Kay Tillow is the coordinator of the All Unions Committee for Single Payer Health Care, which builds union support for national single payer healthcare. She is also a member of the steering committee of National Single Payer. She lives in Louisville, Kentucky.
Democratic Congressman Ro Khanna of California has introduced legislation, and Senator Edward Markey may be preparing to do the same, that would turn over Medicare and other federal health care monies to the states for experimentation in state-based health care plans. There is no requirement in the bill that a state’s plan be a single-payer bill. A state can get the Medicare money based on the politics and the discretion of the secretary of Health and Human Services .
Those MA plans simply assert that they cover them, and HHS and its Centers for Medicare and Medicaid Services do not currently enforce this law on Medicare Advantage plans. HHS and CMS won’t have the capacity to enforce equal benefit provisions on the states either. That’s a gargantuan administrative task to oversee millions of transactions. CMS audits only a tiny percentage of MA plans.
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