#ACA works …


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Obamacare Literally Saved This Man’s Life

As we discussed on Wednesday, Obamacare is working and millions of Americans across the country are getting health insurance coverage thanks to the law, many for the very first time.

Today, we heard about one man’s story that reminds us why we fought so hard to pass the Affordable Care Act, why we’ve spent years defending it against relentless attacks from conservatives, and why we’re working to fully implement the law and get people signed up for coverage.

Mike O’Dell, 41, was able to obtain a heart transplant and the care he needs thanks to an affordable Obamacare health insurance plan that kicked in January 1:

He couldn’t get private health insurance because of his pre-existing heart condition. But as of January 1, with the health care law, insurers can no longer deny coverage. O’Dell and his wife were able to get coverage through the health insurance marketplace for $190 a month. That allowed him to go on the transplant waiting list.

“He wouldn’t be here with me or my children if it weren’t for the Obamacare,” said O’Dell’s wife, Kate.

And his doctors say he clearly wouldn’t have lived long if he hadn’t received the gift of a stranger’s heart last week.

ObamacareSavedHisLife

Kansas, O’Dell’s home state, is one of the few states that has done almost nothing to implement the Affordable Care Act. It has also refused to expand Medicaid coverage to almost 100,000 low-income Kansans that would otherwise be newly-eligible under the law. Thankfully, more than 22,000 Kansans (and 3.3 MILLION other Americans) have been able to select a private plan through the insurance marketplace, despite the GOP’s efforts to sabotage the law.

As O’Dell’s story showcases, having health coverage isn’t just about carrying an insurance card around in your pocket, it can be a matter of life and death. A new study found that an average of between 19 to 47 people will die each day, including as many as one every day or so in Kansas, simply because Republican governors and state legislators refuse to expand Medicaid.

BOTTOM LINE: The Affordable Care Act is already helping tens of millions of Americans every day and is literally a matter of life and death for some. That’s why we can never go back to the way it was before.

Blue Cross rejecting payments for HIV/AIDS medication


Mike Reitz: Stop AIDS discrimination by Blue Cross/Blue Shield of Louisiana.

    By Robert Darrow

            Shreveport, Louisiana

Due to a new policy from Louisiana’s largest health insurer, hundreds of people living with HIV and AIDS are in danger of losing access to essential medication.BlueCross BlueShield of Louisiana (BCBSLA) is rejecting checks from a federal program designed to help these patients pay for AIDS drugs and insurance premiums and has begun notifying customers that their enrollment in its Obamacare plans will be discontinued because it will no longer accept “third-party payments.” This funding was established through the Ryan White CARE Act of 1990 which has been crucial to ensuring that those living with HIV and AIDS can gain access to the medication they need.Several months ago, the Centers for Medicare and Medicaid Services (CMS) encouraged health plans to stop accepting “third-party payments,” but this weekend (February 8th), CMS stated unequivocally that “federal rules do not prevent the use of Ryan White funds to pay for health care plans.” BCBSLA said it is “reviewing and considering this new information,” but we need commitments to help save and extend hundreds of lives in Louisiana.

As someone living with AIDS who helped found the local organization in Shreveport that oversees Ryan White funding, I know these funds change lives — and I’m afraid that if BCBSLA gets away with denying this coverage, other insurers across the country could follow suit. Please join me in tell BCBSLA to accept federal funding for people living with HIV and AIDS and to stop this discrimination.