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Trump signs order that aims to reveal real health care costs

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WASHINGTON (AP) — President Donald Trump signed an executive order Monday that calls for upfront disclosure by hospitals of actual prices for common tests and procedures to help keep costs down.

The idea is to give patients practical information that they can use to save money. For example, if a hospital charges your insurer $3,500 for a type of echocardiogram and the same test costs $550 in a doctor’s office, you might go for the lower-price procedure to save on copays.

But insurers said the idea could backfire, prompting hospitals that now give deeper discounts to try to raise their own negotiated prices to match what high earners are getting. Hospitals were skeptical of the move.

Trump’s order also requires that patients be told ahead of time what their out-of-pocket costs like deductibles and copays will be for many procedures.

Little will change right away. The executive order calls for a rule-making process by federal agencies, which typically takes months or even years. The details of what information will have to be disclosed and how it will be made available to patients must be worked out as part of writing the regulations. That will involve a complex give-and-take with hospitals, insurers and others affected.

Consumers will have to wait to see whether the results live up to the administration’s promises.

“For too long it’s been virtually impossible for Americans to know the real price and quality of health care services and the services they receive,” Trump said at the White House. “As a result, patients face significant obstacles shopping for the best care at the best price, driving up health care costs for everyone.”

Health and Human Services Secretary Alex Azar told reporters earlier that the order “will put patients in control by increasing choice and competition.”

Lack of information on health care prices is a widespread problem . It’s confusing for patients, and experts say it’s also one of the major factors that push up U.S. costs. The same test or procedure, in the same city, can cost widely different amounts depending on who is performing it and who is paying the bill. Hospital list prices, which are available, don’t reflect what they are paid by insurers and government programs.

The health insurance industry said disclosing negotiated prices will only encourage hospitals that are now providing deeper discounts to try to raise their rates to match the top-tier facilities. “Publicly disclosing competitively negotiated proprietary rates will reduce competition and push prices higher — not lower — for consumers, patients, and taxpayers,” Matt Eyles, head of the industry group America’s Health Insurance Plans, said in a statement.

The Federation of American Hospitals, representing for-profit facilities, warned that if the Trump administration regulations take the “wrong course,” they may “undercut the way insurers pay for hospital services, resulting in higher spending.”

While the prices Medicare pays are publicly available, private insurers’ negotiated rates generally are not. Industry officials say such contractual information is tantamount to trade secrets and should remain private.

Azar pushed back against that argument, saying insurers do ultimately disclose their payment rates when they send individual patients an “explanation of benefits.” That’s the technical term for the form that patients get after they’ve had a procedure or seen the doctor.

“Every time any one of us goes to a doctor or a hospital, within a couple of weeks in our mailbox arrives an explanation of benefits. (It) contains the list price … the negotiated rate … and what your out-of-pocket is,” Azar said. “This is not some great state secret out there.”

Patients should have that information ahead of time to help them make decisions, he added.

Trump’s executive order also calls for:
—expanded uses for health savings accounts, a tax-advantaged way to pay health care bills that has long been favored by Republicans. Coupled with a lower-premium, high-deductible insurance plan, the accounts can be used to pay out-of-pocket costs for routine medical exams and procedures.
—a plan to improve the government’s various health care quality rating systems for hospitals, nursing homes and Medicare Advantage plans.
— more access by researchers to health care information, such as claims for services covered by government programs like Medicare. The data would be stripped of details that could identify individual patients.

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Frost Secures Nearly $12 Million For Key Local Projects in Central Florida

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FILE-Congressman Maxwell Frost (D, FL-10) speaks at Orlando City Hall to announce a $1.5 million grant from the Department of Justice as part of their Office of Justice Programs Community Violence Intervention Initiative October 9, 2023. Photo: J. Willie David III, Florida National News file photo.

WASHINGTON, DC — Today, Congressman Maxwell Alejandro Frost (FL-10) announced that he has successfully secured nearly $12 million in federal dollars to fund all 15 of his Community Funding Projects requests and deliver millions to support critical projects to improve housing, transportation, and infrastructure across Central Florida.

The funding, which was signed into law by President Biden earlier this month, will soon start being distributed across Central Florida.

Last Spring, Congressman Frost worked closely with local community partners and stakeholders to submit funding proposals for 15 comprehensive projects to support a wide range of efforts from affordable housing to infrastructure and transportation. Some of the landmark projects that will now receive federal dollars thanks to Congressman Frost’s efforts include:

  • $4,116,279 million to convert a vacant property in Eatonville into an affordable multi-family housing rental apartment building;
  • $1,709,752 to the City of Orlando to rehabilitate a local community center used for Community Violence Intervention programs to stop gun violence before it happens, and to make major improvements to stormwater management to prevent flooding;
  • $1,641,000 to Orange County to construct a multicultural senior center where folks can congregate and be connected to services in partnership with the Office on Aging, and support transportation and energy efficiency projects;
  • $750,000 to support the construction of quality, affordable small houses for low-income people in Bithlo;

“I came to Congress with a mission to deliver on affordable housing, transportation and infrastructure issues, and to make our communities a better place where everyone can live and thrive, and I am now proud to say that our team is making these goals a reality” said Congressman Maxwell Frost. “Central Florida is now set to receive nearly $12 million in federal dollars that will help transform our communities and help grow our local economy. While this $12 million is going to make a world of difference for so many working people and families in the Orlando area – this is only the beginning. My team is ready to secure and bring home even more money to help change Central Florida for the better.

Thanks to Congressman Frost, Central Florida will now receive $11,922,031 to fund the following 15 projects:

  • $4,116,279 for the Town of Eatonville to create a multi-family affordable housing apartment building;
  • $1,000,000 for construction at the Multicultural Senior Center;
  • $750,000 for community center rehabilitation for the Community Violence Intervention Project as part of the City of Orlando;
  • $500,000 for North Independence Lane Expansion for the City of Maitland;
  • $370,000 to provide low-income seniors with high efficiency air conditioning replacement, service, or system upgrades so they can stay in their homes longer;
  • $271,000 for Transportation Mobility Hubs for Orange County Government;
  • $500,000 for a housing rehabilitation and affordability preservation program in the City of Winter Park;
  • $750,000 for the Small House Project at Transformation Village in Bithlo;
  • $850,000 for bus bay reconstruction at LYNX Central Station Bus Terminal;
  • $500,000 for solar technology for bus shelters and shelter refacing for LYNX;
  • $200,000 to purchase and install a thermal energy storage system so Second Harvest Food Bank of Central Florida can store more food;
  • $400,000 for roof replacements for Meadow Lake Apartments for the Orlando Housing Authority;
  • $500,000 for community center education space for Shalom Orlando;
  • $255,000 for acquisition and rehabilitation of a vacant two-unit complex to create into affordable housing;
  • $959,752 for stormwater management improvements for Haralson Estates.

 

Congressman Frost will soon embark on a Community Project Funding tour across Central Florida to revisit the sites and projects that will soon receive federal funding.

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Florida’s Jewish Legislative Caucus on Antisemitic Attacks in Broward County

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Florida’s Jewish Lawmakers Show United Front Over Israel’s Right to Defend Itself
Area Representatives Randy Fine and Jennifer "Rita" Harris are members of the Florida Legislative Jewish Caucus

DAVIE, Fla. – In response to recent events effecting the Jewish community of South Florida, Chair of Florida’s Jewish Legislative Caucus, Representative Michael Gottlieb (D- Davie) issued the following statement:

“The South Florida Jewish community is once again the victim of deliberate and cowardly attacks. In recent days, an arsonist set fire to a vehicle at the Las Olas Chabad in Fort Lauderdale, and a violent protest erupted at the Jewish Community Center in Davie. We are deeply saddened and angered by these attacks.

These are just a few of the many examples of the rampant antisemitism that Jews face daily. This is why the Jewish caucus remains vigilant in helping to pass legislation defining antisemitism and creating criminal penalties for antisemitic and racist activities. We condemn this and all hate crimes and remain committed to fighting for Jews in the diaspora to be able to live and worship freely.”

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The Florida Legislative Jewish Caucus

Representative Michael Gottlieb, Chair

Senators

  • Senator Lori Berman
  • Senator Lauren Book
  • Senator Tina Polsky

Representatives

  • Representative Hillary Cassel
  • Representative Randy Fine
  • Representative Peggy Gossett-Seidman
  • Representative Rita Harris
  • Representative David Silvers
  • Representative Kelly Skidmore
  • Representative Allison Tant

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Politics

President Joe Biden on the Volkswagen Plant in Tennessee

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I congratulate the Volkswagen autoworkers in Chattanooga who filed for a union election with the UAW. As one of the world’s largest automakers, many Volkswagen plants internationally are unionized. As the most pro-union president in American history, I believe American workers, too, should have a voice at work. The decision whether to join a union belongs to the workers.

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