group on Health appreciates your efforts to eliminate the ACA taxes on employersponsored overage, enhance health accounts and ensure a smooth transition to alternative sources of coverage." -The National Business Group on Health "The House bill recognizes the importance preserving the system of employer-provided health care benefits that 177 million Americans rely on. We are pleased the House delayed the Affordable Care Act's (ACA) onerous 40% tax on employee health benefits and did not cap the tax exclusion for those benefits." -HR Policy Association "The 'American Health Care Act' wisely avoids a new tax on Americans with employer provided health benefits. We applaud that decision and we are also pleased the Cadillac Tax effective date is delayed through 2024" -American Benefits Council "CHPA strongly supports restoration of the ability for consumers to use their Flexible Spending Arrangements (FSAs) and Health Savings Accounts (HSAs) to purchase over-the-counter (OTC) medicines, and urges the Ways & Means Committee to advance this important measure. "At a time when more and more Americans are exercising these vital HSA and FSA benefits, this is a common sense fix for many families who rely on non-prescription OTC medicines to treat common ailments such as allergies, cough and colds, or pain." -Consumer Healthcare Products Association (CHPA) "With today's markups, further discussions about the future of our country's health care begin in earnest... The ACC is encouraged by the widely-expressed commitment to guarantee access to affordable coverage options for patients with heart disease or other pre-existing medical conditions" -American College of Cardiologists (ACC) OMB-American Oversight-000118 5 OMB048FY17127b_000001915 March 9, 2017 The Honorable Greg Walden Chairman Energy and Commerce Committee U.S. House of Representatives 2125 Rayburn House Office Building Washington, DC 20515 The Honorable l1v1~1v message rr.n,..,rt::H>Cl•"n<>I ti[[Ll2ru;;§!:!J::1~lli!~!!!J"il'.~, Committees ObamaCare's failures and which will rescue those nA'tiP.:11t-r.P.11tf~rP.rl health-care ''"'',ti::.1m "'lilTiiri<'lt'lnrl the n,,,.1-,~liliPC attached tO Americans to need and cannot also dismantles the ObamaCare taxes that have orlo ve1·-s1Jo11scJred health Americans can continue coverage on their on~-e1x1~>t1r1a conditions cannot be denied poil1c1es. Nc1bcdy imnri,rt:::1nt reform on enrollment status, are. le~iislation establishes a Patient and State St<:ibility Fund care OMB-American Oversight-000151 to 1 OMB048FY17127b_000002627 States that fund will 'lave broad tlexitlilityto Ce'veloo states tools proposes scale. PYn~nn health-::;a 1111nas accounts so Americans can save and dcuble '.)0 bill is now online for lead consider it later this week. Our open process will po111c11es, offer amendments and After seven choices and of ObamaCare's the An,pr·ir:::1n peo1p1e OMB-American Oversight-000152 the ReipLJblicc:ms are committed rh'"""''"' 2 of their costs, P.xn;::infll1nn health care. OMB048FY17127b_000002627 Scalise: WHIP LD ALERT-American Health Care Act Supporting Documents From: "Hodgson, Chris" (b) (6) To: "Hodgson, Chris" (b) (6) Cc: "Bravo, Matt" (b) (6) , "Napier, Ben" (b) (6) Date: Wed, 08 Mar 2017 12:23:35 -0500 Attachments: WSJ_Brady_Walden.pdf (222.32 kB) The Energy and Commerce and Ways and Means Committees meet today to mark up their FY2017 Budget Reconciliation Legislative Recommendations. Attached is an op-ed written by Chairmen Walden and Brady in the Wall Street Journal. Please find below "What they are saying about the American Health Care Act," as well as a press release from HHS supporting the House's work and outlining additional steps the Department is taking to repeal and replace Obamacare and improve our health care system. Additionally, key quotes and letters of support can be found on the Majority Whip's website here. This page will be continually updated as the House moves through this process. Let us know if you have any questions. Thanks, -Chris Chris Hodgson Deputy Floor Director Majority Whip Steve Scalise (LA-01) Office: (b) (6) Mobile: (b) (6) ### WHAT THEY ARE SAYING ABOUT THE AMERICAN HEALTH CARE ACT 11 0pposition to this legislation means support for the status quo that is Obamacare. This is unsustainable and reckless. Many lawmakers in Congress have long promised their constituents they would repeal and replace Obamacare with a cost-effective, patient centered, sustainable alternative. By passing this legislation they can fulfill this commitment to voters." OMB-American Oversight-000153 1 OMB048FY17127b_000002628 -Grover Norquist, President, Americans for Tax Reform 'Yesterday's release of the House Republican Obamacare replacement package is a long awaited moment in Congress delivering on its promise to repeal and replace the Affordable Care Act. The failed law's government-mandated approach to healthcare has significantly increased the cost of care, and as a result, has left nearly 1/3 of all U.S. counties with only one option for health insurance in the individual market. This is unacceptable." -Mia Heck, Director of the Health and Human Services Task Force, American Legislative Exchange Council 'The AHCA embraces a long-term goal of free market advocates: the creation of a tax credit that empowers consumers and families by putting them in charge of their health care decisions. This is an approach that has long been endorsed and supported by countless conservative Members of Congress, free market think tanks, and taxpayer advocacy organizations. The ACHA would also implement historically significantly reforms such as a major expansion of Health Savings Accounts, an overhaul of Medicaid that puts the massive program on a budget for the first time ever, and a huge tax cut that saves taxpayers hundreds of billions of dollars." -Brandon Arnold, Vice President, National Taxpayers Union 111 The American Health Care Act builds on more than two decades of work to improve health care for all Americans. It reflects the best ideas about how to lower costs and improve access within a patient-centered system. By focusing on you - the individual - Congress can improve care for all. President Trump is right that action is a necessity, not a choice. Obamacare is collapsing. Across America costs are skyrocketing while access and choices are disappearing. The House has seized this important opportunity to get health care reform right."' -One Nation Health Coalition 11 Millions of seniors were promised time and again by the Obama Administration that they could keep their health plans and they could keep their doctors. The last six years have proved those promises false, and millions of seniors have been forced off their health plans and out of their doctors' offices ... AMAC has repeatedly called on Congress to repeal the Obama Administration's failed health care law, and to put the power of health care choices back into the hands of patients ... this bill lays the necessary foundation for more robust and necessary changes to repeal Obamacare in its entirety." -Dan Weber, President, Association of Mature American Citizens 11 NAW believes that our nation's health care system is overly burdened by government mandates and taxes and that movement toward a more market-oriented, patient-centered system is the surest path toward higher quality, lower cost and enhanced access. This package represents real progress in this regard, strengthening our private, voluntary employment-based health benefits system which currently provides coverage to approximately 177 million Americans." -Jim Anderson, Vice President, National Association of Wholesaler- Distributors ### FOR IM MEDIA TE RELEASE March 7, 2017 Contact: HHS Press Office 202-690-6343 media@hhs.gov OMB-American Oversight-000154 2 OMB048FY17127b_000002628 The American Health Care Act Is Critical First Step Toward Protecting Patients Washington, DC-The American Health Care Act, the healthcare reconciliation legislation recently released in the U.S. House of Representatives, is a critical first step toward implementing patient-centered solutions and rescuing Americans from the failures of the status quo. As Health and Human Services Secretary Tom Price, M.D., has outlined, there are three phases to the repeal and reform effort, including both legislative and administrative actions. With Congress considering reconciliation legislation, the Department of Health and Human Services (HHS) continues its work on the next two steps: taking administrative actions that will create a healthier insurance market and alleviate the burden the current healthcare law imposed on Americans, and supporting work on legislation that will include reforms not permitted under reconciliation, such as purchase of insurance across state lines. Ongoing Administrative Actions To relieve the burden that the current healthcare law has placed on millions of Americans, HHS has already begun a number of key administrative actions, including: Reforms to stabilize insurance markets and increase coverage choices for patients beginning as early as 2018; Loosening restrictions on the financial structure of insurance plans offered on the exchanges to allow patients access to lower premium options; and Improving choices for patients and putting downward pressure on prices by curbing abuses of the enrollment periods and encouraging full-year enrollment. Future administrative actions will help provide more options for patients, give states flexibility on how they spend their Medicaid dollars, and ensure a stable transition to any law Congress passes. Further Congressional Action In addition to the reconciliation bill, HHS supports legislation to take action on other priorities President Trump has laid out for healthcare, including: Increasing competition and choice by promoting the sale of insurance across state lines; Removing even more of the current healthcare law's regulations on insurance; Reducing out-of-control drug costs; and New legal reforms to cut costs for patients and doctors. America's healthcare system should be focused on the patient, by promoting quality, accessibility, affordability, innovation, and empowerment. Secretary Price looks forward to working with Congress to ensure that these principles become a reality for all Americans. ### OMB-American Oversight-000155 3 OMB048FY17127b_000002628 J March 6, 2017 The Health Bill You've Waited For Kevin ;ObamaCare is collaios1nq act dec1~>1v1~1v message rr.n,..,rt::H>Cl•"n<>I ti[[Ll2ru;;§!:!J::1~lli!~!!!J"il'.~, Committees ObamaCare's failures and which will rescue those nA'tiP.:11t-r.P.11tf~rP.rl health-care ''"'',ti::.1m "'lilTiiri<'lt'lnrl the n,,,.1-,~liliPC attached tO Americans to need and cannot also dismantles the ObamaCare taxes that have orlo ve1·-s1Jo11scJred health Americans can continue coverage on their on~-e1x1~>t1r1a conditions cannot be denied poil1c1es. Nc1bcdy imnri,rt:::1nt reform on enrollment status, are. le~iislation establishes a Patient and State St<:ibility Fund care OMB-American Oversight-000156 to 1 OMB048FY17127b_000002629 States that fund will 'lave broad tlexitlilityto Ce'veloo states tools proposes scale. PYn~nn health-::;a 1111nas accounts so Americans can save and dcuble '.)0 bill is now online for lead consider it later this week. Our open process will po111c11es, offer amendments and After seven choices and of ObamaCare's the An,pr·ir:::1n peo1p1e OMB-American Oversight-000157 the ReipLJblicc:ms are committed rh'"""''"' 2 of their costs, P.xn;::infll1nn health care. OMB048FY17127b_000002629 WHIP LO ALERT - ICYMI: Letter from HHS Secretary Price, Key Talking Points, and Additional Committee Documents From: "Herrle, Cindy'' <(b) (6) To: "Howard, Benjamin" (b) (6) (b) (6) (b) (6) (b) (6) Dan Kowalski (b) , Hazen Marshall (b) (6) , "Freeland, Jeff K. EOP/OMB" (b) (6) (6) , George Everly , Jane Lee , Monica Popp Date: Tue, 07 Mar 2017 12:26:16 -0500 Attachments: Price Letter re Reconciliation Bills.pdf (381.21 kB); Obamacare By The Numbers_030717. pdf (118.43 kB); One-Pager .pdf (101.76 kB); Messaging_ByTheNumbers_Final_E&C.PDF (31.18 kB); HelpingPeopleBuyCoverage_E&C.PDF (76.79 kB) Good morning, Please find attached a letter of support for the American Health Care Act from HHS Secretary Price. Also attached are additional documents courtesy of the Energy and Commerce and Ways and Means Committees. The release of the text and the announcement of committee markups at Energy and Commerce and Ways and Means marks the beginning of an historic month in the House. We are fulfilling our promise to the American people to repeal and replace Obamacare. The legislation: • • • • Eliminates the individual mandate penalty Eliminates the employer mandate penalty Repeals the Obamacare tax increases Repeals the Obamacare slush fund • • • • Moves toward equalizing the tax treatment between employer coverage and individual market coverage Provides refundable tax credits - a policy concept included in then Rep. Tom Price's legislation, the Better Way Agenda, and the Sen. Paul/Rep. Sanford legislation Ends the Medicaid expansion Eliminates an entitlement - an unprecedented achievement • Includes the largest Medicaid reform in the 52-year history of the program Also, please note the House Republican Conference landing page here. #ReadTheBill Let us know if you have any questions. Thanks, -Chris Chris Hodgson Deputy Floor Director Majority Whip Steve Scalise (LA-01) Office: (b) (6) Mobile:(b) (6) OMB-American Oversight-000158 1 OMB048FY17127b_000002638 ?1152 i212?11?122121 221?? 15222122 212211 122152122552 222112212223 25122511112122; 11.11;. 2112551 WE $2122.31? .3 7 EE5151. (352:1; E-E-5112. 2:222:11: {3155:1532ng {211-2152211212} 2151 531:3(Z2223111122c1: 2:351 271252123 232: E2E522212 2123 2551215111 EusEdm-"r E20222: 2E33E :5 213515 E32115: {3.133215111111121 25255253121311 23211.12 {31212217555511 Em?y: {.3121 [Em 1311:1111 11:11 222111211531 :11 12151217523217 22222211111115.25122511361312 fur 25.211522121212221: ?12355322252. $215 22521323 1315:: 3? 12E 25:22 1.111155 311115.212. 1212; E11311: $1225 15231213222 {if {he E3125: 311:1? 3315221: 13213232222212: 21221153223512; rEmE 1:125:11?rid2: 211E 3211:221-2221512; 2222:2222; 11.2 :2 212215.121}: 11532253122112.5512. 1251125111212: 51111221251252.5115. 211d {1122:}: 1223222 22E 3111:1161 E22: 15112.1 2.. 2.555351% {111-22212112g 1.3151212Egi1222211. 7 I I Eggi 2111:1212: 213:2 5:51:51: E22221: with E?E?ti': EEucsidanE? :1 2.2225311121151221: 132.5 132211521 1E52.11E221212E1 12 {3:123:21 91-21:; 25521122212? 113.2 2:262:23. E215: 22152222211112: 233132 1111::- 21312221125 2221-3 :2i122 E1251153E?Etfg 5E113s1511331 11121555212121: {$2311.23 bf; 1h {:11 125153131?: p111: 22:2 :1 13.25112 E1115 212212152115: 25.311322111321112 122 1:112: 122::- Emma;- 1 ranger 12525215522.? 5.1.32 $153225: 2112221 in newt 2112122222.? 1221132111255 511121 1115.: 53232351251 211d {Es-2222115111 E32223 15312:: $52352 2:151:32 332232 112523: 3252?111g51 2125;211:1119; 215223.12?: :1 2213:: 2111311211122: 1121122231- E52521: 13515:; 21.2121231111 5:12: (11112: 32:1?? 2.13112 3312:5122?: peapEs 115.2}: 15121:: 5.222511% 22221222155152 111E 152222 1122;211:515 1115:2122: 111.2151 2211.111: 221 k: 211 1.5. budgm 13222-211121E221122021 215; 113.31.52.25d111?31 2211 13px;: 112.11 1:11.211 25:15 1:371:13 {22312622522 .111 2222111; 121215222122 212221212521 51151-52 ?12222 E1121- 11211121112 {12222221252 :15; 522152112; 51.55} ?aming? 5.21 E251 31:25:22: 12.35 111513111125: 22252: magmas?; E3515. 22-515: 12521222522 21315: 1122213: 1511E212511E1E1: 135122221112; EcgE? 12E2 W211: "?231,531 garam? 121:2 1312?: .122an 2 1112212152221: 2:121:33 Err-51121312: 11:: {2.2121 2152;: {2511221123 2:51.11 1112212212522 11.2 221-2122222111} p225>?1E REE-E 1:25:52: {2313-1251253 11:5 21523222111 22122}: 3132211: thraugimm the: EegisE-Emm. 2: 13552122525; mak??g 252353222211 5.135162 ?1111121112212?: ?E2212g2221, 2551.22 1:5:221525?5g 23323325111121.11121:5:ng 22E 1112.2; 3.111112122121132: 23511 $52: 2- Yams: mew I 112-3121252512; E75. 2322123. .2231). :3 12.11: rfor mllions ly Poli::ifact 20-3 Lie Year on the indivirlu:::il Oban~acare in Uk:::i :::fa_te OMB-American Oversight-000160 1 OMB048FY17127b_000002640 not mandates lt of -1ealt'l re. _atic'ls. a care section OMB-American Oversight-000161 2 lations are actual of OMB048FY17127b_000002640 Providing American Families and Small Business Tax Relief: • Delivers relief from 15 burdensome Obama care taxes Advancing Consumer Directed Health Accounts: • Enacts three HSA policies that were passed by the House, through regular order last year: o Maximum contribution at deductible and out-of-pocket level. Under current law, annual HSA contributions are limited to $3,400 for individuals and $6,750 for families. The provision would increase the contribution limits to the combined annual limit on out-of-pocket and deductible expenses. In 2017, those levels would be $6,550 for individuals and $13,100 for families. o Spousal Catch-Up Contributions. Under current law, if both spouses are HSA-eligible and age 55 or older, they must open separate HSA accounts for their respective "catch-up" contributions. The provision would allow both spouses to deposit their catch-up contributions into one account. o Special rule for certain medical expenses incurred before establishment of HSA. Under current law, taxpayers may use HSA funds only for qualified medical expenses incurred after the establishment of the HSA, which might be some time after the establishment of the associated high-deductible health plan (HDHP). The provision would treat HSAs opened within 60 days after gaining coverage under a HDHP as having been opened on the same day as the HDHP. Ensuring Access to Financial Assistance through a New Individual Tax Credit: • Creates a new "backpack" of financial support for the purchase of health insurance: o For those who do not have access to job-based coverage, Medicare, or Medicaid, our plan provides an advanceable, refundable tax credit for individuals and families o This portable payment - available at the beginning of every month and grown over time by CPl+l- would be adjusted for age, ensuring older Americans receive more support: • $2,000 (0-29 years old) • $2,500 (30-39) • $3,000 (40-49) • $3,500 (50-59) • $4,000 (60-64) o The credit will be directed by enrollees toward the state-approved, major medical health insurance plan of their choice. Any excess credit can be deposited into an eligible person's HSA. o The credits are additive for a family and capped at $14,000. o The credits are available in full to those making $75,000 per year ($150,000 joint filers). The credit phases out by $100 for every $1,000 in income higher than those thresholds. o Unlike today, the monopoly of healthcare.gov would be broken to allow for different paths to access financial assistance. o As under current law, individuals who are in this country unlawfully would be ineligible for this new portable payment. Further, this new payment would not be allowed to pay for abortion coverage or services. Prepared by the Committee on Ways and Means Majority Staff OMB-American Oversight-000162 1 March 6, 2017 OMB048FY17127b_000002641 Average increase in premiums this year on the Obamacare HealthCare.gov exchanges (Source: HHS) Nearly 1/3 of US counties have only 1 insurer offering exchange plans (Source: Kaiser Family Foundation) Americans kicked off their health care plans by Obamacare (Source: Associated Press) 1 Obamacare contained $1 trillion in new taxes, mostly falling on families and job creators (Source: Senate Budget and Finance Committees) Failed Obamacare Co-Ops out of 23, costing taxpayers nearly $1.9 billion and forcing patients to find new insurance. (Source: House Energy and Commerce Committee) II New Obamacare regulations requiring more than 176,800,000 hours of paperwork (Source: American Action Forum) Individual Democrat votes for bills considered in the House that would repeal, modify, delay, or defund all or parts of Obamacare (Source: House Energy and Commerce Committee) Bills that repealed, modified, delayed, or defunded all or parts of Obamacare that were signed into law by President Obama (Source: House Energy and Commerce Committee) 1 Taxpayers that either paid the individual mandate penalty or claimed an exemption, compared to 10.3 million individuals who paid for plans on Obamacare exchanges {Source: House Energy and Commerce Committee) The individual mandate is not encouraging younger, healthier individuals to purchase health insurance. 45% of taxpayers who paid or avoided the individual mandate were under age 35 (Source: House Energy and Commerce Committee) 1 The top 1% of patients account for nearly one-quarter of all health spending (23%). (Source: Kaiser Family Foundation) OMB-American Oversight-000163 1 OMB048FY17127b_000002642 I Our goal is simple: Helping people buy affordable health care. We achieve this goal in several ways. First, we help bring down the costs of care so everyone has a fair shot at affordable coverage. To drive down costs, we offer four new ideas: giving patients more health care options, improving how much consumers pay by age, providing states with incentives to help cover lower-income Americans and stabilize markets, and a new continuous coverage protection. Taken together, these four solutions help every get - and keep - better health care. Next, we provide Americans access to a portable, monthly tax credit that they can use to buy a health insurance plan that is right for them - not one tied to a job or a government-mandated program. President Trump called for a tax credit and our plan delivers on his call, providing an age-based credit, so as individuals' health needs evolve over time, so will their monthly, portable tax credit. It can travel with them from job-tojob, state-to-state, home to start a business or raise a family, and even into retirement. Even more, our plan provides a solution to help states increase the number of patients with health coverage: The Patient and State Stability Fund. This new and groundbreaking fund can help states lower the cost of care for some of their most vulnerable patients. The fund will help repair state markets damaged by Obamacare. States can use the funds to cut out-of-pocket costs, like premiums and deductibles. States may also use these resources to promote access to preventive services, like getting an annual checkup, as well as dental and vision care. States could use these resources to promote participation in private health insurance or to increase the number of options available through the market. Even more, they have the option to arrange partnerships with health care providers to support their efforts to provide care. Finally, we get rid of Washington's one-size-fits-all health care plans. In a nation of over 323 million people, each with different needs and circumstances, it makes no sense for one federal agency to dictate the contents of every American's health insurance plan. And it makes even less sense to impose a tax penalty on any American who chooses not to purchase that plan. Americans deserve a competitive insurance marketplace that provides quality care at an affordable cost. But, this does not mean returning to the pre-Obamacare status quo. OMB-American Oversight-000164 1 OMB048FY17127b_000002643 Scalise: WHIP LD ALERT - ICYMI: Letter from HHS Secretary Price, Key Talking Points, and Additional Committee Documents From: "Hodgson, Chris" (b) (6) To: "Hodgson, Chris" (b) (6) Cc: "Bravo, Matt" (b) (6) , "Napier, Ben" (b) (6) Date: Tue, 07 Mar 2017 10:21 :38 -0500 Attachments: Price Letter re Reconciliation Bills.pdf (381.21 kB); Obamacare By The Numbers_030717.pdf (118.43 kB); One-Pager .pdf (101.76 kB); Messaging_ByTheNumbers_Final_E&C.PDF (31.18 kB); HelpingPeopleBuyCoverage_E&C.PDF (76.79 kB) Good morning, Please find attached a letter of support for the American Health Care Act from HHS Secretary Price. Also attached are additional documents courtesy of the Energy and Commerce and Ways and Means Committees. The release of the text and the announcement of committee markups at Energy and Commerce and Ways and Means marks the beginning of an historic month in the House. We are fulfilling our promise to the American people to repeal and replace Obamacare. The legislation: • • • • Eliminates the individual mandate penalty Eliminates the employer mandate penalty Repeals the Obamacare tax increases Repeals the Obamacare slush fund • • Moves toward equalizing the tax treatment between employer coverage and individual market coverage Provides refundable tax credits - a policy concept included in then Rep. Tom Price's legislation, the Better Way Agenda, and the Sen. Paul/Rep. Sanford legislation Ends the Medicaid expansion Eliminates an entitlement - an unprecedented achievement Includes the largest Medicaid reform in the 52-year history of the program • • • Also, please note the House Republican Conference landing page here. #ReadTheBill Let us know if you have any questions. Thanks, -Chris Chris Hodgson Deputy Floor Director Majority Whip Steve Scalise (LA-01) Office: (b) (6) Mobile: (b) (6) OMB-American Oversight-000165 1 OMB048FY17127b_000002652 ?1152 i212?11?122121 221?? 15222122 212211 122152122552 222112212223 25122511112122; 11.11;. 2112551 WE $2122.31? .3 7 EE5151. (352:1; E-E-5112. 2:222:11: {3155:1532ng {211-2152211212} 2151 531:3(Z2223111122c1: 2:351 271252123 232: E2E522212 2123 2551215111 EusEdm-"r E20222: 2E33E :5 213515 E32115: {3.133215111111121 25255253121311 23211.12 {31212217555511 Em?y: {.3121 [Em 1311:1111 11:11 222111211531 :11 12151217523217 22222211111115.25122511361312 fur 25.211522121212221: ?12355322252. $215 22521323 1315:: 3? 12E 25:22 1.111155 311115.212. 1212; E11311: $1225 15231213222 {if {he E3125: 311:1? 3315221: 13213232222212: 21221153223512; rEmE 1:125:11?rid2: 211E 3211:221-2221512; 2222:2222; 11.2 :2 212215.121}: 11532253122112.5512. 1251125111212: 51111221251252.5115. 211d {1122:}: 1223222 22E 3111:1161 E22: 15112.1 2.. 2.555351% {111-22212112g 1.3151212Egi1222211. 7 I I Eggi 2111:1212: 213:2 5:51:51: E22221: with E?E?ti': EEucsidanE? :1 2.2225311121151221: 132.5 132211521 1E52.11E221212E1 12 {3:123:21 91-21:; 25521122212? 113.2 2:262:23. E215: 22152222211112: 233132 1111::- 21312221125 2221-3 :2i122 E1251153E?Etfg 5E113s1511331 11121555212121: {$2311.23 bf; 1h {:11 125153131?: p111: 22:2 :1 13.25112 E1115 212212152115: 25.311322111321112 122 1:112: 122::- Emma;- 1 ranger 12525215522.? 5.1.32 $153225: 2112221 in newt 2112122222.? 1221132111255 511121 1115.: 53232351251 211d {Es-2222115111 E32223 15312:: $52352 2:151:32 332232 112523: 3252?111g51 2125;211:1119; 215223.12?: :1 2213:: 2111311211122: 1121122231- E52521: 13515:; 21.2121231111 5:12: (11112: 32:1?? 2.13112 3312:5122?: peapEs 115.2}: 15121:: 5.222511% 22221222155152 111E 152222 1122;211:515 1115:2122: 111.2151 2211.111: 221 k: 211 1.5. budgm 13222-211121E221122021 215; 113.31.52.25d111?31 2211 13px;: 112.11 1:11.211 25:15 1:371:13 {22312622522 .111 2222111; 121215222122 212221212521 51151-52 ?12222 E1121- 11211121112 {12222221252 :15; 522152112; 51.55} ?aming? 5.21 E251 31:25:22: 12.35 111513111125: 22252: magmas?; E3515. 22-515: 12521222522 21315: 1122213: 1511E212511E1E1: 135122221112; EcgE? 12E2 W211: "?231,531 garam? 121:2 1312?: .122an 2 1112212152221: 2:121:33 Err-51121312: 11:: {2.2121 2152;: {2511221123 2:51.11 1112212212522 11.2 221-2122222111} p225>?1E REE-E 1:25:52: {2313-1251253 11:5 21523222111 22122}: 3132211: thraugimm the: EegisE-Emm. 2: 13552122525; mak??g 252353222211 5.135162 ?1111121112212?: ?E2212g2221, 2551.22 1:5:221525?5g 23323325111121.11121:5:ng 22E 1112.2; 3.111112122121132: 23511 $52: 2- Yams: mew I 112-3121252512; E75. 2322123. .2231). :3 12.11: rfor mllions ly Poli::ifact 20-3 Lie Year on the indivirlu:::il Oban~acare in Uk:::i :::fa_te OMB-American Oversight-000167 1 OMB048FY17127b_000002654 not mandates lt of -1ealt'l re. _atic'ls. a care section OMB-American Oversight-000168 2 lations are actual of OMB048FY17127b_000002654 Providing American Families and Small Business Tax Relief: • Delivers relief from 15 burdensome Obama care taxes Advancing Consumer Directed Health Accounts: • Enacts three HSA policies that were passed by the House, through regular order last year: o Maximum contribution at deductible and out-of-pocket level. Under current law, annual HSA contributions are limited to $3,400 for individuals and $6,750 for families. The provision would increase the contribution limits to the combined annual limit on out-of-pocket and deductible expenses. In 2017, those levels would be $6,550 for individuals and $13,100 for families. o Spousal Catch-Up Contributions. Under current law, if both spouses are HSA-eligible and age 55 or older, they must open separate HSA accounts for their respective "catch-up" contributions. The provision would allow both spouses to deposit their catch-up contributions into one account. o Special rule for certain medical expenses incurred before establishment of HSA. Under current law, taxpayers may use HSA funds only for qualified medical expenses incurred after the establishment of the HSA, which might be some time after the establishment of the associated high-deductible health plan (HDHP). The provision would treat HSAs opened within 60 days after gaining coverage under a HDHP as having been opened on the same day as the HDHP. Ensuring Access to Financial Assistance through a New Individual Tax Credit: • Creates a new "backpack" of financial support for the purchase of health insurance: o For those who do not have access to job-based coverage, Medicare, or Medicaid, our plan provides an advanceable, refundable tax credit for individuals and families o This portable payment - available at the beginning of every month and grown over time by CPl+l- would be adjusted for age, ensuring older Americans receive more support: • $2,000 (0-29 years old) • $2,500 (30-39) • $3,000 (40-49) • $3,500 (50-59) • $4,000 (60-64) o The credit will be directed by enrollees toward the state-approved, major medical health insurance plan of their choice. Any excess credit can be deposited into an eligible person's HSA. o The credits are additive for a family and capped at $14,000. o The credits are available in full to those making $75,000 per year ($150,000 joint filers). The credit phases out by $100 for every $1,000 in income higher than those thresholds. o Unlike today, the monopoly of healthcare.gov would be broken to allow for different paths to access financial assistance. o As under current law, individuals who are in this country unlawfully would be ineligible for this new portable payment. Further, this new payment would not be allowed to pay for abortion coverage or services. Prepared by the Committee on Ways and Means Majority Staff OMB-American Oversight-000169 1 March 6, 2017 OMB048FY17127b_000002655 Average increase in premiums this year on the Obamacare HealthCare.gov exchanges (Source: HHS) Nearly 1/3 of US counties have only 1 insurer offering exchange plans (Source: Kaiser Family Foundation) Americans kicked off their health care plans by Obamacare (Source: Associated Press) 1 Obamacare contained $1 trillion in new taxes, mostly falling on families and job creators (Source: Senate Budget and Finance Committees) Failed Obamacare Co-Ops out of 23, costing taxpayers nearly $1.9 billion and forcing patients to find new insurance. (Source: House Energy and Commerce Committee) II New Obamacare regulations requiring more than 176,800,000 hours of paperwork (Source: American Action Forum) Individual Democrat votes for bills considered in the House that would repeal, modify, delay, or defund all or parts of Obamacare (Source: House Energy and Commerce Committee) Bills that repealed, modified, delayed, or defunded all or parts of Obamacare that were signed into law by President Obama (Source: House Energy and Commerce Committee) 1 Taxpayers that either paid the individual mandate penalty or claimed an exemption, compared to 10.3 million individuals who paid for plans on Obamacare exchanges {Source: House Energy and Commerce Committee) The individual mandate is not encouraging younger, healthier individuals to purchase health insurance. 45% of taxpayers who paid or avoided the individual mandate were under age 35 (Source: House Energy and Commerce Committee) 1 The top 1% of patients account for nearly one-quarter of all health spending (23%). (Source: Kaiser Family Foundation) OMB-American Oversight-000170 1 OMB048FY17127b_000002656 I Our goal is simple: Helping people buy affordable health care. We achieve this goal in several ways. First, we help bring down the costs of care so everyone has a fair shot at affordable coverage. To drive down costs, we offer four new ideas: giving patients more health care options, improving how much consumers pay by age, providing states with incentives to help cover lower-income Americans and stabilize markets, and a new continuous coverage protection. Taken together, these four solutions help every get - and keep - better health care. Next, we provide Americans access to a portable, monthly tax credit that they can use to buy a health insurance plan that is right for them - not one tied to a job or a government-mandated program. President Trump called for a tax credit and our plan delivers on his call, providing an age-based credit, so as individuals' health needs evolve over time, so will their monthly, portable tax credit. It can travel with them from job-tojob, state-to-state, home to start a business or raise a family, and even into retirement. Even more, our plan provides a solution to help states increase the number of patients with health coverage: The Patient and State Stability Fund. This new and groundbreaking fund can help states lower the cost of care for some of their most vulnerable patients. The fund will help repair state markets damaged by Obamacare. States can use the funds to cut out-of-pocket costs, like premiums and deductibles. States may also use these resources to promote access to preventive services, like getting an annual checkup, as well as dental and vision care. States could use these resources to promote participation in private health insurance or to increase the number of options available through the market. Even more, they have the option to arrange partnerships with health care providers to support their efforts to provide care. Finally, we get rid of Washington's one-size-fits-all health care plans. In a nation of over 323 million people, each with different needs and circumstances, it makes no sense for one federal agency to dictate the contents of every American's health insurance plan. And it makes even less sense to impose a tax penalty on any American who chooses not to purchase that plan. Americans deserve a competitive insurance marketplace that provides quality care at an affordable cost. But, this does not mean returning to the pre-Obamacare status quo. OMB-American Oversight-000171 1 OMB048FY17127b_000002657 ICYMI: WHIP LD ALERT- Budget Reconciliation Text & Supporting Documents From: "Heme, Cindy'' (b) (6) To: "Howard, Benjamin" (b) (6) George Everly (b) (6) Jane Lee(b) (6) Monica Popp (b) (6) , Dan Kowalski (b) (6) , Hazen Marshall (b) (6) "Freeland, Jeff K. EOP/OMB" (b) (6) , Date: Mon, 06 Mar 2017 19:57:03 -0500 I Good evening, Repeal and Replace is here! Text of the FY2017 Budget Reconciliation Legislative Recommendations is now available. The Energy & Commerce Committee print can be found here and the Ways & Means Committee print can be found here. Please find below links to the House Energy & Commerce and Ways & Means Committee documents ahead of their markups this week: • Energy & Commerce Committee Press Release: https://energycommerce.house.gov/news-center/pressreleases/energy-and-commerce-republicans-release-legislation-repeal-and-replace Energy & Commerce Committee Section-by-Section: http://energycommerce.house.gov/sites/republicans.energycommerce.house.gov/files/documents/Sectionby-Section%20Summary Final.pdf Ways & Means Committee Press Release: https://waysandmeans.house.gov/american-health-care-act/ • • Ways & Means Committee Section-by-Section: _h_tj:Q_!jjJ_\l\/_c:t_Y~.9_!1_Q!!l_~_c:t_Q~_,bg_1,1_~_~,gQyf":V.P:: content/up loads/2017 /03/03.06.17-Section-by-Section.pdf Ways & Means Committee Two-Pager: https://waysandmeans.house.gov/wpcontent/uploads/2017 /03/03.06.17-American HealthCareAct Summary.pdf • • Let us know if you have any questions. Thanks, -Chris Chris Hodgson Deputy Floor Director Majority Whip Steve Scalise (LA-01) Office: (b) (6) Mobile: (b) (6) OMB-American Oversight-000172 1 OMB048FY17127b_000002663 Page 1 of 1 NEC Healthcare Meeting Where: COS Office When: Thu Mar 02 17:00:00 2017 (America/New_York) Until: Thu Mar 02 18:00:00 2017 (America/New_York) "Mulvaney, John M. EOP/OMB" (b) (6) Organiser: Required Attendees: "Vought, Russell T. EOP/OMB" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Anderson, Jessica C. EOP/OMB" (b) (6) OMB-American Oversight-000173 mhtml:https://ringtail.apps.pitc.gov/Ringtail/Documents/Document/ImageViewer/File?docu... 6/5/2017 Page 1 of 2 Canceled: Daily Health Care Meeting Where: Roosevelt Room When: Wed Mar 08 17:30:00 2017 (America/New_York) Until: Wed Mar 08 18:00:00 2017 (America/New_York) Recurs: every week on Wednesday from 5:30 PM to 6:00 PM Organiser: "Curry, Cat E. EOP/WHO" (b) (6) Required Attendees: "Curry, Catherine E. EOP/WHO" (b) (6) "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Perez-Rivera, Diana (CMS/OA)" (b) (6) (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Stepien, William EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" <(b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) "Pitcock, Joshua M. EOP/OVP" OMB-American Oversight-000174 mhtml:https://ringtail.apps.pitc.gov/Ringtail/Documents/Document/ImageViewer/File?docu... 6/5/2017 Page 2 of 2 (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) "Teller, Paul S. EOP/WHO" (b) (6) "Harrison, Jessica (OS/IOS)" (b) (6) CMS SV1 (b) (6) "Arbes, Sarah (HHS/ASL)" (b) (6) "Pavlik, Jennifer L. EOP/OVP" (b) (6) "Patenaude, Meghan C. EOP/OVP" (b) (6) "Koenig, Andrew D. EOP/WHO" (b) (6) Optional Attendees: "Long, Dylan D. CIV EOP"(b) (6) "Twomey, John K. (OS/IOS)" (b) (6) Attachments: Unnamed Attachment (169.98 kB); Canceled: Daily Health Care Meeting (193.54 kB) Meeting will take place in the Roosevelt Room -----Original Message----From: Short, Marc T. EOP/WHO Sent: Monday, March 6, 2017 9:36 AM To: Ditto, Jessica E. EOP/WHO (b) (6) ; Dubke, Michael D. EOP/WHO (b) (6) ; Meyer, Joyce Y. EOP/WHO (b) (6) ; Dearborn, Rick A. EOP/WHO (b) (6) ; Cohn, Gary D. EOP/WHO (b) (6) ; Mulvaney, John M. EOP/OMB (b) (6) ; Vought, Russell T. EOP/OMB (b) (6) Bremberg, Andrew P. EOP/WHO (b) (6) ; Sifakis, George A. EOP/WHO (b) (6) ; Kushner, Jared C. EOP/WHO (b) (6) ; Bannon, Stephen K. EOP/WHO (b) (6) ; Reince Priebus (b) (6) ; Stepien, William EOP/WHO (b) (6) Cc: Curry, Catherine E. EOP/WHO (b) (6) Subject: Health Care Folks, (b) (5) Thanks for your attention to the OMB-American Oversight-000175 mhtml:https://ringtail.apps.pitc.gov/Ringtail/Documents/Document/ImageViewer/File?docu... 6/5/2017 Page 1 of 1 Accepted: NEC Healthcare Meeting Where: COS Office When: Thu Mar 02 17:00:00 2017 (America/New_York) Until: Thu Mar 02 18:00:00 2017 (America/New_York) Organiser: Required Attendee: Optional Attendee: OMB-American Oversight-000176 mhtml:https://ringtail.apps.pitc.gov/Ringtail/Documents/Document/ImageViewer/File?docu... 6/5/2017 Page 1 of 1 Accepted: "Health Proposals" Where: EEOB Room 238 When: Fri Jan 27 15:30:00 2017 (America/New_York) Until: Fri Jan 27 16:30:00 2017 (America/New_York) Organiser: Required Attendee: Optional Attendee: OMB-American Oversight-000177 mhtml:https://ringtail.apps.pitc.gov/Ringtail/Documents/Document/ImageViewer/File?docu... 6/5/2017 Page 1 of 2 Sunday Shows: ABC and CBS Where: Face the Nation - 2020 M Street NW When: Sun Mar 12 08:40:00 2017 (America/New_York) Until: Sun Mar 12 10:40:00 2017 (America/New_York) "Mulvaney, John M. EOP/OMB" (b) (6) Organiser: Required Attendees: "Sellers, Douglas C. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) "Doyle, Emma K. EOP/OMB" (b) (6) Hey Alexa, The Director is good to go for both ABC and CBS Sunday shows. He will go to the CBS studio and do a live hit with George (ABC) at 9 AM then do a pretape with John Dickerson (CBS) directly following. The topics will include healthcare (mostly) with a possible sprinkle of budget. Kailey, The Director will need to arrive to the studio by 8:40. Please find studio details below: ADDRESS: Face the Nation 2020 M Street NW Washington, DC 20036 PHONE: (b) (6) E-MAIL: (b) (6) Many thanks, Coalter Coalter Baker OMB-American Oversight-000178 mhtml:https://ringtail.apps.pitc.gov/Ringtail/Documents/Document/ImageViewer/File?docu... 6/5/2017 Page 2 of 2 Office of Management and Budget Direct: (b) (6) Mobile: (b) (6) OMB-American Oversight-000179 mhtml:https://ringtail.apps.pitc.gov/Ringtail/Documents/Document/ImageViewer/File?docu... 6/5/2017 Director Mulvaney LIVE TV Interview - CNN's "New Day" with Chris Cuomo Where: 400 N Capitol St NW, Suite 366 When: Tue Mar 14 08:00:00 2017 (America/New_York) Until: Tue Mar 14 08:10:00 2017 (America/New_York) Organiser: "Hurley, Carolina L. EOP/WHO" (b) (6) Required Attendees: "Czwartacki, John S. EOP/OMB" (b) (6) "Baker, John" (b) (6) "Henning, Alexa A. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Epshteyn, Boris EOP/WHO" (b) (6) ****LIVE TV INTERVIEW**** DATE:Tuesday, March 14 Tl ME: 8:00 AM EST MARKET: National OUTLET: CNN, New Day ANCHOR:Chris Cuomo LENGTH: 7 - 9 min LOCATION: 400 N Capitol Street, Suite 366 CONTACT: Steve Clarlk - (b) (6) ff Alexa Miranda, (b) (6) TOPICS: CBO Report, status of AHCA, budget concerns OMB-American Oversight-000180 1 Director Mulvaney LIVE TV Interview - MSNBC's "Morning Joe" with Mika Brzezinski, Mark Halperin, John Heilemann, Jeremy Peters and Kasie Hunt Where: 400 N Capitol St, Suite 850 When: Tue Mar 14 07:45:00 2017 (America/New_York) Until: Tue Mar 14 07:55:00 2017 (America/New_York) Organiser: "Hurley, Carolina L. EOP/WHO" (b) (6) Required Attendees: "Czwartacki, John S. EOP/OMB" (b) (6) "Baker, John" (b) (6) "Henning, Alexa A. EOP/WHO" (b) (6) "Epshteyn, Boris EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) ****LIVE TV INTERVIEW**** DATE:Tuesday, March 14 Tl ME: 7:45 AM EST MARKET: National OUTLET: MSNBC, Morning Joe ANCHOR:Mika Brzezinski , Mark Halperin, John Heilemann, Jeremy Peters, Kasie Hunt LENGTH: 7 min LOCATION: 400 N Capitol Street, Suite 850 CONTACT: Jesse Rodriguez, (b) (6) TOPICS: CBO Report, status of AHCA OMB-American Oversight-000181 1 Budget Committee Markup of Reconciliation Where: 1334 When: Thu Mar 16 10:00:00 2017 (America/New_York) Until: Thu Mar 16 12:30:00 2017 (America/New_York) Organiser: "Freeland, Jeff K. EOP/OMB" (b) (6) Required Attendee: "Freeland, Jeff K.EOP/OMB"<(b) (6) MEDIA ADVISORY: House Budget Committee to Markup American Health Care Acton Wednesday Washington, DC The House Budget Committee will hold a markup this Wednesday to review the American Health Care Act. Note: Date and time are subject to change depending on weather. OMB-American Oversight-000182 1 Date: Wednesday, March 15, 2017 Time: 10:00 AM. Location: 1334 Longworth House Office Building OMB-American Oversight-000183 2 Director Mulvaney LIVE TV Interview - CNN's "New Day" with Chris Cuomo Where: 400 N Capitol St NW, Suite 366 When: Tue Mar 14 08:00:00 2017 (America/New_York) Until: Tue Mar 14 08:10:00 2017 (America/New_York) Organiser: "Hurley, Carolina L. EOP/WHO" (b) (6) Required Attendees: "Hurley, Carolina L. EOP/WHO" (b) (6) "Czwartacki, John S. EOP/OMB" (b) (6) "Baker, John" (b) (6) "Henning, Alexa A. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Epshteyn, Boris EOP/WHO" (b) (6) ****LIVE TV INTERVIEW**** DATE:Tuesday, March 14 Tl ME: 8:00 AM EST MARKET: National OUTLET: CNN, New Day ANCHOR:Chris Cuomo LENGTH: 7 - 9 min LOCATION: 400 N Capitol Street, Suite 366 CONTACT: Steve Clark - (b) (6) fl Alexa Miranda, (b) (6) TOPICS: CBO Report, status of AHCA, budget concerns OMB-American Oversight-000184 1 Director Mulvaney LIVE TV Interview - MSNBC's "Morning Joe" with Mika Brzezinski, Mark Halperin, John Heilemann, Jeremy Peters and Kasie Hunt Where: 400 N Capitol St, Suite 850 When: Tue Mar 14 07:45:00 2017 (America/New_York) Until: Tue Mar 14 07:55:00 2017 (America/New_York) Organiser: "Hurley, Carolina L. EOP/WHO" (b) (6) Required Attendees: "Hurley, Carolina L. EOP/WHO" (b) (6) "Czwartacki, John S. EOP/OMB" (b) (6) "Baker, John" (b) (6) "Henning, Alexa A. EOP/WHO" (b) (6) "Epshteyn, Boris EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) ****LIVE TV INTERVIEW**** DATE:Tuesday, March 14 Tl ME: 7:45 AM EST MARKET: National OUTLET: MSNBC, Morning Joe ANCHOR:Mika Brzezinski , Mark Halperin, John Heilemann, Jeremy Peters, Kasie Hunt LENGTH: 7 min LOCATION: 400 N Capitol Street, Suite 850 CONTACT: Jesse Rodriguez, (b) (6) TOPICS: CBO Report, status of AHCA OMB-American Oversight-000185 1 Fwd: Director Mulvaney LIVE TV Interview - MSNBC's "Morning Joe" with Mika Brzezinski, Mark Halperin, John Heilemann, Jeremy Peters and Kasie Hunt Where: 400 N Capitol St, Suite 850 When: Tue Mar 14 07:45:00 2017 (America/New_York) Until: Tue Mar 14 07:55:00 2017 (America/New_York) Organiser: "Hurley, Carolina L. EOP/WHO" (b) (6) Required Attendee: "Sellers, Douglas C. EOP/OMB" (b) (6) 2/3 Sent from my i Phone Begin forwarded message: From: "Hurley, Carolina L. EOP/WHO" (b) (6) To: "Czwartacki, John S. EOP/OMB" (b) (6) "Baker, John" , "Henning, Alexa A. EOP/WHO" (b) (6) (b) (6) "Epshteyn, Boris EOP/WHO" (b) (6) , "Dubke, Michael D. EOP/WHO" (b) (6) Subject: Director Mulvaney LIVE TV Interview - MSNBC's "Morning Joe" with Mika Brzezinski, Mark Halperin, John Heilemann, Jeremy Peters and Kasie Hunt ****LIVE TV INTERVIEW**** DATE:Tuesday, March 14 TIME: 7:45 AM EST MARKET: National OUTLET: MSN BC, Morning Joe ANCHOR: Mika Brzezinski, Mark Halperin, John Heilemann, Jeremy Peters, Kasie Hunt LENGTH: 7 min LOCATION: 400 N Capitol Street, Suite 850 CONTACT: Jesse Rodriguez, (b) (6) TOPICS: CBO Report, status of AHCA OMB-American Oversight-000186 1 , Fwd: Director Mulvaney LIVE TV Interview - CNN's "New Day" with Chris Cuomo Where: 400 N Capitol St NW, Suite 366 When: Tue Mar 14 08:00:00 2017 (America/New_York) Until: Tue Mar 14 08:10:00 2017 (America/New_York) Organiser: "Hurley, Carolina L. EOP/WHO" (b) (6) Required Attendee: "Sellers, Douglas C. EOP/OMB" (b) (6) In reverse chronicle order. 1 of 3. Sent from my i Phone Begin forwarded message: From: "Hurley, Carolina L. EOP/WHO" (b) (6) To: "Czwartacki, John S. EOP/OMB"(b) (6) "Baker, John" "Henning, Alexa A. EOP/WHO" (b) (6) (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) , "Epshteyn, Boris EOP/WHO" (b) (6) Subject: Director Mulvaney LIVE TV Interview - CN N's "New Day" with Chris Cuomo ****LIVE TV INTERVIEW**** DATE:Tuesday, March 14 TIME: 8:00 AM EST MARKET: National OUTLET: CNN, New Day ANCHOR:Chris Cuomo LENGTH: 7 - 9 min LOCATION: 400 N Capitol Street, Suite 366 CONTACT: Steve Clarlk - (b) (6) II Alexa Miranda, (b) (6) TOPICS: CBO Report, status of AHCA, budget concerns OMB-American Oversight-000187 1 , ICYMI WHIP LD ALERT - American Health Care Act CBO Score From: "Herrle, Cindy'' (b) (6) To: "Howard, Benjamin" (b) (6) Everly (b) (6) (b) (6) (b) (6) , Dan Kowalski (b) (6) Hazen Marshall (b) (6) , "Freeland, Jeff K. EOP/OMB" (b) (6) , George , Jane Lee Monica Popp Date: Mon, 13 Mar 2017 17:58:09 -0400 E Good evening, The Congressional Budget Office has released its initial score of the American Health Care Act, which it says will reduce the deficit by $337 billion over ten years. The CBO score can be found here. Key Points: CBO Confirms AHCA Lowers Premiums, Increases Choices A new Congressional Budget Office (CBO) estimate confirms that the American Health Care Act will lower premiums and increase access to quality, affordable care. The CBO's estimate shows that the legislation advances the core goals of our plan to repeal and replace Obamacare: • Lowers premiums by 10 percent. • Reduces the federal deficit by $337 billion. • Makes major entitlement reform, capping Medicaid spending for the first time, saving taxpayers $880 billion. • Lowers taxes by $883 billion, providing massive tax relief for middle-income Americans and small business owners. • Increases choices for consumers, creating a vibrant market where people will have more freedom and flexibility to get the plan they want. This report does not take into account additional steps Congress and the Trump administration are taking that will further lower costs and increase choices for families. • As an example, HHS Secretary Tom Price wrote a letter to governors today offering additional flexibility to improve market stabilization and affordable choices. We appreciate concerns about making sure people have access to coverage. • This report finds that most of the drop in coverage is attributed to repeal of the individual mandate, because people are no longer forced to purchase government-mandated coverage. • • • Under our plan, there will be a stable transition so that no one has the rug pulled out from under them. People who do not receive coverage through work or a government program will be provided with a tax credit to help purchase the plan of their choice. We are committed to making sure that every American has access to quality, affordable coverage. Obamacare has proven that government-mandated coverage does not equal access to care, and now the law is collapsing. • Our plan repeals Obamacare's flawed subsidies, which left millions of low- and middle-income Americans OMB-American Oversight-000188 1 behind. • Instead of being forced to buy expensive, one-size-fits-all coverage, people will be able to buy a plan they want and can afford. More choices mean lower premiums, as this report shows. Press releases from Leadership and Chairmen regarding the CBO score can be found below. Additionally, key quotes and letters of support for the American Health Care Act can be found on the Majority Whip's website here. This page continues to be updated as the House moves through this process. Let us know if you have any questions. Thanks, -Chris Chris Hodgson Deputy Floor Director Majority Whip Steve Scalise (LA-01) Office: (b) (6) Mobile: (b) (6) ### FOR IMMEDIATE RELEASE March 13, 2017 CONTACT Ashlee Strong, Doug Andres http://spkrrvan.us/2 mkCXyW 2 02-22 5-0600 Speaker Ryan Statement on American Health Care Act CBO Score WASHINGTON-House Speaker Paul Ryan (R-WI) issued the following statement in response to the Congressional Budget Office's scoring of the American Health Care Act: "This report confirms that the American Health Care Act will lower premiums and improve access to quality, affordable care. CBO also finds that this legislation will provide massive tax relief, dramatically reduce the deficit, and make the most fundamental entitlement reform in more than a generation. These are things we are achieving in just the first of a three-pronged approach. It's important to note that this report does not take into consideration additional steps Congress and the Trump administration are taking that will further lower costs and increase choices. OMB-American Oversight-000189 2 "I recognize and appreciate concerns about making sure people have access to coverage. Under Obamacare, we have seen how government-mandated coverage does not equal access to care, and now the Jaw is collapsing. Our plan is not about forcing people to buy expensive, one-size-fits-al! coverage. It is about giving people more choices and better access to a plan they want and can afford. When people have more choices, costs go down. That's what this report shows. And, as we have Jong said, there will be a stable transition so that no one has the rug pulled out from under them. "This week, a third House committee will debate the American Health Care Act as part of an open, transparent process. We have set out a clear goal-to give every American access to quality, affordable care-and a clear plan to achieve it. Now we must keep our promise and deliver." ### I Press Office March 13, 2017 Mike Long, Matt Sparks View Online Leader McCarthy on the AHCA CBO Report Washington, D.C. - House Majority Leader Kevin McCarthy (CA-23) released the following statement on the Congressional Budget Office (CBO) report for the American Health Care Act (AHCA): "Obamacare continues to collapse under its own weight. Premiums are skyrocketing. Insurers are pulling out of the marketplace, leaving some counties with no providers at all and others with only one choice. This report by the CBO confirms that this first phase of health care reform, the American Health Care Act, uses conservative and free-market principles that will empower Americans with access, choice, and affordability. After ten years, premiums will be 10% lower than under Obamacare even while we reduce the deficit by $337 billion and make Medicaid solvent with an $880 billion reduction in spending. The next phases of our plan-from administrative actions taken by Health and Human Services Secretary Tom Price to scheduling votes on additional legislation outside of the reconciliation process-will only further reduce costs and increase access to health care. "Unlike Obamacare, our plan does not force people to buy insurance plans they may not want or even need. The fundamental premise of the American Health Care Act is that people should be free and able to buy quality health care that suits their needs." OMB-American Oversight-000190 3 ### Contact: Chris Bond, Lauren Fine 202-225-0197 Scalise Statement on CBO Estimate WASHINGTON, D.C.-Majority Whip Steve Scalise (R-LA) made the following statement today after the release of the Congressional Budget Office (CBO) estimate on the American Health Care Act: "Today's CBO estimate confirms what Republicans have been saying all along: repealing Obamacare and replacing it with patient-centered reforms lowers health care premiums, lowers taxes, and dramatically reduces the deficit. "Under our American Health Care Act, American families will finally be rescued from the skyrocketing premiums they are facing under Obamacare. This report confirms that once our reforms take effect, premiums will decrease and families will benefit from more than $800 billion in tax cuts. "Importantly, this bill saves our taxpayers' hard-earned dollars through historic reforms to make Medicaid more efficient and effective, and it reduces our deficit by $337 billion through eliminating wasteful and inefficient federal spending under Obamacare. "Ensuring access to health care is a priority for everyone, and Obamacare's collapse has demonstrated that punitive penalties and unworkable mandates from Washington bureaucrats do not mean Americans have better access to care--a reality millions of Americans who lost their existing coverage were forced to experience firsthand. "While this bill is a major step in providing the choices and access the American people have been desperate for, it is just the first in a three-part process. Actions from the Trump Administration under Health and Human SeNices Secretary Tom Price, coupled with additional legislation in Congress, will continue to improve access to affordable care even more. Our plan ensures OMB-American Oversight-000191 4 a stable transWon for those on the exchanges, and provides a tax credit so families who don't already receive their insurance through work or a government program can choose a plan that's best for them. "It's simply common-sense that when you remove government mandates and increase choices, costs for consumers will go down. Today's CBO estimate shows just that, and I look forward to delivering further results to the American people as we continue this providing relief for families by repealing and replacing Obamacare once and for all." ### McMorris Rodgers Reacts to CBO Report on American Health Care Act CBO Confirms AHCA Lowers Premiums, Increases Choices VIEW ONLINE I Washington, D.C. - House Republican Conference Chair Cathy McMorris Rodgers (R-WA) released the following statement after the Congressional Budget Office (CBO) released its report on the American Health Care Act. "The CBO report confirms that House Republicans' process to repeal and replace Obamacare will lower premiums and taxes, reduce the federal deficit, increase consumer choice, and reform Medicaid for the first time in its 52-year history. I hear the concerns people have about CBO's projected coverage numbers. However, their score doesn't tell the whole story. CBO doesn't take into account future actions Congress and the Administration will take to further lower costs and increase coverage options. Our plan will open up the insurance market so more people can find plans they want at prices they can afford, while addressing the disconnect between coverage and access to care." ### Brady Statement on Congressional Budget Office's Analysis of the American Health OMB-American Oversight-000192 5 Care Act MARCH 13, 2017-PRESS RELEASES WASHINGTON, D.C. - Today, Ways and Means Committee Chairman Kevin Brady (R-TX) released the following statement regarding the Congressional Budget Office's (CBO) analysis of the American Health Care Act (AHCA)-legislation to repeal Obamacare and lay the foundation for a 21st century health care system: "Today, the CBO confirmed that the American Health Care Act will help lower costs, increase choices, and expand access to health care for millions of individuals and families. Our fiscally responsible reforms will lower premiums over the Jong term and deliver much-need relief from Obamacare 's crushing taxes and mandates. CBO a/so confirmed our legislation protects taxpayers, decreasing the ballooning deficit by more than $330 billion and curbing growing health care costs. "It's not surprising that the CBO coverage estimates released today are different than Obamacare's coverage estimates. The American Health Care Act is a dramatic deparlure from Obamacare, which forced Americans to buy expensive, one-size-fits-all health insurance. Our legislation gives individuals and families the freedom to access health care options that are tailored to their needs-not Washington's. ''.As Americans continue to look at the reforms we're proposing, it's imporlant to remember the American Health Care Act is just the beginning of our three-step process to improve our health care system. We will continue to work with President Trump and his Administration to return control of health care back to the American people and restore the free market." ### Walden Statement on CBO Score of American Health Care Act Mar 13, 2017 Press Release WASHINGTON, DC- Energy and Commerce Committee Chairman Greg Walden (R-OR) today issued the following statement regarding the Congressional Budget Office's score of the American Health Care Act. "The American Health Care Act is the first step in our plan to bring down costs and restore the relationship between patients and their doctors. This report confirms that we are keeping our promise to begin tackling skyrocketing health care premiums and providing families with more choices by repairing insurance markets that were destroyed by Obamacare. Additionally, our legislation would reduce the deficit and, for the first time, put Medicaid on a sustainable path, strengthening the program and focusing it on those it was intended to help, our nation's most vulnerable," said Chairman Walden. "The Congressional Budget Office has not yet analyzed our entire proposal to repeal and replace Obamacare, and today's score reflects only a portion of the actions we will take to roll back red tape, free markets, and empower consumers. Unlike Obamacare, we will not mandate Americans buy insurance plans they don't want and can't afford. Instead, we are working to create a system that gives all Americans access to affordable care and the ability to make the decisions that arc right for their families." OMB-American Oversight-000193 6 OMB-American Oversight-000194 FW: Scalise: WHIP LD ALERT -American Health Care Act CBO Score From: Hodgson, Chris (b) (6) Sent: Monday, March 13, 2017 5:44 PM To: Hodgson, Chris Cc: Bravo, Matt (b) (6) ; Napier, Ben (b) (6) Subject: Scalise: WHIP LD ALERT- American Health Care Act CBO Score E Good evening, The Congressional Budget Office has released its initial score of the American Health Care Act, which it says will reduce the deficit by $337 billion over ten years. The CBO score can be found here. Key Points: CBO Confirms AHCA Lowers Premiums, Increases Choices A new Congressional Budget Office (CBO) estimate confirms that the American Health Care Act will lower premiums and increase access to quality, affordable care. The CBO's estimate shows that the legislation advances the core goals of our plan to repeal and replace Obamacare: • Lowers premiums by 10 percent. • Reduces the federal deficit by $337 billion. • Makes major entitlement reform, capping Medicaid spending for the first time, saving taxpayers $880 billion. • Lowers taxes by $883 billion, providing massive tax relief for middle-income Americans and small business owners. • Increases choices for consumers, creating a vibrant market where people will have more freedom and flexibility to get the plan they want. This report does not take into account additional steps Congress and the Trump administration are taking that will further lower costs and increase choices for families. • As an example, HHS Secretary Tom Price wrote a Le_ttE:!r::J:g__gg_~-~r::!!Q!:~ today offering additional flexibility to improve market stabilization and affordable choices. We appreciate concerns about making sure people have access to coverage. OMB-American Oversight-000195 1 • This report finds that most of the drop in coverage is attributed to repeal of the individual mandate, because people are no longer forced to purchase government-mandated coverage. Under our plan, there will be a stable transition so that no one has the rug pulled out from under them. People who do not receive coverage through work or a government program will be provided with a tax credit to help purchase the plan of their choice. • • • We are committed to making sure that every American has access to quality, affordable coverage. Obamacare has proven that government-mandated coverage does not equal access to care, and now the law is collapsing. • Our plan repeals Obamacare's flawed subsidies, which left millions of low- and middle-income Americans behind. Instead of being forced to buy expensive, one-size-fits-all coverage, people will be able to buy a plan they want and can afford. More choices mean lower premiums, as this report shows. • Press releases from Leadership and Chairmen regarding the CBO score can be found below. Additionally, key quotes and letters of support for the American Health Care Act can be found on the Majority Whip's website here. This page continues to be updated as the House moves through this process. Let us know if you have any questions. Thanks, -Chris Chris Hodgson Deputy Floor Director Majority Whip Steve Scalise (LA-01) Office: (b) (6) Mobile:(b) (6) ### FOR IMMEDIATE RELEASE CONTACT March 13, 2017 http://spkrryan.us/2mkCXyW Ashlee Strong, Doug Andres 202-225-0600 Speaker Ryan Statement on American Health Care Act CBO Score WASHINGTON-House Speaker Paul Ryan (R-WI) issued the following statement in response to the Congressional Budget Office's scoring of the American Health Care Act: OMB-American Oversight-000196 2 "Th;s report cont;rms that the American Health Care Act will lower prem;ums and improve access to quality, affordable care. CBO also finds that this legislation will provide massive tax relief, dramatically reduce the def;cit, and make the most fundamental entitlement reform in more than a generation. These are things we are achieving in just the first of a three-pronged approach. It's important to note that th;s report does not take ;nto consideration add;t;onal steps Congress and the Trump administration are taking that will further lower costs and increase cho;ces. "I recognize and appreciate concerns about making sure people have access to coverage. Under Obamacare, we have seen how government-mandated coverage does not equal access to care, and now the law is collapsing. Our plan is not about forcing people to buy expensive, one-size-fits-al/ coverage. It is about giving people more choices and better access to a plan they want and can afford. When people have more choices, costs go down. That's what this report shows. And, as we have long said, there will be a stable trans;t;on so that no one has the rug pulled out from under them. "Th;s week, a third House comm;ttee will debate the American Health Care Act as part of an open, transparent process. We have set out a clear goal-to give every American access to quality, affordable care-and a clear plan to ach;eve it. Now we must keep our promise and deliver." ### I Press Office Mike Long, Matt Sparks March 13, 2017 View Online Leader McCarthy on the AHCA CBO Report Washington, D.C. - House Majority Leader Kevin McCarthy (CA-23) released the following statement on the Congressional Budget Office (CBO) report for the American Health Care Act (AHCA): "Obamacare continues to collapse under its own weight. Premiums are skyrocketing. Insurers are pulling out of the marketplace, leaving some counties with no providers at all and others with only one choice. This report by the CBO confirms that this first phase of health care reform, the American Health Care Act, uses conservative and free-market principles that will empower Americans with access, choice, and affordability. After ten years, premiums will be 10% lower than under Obamacare even while we reduce the deficit by $337 billion and make Medicaid solvent with an $880 billion OMB-American Oversight-000197 3 reduction in spending. The next phases of our plan-from administrative actions taken by Health and Human Services Secretary Tom Price to scheduling votes on additional legislation outside of the reconciliation process-will only further reduce costs and increase access to health care. "Unlike Obamacare, our plan does not force people to buy insurance plans they may not want or even need. The fundamental premise of the American Health Care Act is that people should be free and able to buy quality health care that suits their needs." ### Contact: Chris Bond, Lauren Fine 202-225-0197 Scalise Statement on CBO Estimate WASHINGTON, D.C.- Majority Whip Steve Scalise (R-LA) made the following statement today after the release of the Congressional Budget Office (CBO) estimate on the American Health Care Act: "Today's CBO estimate confirms what Republicans have been saying all along: repealing Obamacare and replacing it with patient-centered reforms lowers health care premiums, lowers taxes, and dramatically reduces the deficit. "Under our American Health Care Act, American families will finally be rescued from the skyrocketing premiums they are facing under Obamacare. This report confirms that once our reforms take effect, premiums will decrease and families will benefit from more than $800 billion in tax cuts. "Importantly, this bill saves our taxpayers' hard-earned dollars through historic reforms to make Medicaid more efficient and effective, and it reduces our deficit by $337 billion through eliminating wasteful and inefficient federal spending under Obamacare. "Ensuring access to health care is a priority for everyone, and Obamacare's collapse has demonstrated that punitive penalties and unworkable mandates from Washington bureaucrats do not mean Americans have better access to care--a reality millions of Americans who lost their existing coverage were OMB-American Oversight-000198 4 forced to experience firsthand. "While this bill is a major step in providing the choices and access the American people have been desperate for, it is just the first in a three-part process. Actions from the Trump Administration under Health and Human SeNices Secretary Tom Price, coupled with additional legislation in Congress, will continue to improve access to affordable care even more. Our plan ensures a stable transition for those on the exchanges, and provides a tax credit so families who don't already receive their insurance through work or a government program can choose a plan that's best for them. "It's simply common-sense that when you remove government mandates and increase choices, costs for consumers will go down. Today's CBO estimate shows just that, and I look forward to delivering further results to the American people as we continue this providing relief for families by repealing and replacing Obamacare once and for all." ### McMorris Rodgers Reacts to CBO Report on American Health Care Act CBO Confirms AHCA Lowers Premiums, Increases Choices VIEW ONLINE I Washington, D.C. - House Republican Conference Chair Cathy McMorris Rodgers (R-WA) released the following statement after the Congressional Budget Office (CBO) released its report on the American Health Care Act. "The CBO report confirms that House Republicans' process to repeal and replace Obamacare will lower premiums and taxes, reduce the federal deficit, increase consumer choice, and reform Medicaid for the first time in its 52-year history. I hear the concerns people have about CBO's projected coverage numbers. However, their score doesn't tell the whole story. CBO doesn't take into account future actions Congress and the Administration will take to further lower costs and increase coverage options. Our plan will open up the insurance market so more people can find plans they want at prices they can afford, while addressing the disconnect between coverage and access to care." OMB-American Oversight-000199 5 ### Brady Statement on Congressional Budget Office's Analysis of the American Health Care Act WASHINGTON, D.C. -Today, Ways and Means Committee Chairman Kevin Brady (R-TX) released the following statement regarding the Congressional Budget Office's (CBO) analysis of the American Health Care Act (AHCA)-legislation to repeal Obamacare and lay the foundation for a 21st century health care system: "Today, the CBO confirmed that the American Health Care Act will help lower costs, increase choices, and expand access to health care for millions of individuals and families. Our fiscally responsible reforms will lower premiums over the Jong term and deliver much-need relief from Obamacare's crushing taxes and mandates. CBO also confirmed our legislation protects taxpayers, decreasing the ballooning deficit by more than $330 billion and curbing growing health care costs. "It's not surprising that the CBO coverage estimates released today are different than Obamacare's coverage estimates. The American Health Care Act is a dramatic departure from Obamacare, which forced Americans to buy expensive, one-size-fits-al/ health insurance. Our legislation gives individuals and families the freedom to access health care options that are tailored to their needs-not Washington's. ''.As Americans continue to look at the reforms we're proposing, it's important to remember the American Health Care Act is just the beginning of our three-step process to improve our health care system. We will continue to work with President Trump and his Administration to return control of health care back to the American people and restore the free market." ### Walden Statement on CBO Score of American Health Care Act Mar 13, 2017 Press Release WASHINGTON, DC- Energy and Commerce Committee Chairman Greg Walden (R-OR) today issued the following statement regarding the Congressional Budget Office's score of the American Health Care Act. "The American Health Care Act is the first step in our plan to bring down costs and restore the relationship between patients and their doctors. This report confirms that we are keeping our promise to begin tackling skyrocketing health care premiums and providing families with more choices by repairing insurance markets that were destroyed by Obamacare. Additionally, our legislation would reduce the deficit and, for the first time, put Medicaid on a sustainable path, strengthening the program and focusing it on those it was intended to help, our nation's most vulnerable," said Chairman Walden. "The Congressional Budget Office has not yet analyzed our entire proposal to repeal and replace Obamaeare, and today's score reflects only a portion of the actions we will take to roll back red tape, free markets, and empower OMB-American Oversight-000200 6 consumers. Unlike Obamacare, we will not mandate Americans buy insurance plans they don't want and can't afford. Instead, we are working to create a system that gives all Americans access to affordable care and the ability to make the decisions that are right for their families." OMB-American Oversight-000201 7 FW: ICYMI WHIP LD ALERT - American Health Care Act CBO Score From: "Herrle, Cindy'' (b) (6) To: "Slemrod, Jonathan A. EOP/OMB" (b) (6) Date: Mon, 13 Mar 2017 18:03:36 -0400 From: Herrle, Cindy Sent: Monday, March 13, 2017 5 :58 PM To: 'Ben Howard' (b) (6) ; 'Dan Kowalski' ; 'George Everly' (b) (6) (b) (6) 'Jane Lee' (b) (6) (b) (6) ; 'Monica Popp' (b) (6) (b) (6) Subject: ICYMI WHIP LO ALERT - American Health Care Act CBO Score 'Hazen Marshall' ; 'Jeff Freeland' E Good evening, The Congressional Budget Office has released its initial score of the American Health Care Act, which it says will reduce the deficit by $337 billion over ten years. The CBO score can be found here. Key Points: CBO Confirms AHCA Lowers Premiums, Increases Choices A new Congressional Budget Office (CBO) estimate confirms that the American Health Care Act will lower premiums and increase access to quality, affordable care. The CBO's estimate shows that the legislation advances the core goals of our plan to repeal and replace Obamacare: • Lowers premiums by 10 percent. • Reduces the federal deficit by $337 billion. • Makes major entitlement reform, capping Medicaid spending for the first time, saving taxpayers $880 billion. • • Lowers taxes by $883 billion, providing massive tax relief for middle-income Americans and small business owners. Increases choices for consumers, creating a vibrant market where people will have more freedom and flexibility to get the plan they want. This report does not take into account additional steps Congress and the Trump administration are taking that will further lower costs and increase choices for families. • As an example, HHS Secretary Tom Price wrote a letter to governors today offering additional flexibility to improve market stabilization and affordable choices. We appreciate concerns about making sure people have access to coverage. • This report finds that most of the drop in coverage is attributed to repeal of the individual mandate, because people are no longer forced to purchase government-mandated coverage. • Under our plan, there will be a stable transition so that no one has the rug pulled out from under them. OMB-American Oversight-000202 1 • People who do not receive coverage through work or a government program will be provided with a tax credit to help purchase the plan of their choice. • We are committed to making sure that every American has access to quality, affordable coverage. Obamacare has proven that government-mandated coverage does not equal access to care, and now the law is collapsing. • Our plan repeals Obamacare's flawed subsidies, which left millions of low- and middle-income Americans behind. • Instead of being forced to buy expensive, one-size-fits-all coverage, people will be able to buy a plan they want and can afford. More choices mean lower premiums, as this report shows. Press releases from Leadership and Chairmen regarding the CBO score can be found below. Additionally, key quotes and letters of support for the American Health Care Act can be found on the Majority Whip's website here. This page continues to be updated as the House moves through this process. Let us know if you have any questions. Thanks, -Chris Chris Hodgson Deputy Floor Director Majority Whip Steve Scalise (LA-01) Office: (b) (6) Mobile: (b) (6) ### FOR IMMEDIATE RELEASE CONTACT March 13, 2017 Ashlee Strong, Doug Andres http://spkrryan.us/2mkCXyW 2 02-22 5-0600 Speaker Ryan Statement on American Health Care Act CBO Score WASHINGTON-House Speaker Paul Ryan (R-WI) issued the following statement in response to the Congressional Budget Office's scoring of the American Health Care Act: "This report confirms that the American Health Care Act will lower premiums and improve OMB-American Oversight-000203 2 access to quality, affordable care. CBO a/so f;nds that thfa legfa/at;on wm prov;de mass;ve tax relief, dramatically reduce the deficit, and make the most fundamental ent;ttement reform in more than a generation. These are things we are achieving in just the first of a three-pronged approach. It's important to note that th;s repot1 does not take into cons;deration additional steps Congress and the Trump administration are taking that will further lower costs and increase choices. "I recognize and apprec;ate concerns about mak;ng sure people have access to coverage. Under Obamacare, we have seen how government-mandated coverage does not equal access to care, and now the Jaw is collaps;ng. Our plan is not about forcing people to buy expensive, one-s;ze-fits-al/ coverage. It ;s about giv;ng people more choices and better access to a plan they want and can afford. When people have more choices, costs go down. That's what this report shows. And, as we have long sa;d, there will be a stable transition so that no one has the rug pulled out from under them. "This week, a third House committee will debate the American Health Care Act as pat1 of an open, transparent process. We have set out a clear goal-to give every American access to quality, affordable care-and a clear plan to acNeve ;t. Now we must keep our promise and deliver." ### I Press Office Mike Long, Matt Sparks March 13, 2017 View Online Leader McCarthy on the AHCA CBO Report Washington, D.C. - House Majority Leader Kevin McCarthy (CA-23) released the following statement on the Congressional Budget Office (CBO) report for the American Health Care Act (AHCA): "Obamacare continues to collapse under its own weight. Premiums are skyrocketing. Insurers are pulling out of the marketplace, leaving some counties with no providers at all and others with only one choice. This report by the CBO confirms that this first phase of health care reform, the American Health Care Act, uses conservative and free-market principles that will empower Americans with access, choice, and affordability. After ten years, premiums will be 10% lower than under Obamacare even while we reduce the deficit by $337 billion and make Medicaid solvent with an $880 billion reduction in spending. The next phases of our plan-from administrative actions taken by Health and Human Services Secretary Tom Price to scheduling votes on additional legislation outside of the reconciliation OMB-American Oversight-000204 3 process-will only further reduce costs and increase access to health care. "Unlike Obamacare, our plan does not force people to buy insurance plans they may not want or even need. The fundamental premise of the American Health Care Act is that people should be free and able to buy quality health care that suits their needs." ### 202-225-0197 Contact: Chris Bond, Lauren Fine Scalise Statement on CBO Estimate WASHINGTON,D.C.-Majority Whip Steve Scalise (R-LA) made the following statement today after the release of the Congressional Budget Office (CBO) estimate on the American Health Care Act: "Today's CBO estimate confirms what Republicans have been saying all along: repealing Obamacare and replacing it with patient-centered reforms lowers health care premiums, lowers taxes, and dramatically reduces the deficit. "Under our American Health Care Act, American families will finally be rescued from the skyrocketing premiums they are facing under Obamacare. This report confirms that once our reforms take effect, premiums will decrease and families will benefit from more than $800 billion in tax cuts. "Importantly, this bill saves our taxpayers' hard-earned dollars through historic reforms to make Medicaid more efficient and effective, and it reduces our deficit by $337 billion through eliminating wasteful and inefficient federal spending under Obamacare. "Ensuring access to health care is a priority for everyone, and Obamacare's collapse has demonstrated that punitive penalties and unworkable mandates from Washington bureaucrats do not mean Americans have better access to care--a reality millions of Americans who lost their existing coverage were forced to experience firsthand. OMB-American Oversight-000205 4 "Wh;te this bill is a major step in providing the choices and access the American people have been desperate for, it is just the first in a three-part process. Actions from the Trump Administration under Health and Human Services Secretary Tom Price, coupled with additional legislation in Congress, will continue to improve access to affordable care even more. Our plan ensures a stable transition for those on the exchanges, and provides a tax credit so families who don't already receive their insurance through work or a government program can choose a plan that's best for them. "It's simply common-sense that when you remove government mandates and increase choices, costs for consumers will go down. Today's CBO estimate shows just that, and I look forward to delivering further results to the American people as we continue this providing relief for families by repealing and replacing Obamacare once and for all." ### McMorris Rodgers Reacts to CBO Report on American Health Care Act CBO Confirms AHCA Lowers Premiums, Increases Choices VIEW ONLINE I Washington, D.C. - House Republican Conference Chair Cathy McMorris Rodgers (R-WA) released the following statement after the Congressional Budget Office (CBO) released its report on the American Health Care Act. "The CBO report confirms that House Republicans' process to repeal and replace Obamacare will lower premiums and taxes, reduce the federal deficit, increase consumer choice, and reform Medicaid for the first time in its 52-year history. I hear the concerns people have about CBO's projected coverage numbers. However, their score doesn't tell the whole story. CBO doesn't take into account future actions Congress and the Administration will take to further lower costs and increase coverage options. Our plan will open up the insurance market so more people can find plans they want at prices they can afford, while addressing the disconnect between coverage and access to care." ### OMB-American Oversight-000206 5 Brady Statement on Congressional Budget Office's Analysis of the American Health Care Act MARCH 13, 2017- PRESS RELEASES WASHINGTON, D.C. -Today, Ways and Means Committee Chairman Kevin Brady (R-TX) released the following statement regarding the Congressional Budget Office's (CBO) analysis of the American Health Care Act (AHCA)-legislation to repeal Obamacare and lay the foundation for a 21st century health care system: "Today, the CBO confirmed that the American Health Care Act will help lower costs, increase choices, and expand access to health care for millions of individuals and families. Our fiscally responsible reforms will lower premiums over the Jong term and deliver much-need relief from Obamacare's crushing taxes and mandates. CBO also confirmed our legislation protects taxpayers, decreasing the ballooning deficit by more than $330 billion and curbing growing health care costs. "It's not surprising that the CBO coverage estimates released today are different than Obamacare's coverage estimates. The American Health Care Act is a dramatic departure from Obamacare, which forced Americans to buy expensive, one-size-fits-all health insurance. Our legislation gives individuals and families the freedom to access health care options that are tailored to their needs-not Washington's. ''.As Americans continue to look at the reforms we're proposing, it's important to remember the American Health Care Act is just the beginning of our three-step process to improve our health care system. We will continue to work with President Trump and his Administration to return control of health care back to the American people and restore the free market." ### Walden Statement on CBO Score of American Health Care Act Mar 13, 2017 Press Release WASHINGTON, DC- Energy and Commerce Committee Chairman Greg Walden (R-OR) today issued the following statement regarding the Congressional Budget Office's score of the American Health Care Act. "The American Health Care Act is the first step in our plan to bring down costs and restore the relationship between patients and their doctors. This report confirms that we are keeping our promise to begin tackling skyrocketing health care premiums and providing families with more choices by repairing insurance markets that were destroyed by Obamacare. Additionally, our legislation would reduce the deficit and, for the first time, put Medicaid on a sustainable path, strengthening the program and focusing it on those it was intended to help, our nation's most vulnerable," said Chairman Walden. "The Congressional Budget Office has not yet analyzed our entire proposal to repeal and replace Obamacare, and today's score reflects only a portion of the actions we will take to roll back red tape, free markets, and empower consumers. Unlike Obamacare, we will not mandate Americans buy insurance plans they don't want and can't afford. Instead, we are working to create a system that gives all Americans access to affordable care and the ability to make OMB-American Oversight-000207 6 the decisions that are right for their families.? OMB-American Oversight-000208 RE: IMPORTANT SCHEDULING ANNOUNCEMENT (Courtesy of the Majority Leader) From: "Heme, Cindy'' (b) (6) To: "Howard, Benjamin" (b) (6) George Everly (b) (6) Jane Lee (b) (6) Monica Popp (b) (6) , Dan Kowalski (b) (6) , Hazen Marshall (b) (6) , "Freeland, Jeff K. EOP/OMB"(b) (6) , Date: Mon, 13 Mar 2017 14:20:06 -0400 This likely means HBC mark-up of health care will move to Thursday but will confirm with officially notification when it goes out. From: Herrle, Cindy Sent: Monday, March 13, 2017 2:18 PM To: 'Ben Howard' (b) (6) ; 'Dan Kowalski' ; 'George Everly' (b) (6) (b) (6) ; 'Jane Lee' (b) (6) (b) (6) ; 'Monica Popp' (b) (6) (b) (6) Subject: IMPORTANT SCHEDULING ANNOUNCEMENT (Courtesy of the Majority Leader) Importance: High ; 'Hazen Marshall' ; 'Jeff Freeland' Members are advised that due to the large number of flight cancellations around the country, votes are no longer expected in the House on Tuesday, March 14. The House will reconvene to debate suspensions during the afternoon hours of Wednesday, March 15. First votes for the week are now expected at 6:30 PM on Wednesday. Last votes of the week are still expected no later than 3:00 PM on Friday. Thank you for your understanding and safe travels. ### OMB-American Oversight-000209 1 FYI: Lay of the land From: "Heme, Cindy'' (b) (6) To: "Howard, Benjamin" (b) (6) George Everly (b) (6) Jane Lee (b) (6) Monica Popp (b) (6) , Dan Kowalski (b) (6) , Hazen Marshall (b) (6) "Freeland, Jeff K. EOP/OMB" (b) (6) , , , Date: Mon, 13 Mar 2017 10:13:13 -0400 From: Strong, Ashlee Sent: Monday, March 13, 2017 9:37 AM Subject: Lay of the land Morning, Last week was a good week of progress on the first prong (reconciliation) of the three prong GOP repeal and replace all Republican members of the Energy and Commerce and Ways and Means Committees voting to advance the bills (see vote count below). We have another busy week ahead. Here's a lay of the land so far: ~,with Where we've come: • The GOP repeal/replace plan originated from a bottom-up, exhaustive rank-and-file and committee chair process during the drafting of the Better Way agenda in January 2016 following the joint House and Senate GOP retreat in Baltimore through June 2016. The Better Way repeal/replace plan included many key provisions of the Dr. Price bill, which included a tax credit and was cosponsored by nine House Freedom Caucus members. • The Better Way health plan was presented on June 22, 2016, and House members ran on the plan through the election. • After President Trump won, we immediately started working with the incoming WH on legislative vehicles to get our replacement ideas into law with repeal, as we all promised our constituents. • Since then, the bottom-up, inclusive process has continued. In February alone, we had 8 all-member meetings that included Obamacare repeal/replace discussion. • At the request of conservatives and Tuesday Group members in the Republican conference, two significant adjustments were made the weekend before the first prong of the plan, the American Health Care Act, was unveiled, including removing a policy related to the employer exclusion and imposing a cap on the tax credit. • The Ways and Means Committee and the Energy and Commerce Committee unveiled their respective bill text on Monday, Feb. 6 and markups were noticed for Wednesday, Feb. 8. • 45 hours of debate and deliberation in the two committees occurred. • All Republican members of the Ways and Means Committee voted to advance the bill, including one HFC member (Schweikert) and several RSC members. • All Republican members of the Energy and Commerce Committee voted to advance the bill, including two HFC members (Barton and Griffith) and 2/3 of the committee Republicans who are RSC members (22/31 OMB-American Oversight-000210 1 Republicans). What's next: • The next step is to merge the two bills into one at the Budget Committee, which will happen on Wednesday, March 15th. Media contact for the committee: william.allison@mail.house.gov • Then the bill will go to the Rules Committee. Media contact for the committee: ~-~!_c:>HD.§_,_~_c:>_c:>:t:b.§_@_1!1_~_U:_b_g_~_~§!_,g9_1! • Then the bill will go to the House floor. • Then the bill will go to the Senate for debate and consideration. • Keep in mind, in addition to prong 1 (reconciliation) there are two remaining prongs of the GOP repeal/replace plan (prong 2: administration action, and prong 3: 60-vote threshold pieces of legislation that cannot be included in reconciliation per Senate rules). • Majority Leader Kevin McCarthy will announce the floor schedule for several prong 3 bills soon. Bottom line: The speaker's point on this being a binary choice is simply reality: vote for a bill that can pass both chambers -- or vote for Obamacare status quo. Ashlee Strong I Press Secretary Office of the Speaker (o) (b) (6) (c) (b) (6) @ashleestrong OMB-American Oversight-000211 2 Scalise: WHIP LD ALERT - American Health Care Act CBO Score From: "Hodgson, Chris" (b) (6) To: "Hodgson, Chris" (b) (6) Cc: "Bravo, Matt" (b) (6) "Napier, Ben" (b) (6) Date: Mon, 13 Mar 2017 17:43:54 -0400 Good evening, The Congressional Budget Office has released its initial score of the American Health Care Act, which it says will reduce the deficit by $337 billion over ten years. The CBO score can be found here. Key Points: CBO Confirms AHCA Lowers Premiums, Increases Choices A new Congressional Budget Office (CBO) estimate confirms that the American Health Care Act will lower premiums and increase access to quality, affordable care. The CBO's estimate shows that the legislation advances the core goals of our plan to repeal and replace Obamacare: • Lowers premiums by 10 percent. • Reduces the federal deficit by $337 billion. • Makes major entitlement reform, capping Medicaid spending for the first time, saving taxpayers $880 billion. • Lowers taxes by $883 billion, providing massive tax relief for middle-income Americans and small business owners. • Increases choices for consumers, creating a vibrant market where people will have more freedom and flexibility to get the plan they want. This report does not take into account additional steps Congress and the Trump administration are taking that will further lower costs and increase choices for families. • As an example, HHS Secretary Tom Price wrote a letter to governors today offering additional flexibility to improve market stabilization and affordable choices. We appreciate concerns about making sure people have access to coverage. • • • • This report finds that most of the drop in coverage is attributed to repeal of the individual mandate, because people are no longer forced to purchase government-mandated coverage. Under our plan, there will be a stable transition so that no one has the rug pulled out from under them. People who do not receive coverage through work or a government program will be provided with a tax credit to help purchase the plan of their choice. We are committed to making sure that every American has access to quality, affordable coverage. Obamacare has proven that government-mandated coverage does not equal access to care, and now the law is collapsing. • Our plan repeals Obamacare's flawed subsidies, which left millions of low- and middle-income Americans behind. • Instead of being forced to buy expensive, one-size-fits-all coverage, people will be able to buy a plan they OMB-American Oversight-000212 1 want and can afford. More choices mean lower premiums, as this report shows. Press releases from Leadership and Chairmen regarding the CBO score can be found below. Additionally, key quotes and letters of support for the American Health Care Act can be found on the Majority Whip's website here. This page continues to be updated as the House moves through this process. Let us know if you have any questions. Thanks, -Chris Chris Hodgson Deputy Floor Director Majority Whip Steve Scalise (LA-01) Office: (b) (6) Mobile: (b) (6) ### FOR IMMEDIATE RELEASE CONTACT March 13, 2017 Ashlee Strong, [)oug Anqres http://spkrrvan.us/2mkCXyW 202-225-0600 Speaker Ryan Statement on American Health Care Act CBO Score WASHINGTON-House Speaker Paul Ryan (R-WI) issued the following statement in response to the Congressional Budget Office's scoring of the American Health Care Act: "This report confirms that the American Health Care Act will lower premiums and improve access to quality, affordable care. CBO also finds that this legislation will provide massive tax relief, dramatically reduce the deficit, and make the most fundamental entitlement reform in more than a generation. These are things we are achieving in just the first of a three-pronged approach. It's important to note that this report does not take into consideration additional steps Congress and the Trump administration are taking that will further lower costs and increase choices. "I recognize and appreciate concerns about making sure people have access to coverage. OMB-American Oversight-000213 2 Under Obamacare, we have seen how government-mandated coverage does not equal access to care, and now the law is collapsing. Our plan is not about forcing people to buy expensive, one-size-fits-a/I coverage. It is about giving people more choices and better access to a plan they want and can afford. When people have more choices, costs go down. That's what this report shows. And, as we have long said, there will be a stable transition so that no one has the rug pulled out from under them. "This week, a third House committee will debate the American Health Care Act as part of an open, transparent process. We have set out a clear goa/.-to give every American access to quality, affordable care-and a clear plan to achieve it. Now we must keep our promise and deliver." ### I Press Office Mike Long, Matt Sparks March 13, 2017 View Online Leader McCarthy on the AHCA CBO Report Washington, D.C. - House Majority Leader Kevin McCarthy (CA-23) released the following statement on the Congressional Budget Office (CBO) report for the American Health Care Act (AHCA): "Obamacare continues to collapse under its own weight. Premiums are skyrocketing. Insurers are pulling out of the marketplace, leaving some counties with no providers at all and others with only one choice. This report by the CBO confirms that this first phase of health care reform, the American Health Care Act, uses conservative and free-market principles that will empower Americans with access, choice, and affordability. After ten years, premiums will be 10% lower than under Obamacare even while we reduce the deficit by $337 billion and make Medicaid solvent with an $880 billion reduction in spending. The next phases of our plan-from administrative actions taken by Health and Human Services Secretary Tom Price to scheduling votes on additional legislation outside of the reconciliation process-will only further reduce costs and increase access to health care. "Unlike Obamacare, our plan does not force people to buy insurance plans they may not want or even need. The fundamental premise of the American Health Care Act is that people should be free and able to buy quality health care that suits their needs." ### OMB-American Oversight-000214 3 202-225-0197 Contact: Chris Bond, Lauren Fine Scalise Statement on CBO Estimate WASHINGTON, D.C.-Majority Whip Steve Scalise (R-LA) made the following statement today after the release of the Congressional Budget Office (CBO) estimate on the American Health Care Act: "Today's CBO estimate confirms what Republicans have been saying all along: repealing Obamacare and replacing it with patient-centered reforms lowers health care premiums, lowers taxes, and dramatically reduces the deficit. "Under our American Health Care Act American families will finally be rescued from the skyrocketing premiums they are facing under Obamacare. This report confirms that once our reforms take effect, premiums will decrease and families will benefit from more than $800 billion in tax cuts. "Importantly, this bill saves our taxpayers' hard-earned dollars through historic reforms to make Medicaid more efficient and effective, and it reduces our deficit by $337 billion through eliminating wasteful and inefficient federal spending under Obamacare. "Ensuring access to health care is a priority for everyone, and Obamacare's collapse has demonstrated that punitive penalties and unworkable mandates from Washington bureaucrats do not mean Americans have better access to care--a reality millions of Americans who lost their existing coverage were forced to experience firsthand. "While this bill is a major step in providing the choices and access the American people have been desperate for, it is just the first in a three-part process. Actions from the Trump Administration under Health and Human Services Secretary Tom Price, coupled with additional legislation in Congress, will continue to improve access to affordable care even more. Our plan ensures a stable transition for those on the exchanges, and provides a tax credit so families who don't already receive their insurance through work or a OMB-American Oversight-000215 4 government program can choose a plan that's best for them. "It's simply common-sense that when you remove government mandates and increase choices, costs for consumers will go down. Today's CBO estimate shows just that, and 1 look forward to delivering further results to the American people as we continue this providing relief for families by repealing and replacing Obamacare once and for all." ### McMorris Rodgers Reacts to CBO Report on American Health Care Act CBO Confirms AHCA Lowers Premiums, Increases Choices VIEW ONLINE I Washington, D.C. - House Republican Conference Chair Cathy McMorris Rodgers (R-WA) released the following statement after the Congressional Budget Office (CBO) released its report on the American Health Care Act. "The CBO report confirms that House Republicans' process to repeal and replace Obamacare will lower premiums and taxes, reduce the federal deficit, increase consumer choice, and reform Medicaid for the first time in its 52-year history. I hear the concerns people have about CBO's projected coverage numbers. However, their score doesn't tell the whole story. CBO doesn't take into account future actions Congress and the Administration will take to further lower costs and increase coverage options. Our plan will open up the insurance market so more people can find plans they want at prices they can afford, while addressing the disconnect between coverage and access to care." ### Brady Statement on Congressional Budget Office's Analysis of the American Health Care Act MARCH 13, 2017- PRESS RELEASES OMB-American Oversight-000216 5 WASHINGTON, D.C. -Today, Ways and Means Committee Chairman Kevin Brady (R-TX) released the following statement regarding the Congressional Budget Office's (CBO) analysis of the American Health Care Act (AHCA)-legislation to repeal Obamacare and lay the foundation for a 21st century health care system: "Today, the CBO confirmed that the American Health Care Act will help lower costs, increase choices, and expand access to health care for millions of individuals and families. Our fiscally responsible reforms will lower premiums over the Jong term and deliver much-need relief from Obamacare's crushing taxes and mandates. CBO also confirmed our legislation protects taxpayers, decreasing the ballooning deficit by more than $330 billion and curbing growing health care costs. "It's not surprising that the CBO coverage estimates released today are different than Obamacare's coverage estimates. The American Health Care Act is a dramatic departure from Obamacare, which forced Americans to buy expensive, one-size-fits-a/I health insurance. Our legislation gives individuals and families the freedom to access health care options that are tailored to their needs-not Washington's. ''.As Americans continue to look at the reforms we're proposing, it's important to remember the American Health Care Act is just the beginning of our three-step process to improve our health care system. We will continue to work with President Trump and his Administration to return control of health care back to the American people and restore the free market." ### Walden Statement on CBO Score of American Health Care Act Mar 13, 2017 Press Release WASHINGTON, DC- Energy and Commerce Committee Chainnan Greg Walden (R-OR) today issued the following statement regarding the Congressional Budget Office's score of the American Health Care Act. "The American Health Care Act is the first step in our plan to bring down costs and restore the relationship between patients and their doctors. This report confirms that we are keeping our promise to begin tackling skyrocketing health care premiums and providing families with more choices by repairing insurance markets that were destroyed by Obamacare. Additionally, our legislation would reduce the deficit and, for the first time, put Medicaid on a sustainable path, strengthening the program and focusing it on those it was intended to help, our nation's most vulnerable," said Chairman Walden. "The Congressional Budget Office has not yet analyzed our entire proposal to repeal and replace Obamacare, and today's score reflects only a portion of the actions we will take to roll back red tape, free markets, and empower consumers. Unlike Obamacare, we will not mandate Americans buy insurance plans they don't want and can't afford. Instead, we are working to create a system that gives all Americans access to affordable care and the ability to make the decisions that are right for their families." OMB-American Oversight-000217 6 Canceled: Daily Health Care Meeting Where: Roosevelt Room When: Wed Mar 15 16:15:00 2017 (America/New_York) Until: Wed Mar 15 16:45:00 2017 (America/New_York) Organiser: "Curry, Catherine E. EOP/WHO" (b) (6) Required Attendees: "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Stepien, William EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) "Harrison, Jessica (OS/IOS)" (b) (6) "Twomey, John K. (OS/IOS)" (b) (6) Optional Attendees: "Long, Dylan D. EOP" (b) (6) "Pavlik, Jennifer L. EOP/OVP" (b) (6) "Patenaude, Meghan C. EOP/OVP" (b) (6) Cancelling for 3/15 due to travel. OMB-American Oversight-000218 1 Daily Health Care Meeting Where: Roosevelt Room When: Wed Mar 15 16:15:00 2017 (America/New_York) Until: Wed Mar 15 16:45:00 2017 (America/New_York) Organiser: "Curry, Catherine E. EOP/WHO" (b) (6) Required Attendees: "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Stepien, William EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) "Harrison, Jessica (OS/IOS)" (b) (6) "Twomey, John K. (OS/IOS)" (b) (6) Optional Attendees: "Long, Dylan D. EOP" (b) (6) "Pavlik, Jennifer L. EOP/OVP" (b) (6) "Patenaude, Meghan C. EOP/OVP" (b) (6) Cancelling for 3/15 due to travel. OMB-American Oversight-000219 1 Daily Health Care Meeting Where: Roosevelt Room When: Wed Mar 15 16:15:00 2017 (America/New_York) Until: Wed Mar 15 16:45:00 2017 (America/New_York) Organiser: "Curry, Catherine E. EOP/WHO" (b) (6) Required Attendees: "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Stepien, William EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) "Harrison, Jessica (OS/IOS)" (b) (6) "Twomey, John K. (OS/IOS)" (b) (6) Optional Attendee: RP (b) (6) Moving to 4: 15 pm in the Roosevelt Room for Wednesday 3/15 OMB-American Oversight-000220 1 WHIP CHECK NOTICE - American Health Care Act From: "Heme, Cindy'' (b) (6) To: "Howard, Benjamin" (b) (6) Everly (b) (6) (b) (6) Jonathan A. EOP/OMB" (b) (6) , Dan Kowalski (b) (6) , Hazen Marshall (b) (6) , "Freeland, Jeff K. EOP/OMB" (b) (6) , Monica Popp (b) (6) , George , Jane Lee , "Slemrod, Date: Tue, 14 Mar 2017 19:00:01 -0400 Attachments: EC_Section-by-Section Summary_Final.pdf (130.58 kB); WM_03.06.17-Section-by-Section.pdf (362.03 kB); HelpingPeopleBuyCoverage_E&C.PDF (76.79 kB); AmericanHealthCareAct_Summary.pdf (360.96 kB) E American Health Care Act Repeals Obamacare • Eliminates the individual mandate penalty • Eliminates the employer mandate penalty • Repeals the Obamacare subsidies in 2020 • Repeals the Obamacare tax increases • Repeals the Obamacare Prevention and Public Health Fund in 2019 and rescinds all unobligated balances at the end of 2018 Tax Credits • Provides an advanceable, refundable tax credit for individuals and families who do not get health insurance through their employer or the government o This tax credit moves towards equalizing the tax treatment between employer coverage and individual market coverage o The tax credit is adjusted for age and grows over time by CPl+l, with a maximum credit of $4,000 for an individual and $14,000 for a family • The credits are additive for families • Excess credit can be deposited into an eligible individual's health savings account o The credit is available in full to those making up to $75,000 per year ($150,000 for joint filers) and phases out by $100 for every $1,000 in income higher than those thresholds Health Savings Accounts (HSAs) • • • Increases contribution limits for HSAs to $6,550 for individuals (from $3,400) and $13,100 for families (from $6,750) Allows spouses who are HSA-eligible and age 55 or older to deposit their catch-up contributions into one HSA account Treats HSAs as having been opened on the same day as the high-deductible health plan so there are no gaps in which HSA funds can be used for qualified medical expenses Freezes and Phases Out Medicaid Expansion • Ends the Obamacare Medicaid expansion • The Medicaid expansion is frozen December 31, 2019, at which point states can only enroll newly eligible OMB-American Oversight-000221 1 individuals at the State's traditional FMAP for that individual • Repeals the Medicaid Disproportionate Share Hospital (DSH) cuts for non-expansion states in 2018 and for expansion states in 2020 • Requires individuals to provide documentation of U.S. citizenship or lawful presence before obtaining Medicaid coverage Medicaid Reform • Creates a per capita cap model for states starting in FY2020 • Modernizes Medicaid's data and reporting systems o This provides for the first full picture of spending in the Medicaid program's history and will help • This is the largest reform to the Medicaid program in its 52-year history ensure a smooth transition to the per capita cap model Patient and State Stability Fund • Establishes the Patient and State Stability Fund to lower patient costs and stabilize state insurance markets • Provides $15 billion for states in FY2018 and FY2019 and $10 billion for FV2020-FY2026 Other Provisions • Establishes a continuous health insurance coverage incentive - individuals will be assessed a flat 30% lateenrollment surcharge when purchasing health insurance after at least a 63-day lapse in health insurance • Repeals the actuarial value standards established by Obamacare (bronze, silver, gold, platinum), which will improve flexibility in benefit design • Adjusts the ratio for age variation in health insurance premium rate to five-to-one, while also giving states the flexibility to set their own ratio CBO Score • • Lowers premiums by 10% Reduces the federal deficit by $337 billion • Makes major entitlement reform by capping Medicaid spending for the first time - saving taxpayers $880 billion • Lowers taxes by $883 billion, providing tax relief for middle-income Americans and small business owners Committee Activity • Energy & Commerce and Ways & Means reported out their respective pieces of the legislation with unanimous Republican support • Budget Committee will meet to mark up the reconciliation package on Thursday For additional information, please see the attached documents courtesy of the House Energy & Commerce and Ways & Means Committees. Chris Hodgson Deputy Floor Director Majority Whip Steve Scalise (LA-01) Office: (b) (6) Mobile: (b) (6) OMB-American Oversight-000222 2 Subtitle A: Patient Access to Public Health Programs Section 101 - The Prevention and Public Health Fund Section 4002 in the Patient Protection and Affordable Care Act established the Prevention and Public Health Fund (PPHF) as an advanced appropriation for prevention, wellness, and public health initiatives to be administered Department of Health and Human Services (HHS). Annual appropriations for the PPHF continue in perpetuity. If Congress does not explicitly allocate the funding, the HHS Secretary has broad authority to spend these dollars without Congressional oversight. This section repeals PPHF appropriations for fiscal year 2019 onwards. Any unobligated PPHF funds remaining at the end of fiscal year 2018 are to be rescinded. Section 102 - Community Health Center Program This seclion provides increased funding for lhe Communily Heallh Center Fund, which awards grants to Federally Qualified Health Centers (FQHCs). FQHCs are c01nn11.mity-based outpatient facilities that provide health services to medically underserved populations. These health services include comprehensive medical, dental, mental health and reproductive care, in addition to other primary care services. Section 103 - Federal Payments to States This section imposes a one-year freeze on mandatory funding to a class of providers designated as prohibited entities. This funding includes Medicaid, the Children's Health Insurance Program, Maternal and Child Health Services Block Grants, and Social Services Block Grants. A prohibited entity is one that meets the following criteria: it is designated as a non-profit by the Internal Revenue Service; it is an essential community provider primarily engaged in family planning and reproductive health services; it provides abortions in cases that do not meet the Hyde amendment exception for federal payment; and it received over $350 million in federal and state Medicaid dollars in fiscal year 2014. Subtitle B: Medicaid Program Enhancement Section 111 - Repeal of Medicaid Provisions Section (111) (a) and 111 (3) • Repeals States expanded authority to make presumptive eligibility determination. States would still be allowed to make presumptive eligibility determinations for children, pregnant wmnen, and breast cancer and cervical cancer patients. Section 111 (1) (b) • Reverts the mandatory Medicaid income eligibility level for poverty-related children back to 100 percent of federal poverty level. States could cover this population in their State Children's Health Insurance Program (CHIP). OMB-American Oversight-000223 1 Section 111 (2) • Repeals the 6 percentage point bonus in the federal match rate for communitybased attendant services and supports, and would return to prior law without the 6 percent bonus. Section 112 - Repeal of Medicaid Expansion Section 112 (a) • Codifies NFTB v. Sebe1ius and makes Medicaid expansion optional for States • Repeals the State option to extend coverage to adults above 133% of federal poverty by December 31, 2019. Section 112 (b) • Repeals the enhanced match rate for newly eligible beneficiaries on December 31, 2019. States can keep the enhanced match for newly eligible expenditures that occur before January 1, 2020. However, for expenditures after January 1, 2020, the newly eligible matching rate would only apply to expenditures for newly eligible individuals who were enrolled in Medicaid (under the State plan or a waiver) as of December 31, 2019 and do not have a break in eligibility for more than one month after that date. After January 1, 2020, the State could only enroll newly eligible individuals at the State's traditional FMAP for that individual. Section I I 2 (h )(2) • The ACA added a few FMAP exceptions, including the expansion State federal matching rate, which is the federal matching rate available for non-pregnant childless adults in expansion States that implemented the ACA Medicaid expansion before March 23, 2010. For this population the ACA created a phase up matching rate for these groups. The expansion State federal matching rate varies from State to State. However, the formula used to calculate the expansion State federal matching rates is based on each State's regular FMAP rate and annual transition percentages set in statute. The annual transition percentages for the expansion State matching rate formula are 50% in CY2014, 60% in CY2015, 70% in CY2016, 80% in CY2017, 90% in CY2018, and 100% forCY2019 and subsequent years. • Section 112 (b)(2) amends the formula for the expansion State matching rate so that the matching rate stops phasing up after CY201 7 and the transition percentage would remain at the CY201 7 level for each subsequent year. In addition, for expenditures after January 1, 2020, the expansinn State matching rate would only apply to expenditures for individuals who are eligible for the expansion State matching rate and were enrolled in Medicaid (under the State Section-by-Section - Page 2 OMB-American Oversight-000224 2 plan or a waiver) as of December 31, 2019 and do not have a break in eligibility for n10re than one n10nth after that date_ After January 1, 2020, the State would have the option to enroll newly eligible individuals, but the State would receive the State's traditional FMAP for that individual. Section 112 (c) • Repeals the requirement that State Medicaid plans must provide the same "essenlial healLh benefits" Lhal are required by plans on Lhe exchanges, returning flexibility to the States on December 31, 2019. Section 113 - Elimination of DSH Cuts Repeals the Medicaid Disproportionate Share Hospital (DSH) cuts for non-expansion States in 2018_ States that expanded Medicaid would have their DSH cuts repealed in 2020_ Section 114 - Reducing State Medicaid Costs Section 114 (a) • Would eliminate an unintended consequence in the cmrent statute and regulations by requiring States, for purposes of determining MAGI for Medicaid and CHIP eligibility, to consider monetary winnings from lotteries (and other lump sum payments) as if they were obtained over multiple months, even if obtained in a single month_ • It would count lottery winnings above $80,000 over multiple months, thus preventing individuals with significant financial means from inappropriately shifting the cost of their care to the Medicaid program_ • It includes a hardship exemption by which States could continue to provide Medicaid coverage for an individual if the denial of coverage would cause an undue medical or financial hardship as determined based on criteria established by the Secretmy of HHS. Section 114 (b) • Would limit the effective date for retroactive coverage of Medicaid hencfits to the month in which the applicant applied. This provision would apply to Medicaid applications made (or deemed to be made) on or after October 1, 2017. Section 114 (c) • In general, Medicaid coverage is only available for individuals who are U.S. citizens or have legal immigration status. However, under current law, State Medicaid programs are currently required to provide applicants who attest to Section-by-Section - Page 3 OMB-American Oversight-000225 3 being U.S. citizens or to having satisfactory immigration status and are detem1ined otherwise eligible for Medicaid, a reasonable opportunity period to provide documentation that would verify their citizenship or eligible immigration status. States are required to enroll applicants in Medicaid and are eligible to receive federal matching funding for their care, during this reasonable opp01iunity period. As a result, individuals who are not citizens or eligible legal permanent residents may be enrolled and receive Medicaid benefits. • This section would close the loophole in current practice by requiring individuals to provide docmnentation of citizenship or lawfol presence before obtaining coverage. Section 114 (d) • Would repeal the authority for States to elect to substitute a higher home equity limit that is above the statutory minimum in law. It would apply to Medicaid eligibility determinations that are made more than 180 days after enactment. In situations where the Secretary of HHS detennines that State legislation would be required to amend the State plan, then States would have additional time to comply with these requirements. Section 115 - Safety Net Funding for Non-Expansion States Provides $10 billion over five years to non-expansion States for safety net funding. For CY2018 through CY2022, each State that has not implemented the ACA Medicaid expansion as of July 1st of the preceding year may receive safety net funding to adjust payment amounts for Medicaid providers. For these payment adjustments using the safety net funding, non-expansion States would receive an increased matching rate of 100% for CY2018 through CY2021 and 95% for CY2022. Each non-expansion State's allotment from the $2 billion would be determined according to the number of individuals in the State with income below 138% of FPL in 2015 relative to the total number of individuals with income below 138% of FPL for all the nonexpansion States in 2015. The 2015 American Community Survey I-year estimates as published by the Bureau of the Census would be used to determine the portion of each State's population that is he low 138% of the FPL If a non-expansion State fm a year implements the ACA Medicaid expansion during the year, the State shall no longer be treated as a non-expansion State for safety net funding for subsequent years. Section 116 - Providing Incentives for Increased Frequency of Eligibility Redeterrninations Requires States with Medicaid expansion populations to redetermine expansion enrollees' eligibility every 6 months. This ensures individuals not eligible for the program are not remaining enrolled longer than they should, while also allowing eligible individuals tu remain enrolled. To boost enforcement and prevent gaming, this policy also increases the allowable civil Section-by-Section - Page 4 OMB-American Oversight-000226 4 monetary penalty the HHS Inspector General is permitted levy if someone intentionally defrauds the progran1 by claiming Medicaid 1natching funds for an individual not eligible for expansion_ This policy also provides a temporary five percent FMAP increase to States for activities directly related to complying with this section. Subtitle C: Per Capita Allotment for Medical Assistance Section 121- Per Capita Allotment for Medical Assistance Reforms federal Medicaid financing by creating a per capita cap model (i.e., per enrollee limits on federal payments to States) starting in FY2020. Section 121 would use each State's spending in FY2016 as the base year to set targeted spending for each enrollee category (elderly, blind and disabled, children, non-expansion adults, and expansion adults) in FY2019 and subsequent years for that State. Each State's targeted spending amount would increase by the percentage increase in the medical care component of the consumer price index for all urban consumers from September 2019 to September of the next fiscal year. Starting in FY2020, any State with spending higher than their specified targeted aggregate amount would receive reductions to their Medicaid funding for the following fiscal year. Section 121 would also modernize Medicaid's data and reporting systems. The additional reporting requirements would include data on medical assistance expenditures within categories of services and categories of all enrollees on Medicaid. Providing a full picture of spending in the program for the first time in the program's history and helping to make the transition to a per capita model smooth and efficient. To help States prepare for these new reporting requirernents, section 121 would provide a temporary increase to the federal matching percentage to improve data reporting systems. The temporary increases would impact expenditures on or after October 1, 2017, and before October 1, 2019. Certain payments are exempt from the caps. For example, DSH payments operate outside of the caps since they are already a capped allolmenL Administrative payments are also exempl. In addition, certain populations would be exempt: • Individuals covered under a CHIP Medicaid expansion program; • Individuals who receive medical assislance lhrough an Indian Health Service facility; • Individuals entitled to medical assistance coverage of hreast and cervical cancer treatment due to screening under the Breast and Cervical Cancer Early Detection Program; • The following partial-benefit enrollees: • Unauthorized aliens eligible for Medicaid emergency medical care; • Individuals eligible for Medicaid family planning options; Section-by-Section - Page 5 OMB-American Oversight-000227 5 • Dual-eligible individuals eligible for coverage of Medicare cost sharing; • Individuals eligible for premium assistance; • Coverage of tuberculosis-related services for individuals infected with TB. Finally, to ensure that gaming does not take place the Secretary of HHS would conduct audits of each State's enrollment and expenditures reported on the Form CMS-64 for FY2016, FY2019, and subsequent years. Subtitle D: Patient Relief and Health Insurance Market Stability Section 131 - Repeal of Cost-Sharing Subsidy Section 1402, the cost-sharing subsidy program, of the Patient Protection and Affordable Care Act is repealed in 2020 by this section. The program is designed to lower out-ofpocket costs for those who purchase Silver plans through an exchange established by the law. The Obama administration executed this program without an appropriation, leading to a lawsuit from House Republicans arguing that Congress - and in particular, the House of Representatives - alone holds the constitutional power of the purse. The lawsuit, now entitled House v. Price, is being held in abeyance. The next filing date in the case for both parties is May 22, 201 7. Section 132 - Patient and State Stability Fund This section establishes the Patient and State Stability Fund, which is designed to lower patient costs and stabilize State markets. Under the use of funds, a State may use the resources for any of the following purposes: • Helping, through the provision of financial assistance, high-risk individuals who do not have access to health insurance coverage offered through an employer enroll in health insurance coverage in the individual market in the State, as such market is defined by the State (whether through the establishment of a new mechanism or maintenance of an existing mechanism for such purpose). • Providing incentives to appropriate entities to enter into arrangements with the State to help stabilize premiums for health insurance coverage in the individual, as such markets are defined by the State. • Reducing the cost of providing health insurance coverage in the individual market and small group market, as such markets are defined by the State, to individuals who have, or are projected tu have, a high rate of utilization of health services (as measured by cost). • Promoting participation in the individual market and small group market in the State and increasing health insurance options available through such market. Section-by-Section - Page 6 OMB-American Oversight-000228 6 • • • Promoting access to preventive services, dental care services (whether preventive or medically necessary),or any combination of such services, as well as mental health and substance use disorders. Providing payments, directly or indirectly, to health care providers for the provision of such health care services as are specified by the Administrator. Providing assistance to reduce out-of-pocket costs, such as copayments, coinsurance, premiums, and deductibles, of individuals enrolled in health insurance coverage in the State. If a State chooses not to use the funding for their own program, the resources will be available to the Adm~inistrator of the Centers for Medicare & Medicaid Services (CMS) to help stabilize premiums for patients. The formula used to calculate a State's allotment for years 2018 and 2019 uses two criteria. The first is for 85 percent of the annual funding and is based off of incurred claims for benefit year 2015, and subsequently 2016, which provides for the latest medical loss ratio (MLR) data available that reflects total costs for the on-exchange individual market. The second is for States to access a proportion of the remaining 15 percent. In order to receive this fonding, a State must meet one of two triggers: their uninsured population for individuals below 100 percent of federal poverty level (FPL) increased from 2013-2015; or, fewer than three plans arc offering coverage on the onexchange individual market in 2017. Beginning in 2020, the Administrator will set an allocation methodology to reflect cost, risk, lowincome uninsured population, and issuer competition. To determine Lhis methodology, the Administrator will consult with health care consumers, health insurance issuers, State insurance commissioners, and other stakeholders and after taking into consideration additional cost and risk factors that may inhibit health care consumer and health insurance issuer participation. This section annually appropriates $15 billion for State use for 2018 and 2019. For years 2020 through 2026, $10 billion is appropriated annually. A State match is phased in beginning 2020 at a different schedule, depending on if a State chooses to use the money for their own program or utilizes the federal default program administered through CMS. Section - 133 Continuous Health Insurance Coverage Incentive The continuous coverage incentive is designed to limit adverse selection in health care markets. Beginning in open enrollment for benefit year 2019, there will be a 12-month lookback period to determine ifthe applicant went longer than 63 days without continuous health insurance coverage. If the applicant had a lapse in coverage for greater than 63 days, issuers will assess a flat 30 percent late-enrollment surcharge on top of their base premium based on their decision to forgo coverage. This late-enrollment surcharge would he the same for all market entrants, regardless of health status, and discontinued after 12 months, incentivizing enrollees to remain covered. This process would being for special enrollment period applicants in benefit year 2018. Section - 134 Increasing Coverage Options Section-by-Section - Page 7 OMB-American Oversight-000229 7 Under the Affordable Care Act, plan issuers are required to label their offerings by metal tier: Bronze, Silver, Gold, and Platinum. These metal tiers are determined by a calculation known as actuarial value (AV). In an attempt to improve plan choice, this section repeals the AV standards, which helps improve benefit design flexibility. Section - 135 Change in Permissible Age Variation in Health Insurance Premium Rates Current law limits the cost of the most generous plan for older Americans to three times the cost of the least generous plan for younger Americans. The true cost of care is 4.8-to-one, according to health economists. This provision loosens the ratio to five-to-one and gives States the flexibility to set their own ratio. Section-by-Section - Page 8 OMB-American Oversight-000230 8 SUBTITLE SECTION - REPEAL AND REPLACE OF HEALTH-RELATED TAX POLICY 01: RECAPTURE EXCESS ADVANCE PAYMENTS OF PREMIUM TAX CREDITS The amount a household is required to pay towards their premiums is based on income. If a household's income increases during the tax year, excess premium tax credits may result. Under current law, for households with incomes less than 400 percent of the federal poverty level there are certain limits on the amount the household is required to repay the federal government for the excess premium tax credits. For tax years 2018 and 2019, this section requires any individual who was overpaid in premium tax credits to repay the entire excess amount, regardless of income. SECTION_02: ADDITIONAL MODIFICATIONS TO PREMIUM TAX CREDIT Under current law, qualified health plans must meet certain requirements for households to be eligible for the premium tax credit. This section amends those requirements to make available premium tax credits for the purchase of "catastrophic-only" qualified health plans and certain qualified plans not offered through an Exchange. Additionally, this section prohibits premium tax credits from being used to purchase plans that offer elective abortion coverage. Lastly, this section revises the schedule under which an individual's or family's share of premiums is determined by adjusting for household income and the age of the individual or family members. SECTION_03: PREMIUM TAX CREDIT This section repeals Obamacare's premium tax credit beginning in 2020. SECTION_04: SMALL BUSINESS TAX CREDIT This section repeals Obamacare's small business tax credit beginning in 2020. Between 2018 and 2020, under the proposal, the small business tax credit generally is not available with respect to a qualified health plan that provides coverage relating to elective abortions. SECTION_OS: INDIVIDUAL MANDATE Under current law, most individuals are required to purchase health insurance or pay a penalty. This section would reduce the penalty to zero for failure to maintain minimum essential coverage; effectively repealing the individual mandate. The effective date would apply for months beginning after December 31, 2015, providing retroactive relief to those impacted by the penalty in 2016. SECTION_06: EMPLOYER MANDATE Under current law, certain employers are required to provide health insurance or pay a penalty. This section would reduce the penalty to zero for failure to provide minimum essential coverage; effectively OMB-American Oversight-000231 1 repealing the employer mandate. The effective date would apply for months beginning after December 31, 2015, providing retroactive relief to those impacted by the penalty in 2016. SECTION_07: REPEAL OF THE TAX ON EMPLOYEE HEALTH INSURANCE PREMIUMS AND HEALTH PLAN BENEFITS Obamacare imposed a 40 percent excise tax on high cost employer-sponsored health coverage, also known as Cadillac plans. Under current law, the tax will go into effect in 2020. This section changes the effective date of the tax. It will not apply for any taxable period beginning after December 31, 2019, and before January 1, 2025. Thus, the tax will apply only for taxable periods beginning after December 31, 2024. SECTION_08: REPEAL OF THE TAX ON OVER-THE-COUNTER MEDICATIONS Under current law, taxpayers may use several different types of tax-advantaged health savings accounts to help pay or be reimbursed for qualified medical expenses. Obamacare excluded over-thecounter medications from the definition of qualified medical expenses. This section effectively repeals the Obamacare tax on over-the-counter medications. The effective date begins tax year 2018. SECTION_09: REPEAL OF INCREASE OF TAX ON HEALTH SAVINGS ACCOUNTS Distributions from an HSA or Archer MSA that are used for qualified medical expenses are excludible from gross income. Distributions that are not used for qualified medical expenses are includible in income and are generally subject to an additional tax. Obamacare increased the percentage of the tax on distributions that are not used for qualified medical expenses to 20 percent. This section lowers the rate to pre-Obamacare percentages. This change is effective for distributions after December 31, 2017. SECTION_10: REPEAL OF LIMITATIONS ON CONTRIBUTIONS TO FLEXIBLE SAVINGS ACCOUNTS Obamacare limits the amount an employer or individual may contribute to a health Flexible Spending Account (FSA) to $2,500, indexed for cost-of-living adjustments. This section repeals the limitation on health FSA contributions for taxable years beginning after December 31, 2017. SECTION_11: REPEAL OF MEDICAL DEVICE TAX Obamacare created a new 2.3 percent excise tax on the sale of certain medical devices. This section repeals the medical device tax beginning after December 31, 2017. SECTION_12: REPEAL OF ELIMINATION OF DEDUCTION FOR EXPENSES ALLOCABLE TO MEDICARE PART D SUBSIDY Prior to Obamacare, as an incentive for employers to offer retiree drug coverage, employers who offered sufficient prescription drug coverage to their employees qualified for the Retiree Drug Subsidy to help cover actual spending for prescription drug costs. Obamacare eliminated the ability for employers to take a tax deduction on the value of this subsidy. This section repeals this Obamacare change and re-instates the business-expense deduction for retiree prescription drug costs without Prepared by the Committee on Ways and Means Majority Staff OMB-American Oversight-000232 2 March 6, 2017 reduction by the amount of any federal subsidy. This section applies to taxable years beginning after December 31, 2017. SECTION_13: REPEAL OF INCREASE IN INCOME THRESHOLD FOR MEDICAL EXPENSE DEDUCTION Taxpayers who itemize their deductions may deduct qualifying medical expenses. The medical-expense deduction may be claimed only for expenses that exceed a certain percentage of the taxpayer's adjustment gross income (AGI). Obamacare increased the AGI percentage threshold from 7.5 percent to 10 percent if the taxpayer or spouse was aged 65 or older. This section restores the pre-Obamacare AGI percentage threshold to 7.5-percent for all taxpayers beginning in 2018 and extends the special rule for those aged 65 or older through this year. SECTION_14: REPEAL OF MEDICARE TAX INCREASE Obamacare imposed a Medicare Hospital Insurance (HI) surtax based on income at a rate equal to 0.9 percent of an employee's wages or a self-employed individual's self-employment income. This section repeals the additional 0.9 percent Medicare tax beginning in 2018. SECTION_15: REFUNDABLE TAX CREDIT FOR HEALTH INSURANCE This section creates an advanceable, refundable tax credit for the purchase of state-approved, major medical health insurance and unsubsidized COBRA coverage. To be eligible, generally, an individual must not have access to government health insurance programs or an offer from any employer; and be a citizen, national or qualified alien of the United States, and not incarcerated. The credits are adjusted by age: • Under age 30: $2,000 • Between 30 and 39: $2,500 • Between 40 and 49: $3,000 • Between 50 and 59: $3,500 • Over age 60: $4,000 The credits are additive for a family and capped at $14,000. The credits grow over time by CPl+l. The credits are available in full to those making $75,000 per year ($150,000 joint filers). The credit phases out by $100 for every $1,000 in income higher than those thresholds. The Secretary of the Treasury is empowered to create a system- building upon already developed systems- to deliver the credit. Eligibility determinations will continue to be conducted by the federal government, while insurers and licensed agents and brokers will be able to do more of the consumerfacing actions currently performed in 39 states by healthcare.gov. The program also calls for simplified reporting of an offer of coverage on the W-2 by employers. Reconciliation rules limit the ability of Congress to repeal the current reporting, but, when the current reporting becomes redundant and replaced by the reporting mechanism called for in the bill, then the Secretary of the Treasury can stop enforcing reporting that is not needed for taxable purposes. Prepared by the Committee on Ways and Means Majority Staff OMB-American Oversight-000233 3 March 6, 2017 SECTION_16: MAXIMUM CONTRIBUTION LIMITTO HEALTH SAVINGS ACCOUNT INCREASED TO AMOUNT OF DEDUCTIBLE AND OUT-OF-POCKET LIMITATION This section increases the basic limit on aggregate Health Savings Account contributions for a year to equal the maximum on the sum of the annual deductible and out-of-pocket expenses permitted under a high deductible health plan. Thus, the basic limit will be at least $6,550 in the case of self-only coverage and $13,100 in the case of family coverage beginning in 2018. SECTION_17: ALLOW BOTH SPOUSES TO MAKE CATCH-UP CONTRIBUTIONS This section would effectively allow both spouses to make catch-up contributions to one HSA beginning in 2018. SECTION 18: SPECIAL RULE FOR CERTAIN MEDICAL EXPENSES INCURRED BEFORE ESTABLISHMENT OF HSA This section sets forth certain circumstances under which HSA withdrawals can be used to pay qualified medical expenses incurred before the HSA was established. Starting in 2018, if an HSA is established during the 60-day period beginning on the date that an individual's coverage under a high deductible health plan begins, then the HSA is treated as having been established on the date coverage under the high deductible health plan begins for purposes of determining if an expense incurred is a qualified medical expense. SUBTITLE SECTION - REPEAL OF TANNING TAX 01: REPEAL OF TANNING TAX Obamacare imposed a 10 percent sales tax on indoor tanning services. This section repeals the tanning tax starting in 2018. SUBTITLE SECTION - REPEAL OF NET INVESTMENT TAX 01: REPEAL OF NET INVESTMENT TAX Obamacare imposed a net investment tax, applying a rate of 3.8 percent to certain net investment income of individuals, estates, and trusts with income above certain amounts. This section repeals the net investment tax starting in 2018. SUBTITLE SECTION - REMUNERATION FROM CERTAIN INSURERS 01: REMUNERATION FROM CERTAIN INSURERS Generally, employers may deduct the remuneration paid to employees as "ordinary and necessary 1 ' business expenses. Obamacare added a limitation for certain health insurance providers that exceeds $500,000 paid to an officer, director, or employee. This section repeals the limit on the deduction of a covered health insurance provider for compensation attributable to services performed by an applicable individual starting in 2018. Prepared by the Committee on Ways and Means Majority Staff OMB-American Oversight-000234 4 March 6, 2017 SUBTITLE - REPEAL AND REPLACE OF CERTAIN CONSUMER TAXES SECTION 01: REPEAL OF TAX ON PRESCRIPTION MEDICATIONS Obamacare imposed an annual fee on certain brand pharmaceutical manufacturers. This section repeals the tax on brand pharmaceutical manufacturers such that the it would not apply for years beginning after December 31, 2017. SECTION_02: REPEAL OF HEALTH INSURANCE TAX Obamacare imposed an annual fee on certain health insurers. The proposal repeals the health insurance tax beginning after December 31, 2017. Prepared by the Committee on Ways and Means Majority Staff OMB-American Oversight-000235 5 March 6, 2017 I Our goal is simple: Helping people buy affordable health care. We achieve this goal in several ways. First, we help bring down the costs of care so everyone has a fair shot at affordable coverage. To drive down costs, we offer four new ideas: giving patients more health care options, improving how much consumers pay by age, providing states with incentives to help cover lower-income Americans and stabilize markets, and a new continuous coverage protection. Taken together, these four solutions help every get - and keep - better health care. Next, we provide Americans access to a portable, monthly tax credit that they can use to buy a health insurance plan that is right for them - not one tied to a job or a government-mandated program. President Trump called for a tax credit and our plan delivers on his call, providing an age-based credit, so as individuals' health needs evolve over time, so will their monthly, portable tax credit. It can travel with them from job-tojob, state-to-state, home to start a business or raise a family, and even into retirement. Even more, our plan provides a solution to help states increase the number of patients with health coverage: The Patient and State Stability Fund. This new and groundbreaking fund can help states lower the cost of care for some of their most vulnerable patients. The fund will help repair state markets damaged by Obamacare. States can use the funds to cut out-of-pocket costs, like premiums and deductibles. States may also use these resources to promote access to preventive services, like getting an annual checkup, as well as dental and vision care. States could use these resources to promote participation in private health insurance or to increase the number of options available through the market. Even more, they have the option to arrange partnerships with health care providers to support their efforts to provide care. Finally, we get rid of Washington's one-size-fits-all health care plans. In a nation of over 323 million people, each with different needs and circumstances, it makes no sense for one federal agency to dictate the contents of every American's health insurance plan. And it makes even less sense to impose a tax penalty on any American who chooses not to purchase that plan. Americans deserve a competitive insurance marketplace that provides quality care at an affordable cost. But, this does not mean returning to the pre-Obamacare status quo. OMB-American Oversight-000236 1 House Republicans Deliver on President Trump's Health Care Promise Obamacare is hurting more people than it is helping, forcing Americans to buy insurance they don't like, don't need, and cannot afford . • • • one nsurer 34 percent fewer doctors and other health care providers accept Obamacare insurance compared to private insurance. President Trump called on Congress to "act decisively" to rescue Americans from this failing law, and House Republicans are answering his call. More than eight months ago, we outlined our vision for repealing and replacing Obamacare in A Better Way. Since then, we have been talking with our constituents and colleagues about how to turn these solutions into policies that will improve lives. Now, House Republicans are moving forward with fiscally responsible legislation to deliver relief from Obamacare's taxes and mandates and lay the groundwork for a 21st century health care system. Specifically, the primary Committees with jurisdiction over health care-Ways and Means and Energy and Commerce-have released the American Health Care Act-legislation that not only repeals the law, but replaces it with reforms President Trump laid out. Taken together, here's what the American Health Care Act will do: • Dismantle the Obamacare taxes that have hurt job creators, increased premium costs, and limited options for patients and health care providersincluding taxes on prescription drugs, over-the-counter medications, healthinsurance premiums, and medical devices. 1 OMB-American Oversight-000237 1 • Eliminate the individual and employer mandate penalties, which forced millions of workers, families, and job creators into expensive, inadequate Obamacare plans that they don't want and cannot afford. • Prohibit health insurers from denying coverage or charging more money to patients based on pre-existing conditions. • Help young adults access health insurance and stabilize the marketplace by allowing dependents to continue staying on their parents' plan until they are 26. • Establish a Patient and State Stability Fund, which provides states with $100 billion to design programs that meet the unique needs of their patient populations and help low-income Americans afford health care. • Modernize and strengthen Medicaid by transitioning to a "per capita allotment" so states can better serve the patients most in need. • Empower individuals and families to spend their health care dollars the way they want and need by enhancing and expanding Health Savings Accounts (HSAs)-nearly doubling the amount of money people can contribute and broadening how people can use it. • Help Americans access affordable, quality health care by providing a monthly tax credit-between $2,000 and $14,000 a year-for low- and middle-income individuals and families who don't receive insurance through work or a government program. As President Trump said during his Joint Address, "Action is not a choice-it is a necessity." House Republicans are taking action this month to provide relief and deliver patient-centered health care. 2 OMB-American Oversight-000238 2 Scalise: WHIP CHECK NOTICE - American Health Care Act From: "Hodgson, Chris" (b) (6) To: "Hodgson, Chris" (b) (6) Cc: "Bravo, Matt" (b) (6) , "Napier, Ben" (b) (6) Date: Tue, 14 Mar 2017 18:13:36 -0400 Attachments: EC_Section-by-Section Summary_Final.pdf (130.58 kB); WM_03.06.17-Section-by-Section.pdf (362.03 kB); HelpingPeopleBuyCoverage_E&C.PDF (76.79 kB); AmericanHealthCareAct_Summary.pdf (360.96 kB) Good evening, The Whip Team will be talking to your boss during tomorrow's only vote series (approximately 6:30 p.m.) regarding the American Health Care Act (text can be found here). As always, please let us know if you have any questions. -Chris American Health Care Act Repeals Obamacare • • Eliminates the individual mandate penalty Eliminates the employer mandate penalty • • Repeals the Obamacare subsidies in 2020 Repeals the Obamacare tax increases • Repeals the Obamacare Prevention and Public Health Fund in 2019 and rescinds all unobligated balances at the end of 2018 Tax Credits • Provides an advanceable, refundable tax credit for individuals and families who do not get health insurance through their employer or the government o This tax credit moves towards equalizing the tax treatment between employer coverage and individual market coverage o The tax credit is adjusted for age and grows over time by CPl+l, with a maximum credit of $4,000 for an individual and $14,000 for a family • The credits are additive for families • Excess credit can be deposited into an eligible individual's health savings account o The credit is available in full to those making up to $75,000 per year ($150,000 for joint filers) and phases out by $100 for every $1,000 in income higher than those thresholds Health Savings Accounts (HSAs) • Increases contribution limits for HSAs to $6,550 for individuals (from $3,400) and $13,100 for families (from $6,750) OMB-American Oversight-000239 1 • Allows spouses who are HSA-eligible and age 55 or older to deposit their catch-up contributions into one HSA account • Treats HSAs as having been opened on the same day as the high-deductible health plan so there are no gaps in which HSA funds can be used for qualified medical expenses Freezes and Phases Out Medicaid Expansion • Ends the Obamacare Medicaid expansion • The Medicaid expansion is frozen December 31, 2019, at which point states can only enroll newly eligible individuals at the State's traditional FMAP for that individual • Repeals the Medicaid Disproportionate Share Hospital (DSH) cuts for non-expansion states in 2018 and for expansion states in 2020 • Requires individuals to provide documentation of U.S. citizenship or lawful presence before obtaining Medicaid coverage Medicaid Reform • Creates a per capita cap model for states starting in FY2020 • • Modernizes Medicaid's data and reporting systems o This provides for the first full picture of spending in the Medicaid program's history and will help ensure a smooth transition to the per capita cap model This is the largest reform to the Medicaid program in its 52-year history Patient and State Stability Fund • • Establishes the Patient and State Stability Fund to lower patient costs and stabilize state insurance markets Provides $15 billion for states in FY2018 and FY2019 and $10 billion for FY2020-FY2026 Other Provisions • Establishes a continuous health insurance coverage incentive - individuals will be assessed a flat 30% lateenrollment surcharge when purchasing health insurance after at least a 63-day lapse in health insurance • Repeals the actuarial value standards established by Obamacare (bronze, silver, gold, platinum), which will improve flexibility in benefit design • Adjusts the ratio for age variation in health insurance premium rate to five-to-one, while also giving states the flexibility to set their own ratio CBO Score • • Lowers premiums by 10% Reduces the federal deficit by $337 billion • Makes major entitlement reform by capping Medicaid spending for the first time - saving taxpayers $880 billion • Lowers taxes by $883 billion, providing tax relief for middle-income Americans and small business owners Committee Activity • Energy & Commerce and Ways & Means reported out their respective pieces of the legislation with unanimous Republican support • Budget Committee will meet to mark up the reconciliation package on Thursday For additional information, please see the attached documents courtesy of the House Energy & Commerce and Ways & Means Committees. Chris Hodgson Deputy Floor Director Majority Whip Steve Scalise (LA-01) Office: (b) (6) Mobile: (b) (6) OMB-American Oversight-000240 2 Subtitle A: Patient Access to Public Health Programs Section 101 - The Prevention and Public Health Fund Section 4002 in the Patient Protection and Affordable Care Act established the Prevention and Public Health Fund (PPHF) as an advanced appropriation for prevention, wellness, and public health initiatives to be administered Department of Health and Human Services (HHS). Annual appropriations for the PPHF continue in perpetuity. If Congress does not explicitly allocate the funding, the HHS Secretary has broad authority to spend these dollars without Congressional oversight. This section repeals PPHF appropriations for fiscal year 2019 onwards. Any unobligated PPHF funds remaining at the end of fiscal year 2018 are to be rescinded. Section 102 - Community Health Center Program This seclion provides increased funding for lhe Communily Heallh Center Fund, which awards grants to Federally Qualified Health Centers (FQHCs). FQHCs are c01nn11.mity-based outpatient facilities that provide health services to medically underserved populations. These health services include comprehensive medical, dental, mental health and reproductive care, in addition to other primary care services. Section 103 - Federal Payments to States This section imposes a one-year freeze on mandatory funding to a class of providers designated as prohibited entities. This funding includes Medicaid, the Children's Health Insurance Program, Maternal and Child Health Services Block Grants, and Social Services Block Grants. A prohibited entity is one that meets the following criteria: it is designated as a non-profit by the Internal Revenue Service; it is an essential community provider primarily engaged in family planning and reproductive health services; it provides abortions in cases that do not meet the Hyde amendment exception for federal payment; and it received over $350 million in federal and state Medicaid dollars in fiscal year 2014. Subtitle B: Medicaid Program Enhancement Section 111 - Repeal of Medicaid Provisions Section (111) (a) and 111 (3) • Repeals States expanded authority to make presumptive eligibility determination. States would still be allowed to make presumptive eligibility determinations for children, pregnant wmnen, and breast cancer and cervical cancer patients. Section 111 (1) (b) • Reverts the mandatory Medicaid income eligibility level for poverty-related children back to 100 percent of federal poverty level. States could cover this population in their State Children's Health Insurance Program (CHIP). OMB-American Oversight-000241 1 Section 111 (2) • Repeals the 6 percentage point bonus in the federal match rate for communitybased attendant services and supports, and would return to prior law without the 6 percent bonus. Section 112 - Repeal of Medicaid Expansion Section 112 (a) • Codifies NFTB v. Sebe1ius and makes Medicaid expansion optional for States • Repeals the State option to extend coverage to adults above 133% of federal poverty by December 31, 2019. Section 112 (b) • Repeals the enhanced match rate for newly eligible beneficiaries on December 31, 2019. States can keep the enhanced match for newly eligible expenditures that occur before January 1, 2020. However, for expenditures after January 1, 2020, the newly eligible matching rate would only apply to expenditures for newly eligible individuals who were enrolled in Medicaid (under the State plan or a waiver) as of December 31, 2019 and do not have a break in eligibility for more than one month after that date. After January 1, 2020, the State could only enroll newly eligible individuals at the State's traditional FMAP for that individual. Section I I 2 (h )(2) • The ACA added a few FMAP exceptions, including the expansion State federal matching rate, which is the federal matching rate available for non-pregnant childless adults in expansion States that implemented the ACA Medicaid expansion before March 23, 2010. For this population the ACA created a phase up matching rate for these groups. The expansion State federal matching rate varies from State to State. However, the formula used to calculate the expansion State federal matching rates is based on each State's regular FMAP rate and annual transition percentages set in statute. The annual transition percentages for the expansion State matching rate formula are 50% in CY2014, 60% in CY2015, 70% in CY2016, 80% in CY2017, 90% in CY2018, and 100% forCY2019 and subsequent years. • Section 112 (b)(2) amends the formula for the expansion State matching rate so that the matching rate stops phasing up after CY201 7 and the transition percentage would remain at the CY201 7 level for each subsequent year. In addition, for expenditures after January 1, 2020, the expansinn State matching rate would only apply to expenditures for individuals who are eligible for the expansion State matching rate and were enrolled in Medicaid (under the State Section-by-Section - Page 2 OMB-American Oversight-000242 2 plan or a waiver) as of December 31, 2019 and do not have a break in eligibility for n10re than one n10nth after that date_ After January 1, 2020, the State would have the option to enroll newly eligible individuals, but the State would receive the State's traditional FMAP for that individual. Section 112 (c) • Repeals the requirement that State Medicaid plans must provide the same "essenlial healLh benefits" Lhal are required by plans on Lhe exchanges, returning flexibility to the States on December 31, 2019. Section 113 - Elimination of DSH Cuts Repeals the Medicaid Disproportionate Share Hospital (DSH) cuts for non-expansion States in 2018_ States that expanded Medicaid would have their DSH cuts repealed in 2020_ Section 114 - Reducing State Medicaid Costs Section 114 (a) • Would eliminate an unintended consequence in the cmrent statute and regulations by requiring States, for purposes of determining MAGI for Medicaid and CHIP eligibility, to consider monetary winnings from lotteries (and other lump sum payments) as if they were obtained over multiple months, even if obtained in a single month_ • It would count lottery winnings above $80,000 over multiple months, thus preventing individuals with significant financial means from inappropriately shifting the cost of their care to the Medicaid program_ • It includes a hardship exemption by which States could continue to provide Medicaid coverage for an individual if the denial of coverage would cause an undue medical or financial hardship as determined based on criteria established by the Secretmy of HHS. Section 114 (b) • Would limit the effective date for retroactive coverage of Medicaid hencfits to the month in which the applicant applied. This provision would apply to Medicaid applications made (or deemed to be made) on or after October 1, 2017. Section 114 (c) • In general, Medicaid coverage is only available for individuals who are U.S. citizens or have legal immigration status. However, under current law, State Medicaid programs are currently required to provide applicants who attest to Section-by-Section - Page 3 OMB-American Oversight-000243 3 being U.S. citizens or to having satisfactory immigration status and are detem1ined otherwise eligible for Medicaid, a reasonable opportunity period to provide documentation that would verify their citizenship or eligible immigration status. States are required to enroll applicants in Medicaid and are eligible to receive federal matching funding for their care, during this reasonable opp01iunity period. As a result, individuals who are not citizens or eligible legal permanent residents may be enrolled and receive Medicaid benefits. • This section would close the loophole in current practice by requiring individuals to provide docmnentation of citizenship or lawfol presence before obtaining coverage. Section 114 (d) • Would repeal the authority for States to elect to substitute a higher home equity limit that is above the statutory minimum in law. It would apply to Medicaid eligibility determinations that are made more than 180 days after enactment. In situations where the Secretary of HHS detennines that State legislation would be required to amend the State plan, then States would have additional time to comply with these requirements. Section 115 - Safety Net Funding for Non-Expansion States Provides $10 billion over five years to non-expansion States for safety net funding. For CY2018 through CY2022, each State that has not implemented the ACA Medicaid expansion as of July 1st of the preceding year may receive safety net funding to adjust payment amounts for Medicaid providers. For these payment adjustments using the safety net funding, non-expansion States would receive an increased matching rate of 100% for CY2018 through CY2021 and 95% for CY2022. Each non-expansion State's allotment from the $2 billion would be determined according to the number of individuals in the State with income below 138% of FPL in 2015 relative to the total number of individuals with income below 138% of FPL for all the nonexpansion States in 2015. The 2015 American Community Survey I-year estimates as published by the Bureau of the Census would be used to determine the portion of each State's population that is he low 138% of the FPL If a non-expansion State fm a year implements the ACA Medicaid expansion during the year, the State shall no longer be treated as a non-expansion State for safety net funding for subsequent years. Section 116 - Providing Incentives for Increased Frequency of Eligibility Redeterrninations Requires States with Medicaid expansion populations to redetermine expansion enrollees' eligibility every 6 months. This ensures individuals not eligible for the program are not remaining enrolled longer than they should, while also allowing eligible individuals tu remain enrolled. To boost enforcement and prevent gaming, this policy also increases the allowable civil Section-by-Section - Page 4 OMB-American Oversight-000244 4 monetary penalty the HHS Inspector General is permitted levy if someone intentionally defrauds the progran1 by claiming Medicaid 1natching funds for an individual not eligible for expansion_ This policy also provides a temporary five percent FMAP increase to States for activities directly related to complying with this section. Subtitle C: Per Capita Allotment for Medical Assistance Section 121- Per Capita Allotment for Medical Assistance Reforms federal Medicaid financing by creating a per capita cap model (i.e., per enrollee limits on federal payments to States) starting in FY2020. Section 121 would use each State's spending in FY2016 as the base year to set targeted spending for each enrollee category (elderly, blind and disabled, children, non-expansion adults, and expansion adults) in FY2019 and subsequent years for that State. Each State's targeted spending amount would increase by the percentage increase in the medical care component of the consumer price index for all urban consumers from September 2019 to September of the next fiscal year. Starting in FY2020, any State with spending higher than their specified targeted aggregate amount would receive reductions to their Medicaid funding for the following fiscal year. Section 121 would also modernize Medicaid's data and reporting systems. The additional reporting requirements would include data on medical assistance expenditures within categories of services and categories of all enrollees on Medicaid. Providing a full picture of spending in the program for the first time in the program's history and helping to make the transition to a per capita model smooth and efficient. To help States prepare for these new reporting requirernents, section 121 would provide a temporary increase to the federal matching percentage to improve data reporting systems. The temporary increases would impact expenditures on or after October 1, 2017, and before October 1, 2019. Certain payments are exempt from the caps. For example, DSH payments operate outside of the caps since they are already a capped allolmenL Administrative payments are also exempl. In addition, certain populations would be exempt: • Individuals covered under a CHIP Medicaid expansion program; • Individuals who receive medical assislance lhrough an Indian Health Service facility; • Individuals entitled to medical assistance coverage of hreast and cervical cancer treatment due to screening under the Breast and Cervical Cancer Early Detection Program; • The following partial-benefit enrollees: • Unauthorized aliens eligible for Medicaid emergency medical care; • Individuals eligible for Medicaid family planning options; Section-by-Section - Page 5 OMB-American Oversight-000245 5 • Dual-eligible individuals eligible for coverage of Medicare cost sharing; • Individuals eligible for premium assistance; • Coverage of tuberculosis-related services for individuals infected with TB. Finally, to ensure that gaming does not take place the Secretary of HHS would conduct audits of each State's enrollment and expenditures reported on the Form CMS-64 for FY2016, FY2019, and subsequent years. Subtitle D: Patient Relief and Health Insurance Market Stability Section 131 - Repeal of Cost-Sharing Subsidy Section 1402, the cost-sharing subsidy program, of the Patient Protection and Affordable Care Act is repealed in 2020 by this section. The program is designed to lower out-ofpocket costs for those who purchase Silver plans through an exchange established by the law. The Obama administration executed this program without an appropriation, leading to a lawsuit from House Republicans arguing that Congress - and in particular, the House of Representatives - alone holds the constitutional power of the purse. The lawsuit, now entitled House v. Price, is being held in abeyance. The next filing date in the case for both parties is May 22, 201 7. Section 132 - Patient and State Stability Fund This section establishes the Patient and State Stability Fund, which is designed to lower patient costs and stabilize State markets. Under the use of funds, a State may use the resources for any of the following purposes: • Helping, through the provision of financial assistance, high-risk individuals who do not have access to health insurance coverage offered through an employer enroll in health insurance coverage in the individual market in the State, as such market is defined by the State (whether through the establishment of a new mechanism or maintenance of an existing mechanism for such purpose). • Providing incentives to appropriate entities to enter into arrangements with the State to help stabilize premiums for health insurance coverage in the individual, as such markets are defined by the State. • Reducing the cost of providing health insurance coverage in the individual market and small group market, as such markets are defined by the State, to individuals who have, or are projected tu have, a high rate of utilization of health services (as measured by cost). • Promoting participation in the individual market and small group market in the State and increasing health insurance options available through such market. Section-by-Section - Page 6 OMB-American Oversight-000246 6 • • • Promoting access to preventive services, dental care services (whether preventive or medically necessary),or any combination of such services, as well as mental health and substance use disorders. Providing payments, directly or indirectly, to health care providers for the provision of such health care services as are specified by the Administrator. Providing assistance to reduce out-of-pocket costs, such as copayments, coinsurance, premiums, and deductibles, of individuals enrolled in health insurance coverage in the State. If a State chooses not to use the funding for their own program, the resources will be available to the Adm~inistrator of the Centers for Medicare & Medicaid Services (CMS) to help stabilize premiums for patients. The formula used to calculate a State's allotment for years 2018 and 2019 uses two criteria. The first is for 85 percent of the annual funding and is based off of incurred claims for benefit year 2015, and subsequently 2016, which provides for the latest medical loss ratio (MLR) data available that reflects total costs for the on-exchange individual market. The second is for States to access a proportion of the remaining 15 percent. In order to receive this fonding, a State must meet one of two triggers: their uninsured population for individuals below 100 percent of federal poverty level (FPL) increased from 2013-2015; or, fewer than three plans arc offering coverage on the onexchange individual market in 2017. Beginning in 2020, the Administrator will set an allocation methodology to reflect cost, risk, lowincome uninsured population, and issuer competition. To determine Lhis methodology, the Administrator will consult with health care consumers, health insurance issuers, State insurance commissioners, and other stakeholders and after taking into consideration additional cost and risk factors that may inhibit health care consumer and health insurance issuer participation. This section annually appropriates $15 billion for State use for 2018 and 2019. For years 2020 through 2026, $10 billion is appropriated annually. A State match is phased in beginning 2020 at a different schedule, depending on if a State chooses to use the money for their own program or utilizes the federal default program administered through CMS. Section - 133 Continuous Health Insurance Coverage Incentive The continuous coverage incentive is designed to limit adverse selection in health care markets. Beginning in open enrollment for benefit year 2019, there will be a 12-month lookback period to determine ifthe applicant went longer than 63 days without continuous health insurance coverage. If the applicant had a lapse in coverage for greater than 63 days, issuers will assess a flat 30 percent late-enrollment surcharge on top of their base premium based on their decision to forgo coverage. This late-enrollment surcharge would he the same for all market entrants, regardless of health status, and discontinued after 12 months, incentivizing enrollees to remain covered. This process would being for special enrollment period applicants in benefit year 2018. Section - 134 Increasing Coverage Options Section-by-Section - Page 7 OMB-American Oversight-000247 7 Under the Affordable Care Act, plan issuers are required to label their offerings by metal tier: Bronze, Silver, Gold, and Platinum. These metal tiers are determined by a calculation known as actuarial value (AV). In an attempt to improve plan choice, this section repeals the AV standards, which helps improve benefit design flexibility. Section - 135 Change in Permissible Age Variation in Health Insurance Premium Rates Current law limits the cost of the most generous plan for older Americans to three times the cost of the least generous plan for younger Americans. The true cost of care is 4.8-to-one, according to health economists. This provision loosens the ratio to five-to-one and gives States the flexibility to set their own ratio. Section-by-Section - Page 8 OMB-American Oversight-000248 8 SUBTITLE SECTION - REPEAL AND REPLACE OF HEALTH-RELATED TAX POLICY 01: RECAPTURE EXCESS ADVANCE PAYMENTS OF PREMIUM TAX CREDITS The amount a household is required to pay towards their premiums is based on income. If a household's income increases during the tax year, excess premium tax credits may result. Under current law, for households with incomes less than 400 percent of the federal poverty level there are certain limits on the amount the household is required to repay the federal government for the excess premium tax credits. For tax years 2018 and 2019, this section requires any individual who was overpaid in premium tax credits to repay the entire excess amount, regardless of income. SECTION_02: ADDITIONAL MODIFICATIONS TO PREMIUM TAX CREDIT Under current law, qualified health plans must meet certain requirements for households to be eligible for the premium tax credit. This section amends those requirements to make available premium tax credits for the purchase of "catastrophic-only" qualified health plans and certain qualified plans not offered through an Exchange. Additionally, this section prohibits premium tax credits from being used to purchase plans that offer elective abortion coverage. Lastly, this section revises the schedule under which an individual's or family's share of premiums is determined by adjusting for household income and the age of the individual or family members. SECTION_03: PREMIUM TAX CREDIT This section repeals Obamacare's premium tax credit beginning in 2020. SECTION_04: SMALL BUSINESS TAX CREDIT This section repeals Obamacare's small business tax credit beginning in 2020. Between 2018 and 2020, under the proposal, the small business tax credit generally is not available with respect to a qualified health plan that provides coverage relating to elective abortions. SECTION_OS: INDIVIDUAL MANDATE Under current law, most individuals are required to purchase health insurance or pay a penalty. This section would reduce the penalty to zero for failure to maintain minimum essential coverage; effectively repealing the individual mandate. The effective date would apply for months beginning after December 31, 2015, providing retroactive relief to those impacted by the penalty in 2016. SECTION_06: EMPLOYER MANDATE Under current law, certain employers are required to provide health insurance or pay a penalty. This section would reduce the penalty to zero for failure to provide minimum essential coverage; effectively OMB-American Oversight-000249 1 repealing the employer mandate. The effective date would apply for months beginning after December 31, 2015, providing retroactive relief to those impacted by the penalty in 2016. SECTION_07: REPEAL OF THE TAX ON EMPLOYEE HEALTH INSURANCE PREMIUMS AND HEALTH PLAN BENEFITS Obamacare imposed a 40 percent excise tax on high cost employer-sponsored health coverage, also known as Cadillac plans. Under current law, the tax will go into effect in 2020. This section changes the effective date of the tax. It will not apply for any taxable period beginning after December 31, 2019, and before January 1, 2025. Thus, the tax will apply only for taxable periods beginning after December 31, 2024. SECTION_08: REPEAL OF THE TAX ON OVER-THE-COUNTER MEDICATIONS Under current law, taxpayers may use several different types of tax-advantaged health savings accounts to help pay or be reimbursed for qualified medical expenses. Obamacare excluded over-thecounter medications from the definition of qualified medical expenses. This section effectively repeals the Obamacare tax on over-the-counter medications. The effective date begins tax year 2018. SECTION_09: REPEAL OF INCREASE OF TAX ON HEALTH SAVINGS ACCOUNTS Distributions from an HSA or Archer MSA that are used for qualified medical expenses are excludible from gross income. Distributions that are not used for qualified medical expenses are includible in income and are generally subject to an additional tax. Obamacare increased the percentage of the tax on distributions that are not used for qualified medical expenses to 20 percent. This section lowers the rate to pre-Obamacare percentages. This change is effective for distributions after December 31, 2017. SECTION_10: REPEAL OF LIMITATIONS ON CONTRIBUTIONS TO FLEXIBLE SAVINGS ACCOUNTS Obamacare limits the amount an employer or individual may contribute to a health Flexible Spending Account (FSA) to $2,500, indexed for cost-of-living adjustments. This section repeals the limitation on health FSA contributions for taxable years beginning after December 31, 2017. SECTION_11: REPEAL OF MEDICAL DEVICE TAX Obamacare created a new 2.3 percent excise tax on the sale of certain medical devices. This section repeals the medical device tax beginning after December 31, 2017. SECTION_12: REPEAL OF ELIMINATION OF DEDUCTION FOR EXPENSES ALLOCABLE TO MEDICARE PART D SUBSIDY Prior to Obamacare, as an incentive for employers to offer retiree drug coverage, employers who offered sufficient prescription drug coverage to their employees qualified for the Retiree Drug Subsidy to help cover actual spending for prescription drug costs. Obamacare eliminated the ability for employers to take a tax deduction on the value of this subsidy. This section repeals this Obamacare change and re-instates the business-expense deduction for retiree prescription drug costs without Prepared by the Committee on Ways and Means Majority Staff OMB-American Oversight-000250 2 March 6, 2017 reduction by the amount of any federal subsidy. This section applies to taxable years beginning after December 31, 2017. SECTION_13: REPEAL OF INCREASE IN INCOME THRESHOLD FOR MEDICAL EXPENSE DEDUCTION Taxpayers who itemize their deductions may deduct qualifying medical expenses. The medical-expense deduction may be claimed only for expenses that exceed a certain percentage of the taxpayer's adjustment gross income (AGI). Obamacare increased the AGI percentage threshold from 7.5 percent to 10 percent if the taxpayer or spouse was aged 65 or older. This section restores the pre-Obamacare AGI percentage threshold to 7.5-percent for all taxpayers beginning in 2018 and extends the special rule for those aged 65 or older through this year. SECTION_14: REPEAL OF MEDICARE TAX INCREASE Obamacare imposed a Medicare Hospital Insurance (HI) surtax based on income at a rate equal to 0.9 percent of an employee's wages or a self-employed individual's self-employment income. This section repeals the additional 0.9 percent Medicare tax beginning in 2018. SECTION_15: REFUNDABLE TAX CREDIT FOR HEALTH INSURANCE This section creates an advanceable, refundable tax credit for the purchase of state-approved, major medical health insurance and unsubsidized COBRA coverage. To be eligible, generally, an individual must not have access to government health insurance programs or an offer from any employer; and be a citizen, national or qualified alien of the United States, and not incarcerated. The credits are adjusted by age: • Under age 30: $2,000 • Between 30 and 39: $2,500 • Between 40 and 49: $3,000 • Between 50 and 59: $3,500 • Over age 60: $4,000 The credits are additive for a family and capped at $14,000. The credits grow over time by CPl+l. The credits are available in full to those making $75,000 per year ($150,000 joint filers). The credit phases out by $100 for every $1,000 in income higher than those thresholds. The Secretary of the Treasury is empowered to create a system- building upon already developed systems- to deliver the credit. Eligibility determinations will continue to be conducted by the federal government, while insurers and licensed agents and brokers will be able to do more of the consumerfacing actions currently performed in 39 states by healthcare.gov. The program also calls for simplified reporting of an offer of coverage on the W-2 by employers. Reconciliation rules limit the ability of Congress to repeal the current reporting, but, when the current reporting becomes redundant and replaced by the reporting mechanism called for in the bill, then the Secretary of the Treasury can stop enforcing reporting that is not needed for taxable purposes. Prepared by the Committee on Ways and Means Majority Staff OMB-American Oversight-000251 3 March 6, 2017 SECTION_16: MAXIMUM CONTRIBUTION LIMITTO HEALTH SAVINGS ACCOUNT INCREASED TO AMOUNT OF DEDUCTIBLE AND OUT-OF-POCKET LIMITATION This section increases the basic limit on aggregate Health Savings Account contributions for a year to equal the maximum on the sum of the annual deductible and out-of-pocket expenses permitted under a high deductible health plan. Thus, the basic limit will be at least $6,550 in the case of self-only coverage and $13,100 in the case of family coverage beginning in 2018. SECTION_17: ALLOW BOTH SPOUSES TO MAKE CATCH-UP CONTRIBUTIONS This section would effectively allow both spouses to make catch-up contributions to one HSA beginning in 2018. SECTION 18: SPECIAL RULE FOR CERTAIN MEDICAL EXPENSES INCURRED BEFORE ESTABLISHMENT OF HSA This section sets forth certain circumstances under which HSA withdrawals can be used to pay qualified medical expenses incurred before the HSA was established. Starting in 2018, if an HSA is established during the 60-day period beginning on the date that an individual's coverage under a high deductible health plan begins, then the HSA is treated as having been established on the date coverage under the high deductible health plan begins for purposes of determining if an expense incurred is a qualified medical expense. SUBTITLE SECTION - REPEAL OF TANNING TAX 01: REPEAL OF TANNING TAX Obamacare imposed a 10 percent sales tax on indoor tanning services. This section repeals the tanning tax starting in 2018. SUBTITLE SECTION - REPEAL OF NET INVESTMENT TAX 01: REPEAL OF NET INVESTMENT TAX Obamacare imposed a net investment tax, applying a rate of 3.8 percent to certain net investment income of individuals, estates, and trusts with income above certain amounts. This section repeals the net investment tax starting in 2018. SUBTITLE SECTION - REMUNERATION FROM CERTAIN INSURERS 01: REMUNERATION FROM CERTAIN INSURERS Generally, employers may deduct the remuneration paid to employees as "ordinary and necessary 1 ' business expenses. Obamacare added a limitation for certain health insurance providers that exceeds $500,000 paid to an officer, director, or employee. This section repeals the limit on the deduction of a covered health insurance provider for compensation attributable to services performed by an applicable individual starting in 2018. Prepared by the Committee on Ways and Means Majority Staff OMB-American Oversight-000252 4 March 6, 2017 SUBTITLE - REPEAL AND REPLACE OF CERTAIN CONSUMER TAXES SECTION 01: REPEAL OF TAX ON PRESCRIPTION MEDICATIONS Obamacare imposed an annual fee on certain brand pharmaceutical manufacturers. This section repeals the tax on brand pharmaceutical manufacturers such that the it would not apply for years beginning after December 31, 2017. SECTION_02: REPEAL OF HEALTH INSURANCE TAX Obamacare imposed an annual fee on certain health insurers. The proposal repeals the health insurance tax beginning after December 31, 2017. Prepared by the Committee on Ways and Means Majority Staff OMB-American Oversight-000253 5 March 6, 2017 I Our goal is simple: Helping people buy affordable health care. We achieve this goal in several ways. First, we help bring down the costs of care so everyone has a fair shot at affordable coverage. To drive down costs, we offer four new ideas: giving patients more health care options, improving how much consumers pay by age, providing states with incentives to help cover lower-income Americans and stabilize markets, and a new continuous coverage protection. Taken together, these four solutions help every get - and keep - better health care. Next, we provide Americans access to a portable, monthly tax credit that they can use to buy a health insurance plan that is right for them - not one tied to a job or a government-mandated program. President Trump called for a tax credit and our plan delivers on his call, providing an age-based credit, so as individuals' health needs evolve over time, so will their monthly, portable tax credit. It can travel with them from job-tojob, state-to-state, home to start a business or raise a family, and even into retirement. Even more, our plan provides a solution to help states increase the number of patients with health coverage: The Patient and State Stability Fund. This new and groundbreaking fund can help states lower the cost of care for some of their most vulnerable patients. The fund will help repair state markets damaged by Obamacare. States can use the funds to cut out-of-pocket costs, like premiums and deductibles. States may also use these resources to promote access to preventive services, like getting an annual checkup, as well as dental and vision care. States could use these resources to promote participation in private health insurance or to increase the number of options available through the market. Even more, they have the option to arrange partnerships with health care providers to support their efforts to provide care. Finally, we get rid of Washington's one-size-fits-all health care plans. In a nation of over 323 million people, each with different needs and circumstances, it makes no sense for one federal agency to dictate the contents of every American's health insurance plan. And it makes even less sense to impose a tax penalty on any American who chooses not to purchase that plan. Americans deserve a competitive insurance marketplace that provides quality care at an affordable cost. But, this does not mean returning to the pre-Obamacare status quo. OMB-American Oversight-000254 1 House Republicans Deliver on President Trump's Health Care Promise Obamacare is hurting more people than it is helping, forcing Americans to buy insurance they don't like, don't need, and cannot afford . • • • one nsurer 34 percent fewer doctors and other health care providers accept Obamacare insurance compared to private insurance. President Trump called on Congress to "act decisively" to rescue Americans from this failing law, and House Republicans are answering his call. More than eight months ago, we outlined our vision for repealing and replacing Obamacare in A Better Way. Since then, we have been talking with our constituents and colleagues about how to turn these solutions into policies that will improve lives. Now, House Republicans are moving forward with fiscally responsible legislation to deliver relief from Obamacare's taxes and mandates and lay the groundwork for a 21st century health care system. Specifically, the primary Committees with jurisdiction over health care-Ways and Means and Energy and Commerce-have released the American Health Care Act-legislation that not only repeals the law, but replaces it with reforms President Trump laid out. Taken together, here's what the American Health Care Act will do: • Dismantle the Obamacare taxes that have hurt job creators, increased premium costs, and limited options for patients and health care providersincluding taxes on prescription drugs, over-the-counter medications, healthinsurance premiums, and medical devices. 1 OMB-American Oversight-000255 1 • Eliminate the individual and employer mandate penalties, which forced millions of workers, families, and job creators into expensive, inadequate Obamacare plans that they don't want and cannot afford. • Prohibit health insurers from denying coverage or charging more money to patients based on pre-existing conditions. • Help young adults access health insurance and stabilize the marketplace by allowing dependents to continue staying on their parents' plan until they are 26. • Establish a Patient and State Stability Fund, which provides states with $100 billion to design programs that meet the unique needs of their patient populations and help low-income Americans afford health care. • Modernize and strengthen Medicaid by transitioning to a "per capita allotment" so states can better serve the patients most in need. • Empower individuals and families to spend their health care dollars the way they want and need by enhancing and expanding Health Savings Accounts (HSAs)-nearly doubling the amount of money people can contribute and broadening how people can use it. • Help Americans access affordable, quality health care by providing a monthly tax credit-between $2,000 and $14,000 a year-for low- and middle-income individuals and families who don't receive insurance through work or a government program. As President Trump said during his Joint Address, "Action is not a choice-it is a necessity." House Republicans are taking action this month to provide relief and deliver patient-centered health care. 2 OMB-American Oversight-000256 2 Phone Interview w/ Brian Kilmeade (Kilmeade and Friends) Where: (b) (6) When: Thu Mar 16 09:06:00 2017 (America/New_York) Until: Thu Mar 16 09:15:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Hanlon, Daniel EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Czwartacki, John S. EOP/OMB" (b) (6) "Baker, John" (b) (6) Awesome. Thank you! They play news at the top of the hour and technically begin at 9:06am ET. Details: Kilmeade and Friends Time: 9:06-9:15am ET Host: Brian Kilmeade Market: National Topics: healthcare/budget Studio hotline to dial: (b) (6) OMB-American Oversight-000257 1 Phone Interview w/ Brian Kilmeade (Kilmeade and Friends) Where: (b) (6) When: Thu Mar 16 09:06:00 2017 (America/New_York) Until: Thu Mar 16 09:15:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Mulvaney, John M. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Czwartacki, John S. EOP/OMB" (b) (6) "Baker, John" (b) (6) Awesome. Thank you! They play news at the top of the hour and technically begin at 9:06am ET. Details: Kilmeade and Friends Time: 9:06-9:15am ET Host: Brian Kilmeade Market: National Topics: healthcare/budget Studio hotline to dial: (b) (6) OMB-American Oversight-000258 1 Phone Interview w/ Kilmeade Where: (b) (6) When: Thu Mar 16 09:06:00 2017 (America/New_York) Until: Thu Mar 16 09:15:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Hanlon, Daniel EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB"(b) (6) "Czwartacki, John S. EOP/OMB" (b) (6) "Baker, John"(b) (6) Awesome. Thank you! They play news at the top of the hour and technically begin at 9:06am ET. Details: Kilmeade and Friends Time: 9:06-9:15am ET Host: Brian Kilmeade Market: National Topics: healthcare/budget Studio hotline to dial: (b) (6) OMB-American Oversight-000259 1 Health Care Recap call Where: Participant Dial-In: (b) (6) Participant Code: (b) (6) When: Wed Mar 15 21:30:00 2017 (America/New_York) Until: Wed Mar 15 22:00:00 2017 (America/New_York) Organiser: "Curry, Catherine E. EOP/WHO" (b) (6) Required Attendees: "Curry, Catherine E. EOP/WHO"(b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E.EOP/WHO"<(b) (6) OMB-American Oversight-000260 1 Phone Interview w/ Brian Kilmeade (Kilmeade and Friends) Where: (b) (6) When: Thu Mar 16 09:06:00 2017 (America/New_York) Until: Thu Mar 16 09:15:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Mulvaney, John M. EOP/OMB" (b) (6) "Hanlon, Daniel EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Czwartacki, John S. EOP/OMB" (b) (6) "Baker, John" (b) (6) Awesome. Thank you! They play news at the top of the hour and technically begin at 9:06am ET. Details: Kilmeade and Friends Time: 9:06-9:15am ET Host: Brian Kilmeade Market: National Topics: healthcare/budget Studio hotline to dial: (b) (6) OMB-American Oversight-000261 1 Health Care Recap call Where: Participant Dial-In: (b) (6) Participant Code: (b) (6) When: Wed Mar 15 21:30:00 2017 (America/New_York) Until: Wed Mar 15 22:00:00 2017 (America/New_York) Organiser: "Curry, Catherine E. EOP/WHO" (b) (6) Required Attendees: "Bremberg, Andrew P. EOP/WHO" (b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E.EOP/WHO"(b) (6) OMB-American Oversight-000262 1 Daily Health Care Meeting Where: Roosevelt Room When: Thu Mar 16 16:00:00 2017 (America/New_York) Until: Thu Mar 16 16:30:00 2017 (America/New_York) Organiser: "Curry, Catherine E. EOP/WHO" (b) (6) Required Attendees: "Ditto, Jessica E. EOP/WHO" (b) (6) "Dubke, Michael D. EOP/WHO" (b) (6) "Meyer, Joyce Y. EOP/WHO"(b) (6) "Dearborn, Rick A. EOP/WHO" (b) (6) "Cohn, Gary D. EOP/WHO" (b) (6) "Vought, Russell T. EOP/OMB" (b) (6) "Bremberg, Andrew P. EOP/WHO" (b) (6) "Sifakis, George A. EOP/WHO" (b) (6) "Berkowitz, Avrahm J. EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Eisner-Poor, Kaitlyn E. EOP/WHO" (b) (6) "Cypher, Catharine D. EOP/WHO" (b) (6) "Nasim, Laura F. EOP/WHO" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Griswold, Julia C. EOP/WHO" (b) (6) "Welden, Anne-Allen EOP/WHO" (b) (6) "Salvi, Mary E. EOP/WHO" (b) (6) "Castillo, Hannah J. EOP/WHO" (b) (6) "Short, Marc T. EOP/WHO" (b) (6) "Wells, Mary E. EOP/OVP" (b) (6) "Pitcock, Joshua M. EOP/OVP" (b) (6) "Clark, Justin R. EOP/WHO" (b) (6) "Stepien, William EOP/WHO" (b) (6) "Mulvaney, John M. EOP/OMB" (b) (6) "Bannon, Stephen K. EOP/WHO" (b) (6) "Pavlik, Jennifer L. EOP/OVP" (b) (6) "Patenaude, Meghan C. EOP/OVP" (b) (6) Optional Attendees: "Long, Dylan D. EOP" (b) (6) "Ambrosini, Michael J. EOP/WHO" (b) (6) "Hoelscher, Douglas L. EOP/WHO" (b) (6) "Kirkland, William H. EOP/WHO" (b) (6) "Conway, Kellyanne E. EOP/WHO" (b) (6) "Talento, Kathryn F. EOP/WHO" (b) (6) "Campau, Alexandra P. EOP/WHO" (b) (6) Moving the 3/16 meeting due to the St. Patrick's day reception OMB-American Oversight-000263 1 Phone Interview w/ Brian Kilmeade (Kilmeade and Friends) Where: (b) (6) When: Thu Mar 16 09:06:00 2017 (America/New_York) Until: Thu Mar 16 09:15:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Hanlon, Daniel EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Czwartacki, John S. EOP/OMB" (b) (6) "Baker, John" (b) (6) Awesome. Thank you! They play news at the top of the hour and technically begin at 9:06am ET. Details: Kilmeade and Friends Time: 9:06-9:15am ET Host: Brian Kilmeade Market: National Topics: healthcare/budget Studio hotline to dial: (b) (6) OMB-American Oversight-000264 1 Phone Interview w/ Kilmeade Where: (b) (6) When: Thu Mar 16 09:06:00 2017 (America/New_York) Until: Thu Mar 16 09:15:00 2017 (America/New_York) Organiser: "Mulvaney, John M. EOP/OMB" (b) (6) Required Attendees: "Hanlon, Daniel EOP/OMB" (b) (6) "Sellers, Douglas C. EOP/OMB" (b) (6) "Czwartacki, John S. EOP/OMB" (b) (6) "Baker, John" (b) (6) Awesome. Thank you! They play news at the top of the hour and technically begin at 9:06am ET. Details: Kilmeade and Friends Time: 9:06-9:15am ET Host: Brian Kilmeade Market: National Topics: healthcare/budget Studio hotline to dial: (b) (6) OMB-American Oversight-000265 1 Senate Update From: "Suares, Erica (McConnell)" (b) (6) To: "Suares, Erica (McConnell)" (b) (6) Date: Wed, 15 Mar 2017 10:28:35 -0400 Good morning, The Senate just voted on the motion to invoke cloture on Executive Calendar #23, Daniel Coats, of Indiana, to be Director of National Intelligence (cloture invoked, 88-11). Yesterday evening, the Senate passed H.J.Res.42. the Drug Testing CRA (Cruz) (Adopted, 51-48). Further roll call votes are expected today. As a reminder, Leader McConnell filed cloture on Coats (Director of National Intelligence) and McMaster (National Security Advisor /lieutenant general) on Monday. Looking Ahead: Nominations, Resolutions of Disapproval (under the Congressional Review Act for rules finalized between June 13, 2016 and January 19, 2017), Obamacare Repeal and Replace, consideration of SCOTUS nominee, Judge Neil Gorsuch (hearing week of March 20th). Leader McConnell, earlier this morning • Spoke on the nomination of Dan Coats to be director of national intelligence. o "A few short months ago our colleague, Dan Coats, retired from his post here in the Senate. At that time I had a chance to reflect on our friend's impressive career, and I noted that we could expect him to rise to the occasion if called to serve his country once again. Well, that's exactly what Dan Coats is doing now. This time he'll be taking on the role of director of national intelligence. It goes without saying that the president made an excellent choice in selecting Dan for this job. Our former colleague from Indiana has served his nation in the Army, in the House of Representatives, as the ambassador to Germany, and of course he's also served his state here in the Senate where he was a Leader on issues regarding our national security and intelligence community." • Spoke on the nomination of H.R. McMaster to be lieutenant general. o "We're also working toward an opportunity to support another of the president's exceptional selections, Lieutenant General H.R. McMaster, his choice for national security advisor. The chairman of the Armed Services Committee recently called him an outstanding choice, a man of genuine intellect, character, and ability. He will now be tasked with adapting his vast experience to the responsibility of coordinating our national security policy at a time when our nation faces myriad threats and challenges." • Spoke on the nomination of Neil Gorsuch to the Supreme Court. o "I know we're all Looking forward to his hearing and to Learning even more about this exceptional nominee. But here's what we already know about Judge Gorsuch. The American Bar Association, an organization that the Democratic Leader OMB-American Oversight-000266 1 Gov. Bryant Meeting re: Healthcare Where: COS Office When: Thu Mar 16 16:30:00 2017 (America/New_York) Until: Thu Mar 16 16:45:00 2017 (America/New_York) Organiser: "Welden, Anne-Allen EOP/WHO" (b) (6) Required Attendees: "Pickitt, Kailey M. EOP/OMB" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Curry, Catherine E. EOP/WHO" (b) (6) "Johnson, Julia B. EOP/WHO" (b) (6) "Salvi, Mary E.EOP/WHO"<(b) (6) OMB-American Oversight-000267 1 Gov. Bryant Meeting re: Healthcare Where: COS Office When: Thu Mar 16 16:30:00 2017 (America/New_York) Until: Thu Mar 16 16:45:00 2017 (America/New_York) Organiser: "Welden, Anne-Allen EOP/WHO" (b) (6) Required Attendees: "Welden, Anne-Allen EOP/WHO" (b) (6) "Pickitt, Kailey M. EOP/OMB" (b) (6) "Hunter, Mallory G. EOP/WHO" (b) (6) "Curry, Catherine E. EOP/WHO" (b) (6) "Johnson, Julia B. EOP/WHO" (b) (6) "Salvi, Mary E.EOP/WHO"(b) (6) OMB-American Oversight-000268 1 THE LEADER'S WEEKLY SCHEDULE - WEEK OF 3/20/17 From: Kevin McCarthy (b) (6) To: "Slemrod, Jonathan A. EOP/OMB" (b) (6) Date: Fri, 17 Mar 2017 17:21 :35 -0400 [E!i Kevin McCarthy - Majority Leader LEADER'S WEEKLY SCHEDULE WEEK OF MARCH 20TH MONDAY.MARCH20TH On Monday, the House will meet at 12:00 p.m. for morning hour and 2:00 p.m. for legislative business. Votes will be postponed until 6:30 p.m. Legislation Considered Under Suspension of the Rules: 1) H.R. 1029 - Pesticide Registration Enhancement Act of 2017, as amended (Sponsored by Rep. Rodney Davis I Agriculture Committee) 2) H,R, 3~2 - 100 Years of Women in Congress Act (Sponsored by Rep. Grace Meng I Agriculture Committee) 3) H.R. 1309 - TSA Administrator Modernization Act of 2017 (Sponsored by Rep. John Kafka I Homeland Security Committee) 4) H.R. 1353 - Transparency in Technological Acquisitions Act of 2017 (Sponsored by Rep. Kathleen Rice I Homeland Security Committee) 5) H.R. 1294 - Reducing OHS Acquisition Cost Growth Act (Sponsored by Rep. John Rutherford I Homeland Security Committee) 6) H.R. 1297 - Quadrennial Homeland Security Review Technical Corrections Act of 2017 (Sponsored by Rep. Bonnie Watson Coleman I Homeland Security Committee) 7) H.R. 1249 - OHS Multiyear Acquisition Strategy Act of 2017, as amended (Sponsored by Rep. Brian Fitzpatrick I Homeland Security Committee) 8) H.R. 1252 - OHS Acquisition Authorities Act of 2017, as amended (Sponsored by Rep. Clay Higgins I Homeland Security Committee) 9) H.R. 1365 - Department of Homeland Security Acquisition Innovation Act, as amended (Sponsored by Rep. J Luis Correa I Homeland Security Committee) 10) H.R. 1238 - Securing our Agriculture and Food Act (Sponsored by Rep. David Young I Homeland Security Committee) 11) H.R. 1302 - Terrorist and Foreign Fighter Travel Exercise Act of 2017 (Sponsored by Rep. Martha McSally I Homeland Security Committee) TUESDAY.MARCH21ST On Tuesday, the House will meet at 10:00 a.m. for morning hour and 12:00 p.m. for legislative business. OMB-American Oversight-000269 1 H.R. 372 - Competitive Health Insurance Reform Act of 2017, Rules Committee Print (Subject to a Rule) (Sponsored by Rep. Paul Gosar I Judiciary Committee) WEDNESDAY. MARCH 22ND AND THE BALANCE OF THE WEEK On Wednesday, the House will meet at 10:00 a.m. for morning hour and 12:00 p.m. for legislative business. On Thursday, the House will meet at 9:00 a.m. for legislative business. On Friday, no votes are expected in the House. H.R. 1101 - Small Business Health Fairness Act of 2017, Rules Committee Print (Subject to a Rule) (Sponsored by Rep. Sam Johnson I Education and the Workforce Committee) H.R. -American Health Care Act of 2017 (Subject to a Rule) (Sponsored by Rep. Diane Black I Budget Committee) Committee activity for the week of March 20 can be found here. Printable PDF MAJORITY LEADER FLOOR OFFICE• H-107 U.S. CAPITOL Click Here to view this email in your browser Click Here to be removed from this list r£j Kevin McCarthy - Majority Leader LEADER'S WEEKLY SCHEDULE WEEK OF MARCH 20TH MONDAY.MARCH20TH On Monday, the House will meet at 12:00 p.m. for morning hour and 2:00 p.m. for legislative business. Votes will be postponed until 6:30 p.m. Legislation Considered Under Suspension of the Rules: 1) H.R. 1029 - Pesticide Registration Enhancement Act of 2017, as amended (Sponsored by Rep. Rodney Davis I Agriculture Committee) 2) H.R. 382 - 100 Years of Women in Congress Act (Sponsored by Rep. Grace Meng I Agriculture Committee) 3) H.R. 1309 - TSA Administrator Modernization Act of 2017 (Sponsored by Rep. John Katko I Homeland Security Committee) 4) H.R. 1353 - Transparency in Technological Acquisitions Act of 2017 (Sponsored by Rep. Kathleen Rice I Homeland Security Committee) 5) H.R. 1294 - Reducing OHS Acquisition Cost Growth Act (Sponsored by Rep. John Rutherford I Homeland Security Committee) 6) H.R. 1297 - Quadrennial Homeland Security Review Technical Corrections Act of 2017 (Sponsored by Rep. Bonnie Watson Coleman I Homeland Security Committee) 7) H.R. 1249 - OHS Multiyear Acquisition Strategy Act of 2017, as amended (Sponsored by Rep. Brian Fitzpatrick I Homeland Security Committee) 8) H.R. 1252 - OHS Acquisition Authorities Act of 2017, as amended (Sponsored by Rep. Clay Higgins I Homeland Security Committee) OMB-American Oversight-000270 2 9) H.R. 1365 - Department of Homeland Security Acquisition Innovation Act, as amended (Sponsored by Rep. J Lu;s Correa I Homeland Secur;ty Commmee) 10) H.R. 1238 - Securing our Agriculture and Food Act (Sponsored by Rep. Dav;d Young I Homeland Security Committee) 11) H.R. 1302 - Terrorist and Foreign Fighter Travel Exercise Act of 2017 (Sponsored by Rep. Marlha McSal/y I Homeland Secudty Committee) TUESDAY, MARCH 21ST On Tuesday, the House will meet at 10:00 a.m. for morning hour and 12:00 p.m. for legislative business. H.R. 372 - Competitive Health Insurance Reform Act of 2017, Rules Committee Print (Subject to a Rule) (Sponsored by Rep. Paul Gosar I Judiciary Comm;ttee) WEDNESDAY. MARCH 22ND AND THE BALANCE OF THE WEEK On Wednesday, the House will meet at 10:00 a.m. for morning hour and 12:00 p.m. for legislative business. On Thursday, the House will meet at 9:00 a.m. for legislative business. On Friday, no votes are expected in the House. H.R. 1101 - Small Business Health Fairness Act of 2017, Rules Committee Print (Subject to a Rule) (Sponsored by Rep. Sam Johnson I Education and the Workforce Committee) H.R. -American Health Care Act of 2017 (Subject to a Rule) (Sponsored by Rep. Q;ane Black I Budget Committee) Committee activity for the week of March 20 can be found here. Printable PDF MAJORITY LEADER FLOOR OFFICE• H-107 U.S. CAPITOL OMB-American Oversight-000271 3 Rules Recon: Week of March 20, 2017 From: "Herrle, Cindy'' (b) (6) To: "Howard, Benjamin" (b) (6) Everly (b) (6) (b) (6) Jonathan A. EOP/OMB" (b) (6) , Dan Kowalski (b) (6) , Hazen Marshall (b) (6) , "Freeland, Jeff K. EOP/OMB" (b) (6) , Monica Popp (b) (6) Date: Fri, 17 Mar 2017 15:07:47 -0400 OMB-American Oversight-000272 1 , George , Jane Lee , "Slemrod, Rules Recon for the Week of March 20, 2017 Next week, we are considering measures that returns control of health care from Washington back to the states and restores the free market so Americans can access quality and affordable health care options. The House is scheduled to be in session Monday through Thursday, here's what we expect at the Rules Committee: H.R. 372 - Competitive Health Insurance Reform Act of 2017 (Judiciary) • The Rules Committee has announced a meeting on this item for 5 PNI on Monday. • A structured rule is expected for its consideration; the amendment deadline for this bill has passed-all amendments are available on our website. • The measure could be on the floor as early as Tuesday. H.R. 1101 - Small Business Health Fairness Act of 2017 (Ed & Workforce) • The Rules Connnittee has announced a 1neeting on this ite1n for 5 P1Vl on Monday. • A slruclured rule is expeded for ils consideralion; Lhe amendmenl deadline for Lhis bill has passed-all amendments are available on our website. • The measure could be on the floor as early as Wednesday. H.R. __ - American Health Care Act of 2017 (Budget) AM mz Wednesday • The Rules Committee is likely to meet at • Text of the bill, as prepared for introduction can be found on docs.house.gov • The n1easure could be on the floor as early as Thursday. 70 As always, the best way to get updates on our schedule is to check our website or follow us on Twitter. Feel free to call us with any questions. Best, Steve Stephen Cote StaffDirector Cmmnittee on Rules I H-312 The Capitol I Washington, DC 20515 OMB-American Oversight-000273 2 Want to change how you receive these emails? You can update your preferences or unsubscribe from this list OMB-American Oversight-000274 3 National Right to Life Backs American Health Care Act From: "Herrle, Cindy'' (b) (6) To: "Howard, Benjamin" (b) (6) Everly (b) (6) (b) (6) Jonathan A. EOP/OMB" (b) (6) , Dan Kowalski (b) (6) , Hazen Marshall (b) (6) , "Freeland, Jeff K. EOP/OMB" (b) (6) , Monica Popp (b) (6) , George , Jane Lee "Slemrod, Date: Fri, 17 Mar 2017 14:57:48 -0400 View this email in your browser National Right to Life Sends Letter of Support for American Health Care Act March 17, 2017 I Speaker Ryan Press Office I http://spkrryan.us/2nvU466 Today, National Right to Life-the oldest and largest pro-life organization in the United Statesendorsed the American Health Care Act. In a letter to members of Congress, the group urged passage of Republican legislation to repeal and replace Obamacare, highlighting key provisions of the bill to defend life and prevent federal taxpayer funding of abortions: "The National Right to Life Committee (NRLC). the federation of state right-to-life organizations, strongly supports the American Health Care Act in the form reported out by the Budget Committee on March 16, because it contains the following essential provisions: 1) prevents federal tax credits from being used for plans that pay for abortions, 2) preserves nontaxed employer-provided health plans, 3) postpones the "Cadillac tax" until 2025 and 4) eliminates roughly 89% of federal Planned Parenthood funding for the next year. "While we recognize that additional changes may be made to the bill before it reaches the House floor, if the essential elements fisted above are retained, and no objectionable new components are added, NRLC intends to include the roll call on passage of the American Health Care Act in our scorecard of kev right-to-life roll calls of the 115th Congress." View the full letter here or below, read the bill at passthebill.gop, and learn more about the American Health Care Act at speaker.gov/healthcare. OMB-American Oversight-000275 1 Our mailing address is: Office of the Speaker H-232, The Capitol Washington, District of Columbia 20515 Add us to your address book OMB-American Oversight-000276 2 Want to change how you receive these emails? You can update your preferences or unsubscribe from this list OMB-American Oversight-000277 3 WHIP LD ALERT - American Health Care Act Update From: "Heme, Cindy'' (b) (6) To: "Howard, Benjamin" (b) (6) Everly (b) (6) (b) (6) Jonathan A. EOP/OMB" (b) (6) , Dan Kowalski (b) (6) , Hazen Marshall (b) (6) , "Freeland, Jeff K. EOP/OMB" (b) (6) , Monica Popp (b) (6) , George , Jane Lee , "Slemrod, Date: Fri, 17 Mar 2017 14:17:25 -0400 I E Good afternoon, Please see below for a press release from Whip Scalise detailing this morning's meeting at the White House and President Trump's comments on Obamacare and the American Health Care Act. Also included below is an article from The Hill. The article (including video) can be found here. Additionally, key quotes and letters of support for the American Health Care Act can be found on the Majority Whip's website here. This page continues to be updated as the House moves through this process. Let us know if you have any questions. Good luck with your NCAA Tournament brackets, -Chris Chris Hodgson Deputy Floor Director Majority Whip Steve Scalise (LA-01) Office: (b) (6) Mobile: (b) (6) ### Trump to Scalise, RSC Members: 'I am 100o/o Behind This' OMB-American Oversight-000278 1 WASHINGTON, D.C.- Majority Whip Steve Scalise (R-LA) met with President Trump and Vice President Pence along with several members of the Republican Study Committee (RSC) to discuss their unified support for the bill, with President Trump remarking, "/want everyone to know I am 100% behind this ... all of these noes, or potential noes, are now yeses ... Obamacare is dead." Following the meeting, Scalise remarked, "One of the things that President Trump said today, he asked every member, with these changes, to vote for the bill, and President Trump himself committed that he is all in, 100% in for this bill. And of all of these members were in various places--some were for, some undecided, some even against this bill initially--who all with these changes that President Trump has brought to us are now are now a yes on this bill." RSC Chair Mark Walker also fully endorsed the bill, noting, "We're a yes, we're excited to be there. " Click here or on the image above to see Scalise's remarks following his meeting with President Trump. Click here or on the image above to watch President Trump's remarks at his meeting with Scalise and other RSC members. OMB-American Oversight-000279 2 Click here or on the image above to watch RSC Chair Mark Walker's endorsement of the bill. ### ### Trump: 'ObamaCare is dead' BY BEN KAMISAR - 03/17/17 10:44 AM EDT President Trump on Friday declared his "100 percent" commitment to the GO P's ObamaCare repeal plan, adding that "ObamaCare is dead." "I want people to know ObamaCare is dead, it's a dead healthcare plan," Trump said in OMB-American Oversight-000280 3 the Oval Office during a meeting with conservative lawmakers. "Only because everyone knows it's on its last, dying feet, the fake news is trying to say good things about it, the fake media. There is no good news about Obamacare, ObamaCare is dead." Trump on Friday met with conservative members of the House who have raised concerns about the plan. The president and House GOP leadership are seeking to guide the American Health Care Act through the chamber despite concerns from moderate Republicans as well as the party's right flank. OMB-American Oversight-000281 4 Making the Rounds From: "Hartline, Chris" (b) (6) To: "Hartline, Chris" (b) (6) Date: Fri, 17 Mar 2017 10:45:22 -0400 Yesterday, House Budget Committee Chairman Diane Black discussed health care and President Trump's budget proposal on CNBC, Fox News and MSNBC. You can watch the full interviews below: CNBC's "Squawk Box" Fox News' "Your World" MSNBC's "For the Record" Chris Hartline Press Secretary, House Budget Committee (Cell) (b) (6) (Office) (b) (6) @Chris Hartline OMB-American Oversight-000282 1 THE LEADER'S WEEKLY SCHEDULE - WEEK OF 3/20/17 From: Kevin McCarthy (b) (6) To: "Freeland, Jeff K.EOP/OMB"<(b) (6) Date: Fri, 17 Mar 2017 16:49:53 -0400 [E!i Kevin McCarthy - Majority Leader LEADER'S WEEKLY SCHEDULE WEEK OF MARCH 20TH MONDAY.MARCH20TH On Monday, the House will meet at 12:00 p.m. for morning hour and 2:00 p.m. for legislative business. Votes will be postponed until 6:30 p.m. Legislation Considered Under Suspension of the Rules: 1) H.R. 1029 - Pesticide Registration Enhancement Act of 2017, as amended (Sponsored by Rep. Rodney Davis I Agriculture Committee) 2) H,R, 3~2 - 100 Years of Women in Congress Act (Sponsored by Rep. Grace Meng I Agriculture Committee) 3) H.R. 1309 - TSA Administrator Modernization Act of 2017 (Sponsored by Rep. John Katko I Homeland Security Committee) 4) H.R. 1353 - Transparency in Technological Acquisitions Act of 2017 (Sponsored by Rep. Kathleen Rice I Homeland Security Committee) 5) H.R. 1294 - Reducing OHS Acquisition Cost Growth Act (Sponsored by Rep. John Rutherford I Homeland Security Committee) 6) H.R. 1297 - Quadrennial Homeland Security Review Technical Corrections Act of 2017 (Sponsored by Rep. Bonnie Watson Coleman I Homeland Security Committee) 7) H.R. 1249 - OHS Multiyear Acquisition Strategy Act of 2017, as amended (Sponsored by Rep. Brian Fitzpatrick I Homeland Security Committee) 8) H.R. 1252 - OHS Acquisition Authorities Act of 2017, as amended (Sponsored by Rep. Clay Higgins I Homeland Security Committee) 9) H.R. 1365 - Department of Homeland Security Acquisition Innovation Act, as amended (Sponsored by Rep. J Luis Correa I Homeland Security Committee) 10) H.R. 1238 - Securing our Agriculture and Food Act (Sponsored by Rep. David Young I Homeland Security Committee) 11) H.R. 1302 - Terrorist and Foreign Fighter Travel Exercise Act of 2017 (Sponsored by Rep. Martha McSally I Homeland Security Committee) TUESDAY.MARCH21ST On Tuesday, the House will meet at 10:00 a.m. for morning hour and 12:00 p.m. for legislative business. OMB-American Oversight-000283 1 H.R. 372 - Competitive Health Insurance Reform Act of 2017, Rules Committee Print (Subject to a Rule) (Sponsored by Rep. Paul Gosar I Judiciary Committee) WEDNESDAY. MARCH 22ND AND THE BALANCE OF THE WEEK On Wednesday, the House will meet at 10:00 a.m. for morning hour and 12:00 p.m. for legislative business. On Thursday, the House will meet at 9:00 a.m. for legislative business. On Friday, no votes are expected in the House. H.R. 1101 - Small Business Health Fairness Act of 2017, Rules Committee Print (Subject to a Rule) (Sponsored by Rep. Sam Johnson I Education and the Workforce Committee) H.R. -American Health Care Act of 2017 (Subject to a Rule) (Sponsored by Rep. Diane Black I Budget Committee) Committee activity for the week of March 20 can be found here. Printable PDF MAJORITY LEADER FLOOR OFFICE• H-107 U.S. CAPITOL Click Here to view this email in your browser Click Here to be removed from this list r£j Kevin McCarthy - Majority Leader LEADER'S WEEKLY SCHEDULE WEEK OF MARCH 20TH MONDAY.MARCH20TH On Monday, the House will meet at 12:00 p.m. for morning hour and 2:00 p.m. for legislative business. Votes will be postponed until 6:30 p.m. Legislation Considered Under Suspension of the Rules: 1) H.R. 1029 - Pesticide Registration Enhancement Act of 2017, as amended (Sponsored by Rep. Rodney Davis I Agriculture Committee) 2) H.R. 382 - 100 Years of Women in Congress Act (Sponsored by Rep. Grace Meng I Agriculture Committee) 3) H.R. 1309 - TSA Administrator Modernization Act of 2017 (Sponsored by Rep. John Katko I Homeland Security Committee) 4) H.R. 1353 - Transparency in Technological Acquisitions Act of 2017 (Sponsored by Rep. Kathleen Rice I Homeland Security Committee) 5) H.R. 1294 - Reducing OHS Acquisition Cost Growth Act (Sponsored by Rep. John Rutherford I Homeland Security Committee) 6) H.R. 1297 - Quadrennial Homeland Security Review Technical Corrections Act of 2017 (Sponsored by Rep. Bonnie Watson Coleman I Homeland Security Committee) 7) H.R. 1249 - OHS Multiyear Acquisition Strategy Act of 2017, as amended (Sponsored by Rep. Brian Fitzpatrick I Homeland Security Committee) 8) H.R. 1252 - OHS Acquisition Authorities Act of 2017, as amended (Sponsored by Rep. Clay Higgins I Homeland Security Committee) OMB-American Oversight-000284 2 9) H.R. 1365 - Department of Homeland Security Acquisition Innovation Act, as amended (Sponsored by Rep. J Lu;s Correa I Homeland Secur;ty Commmee) 10) H.R. 1238 - Securing our Agriculture and Food Act (Sponsored by Rep. Dav;d Young I Homeland Security Committee) 11) H.R. 1302 - Terrorist and Foreign Fighter Travel Exercise Act of 2017 (Sponsored by Rep. Marlha McSal/y I Homeland Secudty Committee) TUESDAY, MARCH 21ST On Tuesday, the House will meet at 10:00 a.m. for morning hour and 12:00 p.m. for legislative business. H.R. 372 - Competitive Health Insurance Reform Act of 2017, Rules Committee Print (Subject to a Rule) (Sponsored by Rep. Paul Gosar I Judiciary Comm;ttee) WEDNESDAY. MARCH 22ND AND THE BALANCE OF THE WEEK On Wednesday, the House will meet at 10:00 a.m. for morning hour and 12:00 p.m. for legislative business. On Thursday, the House will meet at 9:00 a.m. for legislative business. On Friday, no votes are expected in the House. H.R. 1101 - Small Business Health Fairness Act of 2017, Rules Committee Print (Subject to a Rule) (Sponsored by Rep. Sam Johnson I Education and the Workforce Committee) H.R. -American Health Care Act of 2017 (Subject to a Rule) (Sponsored by Rep. Q;ane Black I Budget Committee) Committee activity for the week of March 20 can be found here. Printable PDF MAJORITY LEADER FLOOR OFFICE• H-107 U.S. CAPITOL OMB-American Oversight-000285 3 Scalise: WHIP LD ALERT - National Right to Life Scores in Favor of the American Health Care Act From: "Hodgson, Chris" (b) (6) To: "Hodgson, Chris" (b) (6) Cc: "Bravo, Matt" (b) (6) , "Napier, Ben" (b) (6) Date: Fri, 17 Mar201715:51:33-0400 Attachments: NRLC AHCA Scorecard Letter.pdf (224.38 kB); How AHCA Protects Life edits.docx (18.91 kB) Good afternoon, Please see attached for the Key Vote letter of support from National Right to Life on the American Health Care Act. Also attached is a one pager from the Energy & Commerce and Ways & Means Committees outlining the pro-life protections in the bill. Below is a press release from Whip Scalise regarding the letter. Let us know if you have any questions. Have a great weekend, -Chris Chris Hodgson Deputy Floor Director Majority Whip Steve Scalise (LA-01) Office: (b) (6) Mobile: (b) (6) ### Contact: Chris Bond, Lauren Fine OMB-American Oversight-000286 202-225-0197 1 National Right to Life Committee to Key Vote American Health Care Act We wanted to highlight the following comments from the National Right to Life Committee (NRLC) regarding Republicans' plan to repeal and replace Obamacare: "The National Right to Life Committee (NRLC), the federation of state right-tolife organizations, strongly supports the American Health Care Act in the form reported out by the Budget Committee on March 16, because it contains the following essential provisions: 1) prevents federal tax credits from being used for plans that pay for abortions, 2) preserves non-taxed employer-provided health plans, 3) postpones the "Cadillac tax" until 2025 and 4) eliminates roughly 89% of federal Planned Parenthood funding for the next year ... NRLC intends to include the roll call on passage of the American Health Care Act in our scorecard of key right-to-life roll calls of the 115th Congress." Read NRLC's full letter by clicking here. And see more support for the American Health Care Act by clicking here. ### OMB-American Oversight-000287 2 March 17, 2017 (202) 626-8820 RE: NRLC urges '"yes" vote on the American Health Care Act to repeal and replace portions of the Obama health care law. Dear Member of Congress: The National Right to Life Committee (NRLC), the federation of state right-to-life organizations, strongly supports the American Health Care Act in the form reported out by the Budget Committee on March 16, because it contains the following essential provisions: 1) prevents federal tax credits from being used for plans that pay for abortions, 2) preserves non-taxed employer-provided health plans, 3) postpones the "Cadillac tax" until 2025 and 4) eliminates roughly 89% of federal Planned Parenthood funding for the next year. This legislation would eliminate multiple abortion-subsidizing and abortion-expanding provisions of Public Law 111-148, the "Patient Protection and Affordable Care Act" (PPA CA). As enacted, the PPACA contains multiple provisions authorizing federal subsidies for abortion, and abortion-expanding regulatory mandates. A 2014 GAO rep01t revealed that over 1,000 federally subsidized plans nationwide were covering elective abortion. The American Health Care Act would repeal the provisions of law that created this system, and prohibit any future federal tax credits from subsidizing the purchase of plans that cover elective abortion, thereby restoring the longstanding principles of the Hyde Amendment with respect to federally funded health coverage. NRLC also strongly supports the language in the bill that would block, for one year, most federal payments to affiliates of the Planned Parenthood Federation of America (PPFA). It would close the largest pipeline for federal funding of Planned Parenthood, Medicaid, and apply as well to the CHIP and the Title V and Title X block grant programs, thus covering roughly 89% of all federal funds to Planned Parenthood. The amounts denied to Planned Parenthood, in effect, are reallocated to community health centers. Over one-third of all abortions in the U.S. are pet-formed at PPFA-affiliated facilities. For additional up-to-date information on the extent of Planned Parenthood's involvement in abortion, see: www.nrlc.org/communications/ppfamediabackground/ In addition, the American Health Care Act retains employer-paid health insurance as a fully untaxed benefit. The American Health Care Act postpones the "Cadillac tax" which is designed to create a tax disincentive to suppress private, nongovernmental health care spending beyond a governmentally imposed limit. It is critical that Americans have access to quality life-saving healthcare to preserve their lives, care that will not be rationed more each year. OMB-American Oversight-000288 1 While we recognize that additional changes may be made lo the bill before it reaches the House floor, if the essential elements listed above are retained, and no objectionable new components are added, NRLC intends to include the roll call on passage of the American Health Care Act in our scorecard of key right-to-life roll calls of the 115th Congress. Thank you for your consideration of the position of National Right to Life on this matter of grave importance to our organization. Sincerely, Carol Tobias President OMB-American Oversight-000289 David N. O'Steen, Ph.D. Executive Director 2 Jennifer Popik, J.D. Legislative Director How the American Health Care Act protects life Establishing pro-life protections in the Patient and State Stability Fund: The bill establishes a new Patient and State Stability fund to support state healthcare markets. States can use these funds to stabilize their insurance markets and help reduce premiums and deductibles for lowincome Americans. States may also use these resources to promote access to preventive services, like annual checkups, dental and vision care. Critical pro-life protections would apply to these funds. Blocking Obamacare's abortion subsidies: Obamacare broke with long-standing law by creating abortion surcharges and establishing a segregation of funds accounting gimmick. A GAO report in 2014 demonstrated that over 1,000 Obamacare plans covered elective abortion. Those plans were purchased with taxpayer subsidies in the form of premium tax credits and small business tax credits. Until the tax credits are fully phased out in 2020, the bill modifies them so that they can no longer used to purchase health plans that include abortion. Prohibiting abortions through refundable tax credits: Instead ofObamacare's tax-payer funded payments to plans covering abortion, the bill creates a new refundable and advanceable tax credit for health insurance, which cannot be used to purchase insurance that covers elective abortion. This is consistent with the Hyde amendment, and ensures that federal dollars do not subsidize abortions. Defunding abortion provide1·s: The bill stops mandatory funding, including Medicaid reimbursements, to "prohibited entities" for one year. These prohibited entities are non-profit, essential community providers that received over $350 million in Medicaid funding in fiscal year 2014 and provide elective abortions. Significantly, this would stop mandatory funding to Planned Parenthood, the nation's largest abortion provider. This language was included in the reconciliation bill, HR. 3762, in the l 14th Congress. Supporting community health centers: The bill provides a $422 million increase to the Community Health Center Program for fiscal year 2017. The funds are provided by amending the Medicare Access and CHIP Reauthorization Act of2015, which has language applying the Hyde amendment to the Community Health Center Program for the duration of the appropriation. Community health centers are locally-based, patient-centered organizations that provide health services to medically underserved individuals. Unlike boutique clinics such as Planned Parenthoods that generally only provide reproductive health services and abortions, community health centers provide comprehensive medical, dental, mental health and other primary care services. These services also include STD testing, cancer screening and family planning and contraceptive management. OMB-American Oversight-000290 1 Scalise: WHIP LD ALERT - American Health Care Act Update From: "Hodgson, Chris" (b) (6) To: "Hodgson, Chris" (b) (6) Cc: "Bravo, Matt" (b) (6) , "Napier, Ben" (b) (6) Date: Fri, 17 Mar 2017 13:14:29 -0400 Good afternoon, Please see below for a press release from Whip Scalise detailing this morning's meeting at the White House and President Trump's comments on Obamacare and the American Health Care Act. Also included below is an article from The Hill. The article (including video) can be found here. Additionally, key quotes and letters of support for the American Health Care Act can be found on the Majority Whip's website here. This page continues to be updated as the House moves through this process. Let us know if you have any questions. Good luck with your NCAA Tournament brackets, -Chris Chris Hodgson Deputy Floor Director Majority Whip Steve Scalise (LA-01) Office: (b) (6) Mobile: (b) (6) ### Trump to Scalise, RSC Members: 'I am 100o/o Behind This' WASHINGTON, D.C.- Majority Whip Steve Scalise (R-LA) met with President Trump OMB-American Oversight-000291 1 and Vice President Pence along with several members of the Republican Study Committee (RSC) to discuss their unified support for the bill, with President Trump remarking, "/want every'One to know I am 100% behind this ... al/ of these noes, or potential noes, are now yeses ... Obamacare is dead." Following the meeting, Scalise remarked, "One of the things that President Trump said today, he asked every member, with these changes, to vote for the bill, and President Trump himself committed that he is all in, 100% in for this bill. And of all of these members were in various places--some were for, some undecided, some even against this bill initia/ly--who all with these changes that President Trump has brought to us are now are now a yes on this bill." RSC Chair Mark Walker also fully endorsed the bill, noting, "We're a yes, we're excited to be there. " Click here or on the image above to see Scalise's remarks following his meeting with President Trump. Click here or on the image above to watch President Trump's remarks at his meeting with Scalise and other RSC members. OMB-American Oversight-000292 2 Click here or on the image above to watch RSC Chair Mark Walker's endorsement of the bill. ### ### Trump: 'ObamaCare is dead' BY BEN KAMISAR - 03/17/17 10:44 AM EDT President Trump on Friday declared his "100 percent" commitment to the GO P's ObamaCare repeal plan, adding that "ObamaCare is dead." "I want people to know ObamaCare is dead, it's a dead healthcare plan," Trump said in OMB-American Oversight-000293 3 the Oval Office during a meeting with conservative lawmakers. "Only because everyone knows it's on its last, dying feet, the fake news is trying to say good things about it, the fake media. There is no good news about Obamacare, ObamaCare is dead." Trump on Friday met with conservative members of the House who have raised concerns about the plan. The president and House GOP leadership are seeking to guide the American Health Care Act through the chamber despite concerns from moderate Republicans as well as the party's right flank. OMB-American Oversight-000294 4 Director Mulvaney TAPED TV Interview - CBS' "Face the Nation" with John Dickerson Where: 2020 M Street NW When: Sun Mar 19 09:45:00 2017 (America/New_York) Until: Sun Mar 19 10:00:00 2017 (America/New_ York) Organiser: "Hurley, Carolina L. EOP/WHO" (b) (6) Required Attendees: "Baker, John" (b) (6) "Czwartacki, John S. EOP/OMB" (b) (6) "Henning, Alexa A. EOP/WHO" (b) (6) ****TAPED TV INTERVIEW**** DATE:Sunday, March 19 Tl ME: 9:45 AM EST MARKET: National OUTLET: CBS, Face the Nation ANCHOR:John Dickerson LENGTH: 10-12 min WHERE: CBS Studio - 2020 M Street NW TOPICS: Budget roll-out, support for budget, budget as it applies to healthcare OMB-American Oversight-000295 1 Director Mulvaney LIVE TV Interview - NBC's "Meet the Press" wiith Chuck Todd Where: 4001 Nebraska Ave NW When: Sun Mar 19 09:00:00 2017 (America/New_York) Until: Sun Mar 19 09:15:00 2017 (America/New_ York) Organiser: "Hurley, Carolina L. EOP/WHO" (b) (6) Required Attendees: "Hurley, Carolina L. EOP/WHO" (b) (6) "Baker, John" (b) (6) "Czwartacki, John S. EOP/OMB" (b) (6) ****LIVE TV INTERVIEW**** DATE:Sunday, March 19 Tl ME: 9:00 AM EST MARKET: National OUTLET: NBC, Meet the Press ANCHOR:Chuck Todd LENGTH: 6-10 min WHERE: NBC Studio - 4001 Nebraska Ave TOPICS: Budget roll-out, support for budget, budget as it applies to healthcare OMB-American Oversight-000296 1