WASHINGTON STATE PARENT SUES EMPLOYER FOR DENYING INSURANCE COVERAGE TO TRANSGENDER SON

Source: American Civil Liberties Union (ACLU)

Seattle, WA - October 6, 2017 (The Ponder News) -- The ACLU of Washington filed a civil rights lawsuit today against PeaceHealth, a Catholic healthcare organization, on behalf of Cheryl Enstad and her teenage son, Pax, for denying coverage under its health benefits plan for medically necessary surgery to Pax simply because of who he is. The suit says that PeaceHealth’s policy of refusing to cover medical care required by transgender people is discrimination and violates federal and state law.

Pax Enstad is a boy who is transgender, meaning that while the sex assigned to him at birth was female, he has a male gender identity. He was diagnosed with gender dysphoria, a serious medical condition marked by persistent and clinically significant distress caused by incongruence between an individual’s gender identity and that individual’s sex designated at birth.

Gender dysphoria is a condition codified in the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) and International Classification of Diseases (ICD-10). To treat Pax’s gender dysphoria, Pax’s doctor prescribed chest reconstruction surgery.

PeaceHealth refused to cover the surgery, citing a policy of excluding all “transgender services.” The lawsuit asserts PeaceHealth’s blanket policy of refusing to pay for medically necessary healthcare for otherwise covered transgender individuals simply because of who they are discriminates on the basis of sex and gender identity, violates the Patient Protection and Affordable Care Act (ACA) and the Washington Law Against Discrimination (WLAD), and is harmful to the health of transgender individuals.

“PeaceHealth’s blanket of exclusion of ‘transgender services’ is not based on standards of medical care,” said ACLU-WA Staff Attorney Lisa Nowlin. “This is discrimination, and it is plainly illegal. Under state and federal law, no company is allowed to single out and exclude one group of individuals from medical care that is prescribed for them by their doctors and that the company routinely provides for others.”

In the past, some public and private insurance companies excluded coverage for gender dysphoria (or “transition-related care”) based on the erroneous assumption that such treatments were cosmetic or experimental. Today, however, every major medical organization recognizes that such exclusions have no basis in medical science and that transition-related care is effective for the treatment of gender dysphoria.

Discrimination by healthcare providers routinely causes transgender people to delay or forgo preventative and necessary medical care, putting them at greater risk for illnesses and increasing their risk of suicide.

If left untreated, gender dysphoria can lead to debilitating anxiety, depression, self-harm, and even suicide. Pax suffered from debilitating depression and anxiety as a result of gender dysphoria that began at age 11, when he started to enter puberty. His grades at school fell; he was unable to participate in activities such as swimming and athletics; he wore several layers of clothing to hide his chest from view; and he eventually avoided going outside altogether. Pax’s gender dysphoria became so severe that he had to wear a binder to flatten his chest 24 hours a day.

As a result of PeaceHealth’s exclusion for “transgender services,” Cheryl Enstad and her husband were forced to take a second mortgage on their house and use some of Pax’s college savings funds to pay over $10,000 out-of-pocket for the chest-reconstruction surgery prescribed to Pax by his doctor.

“We were willing to do whatever it took to get Pax the medical care he needed — as any parent would,” Cheryl Enstad said. “When your child is singled out and rejected simply for being themselves, it’s heartbreaking, and it isn’t fair. We’re bringing this lawsuit to ensure no family has to go through what we did.”

The lawsuit asks the court to declare PeaceHealth’s blanket exclusion of “transgender services” discriminatory and illegal. It also seeks unspecified damages for the Plaintiffs.

The lawsuit, Enstad v. PeaceHealth, was filed in U.S. District Court in the Western District of Washington. PeaceHealth operates 70 sites in Washington, Oregon, and Alaska and has approximately 16,000 employees.

In addition to Nowlin, attorneys for the Enstads include Josh Block and Leslie Cooper with the ACLU LGBT & HIV Project and Denise Diskin and Beth Touschner of Teller & Associates.

Rep. Sewell Statement on Expiration of CHIP

Washington, D.C. - October 3, 2017 (The Ponder News) -- On September 30, funding for the Children's Health Insurance Program (CHIP) expired after Congress missed a deadline to reauthorize the initiative. CHIP provides insurance coverage for children in low- and middle-income families.

Congresswoman Terri A. Sewell (D-AL) releases the following statement:

“The failure of Republican leadership to reauthorize CHIP puts the health of 150,000 Alabama children and 9 million children nationwide on the line,” said Rep. Sewell. “Many families in my district and across Alabama rely on CHIP to cover their children’s checkups, immunizations, emergency care and more. Rather than wasting more time on partisan attempts to repeal the Affordable Care Act, I am urging my colleagues on the other side of the aisle to focus on what we can do now to help stabilize the insurance marketplace and make health care more affordable for all families. That starts with reauthorizing CHIP and maintaining Disproportionate Share Hospital (DSH) payments, which the majority of our hospitals rely on to offset the cost of uncompensated care. As hospitals in my district face closure and Alabama families struggle to pay for doctor visits, I am calling on Republican leadership to hold a vote now reauthorizing CHIP and protecting DSH payments. Not a week from now, not a month from now, but right now.”

Tax Reform, Mining, Food Safety, Education, South Korea, Hurricanes, Insurance, abortion, Cuba, health care, Healthcare, Sports, Farmers, Drug Addiction, Prostate Cancer

The Ponder News
September 29, 2017
(If you are receiving this via email, you may access all the links at:
http://thepondernews.blogspot.com/2017/09/tax-reform-mining-food-safety-education.html )

Tax Reform

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Davis Statement on GOP Tax Reform Framework and Retreat
Rodney Davis (R-IL, 13th)
“Today House Republicans united around middle-class Americans who are being crushed by our outdated tax code,” said Davis. “Illinois residents know all too well the impact high taxes are having on their families’ ability to save and get ahead and our state’s ability to compete for good-paying jobs. Our plan uses Illinois as an example of what not to do. We want to cut tax rates for individuals, simplify but maintain important middle-class deductions, and make it so American businesses can compete globally. There’s still much more work to be done, but this is our shot at changing the lives of each working American for the better and I hope we get bipartisan support to get it done.”
Read more...

Statement from Congressman Dan Donovan on Tax Reform
Daniel Donovan (R-NY, 11th)
"...I’m of course concerned about the state and local tax deduction, and I’ll continue working with my colleagues as the legislation goes through the committee process. It’s important to me that Staten Island and Brooklyn residents benefit from tax relief and don’t shoulder the burden for cuts elsewhere in the country."
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DUNN RELEASES STATEMENT ON UNIFIED TAX REFORM BLUEPRINT
Neal Dunn (R-FL, 2nd)
“We have a once in a generation opportunity to overhaul our complex tax system, lower rates, and truly make the IRS work for the people, instead of against them,” said Dr. Dunn. “At more than 4 million words long, the current tax code is a prime example of the government red tape that is strangling our economy. By lowering rates, reducing the size and scope of the IRS, and closing loopholes, we will put more money back in the pockets of the people who earned it and supercharge the economy.”
Read more...

Fair and Simple Tax Reform for American Families and American Jobs
Bill Flores (R-TX, 17th)
Over the past eight months, American economic growth has jumped by almost 50 percent from the below-average growth levels of the last few years. We believe that tax reform can take our economic growth and job opportunities to even higher levels, and to relieve the economic strains being felt by working families.
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Mining

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Rep. Peter DeFazio Blasts Request to Overturn Protections for Critical Watershed
Peter DeFazio (D-OR, 4th)
“This is an egregious overstep by Washington, driven by special interests,” said Rep. DeFazio. “The prohibition on mining on the Smith River and the headwaters of Hunter Creek and Pistol River has broad, overwhelming support from thousands of residents of southwest Oregon, local governments, businesses and community leaders. Re-opening this area to allow a foreign company to strip mine our public lands without paying American taxpayers hardly any royalties would devastate surrounding economies and threaten critical drinking water sources. This withdrawal has been discussed, debated and endorsed by the surrounding communities and supported by federal agencies. Chairman Bishop and the Trump administration need to respect the will of southwest Oregon.”
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Food Safety

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DeLauro Responds to New OIG Report Detailing FDA’s Failure to Effectively Implement the Food and Safety Modernization Act
Rosa L. DeLauro (D-CT, 3rd)
“The goal of the Food Safety and Modernization Act (FSMA) was to prevent food-safety problems rather than react to these issues after they arise. However, the Inspector General’s report revealed that the FDA has not taken effective or timely action to identify and correct food facility inspection violations.”
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Education

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DelBene Introduces Bipartisan Bill to Lower College Textbook Costs
Suzan Delbene (D-WA, 1st)
“An often overlooked driver of the rising cost of college is textbooks and supplies. In addition to tackling tuition hikes and burdensome student loan debt, we must find solutions to the other factors making a college degree less attainable for working families,” DelBene said. “Technology is changing the classroom experience, and the E-BOOK Act will help spur innovation in our colleges by incentivizing the adoption of new learning technologies, which in turn will save students money.”
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South Korea

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Congressman Dent Supports Maintaining South Korea-U.S. Free Trade Agreement
Charles W. Dent (R-PA, 15th)
"Retracting from this South Korea trade agreement would be detrimental to American econoimc, diplomatic, and security interests," said Dent. "It's a short-sighted move that fails to take into account two key factors. First, the deal benefits both American workers and businesses, especially in terms of agricultural exports. Second, America would be sending te wrong message to our ally by backing out of our trade agreement in the midst of the ongoing North Korea threat. We cannot slight the South Korean government in this way by seemingly abandoning them," Dent stated.
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Hurricanes

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Diaz-Balart Votes for Tax Relief to Support Hurricane Impacted Communities
Mario Diaz-Balart (R-FL, 25th)
“This year, we have experienced an extremely active hurricane season that has left destruction and devastation in its path. After days without running water or electricity, parts of Florida are just beginning the rebuilding process. A large number of homes in our community have been deemed structurally unsafe, and hundreds more require critical repair. This legislation provides significant tax relief that will assist Floridians and others who have been impacted by recent storms. Many are now left to find the financial means to make needed repairs to their homes. Among others, by eliminating the tax penalty on early retirement plan withdrawals, we can help folks access the capital required to make these repairs and get back on their feet. These tax benefits also extend to citizens of Puerto Rico and the U.S. Virgin Islands, assisting Caribbean citizens who need our support in this difficult time.”
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Insurance

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Duffy Introduces Bipartisan FIO Reform Act
Sean P. Duffy (R-WI, 7th)
Wisconsin Congressman Sean Duffy, chairman of the House Financial Services Subcommittee on Housing & Insurance, today co-introduced the Federal Insurance Office (FIO) Reform Act with Congressman Denny Heck (D-WA).
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Abortion

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CONGRESSMAN DUNCAN'S STATEMENT ON H.R. 36
John J. Duncan, Jr. (R-TN, 2nd)
This bill would protect an unborn child old enough to feel pain from being aborted. Evidence indicates an unborn baby is able to feel pain at 20 weeks old," said Duncan.
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Cuba

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Congressional Cuba Working Group Statement in Response to Ongoing Investigation in Cuba
Tom Emmer (R-MN, 6th)
“The federal government has a responsibility to ensure the safety and security of our diplomats and Foreign Service personnel, regardless of where they serve. Those who are responsible for perpetuating these harmful and unacceptable acts will be held accountable.
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Health Care

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EVANS AND SMUCKER INTRODUCE BILL TO IMPROVE PEDIATRIC CARE AND REDUCE PHYSICIAN SHORTAGE
Dwight Evans (D PA, 2nd)
Rep. Dwight Evans and Rep. Smucker, along with, today introduced the Strengthening Our Pediatric Workforce Act – bipartisan legislation that will help address America’s growing pediatric physician shortage by creating a new grant program for children’s teaching hospitals to make additional residency positions available for pediatric specialists
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Sports

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Congressman Farenthold Reintroduces the PRO Sports Act
Blake Farenthold (R-TX, 27th)
“Professional sports leagues should not be exempt from paying taxes,” said Congressman Farenthold. “These are highly profitable businesses that make tens of millions of dollars each year and have been exploiting loopholes to game the system. It’s time we blow the whistle on this foul, and get this bill over the goal line.”
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Farming

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Faso Introduces Bill to Crack-Down on Fake Organics, Support Organic Farmers
John Faso, (R-NY, 19th)
Congressman Faso said, “Fraudulent ‘organic’ grain and feed originating overseas is not only deceptive to consumers, but it artificially drives down the price of real organics, hurting legitimate organic farmers in Upstate New York and across the country. I am proud to introduce the Organic Farmer and Consumer Protection Act alongside Congresswoman Lujan Grisham as it will crack down on these fake organics. This is commonsense legislation that puts American consumers and farmers first
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Drug Addiction

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Op-Ed: White House must formally declare the opioid crisis a national emergency
Brian Fitzpatrick, (R PA, 8th)
A little over a month ago, President Trump announced his intention to declare the opioid epidemic a national emergency. He was right—it is an emergency. Drug overdoses killed almost 54,000 people in 2015, and the majority of those deaths involved an opioid. Last year about 12 million Americans misused an opioid, and the overdose death toll rose to 65,000. The opioid crisis is cutting deep scars in our communities, and in some states, is taking more of our loved ones than car accidents, suicides and firearms combined. It is absolutely an emergency and we urge the president to move quickly in formally declaring the opioid crisis a national health emergency.
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Other

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ENGEL: GOP HAS WASTED TIME, JEOPARDIZED VITAL PROGRAMS
Eliot Engel (D-NY, 16th)
Congressional Republicans have spent nine months on their tired vendetta against the Affordable Care Act (ACA). Now, just days before the fiscal year ends, they’ve proven only that they were willing to put critical programs on the backburner for a shot at fulfilling their misguided political promises.
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Esty Calls on Congress to Vote on Puerto Rico Aid Relief, Expiring Federal Programs
Elizabeth Esty (D-CT, 5th)
“I am calling on my colleagues to come together to find a bipartisan approach that fully funds these programs and assists all Americans to keep our country moving forward.”
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September is Prostate Cancer Awareness Month
By: Mrs. Brenda Fleischmann
The calendar fills up quickly in September as families return to a packed routine after quieter summer days. Unfortunately, your health might take a backseat to your busy schedule. So make a note on your calendar that September is Prostate Cancer Awareness Month, and remind yourself—or the men in your life—about the importance of a healthy prostate.
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AANP President urges Senate to Ensure Health Care Legislation Upholds Patient Protections, Coverage for Pre-existing Conditions

Source: American Association of Nurse Practitioners

Washington, D.C. - September 25, 2017  (The Ponder News) -- The following statement is being issued by AANP President Joyce Knestrick, PhD, C-FNP, FAANP:

"As the Senate moves closer to action on health care reform, the American Association of Nurse Practitioners (AANP) urges Senators to take a measured approach ensuring that any final legislation protects patient access to Medicaid, Medicare and other programs that cover the cost of care. There are more than 234,000 nurse practitioners (NPs) delivering health care to patients throughout the country. Currently, three of four NPs treat Medicare beneficiaries, and 78 percent see Medicaid patients. As this process moves forward, proposals must protect affordable coverage regardless of pre-existing conditions, uphold the principles of essential benefits, safeguard patients' access to the health care provider of their choice, including nurse practitioners, and strengthen the health care workforce while bringing greater overall efficiency to the health care system."

Bill Introduced To Cut Insurance Subsidies and Save Taxpayers $4 Billion

Source: Senator Jeff Flake (R - AZ)

Washington, D.C. - September 9, 2017 (The Ponder News) -- U.S. Sens. Jeff Flake (R-Ariz.) and Jeanne Shaheen (D-N.H.) today introduced a bipartisan bill to allow taxpayers to realize an estimated $3.9 billion in savings, according to the Congressional Budget Office. The bill targets federal subsidies supporting windfall profits for private crop insurance companies, while in no way impacting farmers’ ability to purchase reasonably priced crop insurance.

The bill amends the Federal Crop Insurance Act to lower the Standard Reinsurance Agreement (SRA) rate of return from 14.5 percent to 9.6 percent. The SRA is an agreement negotiated between the U.S. Department of Agriculture (USDA) and the private insurance companies that determines the amount of taxpayer subsidies that will be paid to those private companies for participating in the federal crop insurance program, as well as the amount of risk shouldered by the federal government.

A reduction to 8.9 percent in the SRA rate of return was already included in the 2015 budget deal passed by Congress and signed by President Obama, but crop insurance advocates were able to have this change repealed those savings through an omnibus spending bill. Reducing the SRA rate of return to 9.6 percent will only impact the profits that crop insurers make, and it will have no impact on farmers’ crop insurance prices or the availability of crop insurance.

The bill also ends the provision prohibiting the USDA’s Risk Management Agency (RMA) from realizing significant taxpayer savings through regular renegotiations of the SRA. When the SRA was previously renegotiated in 2010, over $6 billion in taxpayer savings was found. Unfortunately, the 2014 farm bill prohibits the USDA from finding any additional savings that could reduce the federal deficit, and requires any savings that happen to be found be put back into the crop insurance program.

“With the national debt fast approaching an unprecedented $20 trillion, cutting wasteful federal subsidies to big insurance companies and saving the taxpayers almost $4 billion in the process just seems like common sense to me,” said Flake. “These much-needed reforms will, not only save taxpayers billions of dollars, but also maintain farmers’ access to crucial, affordable crop insurance.”

“The costs of the crop insurance program are skyrocketing unnecessarily,” said Shaheen. “We can ensure protections for farmers without putting taxpayers on the hook to guarantee enormous profits for insurance companies. This bipartisan legislation will not impact insurance options available to farmers and will save taxpayers billions of dollars.”

Background:

In July 2017, the U.S. Government Accountability Office released a study finding the crop insurance program’s target rate of return does not reflect market conditions. Read that full report here.

On Nov. 5, 2015, Flake and Shaheen introduced the Assisting Family Farmers through Insurance Reform (AFFIRM) Act, a bipartisan bill to reform the crop insurance system. Read more on the bill here.

Trump administration pulls health law help in 18 cities

The Associated Press

President Donald Trump’s administration has ended Affordable Care Act contracts that brought assistance into libraries, businesses and urban neighborhoods in 18 cities, meaning shoppers on the insurance exchanges will have fewer places to turn for help signing up for coverage.

Community groups say the move, announced to them by contractors last week, will make it even more difficult to enroll the uninsured and help people already covered re-enroll or shop for a new policy. That’s already a concern because of consumer confusion stemming from the political wrangling in Washington and a shorter enrollment period. People will have 45 days to shop for 2018 coverage, starting Nov. 1 and ending Dec. 15. In previous years, they had twice that much time.

Some see it as another attempt to undermine the health law’s marketplaces by a president who has suggested he should let “Obamacare” fail. The administration, earlier this year, pulled paid advertising for the sign-up website HealthCare.gov, prompting an inquiry by a federal inspector general into that decision and whether it hurt sign-ups.

Read more...

Trump really wants Obamacare to fail. What I don't get is why he wants "Trumpcare" in it's place. There is no viable alternative, except to scrap it all and legislate the insurance companies.

Here is an idea: Instead of depending on the government to take care of pre-existing conditions, maybe it would be prudent to create a co-op for pre-existing conditions, in which everyone who wants to pays into it to help cover the bills for everyone. It would be voluntary, not mandated, and it would be beneficial. Insurance companies could be legislated to offer a package for that, rather than make everyone pay into it and inconveniencing those who have no pre-existing conditions. There are charities available for that.

Scott, Levin, Pallone Statement on Court Order to Delay House v. Burwell

Washington, D.C. - December 8, 2016 (The Ponder News) -- Ranking Members Bobby Scott (D-VA), Sandy Levin (D-MI), and Frank Pallone, Jr. (D-NJ) of the House Committees on Education and the Workforce, Ways and Means, and Energy and Commerce respectively, made the following joint statement after the U.S. Court of Appeals for the District of Columbia issued an order to delay the consideration of House v. Burwell:

“This decision to delay the consideration of House v. Burwell until after Inauguration Day puts millions of Americans at risk of losing their health insurance coverage next year. Republicans have relentlessly attempted to repeal and undermine the Affordable Care Act since the law was enacted. If the incoming Trump Administration decides not to defend the legality of the ACA’s cost-sharing subsidies in court, the lower court ruling stands; and we would see the undermining of the insurance market as a whole – both the coverage of those American families who rely on the financial assistance, as well as those who purchase coverage on their own. President-elect Trump promised to stand up for working Americans, but this action would make people worse off, not better, and he hasn’t even taken office yet. Instead of rallying behind partisan attacks without proposing a real replacement to strengthen the law, we urge the incoming Trump Administration and Republican-led Congress to stand on the side of America’s families, students, and working people.”