NEW YORK – When Congress returns from recess, repealing the Affordable Care Act could be back on the table, with some changes that critics say would cost New York billions of dollars.

Republicans in Congress have been drafting a new bill to replace the ACA, commonly known as Obamacare.

Opponents say that, like the American Health Care Act, or AHCA, that failed last month, the new bill would give tax breaks to the rich, take health care away from 24 million Americans, slash Medicaid, and raise health care costs.

Elizabeth Benjamin, co-founder of Health Care for All New York, says it would be bad for the country, and even worse for New York.

"The budgetary impact on New York state would total nearly $7 billion in the first four years alone, causing a loss of coverage, jobs and other negative impacts on New Yorkers," she points out.

Republicans say their bill would return control of health care to the states and restore the free market. But Benjamin says 2.7 million New Yorkers would lose coverage.

According to Helen Schaub, New York state director of policy and legislation for 1199 SEIU, one amendment to the bill, sponsored by two New York Republicans, would affect New York alone by withholding federal funds from the state equal to the amount of Medicaid costs the state shifts to counties.

"So it was essentially a $2.3 billion cut to Medicaid financing in the state, which we know would have very significant consequences," she explains.

Schaub adds that a study by George Washington University found New York would lose 33,000 jobs under the AHCA as health care institutions dealt with the loss of funding.

Benjamin notes that before the Affordable Care Act, there were only 19,000 people enrolled in New York's individual insurance market. With Obamacare, that increased to 360,000 and premiums dropped an average of 53 percent.

"Under their proposal, not only will those premium reductions be wiped out, we can expect to see 15 to 20 percent or more premium increases," she stresses.

On Tuesday President Donald Trump once again said repeal and replacement of the Affordable Care Act is a top legislative priority.


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DES MOINES, Iowa -- People across the Midwest, including Iowans, have dealt with a series of heat waves this summer.

Health experts say hotter weather is harder on the heart, and outdoor construction workers need to be extra mindful.

Cities like Des Moines, Waterloo and Sioux City are expected to see temperatures well above 90 degrees in the next several days, prompting reminders for vulnerable populations to protect themselves from the hot and humid conditions.

Lisa Leighton, senior project controls manager for the construction firm Ryan Companies, said workers on building sites should know the dangers, too.

"Construction workers are more susceptible to heat strokes and heat exhaustion, due to the fact that they're working outside," Leighton explained. "And workers in the construction industry have a higher prevalence of cardiovascular disease than employees in other fields."

She cited findings from the American Heart Association (AHA), which works with companies like Ryan on the "Hard Hats with Heart" campaign, an outreach to construction workers about their elevated health risks.

During heat waves, Leighton suggested starting the day earlier to avoid the hot afternoon sun, as well as taking regular breaks, staying hydrated and wearing lighter clothing.

The AHA said construction workers with heart disease are already 60% more likely to retire on disability and to retire early because of poor health.

Leighton asserted it is especially important to protect themselves in hot weather, and hopes site managers take extra notice as well.

"Making sure they're watching for some of those signs of heat exhaustion or heat stroke, and possibly even tell the workers that they need to take that break," Leighton urged.

She added even though staying on schedule is important for construction projects, safety is the biggest priority.

Some symptoms to look out for include headaches, dizziness, muscle cramps, and fast and shallow breathing. If a worker displays these signs, they are advised to find a shady spot, douse themselves with cold water, get rehydrated and possibly seek medical attention.

COLUMBUS, Ohio -- Amid mixed national messaging on COVID-19 and masks, the Ohio Chapter of the American Academy of Pediatrics recommends students wear masks to school during the upcoming school year.

While the Centers for Disease Control and Prevention guidance recommends masks for the unvaccinated, the American Academy of Pediatrics suggests universal mask wearing, regardless of vaccination status.

Melissa Wervey Arnold, CEO for the Ohio Chapter of the American Academy of Pediatrics, said getting kids back in class is crucial for their mental, physical, emotional and academic health. She contended masks are the safest route, since kids younger than 12 cannot get a COVID vaccine.

"Kids themselves might not spread the virus as readily as we've seen adults do it, or might not have the same negative health consequences," Wervey Arnold explained. "We still know that they can spread it, and they can spread it to people who are more vulnerable, especially the older population."

Meanwhile, Senate Bill 209 was introduced last week to prohibit schools and businesses in Ohio from mandating masks. An exception would be made for those with certain health conditions.

Wervey Arnold said regrettably, mask wearing during the pandemic has become politicized.

"It became an argument around freedom versus public health," Wervey Arnold observed. "And people have the right to their own personal choices, but sometimes those personal choices harm others. In that case, it's our opinion, you really have to focus on public health then."

Ohio's public health order requiring a facial covering in public settings expired in June. Wervey Arnold pointed out some kids did not mind wearing them, and for many others it simply became routine. She noted pediatricians noticed a difference masks made in preventing COVID and other illnesses.

"We saw a really low rate of flu infection this past year, and other things like RSV and other respiratory infections," Wervey Arnold recounted. "As the mask mandates have lifted, we're seeing a lot of ill visits from families. "

Gov. Mike DeWine indicated he does not plan to implement another mask mandate. He recently signed a bill banning public schools from requiring vaccines that have not received full FDA approval, which the COVID-19 vaccines have not.

Reporting by Ohio News Connection in association with Media in the Public Interest and funded in part by the George Gund Foundation.

FLINT, Mich. - Michigan health officials are prioritizing equity as they continue to urge more residents to get vaccinated against COVID-19.

The Delta variant now accounts for the majority of infections across the country, and it's making its way through Michigan.

Dr. Joneigh Khaldun - Michigan's chief medical executive and the chief deputy director for health for the Michigan Department of Health and Human Services - pointed out that while more than 40% of white Michiganders have been fully vaccinated, meaning it's been two weeks since their last dose, that number is much lower among the state's Black population.

Just around 30% of Black residents are protected.

"We're working with churches, neighborhood-based organizations, and social service-oriented organizations to make sure we are bringing vaccines into neighborhoods," said Khaldun. "These vaccines are available and accessible, and that's something that we have prioritized across the state."

Khaldun added that for some Black communities and communities of color, there's distrust of the health-care and medical-research systems because of historical discrimination and abuse. She said she wants people to know that these vaccines are effective and proven to be safe.

Aurora Sauceda is public health navigator program manager for Michigan United in Flint.

She said some people don't have access or don't know how to use the internet to make a vaccine appointment, especially older residents, and others don't speak English as their primary language and have trouble accessing information about the vaccines.

She added that lack of transportation and ability to take time off work have been additional barriers for some people.

"All the people that wanted to come and get it and were anxious to get it have gotten it," said Sauceda. "Now it's reaching out to those that are still waiting for somebody to tell them something about the vaccine or still aren't fully convinced that the vaccine is a protection for them."

Health officials in Michigan also are urging parents of 12- to 15-year-olds to prioritize getting them their vaccines. So far, about a quarter of Michigan teens younger than 16 have been fully vaccinated.