U.S. Congress |
In 2017, the total cost that the federal government financed decreased to 95 percent. created as part of House Bill 2391, enacted by the 2017 Oregon Legislature to address certain health care funding issues. The following videos were the three campaign advertisements from the Vote Yes on Measure 101 campaign with the most views on Youtube, as of January 16, 2018. In 2018, for the 167 statewide measures on the ballot, the average ballot title or question was written at a level appropriate for those with between 19 and 20 years of U.S. formal education (graduate school-level of education), according to the FKGL formula. [13], The explanatory statement was as follows:[15]. Note: For Measure 101, individuals and entities who supported a "yes" vote were those who wanted to uphold HB 2391. Your No vote will not take away health care coverage from anyone, but it will force the legislature to do its job of properly, and fairly, budgeting for Medicaid something it failed to do in 2017.
On June 15, 2017, the 60-member Oregon House of Representatives voted 36 to 23, with one member excused, to pass HB 2391. est.
[11] As of 2017, Democrats controlled both chambers of the state Legislature and had four of six seats on the committee. This means that the other types of committees may be represented as donors to the measure and petition committees discussed above. The state Senate concurred on July 6, voting 16 to 14. Prospective voters can register online, in person at a county elections office, or by mailing in a voter registration form. organizations. Insurers may not increase rates on health insurance premiums by more than 1.5 percent as a result of these assessments. The results of this poll are shown in the table below.
Ballot Measure 101 asks voters to approve or reject the parts of House Bill 2391 that create the temporary 1.5 percent assessment on insurance companies, the Public Employees' Benefit Board and managed care organizations.
He stated, "If we use the word 'tax' rather than 'assessment,' it would be likely the court would actually require modification back to the word 'assessment."[77]. An initiative designed to enact provisions of the Affordable Care Act (ACA) as state law, was proposed in Alaska. The committee was composed of three state representatives and three state senators.
Cost of signature collection: approval by a federal agency. The January Special Election date has been used for previous referrals and provides the soonest opportunity to resolve the question.[73] Sen. Richard Devlin (D-19) stated, Should it be referred and if voters actually reject the measure, we will need to figure out a way to rebalance the budget.
Rep. Julie Parrish (R-37) and Rep. Cedric Hayden (R-7), two of the referendum's sponsors, also critiqued the draft, saying, "The caption does not describe the imposition of any tax whatsoever, or the dollar amount of that tax which cumulatively results in $330 million in new taxation. Kate Brown (D) signed it into law on July 3, 2017. The last time a veto referendum was on the ballot was in 2014.[11]. Preventive care, early detection, and treatment are only possible if people have access to see a doctor. The following videos are three campaign advertisements from the Vote "No" on Measure 101 campaign.
delayed until approved by a federal agency. Specifically, the ORP reimburses insurers a stated percentage (generally 50%) of claims between an attachment point and a cap that are established each year by the state. State executives | [13], Steve Buckstein with the Cascade Policy Institute, argued:[29].
Ballotpedia only lists measure and petition committees here, because their sole purpose was to advocate for a certain outcome on Measure 101. Rep. Esquivel said he joined the referendum campaign because he believed that other bills would allow the state to use the Medicaid funding to provide healthcare to immigrant children residing in the state without legal permission and to fund abortions. [11][72] Gov. Part of our duty is to inform Oregonians on issues that are critical to their health and healthcare. The effect would be to underfund the budgeted costs for providing health care to low-income children, adults and families and individuals with disabilities and to eliminate the funds budgeted to stabilize health insurance premiums paid by individuals and families. On February 28, 2019, the Oregon Senate passed legislation that will extend and increase the tax paid on group medical insurance premiums. "[76], On September 20, 2017, the committee finalized the ballot title and ballot summary.
delayed until approved by a federal agency.
If the measure is defeated there will be a reduction of $210-$320 million in state revenue, resulting in a possible reduction of $630-$960 million, or more in federal Medicaid matching funds. The expanded provider tax would collect revenue from healthcare providers, use the revenue to receive matching funds from the federal government, and then return the tax revenue to the healthcare providers. The Stop Healthcare Taxes measure committee, which was managed by Rep. Julie Parrish, advocated for a "no" vote on Measure 101.
The terms of the seats are staggered so that roughly one-third of the seats are up every two years. With these new taxes, that Silver ACA plan will cost about $625 more in 2019 than in 2018. For all these reasons, every Oregonian has a stake in Measure 101. The measure does not ask voters to approve or reject the portions of the hospital assessment that are in effect beginning on the later of January 1, 2018, or the date of federal agency approval. managed care organizations for a two-year period, and additional 0.7 percent assessments [13], As HB 2391 was designed to increase revenue, a three-fifths vote was required in each legislative chamber to pass the bill. Result of No Vote: No vote underfunds budgeted costs for providing health care to low-income individuals and families and individuals with disabilities and for stabilizing premiums charged by insurance companies for health insurance purchased by individuals and families. On July 3, 2017, the House Rules Committee voted to amend Senate Bill 229 (SB 229), a bill related to local election requirements, to add a provision saying that a referendum against HB 2391 would be voted on at an election on January 23, 2018.
If Measure 101 does not pass, we could lose up to $3 to $5 billion in federal health care funding. He said, "The Oregon Constitution gives the people of Oregon the right to overrule the legislature through the referendum process. Say No to these new health care sales taxes. Some of the additional funds came from temporary assessments on insurance companies, the Public Employees' Benefit Board and managed care organizations, including a 1.5 percent assessment on the gross amount of health insurance premiums collected by insurance companies, a 1.5 percent assessment on payments to managed care organizations and a 1.5 percent assessment on the health care costs and associated administrative expenses paid by the Public Employees' Benefit Board. If an insurer increases its rates under this subsection, the insurer may include in its billings for health benefit plans a notice, as prescribed by the Department of Consumer and Business Services, explaining that the increase is due to the assessment under section 5 of this 2017 Act. The last time the state Legislature called a special election for veto referendums was in 2010.
On October 3, 2017, the veto referendum's petitioners asked the Oregon Supreme Court to review the measure's ballot language. SEIU 503, a supporter of HB 2391, said the draft language was unclear. In 2017, the federal government provided 95 percent of funding for Medicaid expansion, and the remainder was the responsibility of the state government. The ORP provides assistance to health insurers to offset the costs of covering consumers with high medical costs so as to spread risk across a broader health insurance market. HB 2010 expands and increases the assessments on insurance carriers, and it does so in three ways: Although the assessment is made against and paid by the insurance carriers, the carriers typically will pass through the assessments to policyholders through increases in the premiums charged for coverage.
This section details the partisan control of federal and state positions in Oregon heading into the 2018 elections. In addition, since the law's enactment, lawmakers in Congress have introduced and considered legislation to modify or repeal parts or all of the Affordable Care Act. [16], If Measure 101 fails, vulnerable Oregonians and families across the state face an uncertain future. Gubernatorial elections are held every four years in Oregon.
(or delayed) by a no vote are currently budgeted to fund health care for low-income Trademarks, Copyrights, Marketing and Advertising, Hospitals, Health Systems, Physician Groups, and Medical Technology. insurance purchased by individuals and families. It was approved. [22] The PAC Oregonians Against More Healthcare Taxes sponsored the signature drive for referendum. The complete list of arguments from the Oregon voter pamphlet can be viewed here, with arguments in opposition beginning on page 36. Lindholm Research surveyed 400 Oregon voters by telephone between December 11-13, 2017. Yes for Healthcare led the campaign for a "yes" vote on Measure 101. Employers will wish to discuss the impact of the increased and extended assessments with their insurance advisors. Instead, politicians passed BILLIONS of DOLLARS in new taxes and fees. The additional 0.7 percent assessment went into effect on October 6, 2017.
[80], To register to vote in Oregon, one must be a resident of Oregon, a United States citizen, and at least 16 years old. A new statewide payroll tax which forces Oregonians living in areas with no bus service to fund light-rail in the Metro-area! It was designed to use some of the revenue from the new assessments and taxes to cover the state's share of the costs of Medicaid expansion and, therefore, receive federal funds. Revenue will come from a 0.7% assessment on certain hospitals, as well as a 1.5% assessment on the Public Employees Benefit Board, managed care organizations, and insurers. Four Democrats and two Republicans were appointed to draft the ballot language. The legislation (HB 2010) was previously approved by the Oregon House and is expected to be promptly signed by Governor Brown.
For more information, click here. The complete list of arguments from the Oregon voter pamphlet can be viewed here, with arguments in favor beginning on page 17. According to the Kaiser Family Foundation, this ruling had the practical effect of making Medicaid expansion optional for states. Supporters of a veto referendum needed to collect 58,789 valid signatures to get their measure on the ballot for an election in 2018. On November 7, 2017, Maine voters approved an initiative designed to require Medicaid expansion; this was the first time Medicaid expansion was approved through a citizen initiative. Typically, the attorney general is responsible for writing ballot titles for referendums. Federal funding for Medicaid expansion was scheduled to decrease to 94 percent in 2018, 93 percent in 2019, and 90 percent in 2020 and after. The House Bill provided the funding Oregon does not allow same-day voter registration. The Oregon State Legislature approved House Bill 2391 (HB 2391), and Gov. The remainder of the additional funds came by amending an existing assessment on the net revenue of some hospitals in this state to include an additional 0.7 percent assessment. As the gubernatorial special election held in 2016 did not affect signature requirements, the number required reflects the votes cast in 2014. Department of Consumer and Business Services.
[68], Janet Bauer, a policy analyst for the Oregon Center for Public Policy, said she could not comment without reading Reps. Hayden and Parrish's proposed legislation; however, Bauer said changes to funding Medicaid expansion should be debated and made during the 2019 legislative session.
companies, the Public Employees Benefit Board, and managed care organizations, and 169,798), and Eugene (pop. [21] The full list of campaign advertisements is available on the following page: Oregon Measure 101 (January 2018) campaign advertisements.
There were multiple types of committees, including measure and petition committees, miscellaneous political action committees, and candidate committees that registered as supporting a "yes" or "no" vote on Measure 101.
The two measure committees raised $3.8 million.[10]. How to vote | As medical professionals, we see every day the difference that access to affordable health coverage makes on people and the state as a whole: It saves lives. [13], Summary: This measure asks voters to approve or reject temporary assessments He stated, "It is the fix we would do if the measure is defeated.".
(4) The assessment imposed under this section is in addition to and not in lieu of any tax, surcharge or other assessment imposed on an insurer. | A "yes" vote on Measure 101 approved five sections of House Bill 2391 (HB 2391), and a "no" vote on Measure 101 would have repealed those five sections. [8], The Stop Healthcare Taxes petition and measure committees were registered as campaign committees, advocating for a "no" vote on the veto referendum. Participants were asked, If the election were held today, would you vote yes or no on Measure 101: Approves temporary assessments to fund health care for low-income individuals and families, and to stabilize health insurance premiums. [61][62], As of January 2022, a total of 38 states and Washington, D.C., had expanded or voted to expand Medicaid, while 12 states had not.
Measure 101 guarantees that coverage, protecting health insurance for the 1 million Oregonians who rely on the Oregon Health Plan. [31] The All 36 PAC was controlled by Rep. Cedric Hayden (R-7).
We know that: The Oregon Medical Association is an organization of over 8,000 physicians, physician assistants, and medical and physician assistant students.
Groups in Idaho, Missouri, and Utah have proposed measures similar to the Maine initiative, requiring Medicaid expansion of some kind. Nearly 12,000 college studentswill pay the tax. Insurers may not increase rates for consumers by more than 1.5% to recover this assessment. We do not include the other types of registered committees because it is not possible to tell exactly what amounts of their contributions were allocated toward Measure 101 as opposed to other purposes. (2) No later than 45 days following the end of a calendar quarter, a managed care organization shall pay an assessment at a rate of 1.5 percent of the gross amount of premium equivalents received during that calendar quarter. Additionally, much of the spending related to the campaigns surrounding Measure 101 by committees other than measure or petition committees was accomplished through contributions to measure or petition committees. Oregon has two Pivot CountiesColumbia and Tillamook counties. Legislative counsel Dexter Johnson said the language needed to use the word assessment, not tax, to describe the revenue-generating mechanism in HB 2391 because assessment is the word the bill used. Temporary assessments on insurance companies, some hospitals, and other providers of insurance or health care coverage. Rejects temporary assessments on insurance companies, the Public Employees Benefit Board and managed care organizations.
Rep. Julie Parrish said, "They [the committee] didn't take any of our comments to heart. [55] HB 2391 was estimated to generate $673 million in state revenue and $1.9 billion from the federal government during the 2017-2019 fiscal year.
Let's put this into perspective. The last time the state Legislature called a special election for veto referendums was in 2010. individuals and families and individuals with disabilities and for stabilizing the costs of ORHIM Customer Support Insurer Correspondence Consumer Advocacy Financial Regulation Financial Regulation LIFT - Life Insurance Finder Tool LIFT Support Specialist Market Regulation Market Regulation Drug Prices Drug Price Transparency Program. As of September 2018, Democrats held three of 11, Democrats controlled both chambers of the. The turnout for this election was 40.5 percent.[1]. As of 2016, around 2.6 million people fell into this coverage gap across the 19 states that did not expand Medicaid.[61]. That is a cost that all consumers end up paying. Sponsors described HB 2391 as "a sales tax on healthcare.
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assessments on some hospitals will be approved, subject to approval by a federal agency. As of January 2018, measures pertaining to Medicaid have been proposed in four other states. The next step of this is to go to court, so that's where we're headed." Certifying a veto referendum for the ballot requires a number of signatures equivalent to 4 percent of the votes cast in the most recent gubernatorial election.
A state government trifecta occurs when one party controls both chambers of the state legislature and the governor's office. House Bill) of health insurance companies, the Public Employees Benefit Board, and House Bill) of health insurance companies, the Public Employees Benefit Board, and
Taxes on hospitals will raise the costs of care across the board.The cost of these taxes also will be passed on in the form of higher deductibles and premiums. Oregon held elections for the following positions in 2018: As of July 2016, Oregon's three largest cities were Portland (pop. Currently there are no numbers in this ballot title about the cost to the budget."
Rep. Dan Rayfield (D-16) said, Vulnerable Oregonians cant wait until the next General Election to take care of a medical issue for themselves or a sick childthey need certainty as quickly as possible. [52], Oregon originally expanded Medicaid to individuals eligible under the federal ACA in 2014. Even if you don't go to the hospital, you will be paying the hospital tax through higher insurance prices..
Those two arguments are on page 29 and page 31, respectively, of the online voter pamphlet. Measure 101 reduces premiums for an additional 210,000 Oregonians, taking their health care from unaffordable to affordable. Voters must be at least 18 years old by the day of the election in order to receive a ballot. On November 7, 2017, Maine voters approved an initiative designed to require Medicaid expansion; this was the first time Medicaid expansion was approved through a citizen initiative. [23], State Representatives Julie Parrish (R-37), Sal Esquivel (R-6), and Cedric Hayden (R-7) filed the veto referendum.
If that wasn't bad enough, the Legislature passed $330 MILLION in new healthcare sales taxes. In July 2017, the state legislature approved a billSenate Bill 229 (SB 229)calling for Measure 101 to be put before voters on January 23, 2018, instead of November 6, 2018. [30] The full list of campaign advertisements is available on the following page: Oregon Measure 101 (January 2018) campaign advertisements. She said the committee's ballot language should have included the word tax. The money from Measure 101 also unlocks federal matching dollars, up to $16 for every $1 generated in Oregon. Ballotpedia's campaign finance methodology for all ballot measures: To read Ballotpedia's methodology for covering ballot measure campaign finance information, click here. According to the state legislature's 2017-2019 budget, federal funding for the state health system decreased by $532 million from the 2015-2017 budget primarily because of the decrease in funding for Medicaid expansion.[2][3][4]. Federal courts |
providing health care to low-income adults, children, families, and individuals with [69], On October 5, 2017, proponents of the veto referendum reported submitting 84,367 signatures to the Oregon secretary of state's office. Note: For Measure 101, individuals and entities that supported a "no" vote were those who wanted to repeal HB 2391. Oregon implemented automatic voter registration in 2016. [9], There were two measure committees registered as advocating for a "yes" vote on the veto referendum: the Yes for Healthcare committee and the Protect Our Healthcare committee. The only way to protect healthcare funding is Yes on Measure 101."[68]. Overpaying health care organizations $74 million over three years to provide expanded Medicaid coverage to some Oregonians. This is the result of one-party rule under the Democrats."
Provides that the hospital assessment may not begin without the approval of a federal agency. That is why we write to urge a YES vote on Measure 101. Assessments provide funding for health care for low-income individuals But defeating the ballot measure will only make it that much more difficult to do so in the future. [60] As of January 2018, 32 states and Washington, D.C., had approved Medicaid expansion, and 18 states had not. She said the 2018 session, an even-numbered year session, will be short compared to the 2019 session, an odd-numbered year session, and that the budget is developed during odd-numbered year sessions. If the voters reject Ballot Measure 101, it would eliminate the temporary assessment on insurance companies, the Public Employees' Benefit Board and managed care organizations and delay the collection of the additional 0.7 percent hospital assessment until the later of January 1, 2018, or the date that a federal agency approves the changes required by the amendment. The fiscal impact statement was as follows:[14].
Referendum petitioners objected to the ballot language drafted by the legislative committee, and the Oregon Supreme Court ruled that the initial language needed to be changed. This session, when politicians wanted to steal your "kicker" tax refund, we successfully worked to stop them. These new healthcare taxes will harm Oregonians who are paying full price to provide coverage for themselves, their families or their employees. [10], The Stop Healthcare Taxes petition committee sponsored the referendum petition and collected signatures to get the measure on the ballot. 168,916).[83][84]. All data comes from the Oregon Secretary of State.
Elections for U.S. House seats are held every two years. The FKGL for the ballot title is grade level 16, and the FRE is 22. A total of $38,326.29 was spent to collect the 58,789 valid signatures required to put this measure before voters, resulting in a total cost per required signature (CPRS) of $0.65. managed care organizations for a two-year period, and additional 0.7 percent assessments
[63], From 2014 to 2016, the federal government covered 100 percent of the costs of state expansion of Medicaid. The deadline to register is 21 days before an election.[81]. This section provides an overview of federal and state elections in Oregon from 2000 to 2016.
[13], Approves temporary assessments to fund health care for low-income individuals and families, and to stabilize health insurance premiums. Ballot measures, Who represents me? The expansion was made possible by a budget bill (HB 5030) passed by the Oregon State Legislature in 2013. American College of Nurse Midwives Oregon, American College of Physicians Oregon Chapter, The Childrens Clinic (offices in Portland, Tualatin and Newberg), Coaltion of Oregon Professional Association for Counseling and Therapy (COPACT), Community Partners for Affordable Housing, Confederation of Oregon School Administrators, Douglas County Independent Physician Association, IATSE Local 488 Studio Mechanics of the Pacific Northwest, Interfaith Movement for Immigrant Justice, National Alliance on Mental Illness (NAMI), National Association of Hispanic Nurses Oregon Chapter, National Association of Letter Carriers, Branch 82, National Association of Social Workers Oregon, National Organization for Women Oregon Chapter, Native American Youth and Family Center (NAYA), North by Northeast Community Health Center, Oregon Academy of Nutrition and Dietetics, Oregon Community Health Workers Association (ORCHWA), Oregon Developmental Disabilities Coalition, Oregon Federation of Nurses and Health Professionals, Oregon Physicians for Social Responsibility, Osteopathic Physicians and Surgeons of Oregon (OPSO), Pacific Northwest Regional Council of Carpenters, PCUN Pineros y Campesinos Unidos del Noroeste, Professional and Technical Employees Local 17, every child in Oregon has healthcare coverage, hard-working Oregonians can go to a doctor or a nurse when they are sick, communities throughout the state keep good-paying healthcare jobs, strengthening the local economy, working families will be able to afford their premiums thanks to a stabilized insurance marketplace, the funds go directly to the Health Services Fund and cannot be spent on anything other than healthcare. Fill in your user ID or email address in the box below and we will send you an email with login instructions. If this measure passes, the A "no" vote on Measure 101 was intended to also repeal a 0.7 percent tax[5] on the net revenue of hospitals to provide funding for Medicaid; however, there was disagreement between the legislative counsel and petitioners over whether the referendum would have repealed this tax or delayed it.
If the measure passes, the health care program and health insurance premiums stabilization program are funded as adopted by the 2017 Legislative Assembly. The House Bill provided the funding Delays until the later of January 1, 2018, or the date of approval by a federal agency, the temporary assessment on some hospitals. insurance companies for health insurance purchased by individuals and families.
Originally, the assessment rate was 1.5% of the gross amount of such premiums, and was to be payable only for premiums received through the end of 2019. Signatures were due 90 days after the 2017 regular legislative adjourned on July 7, 2017, which was October 5, 2017. | Voters have the opportunity to reaffirm our commitment to a healthy state by supporting Measure 101. "[24], Stop Healthcare Taxes argued that individual Oregon citizens, small businesses, college students, healthcare providers and hospitals, would pay the tax under HB 2391, while large corporations, unions, and insurance companies themselves would not pay the tax. When registering to vote via the online registration platform, a voter must provide his or her driver's license or state ID card number.[82].
To register to vote in Oregon, you must be a resident of the state. A total of at least $38,326.29 was spent to collect the 58,789 valid signatures required to put this measure before voters, resulting in a total cost per required signature (CPRS) of $0.65. Thankfully, we have the power to stop it!
[64][65], The Affordable Care Act had not provided tax credits to adults with household incomes less than the federal poverty line because the law had aimed to cover these people under Medicaid.
Without the ability to see a doctor for preventive care, families will be forced to resort to costly Emergency Room visits that they simply cannot afford.
[49], The Affordable Care Act (ACA), also known as Obamacare, provided federal funds to states that elected to expand Medicaid. In contrast, 41.3 percent of Republicans said they supported the measure, 27.5 percent said they were undecided, and 31.2 percent said they planned to vote "no". Result of No Vote: No vote rejects temporary assessments on insurance
[56], The Affordable Care Act (ACA), also known as Obamacare, was signed into law on March 23, 2010. This was possible because state elections officials are required to place submitted arguments in the section identified by the author rather than separating them based on content. Small group employerswill pay the new tax. Lack of health care coverage causes incredible stress, and the cost of uncovered care can bankrupt families and small businesses. and families, and individuals with disabilities; also stabilize premiums charged by
companies, the Public Employees Benefit Board, and managed care organizations, and In addition, the assessment did not apply to premiums paid for stop-loss insurance coverage for self-insured plans. Specifically, Stop Healthcare Taxes stated, "In fact, one section of the bill expressly allows insurance companies to pass the new taxes directly to you, the purchaser. Measure 101 addressed taxes with revenue set to fund Medicaid expansion. Oregon is a vote-by-mail state.
Vote No on Measure 101.[13]. The map below provides information on Medicaid expansions by state; for states that expanded, hover over the state to view the political affiliation of the governor at the time of expansion.
In 2017, the total cost that the federal government financed decreased to 95 percent. created as part of House Bill 2391, enacted by the 2017 Oregon Legislature to address certain health care funding issues. The following videos were the three campaign advertisements from the Vote Yes on Measure 101 campaign with the most views on Youtube, as of January 16, 2018. In 2018, for the 167 statewide measures on the ballot, the average ballot title or question was written at a level appropriate for those with between 19 and 20 years of U.S. formal education (graduate school-level of education), according to the FKGL formula. [13], The explanatory statement was as follows:[15]. Note: For Measure 101, individuals and entities who supported a "yes" vote were those who wanted to uphold HB 2391. Your No vote will not take away health care coverage from anyone, but it will force the legislature to do its job of properly, and fairly, budgeting for Medicaid something it failed to do in 2017.
On June 15, 2017, the 60-member Oregon House of Representatives voted 36 to 23, with one member excused, to pass HB 2391. est.
[11] As of 2017, Democrats controlled both chambers of the state Legislature and had four of six seats on the committee. This means that the other types of committees may be represented as donors to the measure and petition committees discussed above. The state Senate concurred on July 6, voting 16 to 14. Prospective voters can register online, in person at a county elections office, or by mailing in a voter registration form. organizations. Insurers may not increase rates on health insurance premiums by more than 1.5 percent as a result of these assessments. The results of this poll are shown in the table below.
Ballot Measure 101 asks voters to approve or reject the parts of House Bill 2391 that create the temporary 1.5 percent assessment on insurance companies, the Public Employees' Benefit Board and managed care organizations.
He stated, "If we use the word 'tax' rather than 'assessment,' it would be likely the court would actually require modification back to the word 'assessment."[77]. An initiative designed to enact provisions of the Affordable Care Act (ACA) as state law, was proposed in Alaska. The committee was composed of three state representatives and three state senators.
Cost of signature collection: approval by a federal agency. The January Special Election date has been used for previous referrals and provides the soonest opportunity to resolve the question.[73] Sen. Richard Devlin (D-19) stated, Should it be referred and if voters actually reject the measure, we will need to figure out a way to rebalance the budget.
Rep. Julie Parrish (R-37) and Rep. Cedric Hayden (R-7), two of the referendum's sponsors, also critiqued the draft, saying, "The caption does not describe the imposition of any tax whatsoever, or the dollar amount of that tax which cumulatively results in $330 million in new taxation. Kate Brown (D) signed it into law on July 3, 2017. The last time a veto referendum was on the ballot was in 2014.[11]. Preventive care, early detection, and treatment are only possible if people have access to see a doctor. The following videos are three campaign advertisements from the Vote "No" on Measure 101 campaign.
delayed until approved by a federal agency. Specifically, the ORP reimburses insurers a stated percentage (generally 50%) of claims between an attachment point and a cap that are established each year by the state. State executives | [13], Steve Buckstein with the Cascade Policy Institute, argued:[29].
Ballotpedia only lists measure and petition committees here, because their sole purpose was to advocate for a certain outcome on Measure 101. Rep. Esquivel said he joined the referendum campaign because he believed that other bills would allow the state to use the Medicaid funding to provide healthcare to immigrant children residing in the state without legal permission and to fund abortions. [11][72] Gov. Part of our duty is to inform Oregonians on issues that are critical to their health and healthcare. The effect would be to underfund the budgeted costs for providing health care to low-income children, adults and families and individuals with disabilities and to eliminate the funds budgeted to stabilize health insurance premiums paid by individuals and families. On February 28, 2019, the Oregon Senate passed legislation that will extend and increase the tax paid on group medical insurance premiums. "[76], On September 20, 2017, the committee finalized the ballot title and ballot summary.
delayed until approved by a federal agency.
If the measure is defeated there will be a reduction of $210-$320 million in state revenue, resulting in a possible reduction of $630-$960 million, or more in federal Medicaid matching funds. The expanded provider tax would collect revenue from healthcare providers, use the revenue to receive matching funds from the federal government, and then return the tax revenue to the healthcare providers. The Stop Healthcare Taxes measure committee, which was managed by Rep. Julie Parrish, advocated for a "no" vote on Measure 101.
The terms of the seats are staggered so that roughly one-third of the seats are up every two years. With these new taxes, that Silver ACA plan will cost about $625 more in 2019 than in 2018. For all these reasons, every Oregonian has a stake in Measure 101. The measure does not ask voters to approve or reject the portions of the hospital assessment that are in effect beginning on the later of January 1, 2018, or the date of federal agency approval. managed care organizations for a two-year period, and additional 0.7 percent assessments [13], As HB 2391 was designed to increase revenue, a three-fifths vote was required in each legislative chamber to pass the bill. Result of No Vote: No vote underfunds budgeted costs for providing health care to low-income individuals and families and individuals with disabilities and for stabilizing premiums charged by insurance companies for health insurance purchased by individuals and families. On July 3, 2017, the House Rules Committee voted to amend Senate Bill 229 (SB 229), a bill related to local election requirements, to add a provision saying that a referendum against HB 2391 would be voted on at an election on January 23, 2018.
If Measure 101 does not pass, we could lose up to $3 to $5 billion in federal health care funding. He said, "The Oregon Constitution gives the people of Oregon the right to overrule the legislature through the referendum process. Say No to these new health care sales taxes. Some of the additional funds came from temporary assessments on insurance companies, the Public Employees' Benefit Board and managed care organizations, including a 1.5 percent assessment on the gross amount of health insurance premiums collected by insurance companies, a 1.5 percent assessment on payments to managed care organizations and a 1.5 percent assessment on the health care costs and associated administrative expenses paid by the Public Employees' Benefit Board. If an insurer increases its rates under this subsection, the insurer may include in its billings for health benefit plans a notice, as prescribed by the Department of Consumer and Business Services, explaining that the increase is due to the assessment under section 5 of this 2017 Act. The last time the state Legislature called a special election for veto referendums was in 2010.
On October 3, 2017, the veto referendum's petitioners asked the Oregon Supreme Court to review the measure's ballot language. SEIU 503, a supporter of HB 2391, said the draft language was unclear. In 2017, the federal government provided 95 percent of funding for Medicaid expansion, and the remainder was the responsibility of the state government. The ORP provides assistance to health insurers to offset the costs of covering consumers with high medical costs so as to spread risk across a broader health insurance market. HB 2010 expands and increases the assessments on insurance carriers, and it does so in three ways: Although the assessment is made against and paid by the insurance carriers, the carriers typically will pass through the assessments to policyholders through increases in the premiums charged for coverage.
This section details the partisan control of federal and state positions in Oregon heading into the 2018 elections. In addition, since the law's enactment, lawmakers in Congress have introduced and considered legislation to modify or repeal parts or all of the Affordable Care Act. [16], If Measure 101 fails, vulnerable Oregonians and families across the state face an uncertain future. Gubernatorial elections are held every four years in Oregon.
(or delayed) by a no vote are currently budgeted to fund health care for low-income Trademarks, Copyrights, Marketing and Advertising, Hospitals, Health Systems, Physician Groups, and Medical Technology. insurance purchased by individuals and families. It was approved. [22] The PAC Oregonians Against More Healthcare Taxes sponsored the signature drive for referendum. The complete list of arguments from the Oregon voter pamphlet can be viewed here, with arguments in opposition beginning on page 36. Lindholm Research surveyed 400 Oregon voters by telephone between December 11-13, 2017. Yes for Healthcare led the campaign for a "yes" vote on Measure 101. Employers will wish to discuss the impact of the increased and extended assessments with their insurance advisors. Instead, politicians passed BILLIONS of DOLLARS in new taxes and fees. The additional 0.7 percent assessment went into effect on October 6, 2017.
[80], To register to vote in Oregon, one must be a resident of Oregon, a United States citizen, and at least 16 years old. A new statewide payroll tax which forces Oregonians living in areas with no bus service to fund light-rail in the Metro-area! It was designed to use some of the revenue from the new assessments and taxes to cover the state's share of the costs of Medicaid expansion and, therefore, receive federal funds. Revenue will come from a 0.7% assessment on certain hospitals, as well as a 1.5% assessment on the Public Employees Benefit Board, managed care organizations, and insurers. Four Democrats and two Republicans were appointed to draft the ballot language. The legislation (HB 2010) was previously approved by the Oregon House and is expected to be promptly signed by Governor Brown.
For more information, click here. The complete list of arguments from the Oregon voter pamphlet can be viewed here, with arguments in favor beginning on page 17. According to the Kaiser Family Foundation, this ruling had the practical effect of making Medicaid expansion optional for states. Supporters of a veto referendum needed to collect 58,789 valid signatures to get their measure on the ballot for an election in 2018. On November 7, 2017, Maine voters approved an initiative designed to require Medicaid expansion; this was the first time Medicaid expansion was approved through a citizen initiative. Typically, the attorney general is responsible for writing ballot titles for referendums. Federal funding for Medicaid expansion was scheduled to decrease to 94 percent in 2018, 93 percent in 2019, and 90 percent in 2020 and after. The House Bill provided the funding Oregon does not allow same-day voter registration. The Oregon State Legislature approved House Bill 2391 (HB 2391), and Gov. The remainder of the additional funds came by amending an existing assessment on the net revenue of some hospitals in this state to include an additional 0.7 percent assessment. As the gubernatorial special election held in 2016 did not affect signature requirements, the number required reflects the votes cast in 2014. Department of Consumer and Business Services.
[68], Janet Bauer, a policy analyst for the Oregon Center for Public Policy, said she could not comment without reading Reps. Hayden and Parrish's proposed legislation; however, Bauer said changes to funding Medicaid expansion should be debated and made during the 2019 legislative session.
companies, the Public Employees Benefit Board, and managed care organizations, and 169,798), and Eugene (pop. [21] The full list of campaign advertisements is available on the following page: Oregon Measure 101 (January 2018) campaign advertisements.
There were multiple types of committees, including measure and petition committees, miscellaneous political action committees, and candidate committees that registered as supporting a "yes" or "no" vote on Measure 101.
The two measure committees raised $3.8 million.[10]. How to vote | As medical professionals, we see every day the difference that access to affordable health coverage makes on people and the state as a whole: It saves lives. [13], Summary: This measure asks voters to approve or reject temporary assessments He stated, "It is the fix we would do if the measure is defeated.".
(4) The assessment imposed under this section is in addition to and not in lieu of any tax, surcharge or other assessment imposed on an insurer. | A "yes" vote on Measure 101 approved five sections of House Bill 2391 (HB 2391), and a "no" vote on Measure 101 would have repealed those five sections. [8], The Stop Healthcare Taxes petition and measure committees were registered as campaign committees, advocating for a "no" vote on the veto referendum. Participants were asked, If the election were held today, would you vote yes or no on Measure 101: Approves temporary assessments to fund health care for low-income individuals and families, and to stabilize health insurance premiums. [61][62], As of January 2022, a total of 38 states and Washington, D.C., had expanded or voted to expand Medicaid, while 12 states had not.
Measure 101 guarantees that coverage, protecting health insurance for the 1 million Oregonians who rely on the Oregon Health Plan. [31] The All 36 PAC was controlled by Rep. Cedric Hayden (R-7).
We know that: The Oregon Medical Association is an organization of over 8,000 physicians, physician assistants, and medical and physician assistant students.
Groups in Idaho, Missouri, and Utah have proposed measures similar to the Maine initiative, requiring Medicaid expansion of some kind. Nearly 12,000 college studentswill pay the tax. Insurers may not increase rates for consumers by more than 1.5% to recover this assessment. We do not include the other types of registered committees because it is not possible to tell exactly what amounts of their contributions were allocated toward Measure 101 as opposed to other purposes. (2) No later than 45 days following the end of a calendar quarter, a managed care organization shall pay an assessment at a rate of 1.5 percent of the gross amount of premium equivalents received during that calendar quarter. Additionally, much of the spending related to the campaigns surrounding Measure 101 by committees other than measure or petition committees was accomplished through contributions to measure or petition committees. Oregon has two Pivot CountiesColumbia and Tillamook counties. Legislative counsel Dexter Johnson said the language needed to use the word assessment, not tax, to describe the revenue-generating mechanism in HB 2391 because assessment is the word the bill used. Temporary assessments on insurance companies, some hospitals, and other providers of insurance or health care coverage. Rejects temporary assessments on insurance companies, the Public Employees Benefit Board and managed care organizations.
Rep. Julie Parrish said, "They [the committee] didn't take any of our comments to heart. [55] HB 2391 was estimated to generate $673 million in state revenue and $1.9 billion from the federal government during the 2017-2019 fiscal year.
Let's put this into perspective. The last time the state Legislature called a special election for veto referendums was in 2010. individuals and families and individuals with disabilities and for stabilizing the costs of ORHIM Customer Support Insurer Correspondence Consumer Advocacy Financial Regulation Financial Regulation LIFT - Life Insurance Finder Tool LIFT Support Specialist Market Regulation Market Regulation Drug Prices Drug Price Transparency Program. As of September 2018, Democrats held three of 11, Democrats controlled both chambers of the. The turnout for this election was 40.5 percent.[1]. As of 2016, around 2.6 million people fell into this coverage gap across the 19 states that did not expand Medicaid.[61]. That is a cost that all consumers end up paying. Sponsors described HB 2391 as "a sales tax on healthcare.
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assessments on some hospitals will be approved, subject to approval by a federal agency. As of January 2018, measures pertaining to Medicaid have been proposed in four other states. The next step of this is to go to court, so that's where we're headed." Certifying a veto referendum for the ballot requires a number of signatures equivalent to 4 percent of the votes cast in the most recent gubernatorial election.
A state government trifecta occurs when one party controls both chambers of the state legislature and the governor's office. House Bill) of health insurance companies, the Public Employees Benefit Board, and House Bill) of health insurance companies, the Public Employees Benefit Board, and
Taxes on hospitals will raise the costs of care across the board.The cost of these taxes also will be passed on in the form of higher deductibles and premiums. Oregon held elections for the following positions in 2018: As of July 2016, Oregon's three largest cities were Portland (pop. Currently there are no numbers in this ballot title about the cost to the budget."
Rep. Dan Rayfield (D-16) said, Vulnerable Oregonians cant wait until the next General Election to take care of a medical issue for themselves or a sick childthey need certainty as quickly as possible. [52], Oregon originally expanded Medicaid to individuals eligible under the federal ACA in 2014. Even if you don't go to the hospital, you will be paying the hospital tax through higher insurance prices..
Those two arguments are on page 29 and page 31, respectively, of the online voter pamphlet. Measure 101 reduces premiums for an additional 210,000 Oregonians, taking their health care from unaffordable to affordable. Voters must be at least 18 years old by the day of the election in order to receive a ballot. On November 7, 2017, Maine voters approved an initiative designed to require Medicaid expansion; this was the first time Medicaid expansion was approved through a citizen initiative. [23], State Representatives Julie Parrish (R-37), Sal Esquivel (R-6), and Cedric Hayden (R-7) filed the veto referendum.
If that wasn't bad enough, the Legislature passed $330 MILLION in new healthcare sales taxes. In July 2017, the state legislature approved a billSenate Bill 229 (SB 229)calling for Measure 101 to be put before voters on January 23, 2018, instead of November 6, 2018. [30] The full list of campaign advertisements is available on the following page: Oregon Measure 101 (January 2018) campaign advertisements. She said the committee's ballot language should have included the word tax. The money from Measure 101 also unlocks federal matching dollars, up to $16 for every $1 generated in Oregon. Ballotpedia's campaign finance methodology for all ballot measures: To read Ballotpedia's methodology for covering ballot measure campaign finance information, click here. According to the state legislature's 2017-2019 budget, federal funding for the state health system decreased by $532 million from the 2015-2017 budget primarily because of the decrease in funding for Medicaid expansion.[2][3][4]. Federal courts |
providing health care to low-income adults, children, families, and individuals with [69], On October 5, 2017, proponents of the veto referendum reported submitting 84,367 signatures to the Oregon secretary of state's office. Note: For Measure 101, individuals and entities that supported a "no" vote were those who wanted to repeal HB 2391. Oregon implemented automatic voter registration in 2016. [9], There were two measure committees registered as advocating for a "yes" vote on the veto referendum: the Yes for Healthcare committee and the Protect Our Healthcare committee. The only way to protect healthcare funding is Yes on Measure 101."[68]. Overpaying health care organizations $74 million over three years to provide expanded Medicaid coverage to some Oregonians. This is the result of one-party rule under the Democrats."
Provides that the hospital assessment may not begin without the approval of a federal agency. That is why we write to urge a YES vote on Measure 101. Assessments provide funding for health care for low-income individuals But defeating the ballot measure will only make it that much more difficult to do so in the future. [60] As of January 2018, 32 states and Washington, D.C., had approved Medicaid expansion, and 18 states had not. She said the 2018 session, an even-numbered year session, will be short compared to the 2019 session, an odd-numbered year session, and that the budget is developed during odd-numbered year sessions. If the voters reject Ballot Measure 101, it would eliminate the temporary assessment on insurance companies, the Public Employees' Benefit Board and managed care organizations and delay the collection of the additional 0.7 percent hospital assessment until the later of January 1, 2018, or the date that a federal agency approves the changes required by the amendment. The fiscal impact statement was as follows:[14].
Referendum petitioners objected to the ballot language drafted by the legislative committee, and the Oregon Supreme Court ruled that the initial language needed to be changed. This session, when politicians wanted to steal your "kicker" tax refund, we successfully worked to stop them. These new healthcare taxes will harm Oregonians who are paying full price to provide coverage for themselves, their families or their employees. [10], The Stop Healthcare Taxes petition committee sponsored the referendum petition and collected signatures to get the measure on the ballot. 168,916).[83][84]. All data comes from the Oregon Secretary of State.
Elections for U.S. House seats are held every two years. The FKGL for the ballot title is grade level 16, and the FRE is 22. A total of $38,326.29 was spent to collect the 58,789 valid signatures required to put this measure before voters, resulting in a total cost per required signature (CPRS) of $0.65. managed care organizations for a two-year period, and additional 0.7 percent assessments
[63], From 2014 to 2016, the federal government covered 100 percent of the costs of state expansion of Medicaid. The deadline to register is 21 days before an election.[81]. This section provides an overview of federal and state elections in Oregon from 2000 to 2016.
[13], Approves temporary assessments to fund health care for low-income individuals and families, and to stabilize health insurance premiums. Ballot measures, Who represents me? The expansion was made possible by a budget bill (HB 5030) passed by the Oregon State Legislature in 2013. American College of Nurse Midwives Oregon, American College of Physicians Oregon Chapter, The Childrens Clinic (offices in Portland, Tualatin and Newberg), Coaltion of Oregon Professional Association for Counseling and Therapy (COPACT), Community Partners for Affordable Housing, Confederation of Oregon School Administrators, Douglas County Independent Physician Association, IATSE Local 488 Studio Mechanics of the Pacific Northwest, Interfaith Movement for Immigrant Justice, National Alliance on Mental Illness (NAMI), National Association of Hispanic Nurses Oregon Chapter, National Association of Letter Carriers, Branch 82, National Association of Social Workers Oregon, National Organization for Women Oregon Chapter, Native American Youth and Family Center (NAYA), North by Northeast Community Health Center, Oregon Academy of Nutrition and Dietetics, Oregon Community Health Workers Association (ORCHWA), Oregon Developmental Disabilities Coalition, Oregon Federation of Nurses and Health Professionals, Oregon Physicians for Social Responsibility, Osteopathic Physicians and Surgeons of Oregon (OPSO), Pacific Northwest Regional Council of Carpenters, PCUN Pineros y Campesinos Unidos del Noroeste, Professional and Technical Employees Local 17, every child in Oregon has healthcare coverage, hard-working Oregonians can go to a doctor or a nurse when they are sick, communities throughout the state keep good-paying healthcare jobs, strengthening the local economy, working families will be able to afford their premiums thanks to a stabilized insurance marketplace, the funds go directly to the Health Services Fund and cannot be spent on anything other than healthcare. Fill in your user ID or email address in the box below and we will send you an email with login instructions. If this measure passes, the A "no" vote on Measure 101 was intended to also repeal a 0.7 percent tax[5] on the net revenue of hospitals to provide funding for Medicaid; however, there was disagreement between the legislative counsel and petitioners over whether the referendum would have repealed this tax or delayed it.
If the measure passes, the health care program and health insurance premiums stabilization program are funded as adopted by the 2017 Legislative Assembly. The House Bill provided the funding Delays until the later of January 1, 2018, or the date of approval by a federal agency, the temporary assessment on some hospitals. insurance companies for health insurance purchased by individuals and families.
Originally, the assessment rate was 1.5% of the gross amount of such premiums, and was to be payable only for premiums received through the end of 2019. Signatures were due 90 days after the 2017 regular legislative adjourned on July 7, 2017, which was October 5, 2017. | Voters have the opportunity to reaffirm our commitment to a healthy state by supporting Measure 101. "[24], Stop Healthcare Taxes argued that individual Oregon citizens, small businesses, college students, healthcare providers and hospitals, would pay the tax under HB 2391, while large corporations, unions, and insurance companies themselves would not pay the tax. When registering to vote via the online registration platform, a voter must provide his or her driver's license or state ID card number.[82].
To register to vote in Oregon, you must be a resident of the state. A total of at least $38,326.29 was spent to collect the 58,789 valid signatures required to put this measure before voters, resulting in a total cost per required signature (CPRS) of $0.65. Thankfully, we have the power to stop it!
[64][65], The Affordable Care Act had not provided tax credits to adults with household incomes less than the federal poverty line because the law had aimed to cover these people under Medicaid.
Without the ability to see a doctor for preventive care, families will be forced to resort to costly Emergency Room visits that they simply cannot afford.
[49], The Affordable Care Act (ACA), also known as Obamacare, provided federal funds to states that elected to expand Medicaid. In contrast, 41.3 percent of Republicans said they supported the measure, 27.5 percent said they were undecided, and 31.2 percent said they planned to vote "no". Result of No Vote: No vote rejects temporary assessments on insurance
[56], The Affordable Care Act (ACA), also known as Obamacare, was signed into law on March 23, 2010. This was possible because state elections officials are required to place submitted arguments in the section identified by the author rather than separating them based on content. Small group employerswill pay the new tax. Lack of health care coverage causes incredible stress, and the cost of uncovered care can bankrupt families and small businesses. and families, and individuals with disabilities; also stabilize premiums charged by
companies, the Public Employees Benefit Board, and managed care organizations, and In addition, the assessment did not apply to premiums paid for stop-loss insurance coverage for self-insured plans. Specifically, Stop Healthcare Taxes stated, "In fact, one section of the bill expressly allows insurance companies to pass the new taxes directly to you, the purchaser. Measure 101 addressed taxes with revenue set to fund Medicaid expansion. Oregon is a vote-by-mail state.
Vote No on Measure 101.[13]. The map below provides information on Medicaid expansions by state; for states that expanded, hover over the state to view the political affiliation of the governor at the time of expansion.