Las Vegas Review-Journal

CHIP renewal bill clears House

Democrats worry measure would gut needed programs

- By Gary Martin Review-journal Washington Bureau

WASHINGTON — A bill to reauthoriz­e health care assistance for low-income children passed the House on Friday and was sent to the Senate, where a vastly different piece of bipartisan legislatio­n has been filed.

The House voted 242-117 to reauthoriz­e the Children’s Health Insurance Program over objections by Democrats that cuts in funding would eliminate preventive measures and screenings.

“Nothing in this bill should be controvers­ial, which is why it is disappoint­ing to see 171 Democrats — almost every single Democrat member — vote against it,” said House Majority Leader Kevin Mccarthy, R-calif.

But Rep. Dina Titus, D-nev., said the House bill would cut $6.3 billion from the Prevention and Public Health Fund created by the Affordable Care Act to provide preventive services like cancer screening and childhood vaccines and wellness programs.

She said the cuts would mean a loss of $1.7 million to the state of Nevada next year if the bill becomes law. It would also shrink the grace period for missed ACA payments,

which would result in many people losing health care coverage.

In 2016, nearly 69,000 children from low-income families in Nevada were enrolled at one time in the CHIP program, according to

The Center for Medicaid and CHIP Services.

Nevada Gov. Brian Sandoval, a Republican, has urged Congress to reauthoriz­e the current program, which ended Sept. 30, the close of the 2017 fiscal year.

If extended, Nevada would receive $78.6 million in federal CHIP funds alone in fiscal 2018, according to the Medicaid and CHIP Access Commission, known as MACPAC. Without reauthoriz­ation, Nevada would exhaust its CHIP funds between January and March.

About 34 percent of the children in the rural Nevada 4th Congressio­nal District, which spans from North

Las Vegas to Ely, receive health care through CHIP.

Rep. Ruben Kihuen, D-nev., who represents the district, said the House bill passed Friday also cuts funding for community health centers and initiative­s that assist the elderly.

Kihuen called the Republican CHIP reauthoriz­ation bill a “reckless” hyperparti­san attack on the ACA and health programs for children and seniors.

Friday’s House vote was mostly along party lines. Rep. Jacky Rosen, D-nev., joined 14 other Democrats in voting for the bill, despite reservatio­ns.

“I recognize the serious flaws in this bill,” Rosen said in a statement, “but I could not in good conscience vote against renewing a program that tens of thousands of Nevada children depend on for access to health care, or against critical funding for Nevada’s community health centers.”

Rep. Mark Amodei, R-nev., voted with the Republican majority to pass the bill.

Contact Gary Martin at gmartin@ reviewjour­nal.com or 202-662-7390. Follow @garymartin­dc on Twitter.

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