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HEALTH CARE NEWS

US Congress extends CHIP, funds opioid crisis response following temporary shutdown

Publish date: February 9, 2018

By 

Gregory Twachtman 

Oncology Practice

 

 

 

 

 

 

 

 

 

Congress, despite a second shutdown in less than a month, was able to pass a number of financial extenders to fund key health care programs.

The bipartisan spending bill (H.R. 1892), passed in the early morning hours on Feb. 9 by a 71-28 vote in the Senate (16 Republicans and 12 Democrats voted against it, and Sen. John McCain [R-Ariz.] was not present) and a 240-186 vote in the House (67 Republicans and 119 Democrats voted against and 5 representatives did not vote). President Trump signed the bill later that morning.

 

The spending bill and continuing resolution to fund the government through March 23 includes $6 billion to fund treatment for opioid addiction and other mental health issues, $2 billion in additional funding for the National Institutes of Health, and 4 additional years of funding for the Children’s Health Insurance Program. The additional CHIP funding extends the program for a total of 10 years.

The funding bill also made a technical correction to the Merit-based Incentive Payment System (MIPS) track of the Medicare Quality Payment Program. It removes Part B drug reimbursement from the MIPS payment adjustment, so any positive or negative change to physician payments based on the MIPS score will only be applied to physician fee schedule payments.

The bill also repeals the Independent Payment Advisory Board, a panel created by the Affordable Care Act that would have the power to slash Medicare spending under certain budget circumstances. That board was never convened.

The funding legislation also accelerates closure of the Medicare Part D “donut hole,” the coverage gap in which beneficiaries must pay 100% of medication costs prior to entering catastrophic coverage.

Just over $7 billion was provided for community health centers and Medicare’s therapy caps were repealed.

While the funding bill was written in the Senate with bipartisan input and received bipartisan support, Sen. Rand Paul (R-Ky.) held up votes over objections to the more than $1 trillion it will add to the nation’s debt, as well as for the fact that there was no opportunity to introduce and vote on amendments, leading to an hours-long government shutdown.

There also were concerns about two issues that could have derailed the vote in the House. Democrats wanted to add language to address immigrants brought to this nation illegally as children, while some Republicans did not want to increase the federal debt. However, there were enough votes to pass the funding legislation.

gtwachtman@frontlinemedcom.com

One Name

Drotumdi O

One Name

  January 7, 2018  

Read: Philippians 2:5–11 | Bible in a Year: Genesis 18–19; Matthew 6:1–18

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At the name of Jesus every knee should bow, in heaven and on earth and under the earth. Philippians 2:10

Cleopatra, Galileo, Shakespeare, Elvis, Pelé. They are all so well known that they need only one name to be recognized. They have remained prominent in history because of who they were and what they did. But there is another name that stands far above these or any other name!

Before the Son of God was born into this world, the angel told Mary and Joseph to name Him Jesus because “he will save his people from their sins” (Matthew 1:21), and “he . . . will be called the Son of the Most High” (Luke 1:32). Jesus didn’t come as a celebrity but as a servant who humbled Himself and died on the cross so that anyone who receives Him can be forgiven and freed from the power of sin.

Jesus Christ is not valued at all until He is valued above all. Augustine

The apostle Paul wrote, “God exalted him to the highest place and gave him the name that is above every name, that at the name of Jesus every knee should bow, in heaven and on earth and under the earth, and every tongue acknowledge that Jesus Christ is Lord, to the glory of God the Father” (Philippians 2:9–11).

In our times of greatest joy and our deepest need, the name we cling to is Jesus. He will never leave us, and His love will not fail.

Jesus, You are the name above all names, our Savior and Lord. We lift our praise to You as we celebrate Your presence and power in our lives today.

Jesus Christ is not valued at all until He is valued above all.  Augustine

By David C. McCasland | See Other Authors

INSIGHT

God, who exists eternally in three Persons—the Father, the Son, and the Holy Spirit—has a variety of names that describe His attributes, including Good Shepherd, Lion of Judah, Lamb of God, Prince of Peace, Almighty God, Strong Tower, and Comforter. Yet here in Philippians 2 Jesus is called the “name that is above every name” (v. 9). Paul, the author of Philippians, goes on to say that at the sound of His name “every knee should bow, in heaven and on earth and under the earth” (v. 10). Why this enthusiastic praise for the name of Jesus? It’s because of who He is, what He left behind, and what He accomplished. Jesus, the Son of God, left the magnificence of heaven and the presence of His Father and humbled Himself by taking on “human likeness” and “becoming obedient to death” (vv. 7–8). Thus humbled, Jesus was “exalted . . . to the highest place” and given the name above all names (v. 9). He died and rose again because of His love for us and is deserving of our praise and the overflowing joy it expresses.

Whom can you tell about Jesus?

Alyson Kieda