CBO Confirms: The Health Care Law Reduces the Deficit

This afternoon, the Congressional Budget Office (CBO) released its latest look at the Affordable Care Act – the health care law. This report affirms that repealing the health care law would deny tax credits for millions of middle class families and result in higher deficits and fewer Americans with insurance.

Once again, the Congressional Budget Office has found that repealing the health care law will increase the federal budget deficit by more than $100 billion in the first decade and more than a trillion dollars in the next decade.  CBO also found that 30 million Americans would remain uninsured without the Affordable Care Act.

And CBO projects that most Governors will choose to expand their Medicaid programs. The Medicaid expansion is completely paid for by the Federal government in the first three years, and the Federal government will cover at least 90 percent of these costs in the years ahead. According to CBO “…states and local governments will probably realize savings in existing programs that provide direct care to people who are uninsured or that cover uncompensated costs incurred by providers serving uninsured residents.” Other independent analysts have also found that states that fully implement the Affordable Care Act could save money through reductions in the amount they spend to care for the uninsured.

We hope states will take advantage of the options in the health care law to improve access to affordable coverage.  And history suggests that they will act.  All but two states implemented Medicaid and the Children’s Health Insurance Program (CHIP) within five years of enactment – despite less generous financial support than the Affordable Care Act provided for this Medicaid expansion.

As the President has said, this law is here to stay, and we will continue our efforts to work with States to deliver the benefits of the law to the American people.

Lifting Up All Women

Ed. note: This first appeared in The Huffington Post

This week, the United States is hosting the 19th International AIDS Conference. As we welcome 22,000 leaders, advocates and experts from around the world with the goal of ending HIV/AIDS, I thought it was important not to forget those living with HIV/AIDS here in our home town. Among the 1.1 million people living with HIV/AIDS in the United States, African Americans make up almost half of all cases, despite representing only 14% of the U.S. population. Women comprise 23% of new HIV infections in this country, and African American women make up nearly two-thirds of these cases. Here in D.C., we have one of the highest HIV rates in the country, with 2.7% of all D.C. residents living with HIV/AIDS, and women comprise 28% of the cases. Of the 4,000 women living with HIV in D.C., 92% are African American. Compared with men in D.C., women living with HIV are still more likely to be tested later in the course of their disease, and are less likely to be linked to care.

On Saturday, R&B legend Alicia Keys and I joined the Kaiser Family Foundation and the National Black Women's HIV/AIDS Network for an inspirational meeting with a community gathering of courageous black women living with HIV/AIDS. Our goal was to lift their stories up to provide insight and guidance for our efforts to end HIV/AIDS here at home.

For so many of us, our commitment to fighting AIDS comes from the heart. Every day, I carry with me the pain of watching the excruciating death of my sister-in-law, Julie, eighteen years ago. Julie went for months without being properly diagnosed because it simply never occurred to her doctor to check for HIV. By the time she was diagnosed, it was too late. Julie left behind a devastated husband and a five-year-old daughter, Tracy. Tracy, who is now all grown up, accompanied me on Saturday.