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Republican senators' latest attempt to repeal Obamacare could be the most far-reaching of GOP efforts this year.Senators Lindsey Graham of South Carolina and Bill Cassidy of Louisiana last week released?a bill that would eliminate or overhaul major sections of the health reform law. The duo had been trying to garner interest in earlier versions of their bill for months, but hadn't gotten much traction.Now, however, Republicans likely have only two weeks left to use their 2017 budget reconciliation bill as a way to dismantle Obamacare with a simple majority in the Senate. The Graham-Cassidy bill is the only repeal effort left on the table, coming even as a bipartisan Senate committee is working on legislation to stabilize the Affordable Care Act.The Congressional Budget Office said Monday it may take several weeks for it to release an analysis of the Graham-Cassidy bill so it remains to be seen how many fewer people could be insured under it or what the impact on premiums may be.Here's what's in the bill:Repeal Obamacare individual and employer mandates: Obamacare levies penalties on most Americans who don't have health insurance and larger employers who don't provide affordable coverage for their workers. The bill would eliminate the penalty, retroactive to 2016.Repeals Obamacare subsidies and ends Medicaid expansion funding: The legislation would eliminate Obamacare subsidies that lower premiums, deductibles and co-pays in 2020. It would also jettison federal funding for Medicaid expansion, which 31 states use to provide coverage for residents with incomes up to about ,000.The legislation would turn the federal funding for Medicaid expansion and the subsidies into a block grant program. States would be given a lump sum of money and would have a lot of leeway over how to spend it.For instance, they could help enrollees pay their premiums and out-of-pocket costs or set up high-risk or reinsurance pools to help protect insurers from costly enrollees and entice them to stay in the individual market. States could use a portion of money to help those enrolled in Medicaid afford care.Graham and Cassidy say that this provision would return power to the states and allow them to create programs that fit their residents' needs. Also, it would equalize Medicaid funding across the states. The bill's authors note that four states get 37% of Obamacare funding.But Democrats and consumer advocates say that many states, particularly those that expanded Medicaid, would lose a lot of federal funding, making it harder for them to provide coverage or assistance to their residents. Also, they note, the block grant is only authorized through 2026, jeopardizing the continuation of funding after that.Loosens Obamacare's regulations regarding pre-existing conditions: The bill would also waive several key Obamacare protections for those with pre-existing conditions. While it would still require insurers to provide coverage to everyone, it would allow carriers to charge enrollees more based on their medical history. So younger, healthier folks could see their premiums go down, but sicker Americans could find themselves priced out of policies.The legislation also would eliminate Obamacare's essential health benefits provision, which mandates insurers cover an array of services, including hospitalization, maternity care, prescription drugs, mental health and substance abuse services. This could lower premiums somewhat and give consumers a wider choice of plans. But it would also make it harder for people to buy comprehensive policies so those with pre-existing conditions may not be able to find coverage that meets their health care needs.Revamps funding for Medicaid overall: The legislation would send the states a fixed amount of money per Medicaid enrollee, known as a per-capita cap, starting in 2020.States could also opt to receive federal Medicaid funding as a block grant for the non-disabled adults and children in their program. Under a block grant, states would get a fixed amount of federal funding each year, regardless of how many participants are in the program.States, however, cannot opt to receive block grant funding for elderly and disabled participants.Graham-Cassidy would also shrink the program even more over time by pegging the annual growth rate of funding for children and non-disabled adults to standard inflation after 2024, rather than the more generous medical inflation.Either per-capita caps or block grants would limit federal responsibility, shifting that burden to the states. However, since states don't have the money to make up the difference, they would likely either reduce eligibility, curtail benefits or cut provider payments. The block grant would be more restrictive since the funding level would not adjust for increases in enrollment, which often happens in bad economic times.Allows states to institute work requirements for Medicaid: States would now be able to require adult Medicaid recipients to work. The disabled, elderly and pregnant women would be exempt, however.Permits everyone in the individual market to buy catastrophic plans: Obamacare only allows those under age 30 to buy catastrophic policies, which usually have higher deductibles and fewer benefits. This legislation would allow anyone to buy these plans starting in 2019.Repeals a handful of taxes: The bill would repeal the tax on over-the-counter medicine, health savings accounts and medical devices, a levy unpopular on both sides of the aisle. But it keeps in place Obamacare's taxes on the wealthy, health insurers and others.Defunds Planned Parenthood: In keeping with longstanding Republican beliefs, the legislation prohibits federal funding for Planned Parenthood. But the restriction is only for a year, beginning when the bill is enacted.Increases maximum contributions to health savings accounts: Today, individuals can save up to ,400 and families can save up to ,750 a year tax-free in a health savings account. The bill would raise that limit to the annual out-of-pocket maximum for high-deductible plans. For 2018, that would be ,650 for individuals and ,300 for families. 6238

Public transit across the country has seen a roller coaster of ridership since the pandemic first hit. Now, it looks to the future and the hope that riders return."A lot of medical workers ride transit every day, people who work in distribution centers, grocery stores, these are people who keep cities running, and we really need transit to carry these workers through the depths of this pandemic," said Ben Fried of Transit Center, a non-profit that advocates for better public transportation in American cities.Fried says public transit nationwide has seen fewer riders than normal ever since stay-at-home orders were first enacted."We have seen transit climb back a little bit in terms of ridership. At the peak, it was down 90-95%. Now, depending on the system, it's typically down about 75% of normal rates," Fried said."(We've seen) a significant decrease. We normally carry 400,000 riders a day. We saw that drop to 100,000 early on," said Terry White, the Interim General Manager of King County Metro in Seattle.White said King County had to cut unused bus routes and then add service to the southern region of the county, which still saw a high number of passengers during the height of the pandemic."(We) almost didn't miss a beat in terms of the ridership coming out of that area," White said. "So, we assume there are a lot of folks in those areas that have to get to these essential services, food, healthcare, frontline jobs you can't do from home."While public transportation departments across the country reorganize their transit routes and implement new safety, cleaning and social distancing efforts on buses and subway cars, they're concerned about how the future of public transit will look. Fried hopes more people realize public transportation is still safe during the pandemic.Fried pointed to New York City as an example."Transit ridership has really increased a lot since the depths of the pandemic," Fried said. "We're not back to normal by any means, but as transit ridership has increased, we have not seen a spike in COVID cases. So, that's one indication transit may be safer than people think it is."Still, the overall decline in ridership isn't good for public transportation agencies' bottom lines."Transit agencies depend on revenue from a variety of sources," Fried said. "It's a mix of fare revenue, dedicated taxes, so like a local sales tax, a percentage of which will go to transit, and state and local government support and all three of these are getting hammered various degrees from COVID."In Seattle, King County Metro depends on local sales tax and money made from bus and subway fares to keep them going."Really, our outlook for the next 10 years in this COVID pandemic situation has us in a situation where we will have to make up probably about billion over the next ten-year period," White said.Recently, King County Metro laid off 200 part-time employees while also offering early retirement incentives to some full-time workers, despite receiving a good chunk of money from the CARES Act. Fried is advocating for more federal help to keep public transit moving.As the pandemic moves forward, Fried hopes passengers start to get comfortable with using public transportation again."I think the number one thing to realize is that our collective health and safety is dependent on people wearing masks," he said. "It's true in shared space, and it's true in transit."Fried hopes ridership in the U.S. can get back to normal levels soon, but King County Metro doesn't think that will happen anytime soon. 3563

President Donald Trump’s reelection campaign plans on holding rallies as part of their plan to challenge the results of the election, according to multiple reports.Trump has not yet conceded in the presidential race, and lawsuits are still pending in at least two states. Axios first reported the campaign planned on rallies being part of their post-election strategy. The large-scale rallies would be focused on the ongoing litigation and vote tally challenges. A Trump campaign official told Fox News that there are no plans for the president himself to attend the post-election rallies. Instead, they “would be grassroots events similar to the boat parades, not presidential rallies.”The campaign also plans on using obituaries of people who allegedly voted, but are actually dead, as evidence of voter fraud. Those obituaries and evidence have not been shared at this time. 885

President Trump wants Japan Inc to "try" building vehicles in the U.S."Try building your cars in the United States instead of shipping them over. Is that possible to ask? That's not rude. Is that rude? I don't think so," Trump told executives from automakers including Toyota and Mazda during a trip to Japan on Monday.Japanese automakers, however, already have huge factories in the U.S. that churn out millions of cars each year. 439

Rachel Angel had to grow up fast.When she was just 16, Angel lived on her own in suburban Richmond Heights, about 20 minutes northeast of Cleveland. Her dad lived in Buffalo, New York. Her mom had just moved to North Carolina. Neither parent could provide a stable life, Angel said. As difficult as it was, she felt better off living on her own.“I was working full time, going to high school and falling asleep in calc class,” she said. “There’s this large group of individuals like myself that have to grow up much earlier. Working is essential to their survival. I have empathy for that.”Angel made it through high school, went on to college, and became a pharmacist.But in 2015 her empathy fueled the creation of Peerro, an app designed to help young people find jobs and become self-sufficient. She put her career as a pharmacist on hold to launch Peerro in Cleveland a couple of years ago. Angel recently moved the tech startup to Cincinnati after receiving a significant investment from CincyTech, the Cincinnati-based venture-capital development firm.“From the beginning, we loved her energy, the mission that she has with the company, and the software she’s developed,” said Stacey Browning, a managing director at CincyTech. “We see a huge potential.” Provided Stacey Browning Angel said she does, too.She and her small team are improving the technology platform as they work to educate more young people and employers about Peerro, a name that combines the words “peer” and “hero.”The app is designed for people between the ages of 14 and 24 who are looking for work, especially young adults who don’t have college degrees but want to find jobs that offer room to grow and advance. The platform is open to employers of all types that are looking for entry-level workers.“There’s nothing wrong with an entry-level employment opportunity, but it’s just that – an entry-level employment opportunity. And it’s sad when we feel like those are our only options,” said Angel, now 33. “A -an-hour job, -an-hour job is not our only option. It’s a starting point.”Here’s how Peerro works.Real-time opportunitiesYoung people looking for jobs download the app for free. It works on smartphones or computers. The platform asks a few questions about the job applicants and can require them to complete tutorials related to skills such as being on time for work.Then the young people can explore job postings that match the kind of work they’re seeking, filtering the options based on how far away they are, how much they pay, and whether they’re looking for part-time, full-time, temporary or seasonal work. They also can search for training programs.Employers that want to post a job on Peerro can get one free posting and access to the full Peerro system free for 90 days, Angel said. The system includes being able to post multiple jobs in addition to the use of training modules and interview scheduling tools. After 90 days, employers still get that one job posting free, but they must pay for the other services that Peerro offers.Peerro is always free for the young people who are looking for work, Angel said.“We have to communicate opportunity in real-time, because we’re changing so rapidly as far as the opportunities,” she said. “And Peerro’s kind of created that – a system that can communicate opportunity in real-time and actually allow someone to have value immediately.”Because Peerro encourages job applicants to include recommendations from people such as teachers and principals, it works kind of like LinkedIn but for younger people who aren’t necessarily interested in going to college, Browning said. Those applicants haven’t always had a way to show off their references and recommendations.“That just gives an employer more confidence,” she said. Lucy May | WCPO Frank Hailstock Frank Hailstock owns OTR Escape in Over-the-Rhine. He posted a job on Peerro after hearing about it from a friend who also owns a business.“After going through my first initial process of trying to find an applicant, I would never use another service,” he said.Hailstock has hired three people through Peerro so far, he said, adding that he likes how he can customize his job listings and include prerequisites such as the completion of training videos.“It’s just a really easy way of hiring individuals, and you get higher-quality candidates,” he said. “It’s not like a one-click system where applicants are just clicking 100 jobs a day. You give them a call, and they don’t even know exactly that they applied for the job.”‘Let’s actually open the doors’Samir Gragston is 15 and will be a sophomore at Northwest High School. He’s using Peerro to try to get his first job.“It was a lot easier than signing up for a job online. So I thought that was pretty amazing,” he said. “Not hard at all. Just plug in your email and password, and there’ll be jobs for you and your age that you can do.”Samir plans to go to college after high school and would like to become a programmer, he said, but he wants to get that first job to gain some experience. Lucy May | WCPO Samir Gragston Getting that first job is important for young people, Angel said, but it has gotten more difficult, especially now because of the coronavirus pandemic.“You talk to a 15-year-old now, and they can’t find employment,” she said. “They don’t know how to access employment. Nobody’s just handing it to them.”Peerro aims to help teens and young adults get jobs where they will learn the skills they need to move forward and better understand where they want to go, Angel said.“Over 60% of the opportunities in America are not college-degree-required positions. So when you think about being a plumber or you’re thinking about learning one of the trades, what are the steps and what is the opportunity there?” she said. “We wanted to really help those young people who are looking for a field that didn’t require them to go to college or a four-year college.”That’s a market that isn’t served well now, Browning said, which gives Peerro the opportunity to change countless lives.“Ohio really is her testing ground, especially here in Cincinnati,” Browning said. “But once it works here, she can really take this idea nationally.”That, Angel said, could provide a new source of opportunity for young people who have more than their fair share of challenges -- as she did.“It’s so important for us to create opportunity and create a way for people to be able to address some of those issues that may not be their fault,” she said. “But if they can do something about it, let’s actually open the doors for them to do something about it.”More information about Peerro is available online.This story was first reported by Lucy May at WCPO. 6841