NM state law, the U.S. Supreme Court and abortion access

Reproductive healthcare and abortion access may be profoundly personal decisions, but changes to public policy in New Mexico could generate repercussions that extend far beyond the most private experiences of women across the state. According to recent analysis by the Guttmacher Institute, nearly one-in-four women in the United States have had or will have an abortion by age 45. And since Associate Supreme Court Justice Anthony Kennedy announced in June that he would retire July 31, attention to a 50-year-old New Mexico law has intensified. Dormant since Roe v. Wade legalized abortion in 1973, the statute would go back into effect if Roe is overturned, meaning anyone who performs an abortion in New Mexico could be charged with a 4th-degree felony. Read this story’s companion piece, “Midterms could be key, with New Mexico’s abortion rights protections at a crossroads,” here. 

The social stigma attached to abortion means that many people don’t talk about it openly, said Planned Parenthood of New Mexico CEO Vicki Cowart in a recent interview, but there are millions of women for whom it has played a part in their personal and family histories.

Trump administration proposes rule to loosen curbs on short-term health plans

Insurers will again be able to sell short-term health insurance good for up to 12 months under a proposed rule released Tuesday by the Trump administration that could further roil the marketplace. “We want to open up affordable alternatives to unaffordable Affordable Care Act policies,” said Health and Human Services Secretary Alex Azar. “This is one step in the direction of providing Americans health insurance options that are more affordable and more suitable to individual and family circumstances.”

The proposed rule said short-term plans could add more choices to the market at lower cost and may offer broader provider networks than Affordable Care Act plans in rural areas. But most short-term coverage requires answering a string of medical questions, and insurers can reject applicants with preexisting medical problems, which ACA plans cannot do. As a result, the proposed rule also noted that some people who switch to them from ACA coverage may see “reduced access to some services,” and “increased out of pocket costs, possibly leading to financial hardship.”

The directive follows an executive order issued in October to roll back restrictions put in place during the Obama administration that limited these plans to three months.

Martinez’s legacy undefined as she approaches final session in charge

Gov. Susana Martinez leaned in, and a discernible vigor crept into her voice. Speaking at a news conference earlier this month about her proposed state budget, the former prosecutor seemed in her element, discussing an issue that has come to define her two terms in office: crime. She started her presentation on the state’s spending plan talking about a crime wave, and when a reporter asked about bail reform, she eagerly lambasted new court policies as creating a “revolving door at the jail.” Yes, there was talk of tax reform and education, too. But if there is any issue Martinez has felt most comfortable railing about in front of the cameras, it is crime.

States — And 9M kids — ‘In a bind’ as Congress dawdles on CHIP funding

Last week, Colorado became the first state to notify families that children who receive health insurance through the Children’s Health Insurance Program are in danger of losing their coverage. Nearly 9 million children are insured through CHIP, which covers mostly working-class families. The program has bipartisan support in both the House and Senate, but Congress let federal funding for CHIP expire in September. The National Governors Association weighed in Wednesday, urging Congress to reauthorize the program this year because states are starting to run out of money. In Virginia, Linda Nablo, an official with the Department of Medical Assistance Services, is drafting a letter for parents of the 66,000 Virginia children enrolled in CHIP.

Medicaid expansion takes a bite out of medical debt

As the Trump administration and Republicans in Congress look to scale back Medicaid, many voters and state lawmakers across the country are moving to make it bigger. On Nov. 7, Maine voters approved a ballot measure to expand Medicaid under the Affordable Care Act. Advocates are looking to follow suit with ballot measures in Utah, Missouri and Idaho in 2018. Virginia may also have another go at expansion after the Legislature thwarted Gov. Terry McAuliffe’s attempt to expand Medicaid.

NM insurance premiums jumped after Trump actions

New Mexicans who buy health insurance through the Affordable Care Act’s exchange will pay higher premiums this year, and recent actions by the Trump administration are a big reason why. Customers who earn $47,000 or more and are not covered by employers will see the largest bump. This all comes as open enrollment began on Nov. 1 and will run through Dec. 15.

Medicaid chief suggests feds are willing now to approve work requirements

The Trump administration signaled Tuesday that it would allow states to impose work requirements on some adult Medicaid enrollees, a long-sought goal for conservatives that is strongly opposed by Democrats and advocates for the poor. Such a decision would be a major departure from federal policy. President Barack Obama’s administration ruled repeatedly that work requirements were inconsistent with Medicaid’s mission of providing medical assistance to low-income people. The announcement came from Seema Verma, the head of the Centers for Medicare & Medicaid Services (CMS), who was scheduled to address the nation’s state Medicaid directors Tuesday. A press release issued in advance of the speech said allowing states to have work requirements is part of her plan to help give states more flexibility.

Stunner on birth control: Trump’s moral exemption is geared to just 2 groups

Few people were surprised last week when the Trump administration issued a rule to make it easier for some religious employers to opt out of offering no-cost prescription birth control to their female employees under the Affordable Care Act. But a separate regulation issued at the same time raised eyebrows. It creates a new exemption from the requirement that most employers offer contraceptive coverage. This one is for “non-religious organizations with sincerely held moral convictions inconsistent with providing coverage for some or all contraceptive services.”

So what’s the difference between religious beliefs and moral convictions? This story originally appeared on Kaiser Health News, a national health policy news service that is part of the nonpartisan Henry J. Kaiser Family Foundation.

Martinez not on board with latest ACA repeal attempt

Gov. Susana Martinez believes the health care overhaul bill that Senate Republicans are currently working on would hurt New Mexico and says they should instead work on a bipartisan effort. After NM Political Report and other outlets asked Martinez her stance on the Graham-Cassidy healthcare bill, Martinez’s office released a statement. Spokesman Joseph Cueto said it is “perfectly clear…that Obamacare is a complete disaster.”

“While it’s encouraging that Congress is working on a healthcare solution, the governor is concerned this bill could hurt New Mexico and still needs some work,” he said. “She believes we need a bipartisan approach that focuses on the insurance market to make health care affordable.”

Senators are expected to vote on the Graham-Cassidy bill, which is supported by President Donald Trump, next week. Efforts at a bipartisan health care effort ended this week as the possibility of the new bill’s passage became more likely.

Last-ditch effort by Republicans to replace ACA: 5 things you need to know

Republican efforts in Congress to “repeal and replace” the federal Affordable Care Act are back from the dead. Again. While the chances for this last-ditch measure appear iffy, many GOP senators are rallying around a proposal by Sens. Lindsey Graham (R-S.C.) and Bill Cassidy (R-La.), along with Sens. Dean Heller (R-Nev.) and Ron Johnson (R-Wis.)

They are racing the clock to round up the needed 50 votes — and there are 52 Senate Republicans.