Trump admin wants to roll back health rules for underrepresented groups
Demonstrators marching for LGBTQ rights carry rainbow flags past the White House. Photo: Zach Gibson/Getty Images
The Trump administration has plans to reverse Obama-era health care rules that currently protect transgender individuals from discrimination and decades-old exemptions that shelter Native Americans from certain burdensome federal health requirements.
Why it matters: These health moves would target two of the nation's most underrepresented and vulnerable communities.
The administration is planning to end a rule created under the Obama administration that prohibits doctors, hospitals and insurers from discriminating against transgender individuals, reports the New York Times.
The big picture: The rule is tied to a civil rights measure within the Affordable Care Act that outlaws discrimination based on race, sex, age, national origin or disability at any health organization that receives government funds. A rollback of the rule would affect almost every doctor's office in the country.
The Department of Health and Human Services is also considering enforcing Medicaid work rules for Native Americans in states that choose to implement work requirements to access Medicaid, Politico reports. Three states have already begun putting Medicaid work requirements in place and at least 10 others are expected to apply.
The big picture: The Trump administration says these exemptions constitute illegal preferential treatment and "contends the tribes are a race rather than separate governments."
The history: "Tribal leaders...say there are precedents for health care exceptions. Native Americans don’t have to pay penalties for not having health coverage under Obamacare’s individual mandate, for instance."
The state of play: "The tribes insist that any claim of 'racial preference' is moot because they’re constitutionally protected as separate governments, dating back to treaties hammered out by President George Washington and reaffirmed in recent decades under Republican and Democratic presidents alike, including the Clinton, George W. Bush and Obama administrations."
Jackson after a meeting on Capitol Hill. Photo: Tom Williams/CQ Roll Call via Getty
That sound you heard at President Trump's press conference with French President Emmanuel Macron this afternoon was the orchestra playing Dr. Ronny Jackson off the stage.
What's next: Jackson isn’t bowing out, and the White House is now signaling it will mount a stronger fight for his confirmation as the next Veterans Affairs secretary. But it's hard to see how he recovers after his confirmation hearing was postponed and Trump said, "I wouldn't do it."
The timeline:
Sunday: Axios' Jonathan Swan reports that the White House knew about "specific concerns about Jackson's professional conduct in the Navy" that had been reported to Jon Tester, the ranking Democrat on the Senate Veterans Affairs Committee.
Monday: Multiple reports suggest Tester and Veterans Affairs chairman Johnny Isakson are looking into allegations about Jackson's conduct.
Tuesday: Jackson's confirmation hearing is postponed. Isakson and Tester send a letter to the White House asking for "any and all communication ... regarding allegations or incidents regarding Rear Admiral Jackson from 2006 to present."
Trump: "I don't want to put a man through a process like this that's too ugly and too disgusting ... I'd let it be his choice."
Per AP: Inspector general report suggested removing Jackson and a rival from their White House roles "after finding 'severe and pervasive lack of trust in the leadership.'"
Swan's thought bubble: Almost nobody at the senior level of the White House — including chief of staff John Kelly — agreed with the president's impulsive decision to tweet out that his unvetted White House doctor with no management experience should run the second largest agency in the federal government. His confirmation process, calamitous from the start, was predictable and widely predicted (including on Axios.)
The bottom line: Turns out vetting is still important.
One more thing: Macron said he wants a "new agreement" on the Iran deal — though it's not clear whether he's persuaded Trump to remain in the agreement until then. More here.
This story has been updated with the AP report and Trump's reported meeting with Jackson.
