House leaders also sought to win support from centrist Republicans from upstate New York leaders by adding a provision (Collins Amendment) that would ban the federal government from reimbursing state Medicaid funds raised by local governments, according to New York Rep. Chris Collins. He told CNN the change would help bring along other members of his state’s delegation who are currently wavering on the bill.
The Collins Amendment might well appeal to upstate NY Republicans who would like much to claim that they had acted to reduce property taxes, but it does nothing to make RyanCare more palatable–reduced property taxes would need to be offset by increases in other taxes or reduction in Medicaid benefits.
A House GOP aide told CNN the change would apply to New York state only. In New York, counties outside of New York City send $2.3 billion to the state to help pay for Medicaid. The amendment would give the state the incentive to stop passing down Medicaid costs to the counties, Collins said.
I don’t know why the Collins Amendment is said to apply to NYS only. Article I, Section 8 of the Constitution, liberally interpreted, may prohibit tax laws not “uniform throughout the United States.”
Reeds views are hypocritical:
- The Collins Amendment an “unfunded mandate.”
- The Collins Amendment interferes with “States’ Rights.”
Nothing new in that! Tom Reed opposes unfunded mandates and upholds States’ rights only when it pleases him to do so.
Collins may be planning to run for Governor. To claim credit for reducing property taxes and to blame Governor Cuomo for offsetting tax increases or benefit cuts would work well for him. Tom Reed might also be interested in running for Governor, if the opportunity presented itself.
Lt. Gov. Kathy Hochul, quoted in a WRFA article, explains:
Here are the facts: The overall Medicaid plan would cost the state billions of dollars of lost federal funds and jeopardize hospital stability,” Lt. Gov. Hochul said. “As if that were not enough, Rep. Collins would have the state assume the counties’ share of Medicaid expenses outside of New York City. The current breakdown is 13 percent county, 36 percent state, and 51 percent federal. This ill-conceived plan would cost his home state approximately $2.3 billion. Unbelievably, that’s on top of the cost of the Republican Affordable Care Act repeal plan – another $2.4 billion. Translation: Rep. Collins is proposing a tax increase on New Yorkers to the tune of $4.7 billion.
Will the Collins Amendment be accepted? If it applies only to NYS, one might expect it to have limited appeal to the House. But if House mis-leaders see it as critical to getting their RyanCare bill (AHCA) through the House, they might take care that the Collins Amendment gets the necessary votes.
“Democrats made similar deals while writing the Affordable Care Act in 2009 and 2010, with the so-called Cornhusker Kickback ― a promise to increase Medicaid funding to Nebraska, supposedly in exchange for the vote of then-Sen. Ben Nelson (D-Neb.), who was the 60th vote Democrats needed to overcome a Senate filibuster.
Nelson defended the arrangement, saying that he was a longtime opponent of Washington demanding that states pay for programs ― and that he had intended the provision as a “marker” that would inspire other states to demand similar deals.
That drew scorn from Republicans, who said it was proof that Democrats were using shady deals to get an unpopular bill through the legislative process.”
Source: Huffington Post
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Thank you William for getting the information about a change in the AHCA that was announced late last night. I am wondering if Rep. John Katko of neighboring NY-24, who has announced that he will not support the proposed AHCA citing that it will harm his district, including the hospitals, will be persuaded by this amendment. see article in last Sunday’s Finger Lakes Times.
plus ça change plus la meme chose–attributed to Jean-Baptiste Alphonse Karr
If Rep. Katko were seen as casting a crucial vote, could he or NY-24 expect retribution from one side or the other, or from his constituents?