#KilltheBill Graham-Cassidy Resources

#KilltheBill Graham-Cassidy Resources 2017-11-17T15:10:45+00:00
View our Graham-Cassidy Action Alert Its-Baaack-2

I. Background
II. Updates on New Version of Bill (9/25/17)
III. Take Action
IV. More Info on the Bill
V. Talking Points on the Bill
VI. Additional Resources to Get Organized
VII. Top Target Senators
VIII. Social Media Tools & Resources
IX. Special Call Scripts for Senators from Key States

 

Background

Senate Republicans are trying to slam through the latest version of TrumpCare, the Graham-Cassidy bill, by the September 30th deadline given to them by the Senate parliamentarian. This bill is just as bad or perhaps even worse than the repeal bills we narrowly defeated three times this summer. You may remember that we defeated the last version of TrumpCare by just ONE vote. Now we’re hearing that Republicans are close to getting the 50 votes they need to pass #GrahamCassidy. This is very bad news, and it’s time for us to fight like never before! Like the other versions of TrumpCare, Graham-Cassidy would:
  • End protections for people with preexisting conditions (including HIV, cancer, asthma, diabetes, etc.);
  • Allow insurers not to cover essential health benefits, including prescription drugs, labs, hospitalization, contraception, preventive services and much more;
  • Devastate the Medicaid program by providing “block grants” to states, limiting federal government contributions and shifting the cost burden onto states, as well as allowing states to set their own rules and eligibility requirements;
  • Block millions of people from going to Planned Parenthood for preventive care, including birth control, cancer screenings, and STD testing and treatment;
  • Take health care coverage away from tens of millions of people.
The Senate will vote on Graham-Cassidy by September 30, 2017. We cannot allow them to destroy our healthcare while the nation is distracted. Let’s stay strong for one more fight. #KillTheBill for once and for all! grahamcassidy hotline graphic-01

Updates on New Version of Bill (9/25/17):

State Targeted Changes
  • Projected increases in funding for Alaska, Arizona, Maine, Kentucky but not taking into account losses after loss of Medicaid funding
  • Bill ends cost-sharing subsidies the federal government currently pays to insurance companies to help keep premiums low for lower-income Americans buying health insurance. Instead, the plan would designate some federal funds to be divided up to states based on their resident’s poverty levels and other factors that impact health care costs like population density (Alaska would receive a 25% boost in federal matching funds for Medicaid due to its defined high-level of poverty).
    • States that expanded Medicaid would still likely lose billions of dollars in federal funding, and the overall pot of total federal funding would still be approximately $160 billion less over the next 10 years as compared to current law
  • Grandfathers in Native Alaskans into Medicaid so they wouldn’t lose coverage after the expanded Medicaid program is rolled back in 2020
  • Bill appropriates $500 million specifically to states that set up waiver systems under Obamacare, which only includes Hawaii and Alaska.
  • Bill allocates an additional $750 million a year to states that expanded Medicaid recently, while punishing states that expanded Medicaid when first given the option under the Affordable Care Act. The states that would most likely benefit the most from this include Montana and Cassidy’s home state of Louisiana.
Impact on ACA Provisions
  • States can alter the essential health benefits, which require insurers to cover prescription drugs, mental health and other services
  • States can also limit how much people must pay out of pocket each year and how much of the tab insurers must pick up. That means that insurers could once again offer plans with deductibles of $10,000 or more for a single person
  • States can allow insurers to create multiple risk pools — those who are healthy could be assigned to one risk pool with lower premiums, while those who are not could be put into another with higher rates
  • States can change the Obamacare requirement that insurers could not charge older Americans in their 50s and early 60s more than three times the rates of younger enrollees.
  • States can make changes to Obamacare provision which made many preventative services — including annual check-ups, mammograms and colonoscopies— free.
  • In lieu of applying for waivers to end coverage for people with preexisting conditions,  States only have to describe how they would provide “shall maintain access to adequate and affordable health insurance coverage for individuals with pre-existing conditions.” There’s no further definitions or guidance as to what “adequate and affordable” access means.
Sources: http://abcnews.go.com/Politics/revised-graham-cassidy-bill/story?id=50075364 http://www.politico.com/story/2017/09/24/obamacare-graham-cassidy-repeal-243079 http://www.cnn.com/2017/09/24/politics/revised-graham-cassidy-bill/index.html https://www.nbcnews.com/politics/congress/gop-health-care-bill-faces-crucial-uncertain-week-n804546

Take Action

What should you do? There are lots of specific resources below with more details. Here is a quick step by step summary of actions you can take.

Step 1: CALL YOUR SENATORS

Call your Senator RIGHT NOW using the HIV Hotline: 866-246-9371. Below is a sample script to use once you’re connected. (If you’re from Alaska, Arizona, Colorado, Indiana, Kansas, Louisiana, Maine, Ohio, Pennsylvania, South Carolina or West Virginia, you have a special script–click here) “Hello, I am a constituent of Senator [NAME]. I am calling because I am a person living with HIV/advocate for people living with HIV, and I am gravely concerned about the introduction of the Graham-Cassidy bill, which will cause millions of people to lose health care coverage, and will especially affect seniors and people with disabilities. The American people have spoken – we do not support any repeal of the Affordable Care Act. Has Senator [NAME] taken a position on the Graham-Cassidy bill yet? [If yes], What is it? [Yes or No]: Please tell Senator [NAME] that I urge her/him to oppose the Graham-Cassidy bill and ANY further attempts to dismantle healthcare and cut Medicaid.”  Then, mark your calendar with a reminder to call back every day.

Step 2: CALL TARGET SENATORS

Check out the list of target Senators with their direct numbers below. Call them all, and tell them to oppose Graham-Cassidy. You can also get friendly folks in states with target Senators to make calls using this great peer-to-peer dialing system. 

Step 3: GET THE WORD OUT ABOUT NATIONAL HIV CALL-IN DAY

Mark your calendar for September 26 – the National HIV Call In Day. Help us get at least 1000 calls on that day from the HIV community to show our strong opposition to Graham-Cassidy and our ability to mobilize! Email and text everyone you know to invite them to join you that day in making calls. Tell your friends and family we are ALL HANDS ON DECK to #KillTheBill and #ProtectOurCare once and for all! Forward them this email; tell them to call everyday, and invite them to come make calls with you on Tuesday the 26th. Organizing a group of people to all make calls together is called a phone bank. Here is a great resource from our friends at the HIV Prevention Justice Alliance with tips on organizing a phone bank. And here’s a phone bank script you can use!

Step 4. TALK TO STAFFERS AT YOUR SENATOR’S LOCAL OFFICE

Contact your Senators’ local offices to set up a meeting with their health staff to talk about the HIV community’s concerns about the Graham-Cassidy bill. Details on how to set up a meeting are below. You can also just show up during regular business hours and ask to speak to staff about the health care bill. Ask your Senator’s position; explain why you are opposed to the bill; leave written comments to be relayed to the Senator if given the option.

Step 5. CHANGE YOUR PROFILE PIC

Change your Facebook, Twitter and other profile pics to one of the images below to alert your community that this threat is real.

Step 6. TARGET SENATORS ON SOCIAL MEDIA AND HELP SPREAD THE WORD

Send some tweets to the relevant Senators. Use the sample tweets below, or click here to send instant tweets to your own Senators. You can also get friendly folks in states with target Senators to make calls using this great peer-to-peer dialing system. You’re calling people in key states who are on our side and connecting them directly to their Senator’s offices. It’s ingenious!

More info on the Graham-Cassidy bill

From Families USA:  What’s in the Graham-Cassidy Bill? From the National Health Law Program:  Top 10 Changes to Medicaid under #GrahamCassidy From the Center for Budget and Policy Priorities:  Impact of Graham-Cassidy on people w pre-existing conditions From Avalere: State-by-State Analysis of Impact of Graham-Cassidy From Kaiser Family Foundation: State-by-State Estimates of Changes in Federal Spending on Health Care Under the Graham-Cassidy Bill From Kaiser Family Foundation: Five Ways the Graham-Cassidy Proposal Would Affect Women  From the Washington Post: Graham-Cassidy Whip Count (tracking Senators’ positions on bill)

Talking Points on Graham-Cassidy

  • Graham-Cassidy is just TrumpCare resurrected.
  • The American people oppose repealing the Affordable Care Act and do not support cuts to Medicaid
  • In fact, polls show public support for single payer healthcare.
  • The impact of Graham-Cassidy would be devastating for women and for people living with HIV:
    • It would completely eliminate the ACA’s expansion of Medicaid, which has extended coverage to 11 million low-income adults;
    • Thirteen million women could lose their coverage for maternity care;
    • Graham-Cassidy would completely eliminate the ACA’s marketplace subsidies, which currently help almost 9 million people afford coverage;
    • The plan would cap and cut Medicaid for seniors, people with disabilities, and families with children, cutting funding outside expansion by about $175 billion between 2020 and 2026;
    • Graham-Cassidy would lead to people with HIV and other pre-existing conditions being charged unaffordable premiums based on their health status;
    • Insurers could decide to exclude services like mental health and substance use treatment from coverage entirely.

Additional resources to help you get organized

Each state has two Senators. Find out who your Senators are at this link Hello, my name is ________. I am a constituent of Senator ______ and I am (choose one: a person living with HIV/with organization ______/an advocate for people living with HIV). There are XXX people living with HIV in the state of [name of state]. I have a group of constituents who would like to meet with Senator _____ to discuss our concerns about healthcare and the proposed American Health Care Act as soon as possible. Can we find a time early next week? Note: They may be able to transfer you to the appropriate staff to schedule you immediately, or they may need to call you back. If you leave a phone number, have them repeat it back to you. If they are able to schedule the meeting: Thank you so much. Who will we be meeting with? (get name and title). We look forward to meeting with you on [day] at [time].  

Top Target Senators for #GrahamCassidy

See where Senators stand on the bill with the Washington Post’s tracker, updated regularly. Collins (R-ME), 202 224 2523 Murkowski (R-AK), 202 224 6665 Capito (R-WV), 202 224 6472 Flake (R-AZ), 202 224-4521 McCain (R-AZ), 202 224 2235 Portman (R-OH), 202 224 3353 Corker (R-TN), 202 224 3344 Lee (R-UT), 202 224-5444 Moran (R-KS), 202 224 6521 Paul (R-KY), 202 224-4343 Sullivan (R-AK), 202 224-3004 Toomey (R-PA), 202 224-4254 Young (R-IN), 202 224-5623

Social media tools & resources

Trumpcaretoolkit.org makes targeting Senators easy–just click and tweet directly to them. Check it out! You can also get involved and spread the word on social media by downloading these shareable graphics on Facebook, Twitter and Instagram.

Target Senator twitter handles

.@SenJohnMcCain .@JeffFlake .@MarcoRubio .@SenatorYoung .@SenCapito .@senrobportma .@SenTomCotton .@SenBobCorker .@SenAlexander .@JohnBoozman .@SenCoryGardner .@ChuckGrassley .@JerryMoran .@joniernst .@lisamurkowski – see special tweets for Senators Murkowski and Collins below .@SenatorCollins – see special tweets for Senators Murkowski and Collins below

Sample tweets

Under #GrahamCassidy, 41,000 people in Alaska will lose coverage, @lisamurkowski. #VoteNo TrumpcareToolkit.org pic.twitter.com/Nj7ijPhQ74

Under #GrahamCassidy, 511,000 people in Arizona will lose coverage, @SenJohnMcCain. #VoteNO! http://TrumpcareToolkit.org pic.twitter.com/PmMOetByN8

Under #GrahamCassidy, 156,000 people in West Virginia will lose coverage, @SenCapito. #VoteNo! http://TrumpcareToolkit.org pic.twitter.com/85JffJLfcc

Under #GrahamCassidy, 809,000 people in Ohio will lose coverage, @senrobportman. #VoteNO! http://TrumpcareToolkit.org pic.twitter.com/loeIW3Mryn

Under #GrahamCassidy, 468,000 people in Colorado will lose coverage, @SenCoryGardner. #VoteNO! http://TrumpcareToolkit.orgpic.twitter.com/3z1fvxI15a

Under #GrahamCassidy, 545,000 people in Tennessee will lose coverage, @SenAlexander. #VoteNO! http://TrumpcareToolkit.orgpic.twitter.com/n2Z65PYgSK  

Under #GrahamCassidy, 70,000 people in South Dakota will lose coverage, @SenatorRounds. #VoteNO! TrumpcareToolkit.org pic.twitter.com/HNIsCFBOtk

Under #GrahamCassidy, 511,000 people in Arizona will lose coverage, @JeffFlake #VoteNO! http://TrumpcareToolkit.org pic.twitter.com/HrNWcWTvPR

Under #GrahamCassidy, 243,000 people in Nevada will lose coverage, @SenDeanHeller #VoteNO! http://TrumpcareToolkit.org pic.twitter.com/wXSrLav7SX

Under #GrahamCassidy, 70,000 people in South Dakota will lose coverage, @SenJohnHoeven #VoteNO! TrumpcareToolkit.org pic.twitter.com/ptS0L6fBri

Under #GrahamCassidy, 172,000 people in Iowa will lose coverage, @SenJoniErnst. #VoteNO! TrumpcareToolkit.org pic.twitter.com/s93EYAH8HD

Under #GrahamCassidy, 241,000 people in Kansas will lose coverage, @JerryMoran #VoteNO! TrumpcareToolkit.org pic.twitter.com/whGrVxfciY

Under #GrahamCassidy, 161,000 people in Maine will lose coverage, @SenatorCollins #VoteNO! http://TrumpcareToolkit.org pic.twitter.com/ntdIxeFXbG

Under #GrahamCassidy, 439,000 people in Arkansas will lose coverage, @SenTomCotton #VoteNO! http://TrumpcareToolkit.org pic.twitter.com/r60vjx8HTF

Under #GrahamCassidy, 1,148,000 people in North Carolina will lose coverage, @SenThomTillis #VoteNO! TrumpcareToolkit.org pic.twitter.com/SbkyzUNryB

Under #GrahamCassidy, 422,000 people in Louisiana will lose coverage, @SenJohnKennedy #VoteNO! http://TrumpcareToolkit.org pic.twitter.com/dkY97C40U9

Under #GrahamCassidy, 414,000 people in Wisconsin will lose coverage, @SenRonJohnson #VoteNO! http://TrumpcareToolkit.org pic.twitter.com/QxBx3r3CXg

@BillCassidy is all over TV grossly misrepresenting impacts of #GrahamCassidy so we made a myth/fact table debunking him pic.twitter.com/Z8qtgMriv2 #GrahamCassidy is

#Trumpcare 2.0: still guts #Medicaid, still takes away essential benefits, still hurts millions. Vote NO!

#ProtectOurCare
#GrahamCassidy is a public health crisis and will make America sick again. Vote NO!

#SaveACA #ProtectOurCare
Why are Republicans in Congress still trying to take away #healthcare? Vote NO on #GrahamCassidy

#ProtectOurCare
Millions of Americans will lose health care. Vote NO on #GrahamCassidy. #SaveACA

#ProtectOurCare
Eliminating #ACA core protections 4 ppl w/preexisting conditions is not healthcare. Vote No on #GrahamCassidy

Millions of seniors, ppl w disabilities, children will lose #Medicaid. #ProtectOurCare. Vote No on #GrahamCassidy

States will lose money as a result of #GrahamCassidy. Vote No to #ProtectOurCare #SaveMedicaid

#GrahamCassidy is a terrible attack on women’s reproductive health and rights. #ProtectOurCare. Vote No; #SaveACA unlimited.love4life@gmail.com 

#GrahamCassidy guts #Medicaid, eliminates protection for ppl w #HIV, and defunds #PlannedParenthood. Vote No! #ProtectOurCare

#GrahamCassidy will decimate services for low-income #women and women of color. #ProtectOurCare. Vote No. #HIVResists

Special Tweets for Murkowski & Collins, who opposed previous version of TrumpCare but have not committed yet to oppose #GrahamCassidy

.@SenatorCollins we appreciate your support and are counting on you to Vote No on #GrahamCassidy. #ProtectOurCare and #womenshealth We got your back.

.@lisamurkowski we appreciate your support and are counting on you to Vote No on #GrahamCassidy. #ProtectOurCare and #womenshealth. We got your back.

#Women are depending on you to #ProtectOurCare & stand up against #GrahamCassidy. Are you with us? @SenatorCollins

#Women are depending on you to #ProtectOurCare & stand up against #GrahamCassidy. Are you with us? @lisamurkowski

Scripts for Alaska, Arizona, Colorado, Indiana, Kansas, Louisiana, Maine, Ohio, Pennsylvania, South Carolina, West Virginia

AK Sample script:

Target Senator – Murkowski “Hello, I am a constituent of Senator Murkowski. I am calling because I am a person living with HIV/advocate for people living with HIV, and I am gravely concerned about the introduction of the Graham-Cassidy bill, which will cause an estimated 41,000 people to lose health care coverage in Alaska by 2027, and will especially affect seniors and people with disabilities. The American people have spoken – we do not support any repeal of the Affordable Care Act. Has Senator Murkowski taken a position on the Graham-Cassidy bill yet? [If yes], What is it? [Yes or No]: Please tell Senator Murkowski that I urge her/him to oppose the Graham-Cassidy bill and ANY further attempts to dismantle healthcare and cut Medicaid.”

AZ Sample script:

Target Senators- McCain and Flake “Hello, I am a constituent of Senator McCain/Flake. I am calling because I am a person living with HIV/advocate for people living with HIV, and I am gravely concerned about the introduction of the Graham-Cassidy bill, which will cause an estimated 511,000 people to lose health care coverage in Arizona by 2027, and will especially affect seniors and people with disabilities. The American people have spoken – we do not support any repeal of the Affordable Care Act. Has Senator McCain/Flake taken a position on the Graham-Cassidy bill yet? [If yes], What is it? [Yes or No]: Please tell Senator McCain/Flake  that I urge her/him to oppose the Graham-Cassidy bill and ANY further attempts to dismantle healthcare and cut Medicaid.”

CO Sample script:

Target Senator- Gardner “Hello, I am a constituent of Senator Gardner. I am calling because I am a person living with HIV/advocate for people living with HIV, and I am gravely concerned about the introduction of the Graham-Cassidy bill, which will cause an estimated 468,000 people to lose health care coverage in Colorado by 2027, and will especially affect seniors and people with disabilities. The American people have spoken – we do not support any repeal of the Affordable Care Act. Has Senator Gardner taken a position on the Graham-Cassidy bill yet? [If yes], What is it? [Yes or No]: Please tell Senator Gardner that I urge her/him to oppose the Graham-Cassidy bill and ANY further attempts to dismantle healthcare and cut Medicaid.”

IN Sample script:

Target Senator – Young “Hello, I am a constituent of Senator Young. I am calling because I am a person living with HIV/advocate for people living with HIV, and I am gravely concerned about the introduction of the Graham-Cassidy bill, which will cause an estimated 488,000 people to lose health care coverage in Indiana by 2027, and will especially affect seniors and people with disabilities. The American people have spoken – we do not support any repeal of the Affordable Care Act. Has Senator Young taken a position on the Graham-Cassidy bill yet? [If yes], What is it? [Yes or No]: Please tell Senator Young that I urge her/him to oppose the Graham-Cassidy bill and ANY further attempts to dismantle healthcare and cut Medicaid.”

KS Sample script:

Target Senator- Moran “Hello, I am a constituent of Senator Moran. I am calling because I am a person living with HIV/advocate for people living with HIV, and I am gravely concerned about the introduction of the Graham-Cassidy bill, which will cause an estimated 241,000 people to lose health care coverage in Kansas by 2027, and will especially affect seniors and people with disabilities. The American people have spoken – we do not support any repeal of the Affordable Care Act. Has Senator Moran taken a position on the Graham-Cassidy bill yet? [If yes], What is it? [Yes or No]: Please tell Senator Moran that I urge her/him to oppose the Graham-Cassidy bill and ANY further attempts to dismantle healthcare and cut Medicaid.”

LA Sample script:

Target Senator – Cassidy “Hello, I am a constituent of Senator Cassidy. I am calling because I am a person living with HIV/advocate for people living with HIV, and I am gravely concerned about his introduction of the Graham-Cassidy bill, which will cause an estimated 422,000 people to lose health care coverage in Louisiana by 2027, and will especially affect seniors and people with disabilities. The American people have spoken – we do not support any repeal of the Affordable Care Act. Please tell Senator Cassidy that I urge him to reconsider this bill and ANY further attempts to dismantle healthcare and cut Medicaid.”

ME Sample script:

Target Senator – Collins “Hello, I am a constituent of Senator Collins. I am calling because I am a person living with HIV/advocate for people living with HIV, and I am gravely concerned about the introduction of the Graham-Cassidy bill, which will cause an estimated 161,000 people to lose health care coverage in Maine by 2027, and will especially affect seniors and people with disabilities. The American people have spoken – we do not support any repeal of the Affordable Care Act. Has Senator Collins taken a position on the Graham-Cassidy bill yet? [If yes], What is it? [Yes or No]: Please tell Senator Collins that I urge her/him to oppose the Graham-Cassidy bill and ANY further attempts to dismantle healthcare and cut Medicaid.”

OH Sample script:

Target Senator- Portman “Hello, I am a constituent of Senator Portman. I am calling because I am a person living with HIV/advocate for people living with HIV, and I am gravely concerned about the introduction of the Graham-Cassidy bill, which will cause an estimated 809,000 people to lose health care coverage in Ohio by 2027, and will especially affect seniors and people with disabilities. The American people have spoken – we do not support any repeal of the Affordable Care Act. Has Senator Portman taken a position on the Graham-Cassidy bill yet? [If yes], What is it? [Yes or No]: Please tell Senator Portman that I urge her/him to oppose the Graham-Cassidy bill and ANY further attempts to dismantle healthcare and cut Medicaid.”

PA Sample script:

Target Senator – Toomey “Hello, I am a constituent of Senator Toomey. I am calling because I am a person living with HIV/advocate for people living with HIV, and I am gravely concerned about the introduction of the Graham-Cassidy bill, which will cause an estimated 1,066,000  people to lose health care coverage in Pennsylvania by 2027, and will especially affect seniors and people with disabilities. The American people have spoken – we do not support any repeal of the Affordable Care Act. Has Senator Toomey  taken a position on the Graham-Cassidy bill yet? [If yes], What is it? [Yes or No]: Please tell Senator Toomey that I urge her/him to oppose the Graham-Cassidy bill and ANY further attempts to dismantle healthcare and cut Medicaid.”

SC Sample script:

Target Senator- Graham “Hello, I am a constituent of Senator Graham. I am calling because I am a person living with HIV/advocate for people living with HIV, and I am gravely concerned about the introduction of the Graham-Cassidy bill, which will cause an estimated 552,000 people to lose health care coverage in  South Carolina by 2027, and will especially affect seniors and people with disabilities. The American people have spoken – we do not support any repeal of the Affordable Care Act. Please tell Senator Graham that I urge him to reconsider this bill and ANY further attempts to dismantle healthcare and cut Medicaid.”

WV sample script:

Target Senator – Capito “Hello, I am a constituent of Senator Capito. I am calling because I am a person living with HIV/advocate for people living with HIV, and I am gravely concerned about the introduction of the Graham-Cassidy bill, which will cause an estimated 156,000 people to lose health care coverage in West Virginia by 2027, and will especially affect seniors and people with disabilities. The American people have spoken – we do not support any repeal of the Affordable Care Act. Has Senator Capito taken a position on the Graham-Cassidy bill yet? [If yes], What is it? [Yes or No]: Please tell Senator Capito that I urge her/him to oppose the Graham-Cassidy bill and ANY further attempts to dismantle healthcare and cut Medicaid.”