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Stripping ACA Regulations From Association Health Plans Will Devastate Small Businesses and Destabilize the Small Group Market
WASHINGTON
President Trump signed an executive order today striping critical Affordable Care Act (ACA) protections from small business healthcare plans. In response, Amanda Ballantyne, National Director of Main Street Alliance, a national network of small business owners, issued the following statement:
"Small business owners won't benefit from a proliferation of substandard insurance plans and market destabilization that will emerge as the result of this executive order.The ACA ensured that association health plans in the small group market provide essential health services such as maternity care and prescription drug coverage, and instituted a community rating system, which prevents sharp premium increases based on health status, age or gender. Eliminating these vital protections will allow insurance companies to peddle low quality, junk plans, while at the same time raising premiums on small businesses whose employees have a diverse set of healthcare needs.
This executive order is a cynical effort by the Trump Administration to sabotage the ACA after several failed attempts to move an unpopular repeal through Congress. It's a backdoor approach to undermine and destabilize the small group and individual markets, by exacerbating adverse selection and driving up costs for the most vulnerable enrollees."
The Main Street Alliance (MSA) is a national network of small business coalitions working to build a new voice for small businesses on important public policy issues. Main Street Alliance members are working throughout the country to build policies that work for business owners, their employees, and the communities they serve.
LATEST NEWS
Supreme Court Extends Block on Trump's Alien Enemies Act Deportations
One attorney in the case called the ruling "a powerful rebuke to the government's attempt to hurry people away to a gulag-type prison in El Salvador."
May 16, 2025
For the second time in less than a month, the U.S. Supreme Court on Friday ruled against the Trump administration's dubious use of an 18th century law to deport immigrants including at least one person with protected status without due process.
In a 7-2 ruling—with far-right Justices Clarence Thomas and Samuel A. Alito dissenting—the high court found that President Donald Trump violated Venezuelan migrants' right to due process as a class by trying to fast-track their deportation to the notorious Terrorism Confinement Center (CECOT) prison in El Salvador by invoking the 1798 Alien Enemies Act during peacetime.
The ruling is not a repudiation of Alien Enemies Act deportations and focuses solely on migrants' due process rights.
"Notice roughly 24 hours before removal, devoid of information about how to exercise due process rights to contest that removal, surely does not pass muster."
"The detainees' interests at stake are accordingly particularly weighty," the court's opinion states. "Under these circumstances, notice roughly 24 hours before removal, devoid of information about how to exercise due process rights to contest that removal, surely does not pass muster."
"But it is not optimal for this court, far removed from the circumstances on the ground, to determine in the first instance the precise process necessary to satisfy the Constitution in this case," the court continued and, referring to the federal appellate court that "erred in dismissing the detainees' appeal for lack of jurisdiction," said that "we remand the case to the 5th Circuit for that purpose."
Lee Gelernt, deputy director of the ACLU's Immigrants' Rights Project and lead counsel in the case, said Friday that "the court's decision to stay removals is a powerful rebuke to the government's attempt to hurry people away to a gulag-type prison in El Salvador."
"The use of a wartime authority during peacetime, without even affording due process, raises issues of profound importance," Gelernt added.
The Supreme Court opinion noted the case of Kilmar Abrego García, a Maryland man with protected status who was wrongfully deported to CECOT in March. Last month, the high court unanimously ruled that Trump must facilitate Abrego García's return to the United States. The Trump administration has resisted the order, despite the president proclaiming that "if the Supreme Court said, 'Bring somebody back,' I would do that."
Steve Vadeck, a professor at Georgetown Law Center, toldCNN Friday that "because lower courts have blocked use of the [Alien Enemies Act] in every other district in which the president has sought to invoke it, that means it's effectively pausing all removals under the act until the 5th Circuit—and, presumably, the Supreme Court itself—conclusively resolves whether they're legal and how much process is due if so."
On Tuesday, U.S. District Judge Stephanie Haines—who was appointed by Trump—issued the first court ruling supporting Alien Enemies Act deportations.
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Congress Urged to Act Now as Israel Moves to 'Occupy and Flatten' Gaza and Starvation Worsens
"Please speak up forcefully and demand an end to this madness before there is no one left to save," said one advocacy group.
May 16, 2025
Human rights defenders implored U.S. lawmakers to speak out against the far-right government of fugitive Israeli Prime Minister Benjamin Netanyahu as it ramps up its 588-day assault and siege on the Gaza Strip, where at least 115 Palestinians were killed by Israel Defense Forces strikes on Friday amid worsening mass starvation.
The Council on American-Islamic Relations (CAIR), the largest U.S. Muslim advocacy group, on Friday sent an open letter authored by its director of government affairs, Robert S. McCaw, urging every member of Congress to "please vocally speak out against the start of the Israeli government's plan to 'occupy and flatten' Gaza while herding any surviving Palestinians into camps before eventually expelling them from their land."
Hundreds of Palestinians have been killed in recent days as Israeli forces pressed ahead with Operation Gideon's Chariots, a plan to conquer and indefinitely occupy all of Gaza and ethnically cleanse much of its population, possibly to make way for Jewish recolonization of the strip as advocated by numerous Israeli government officials.
Local and international media reported that at least 115 Palestinians including children were killed by Israeli attacks since dawn Friday, with air, artillery, and tank strikes concentrated in Beit Lahia and the Jabalia refugee camp in northern Gaza.
"Netanyahu has declared that there is 'no way' Israel will stop the war, even if all hostages are released, and he has vowed to completely reoccupy Gaza and force remaining Palestinians off their land," McCaw wrote. "His Cabinet has formally approved a full-scale ground invasion and permanent military occupation of the Gaza Strip. One senior Israeli minister openly stated that Gaza will be 'completely destroyed.'"
"This is it. Now or never. We implore you to condemn Netanyahu's plan, demand a permanent end to this genocidal war, and pledge to oppose further weapons sales to the Israeli government unless its human rights abuses stop," the letter continues. "As long as the Israeli government believes it will continue to receive unlimited American financial, military, and diplomatic support, Netanyahu has no reason to risk his grip on power by changing course."
Israeli and international critics accuse Netanyahu of risking the lives of 23 living hostages still being held by Hamas by prolonging the war in a bid to forestall a reckoning in his
criminal corruption trial.
"Netanyahu has made clear what he plans to do: destroy Gaza and ethnically cleanse the Palestinian people, even if it means starving and slaughtering the Israeli hostages along with them," CAIR said. "There is no more time left to sit on the sidelines, make symbolic statements, or hope something better will happen."
"Netanyahu has made clear what he plans to do: destroy Gaza and ethnically cleanse the Palestinian people."
"Children are being blown to pieces every single hour with American weapons," the group noted. "Babies are starving to death while food rots at the Gaza border. Mothers and fathers are dying with them, and the Israeli captives held in Gaza are at risk of starving to death or being killed by the Israeli government's indiscriminate bombing campaign."
"Please speak up forcefully and demand an end to this madness before there is no one left to save," the letter implores.
Earlier this week, Ben Cohen, co-founder of the Ben & Jerry's ice cream company, was arrested after disrupting a Senate hearing, shouting, "Congress kills poor kids in Gaza by buying bombs and pays for it by kicking kids off Medicaid in the U.S." as he was hauled off by police.
"Congress and the senators need to ease the siege," Cohen added. "They need to let food into Gaza. They need to let food to starving kids!"
The latest Integrated Food Security Phase Classification (IPC) report, published Monday, states that 244,000 people in Gaza are now in Phase 5, defined as such "an extreme deprivation of food" that "starvation, death, destitution, and extremely critical levels of acute malnutrition are or will likely be evident."
At least scores of Palestinians—including a minimum of 57 children and 14 elders—have died of severe malnutrition combined with lack of medical care throughout Gaza, United Nations experts and human rights groups said in recent days.
Already suffering under an Israeli blockade imposed in 2007 after Hamas took power in the coastal enclave, Gazans have been ravaged by hunger and illness due to the "complete siege" imposed by Israel immediately after the Hamas-led October 7, 2023 attack. The siege was tightened on March 2, when Israel stopped all lifesaving supplies—including food, medicine, fuel, and cooking gas—from entering the strip.
Israel's blockade, use of starvation as a weapon of war, killing or wounding of more than 187,000 Palestinians—including thousands missing and feared dead and buried beneath rubble—mass forced displacement of more than 2 million Gazans, and eliminationist statements by Israeli leaders and others are all being reviewed in The Hague as part of the South Africa-led genocide case against Israel currently before the International Court of Justice.
Netanyahu and former Israeli Defense Minister Yoav Gallant are also wanted by the International Criminal Court, also in The Hague, for alleged war crimes and crimes against humanity including extermination and forced starvation.
Also on Friday, CAIR welcomed a resolution signed by 27 Democratic and two Independent U.S. senators calling on the administration of President Donald Trump to "use all available diplomatic tools" to secure an end to Israel's assault on Gaza, the hostages' release, and a lifting of the siege in order to allow "urgent delivery of humanitarian aid to address the needs of civilians."
While many Israelis and their supporters around the world deny that there is mass starvation in Gaza, both Trump and Mike Huckabee, his ambassador to Israel, have acknowledged that Palestinians are starving. On the final day of his Mideast tour Friday, Trump said in Abu Dhabi, United Arab Emirates that "a lot of people are starving" in Gaza, and "we're going to get that taken care of."
However, Huckabee recently admitted that a U.S.-Israeli plan to deliver limited humanitarian aid to parts of Gaza would initially only feed around 60% of the population. The United Nations and humanitarian groups operating in Gaza have rejected the plan.
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GOP Cuts to Medicaid 'Will Kill People,' Advocate Warns and New Research Bolsters
A working paper from the National Bureau of Economic Research found that Medicaid expansion saved over 27,000 lives since 2010.
May 16, 2025
Critics who say extensive cuts to Medicaid being pushed by the Trump administration and House Republicans will result in the deaths of people were bolstered Friday by new reporting on a recent study detailing how the key health program for the nation's poor saves live.
As Republicans in Congress pressed ahead this week with a plan that would cause at least 8 million Americans to lose Medicaid as part of a sweeping tax and spending bill desired by U.S. President Donald Trump, a recently published working paper from the National Bureau of Economic Research, first reported on by The New York Times, shows that Medicaid expansion saved over 27,000 lives since 2010.
A provision in the 2010 Affordable Care Act, which went into effect in 2014, allowed states to expand eligibility for Medicaid to all low-income adults regardless of disability or parenthood status. The change is part of the reason that enrollment in the program rose roughly 50% between 2010 and 2021, according to the authors of the study.
The study, which used a dataset of 37 million low-income American adults, found that expansions increased Medicaid enrollment by 12 percentage points. The study estimates that people who enrolled in Medicaid were 21% less likely to die compared to those not enrolled.
"These expansions appear to be cost-effective, with direct budgetary costs of $5.4 million per life saved and $179,000 per life-year," according to a summary of the working paper.
The researchers told the Times that the timing of the release of the working paper was not connected to Congress' current conversation around Medicaid, though they told the outlet that the debate made their findings especially relevant.
The Times described the research as "the most definitive study yet" on Medicaid's health effects and health economists not involved with the research described it as the most persuasive proof so far that Medicaid and other types of health insurance save lives.
Meanwhile, on Friday, efforts to pass the GOP megabill hit a stumbling block when a handful of Republican so-called "fiscal hawks" voted with Democrats on the U.S. House Budget Committee to block the reconciliation package from advancing through a key committee vote. The Republican hardliners voted no because they want more cuts to Medicaid.
After the vote, Rep. Pramila Jayapal (D-Wash.), a panel member, vowed that Democrats would "keep fighting to protect Medicaid and the American people."
In response to the House Budget Committee vote, Alex Lawson, executive director of the advocacy group Social Security Works said on Friday: "Make no mistake, Republicans still plan to bring it to the House floor next week."
Lawson blasted the proposed Medicaid cuts, writing that "their plan will kill people."
"The ripple effect of these cuts will hit every single person in this country," he added. "Unless you are a billionaire, your standard of living and your health care will get worse if this despicable plan becomes law."
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