US Senator Mike Rounds’ Weekly Column: The (Un)Affordable Care Act

Rounds Logo 2016 MikeRounds official SenateThe (Un)Affordable Care Act
By Senator Mike Rounds

The skyrocketing cost of healthcare has made the Affordable Care Act (ACA) unaffordable for many Americans. The Department of Health and Human Services recently announced that in 2017, premiums will rise an average of 25 percent for those covered on plans under the ACA. South Dakotans have it even worse: those of us covered under the ACA will see insurance rates increase by nearly 37 percent, according to Congress’ Joint Economic Committee.

The ACA was intended to provide all Americans with quality, low-cost healthcare but instead it has had the opposite effect. More and more insurers are declining to participate in the exchange, leaving consumers with few options ahead of this fall’s open enrollment period. Despite the growing problems surrounding the ACA, the president continues to maintain that the law has been a success. The hundreds of South Dakotans who call my office telling me that they have to choose between paying outrageous rates or pay a fine to forgo healthcare coverage all together—just so they can afford to pay their mortgage—would probably disagree.

I have repeatedly called for the ACA to be repealed and replaced with a patient-centered, market-based plan that is truly affordable for all Americans. This can be achieved by enacting transparent, step-by-step reforms. I support common-sense initiatives, like expanding Health Savings Accounts and creating pools, such as the Multiple Employers Welfare Trust, in which small businesses can unite to secure better rates. The worst parts of the ACA, such as the employer mandate, individual mandate and the Independent Payment Advisory Board, should not be included in a replacement plan. 

We can cut costs by reforming medical liability laws as well. Our current system encourages frivolous lawsuits which come at a high cost to doctors, taxpayers and truly injured patients who deserve timely compensation. Lastly, we must hold insurance companies more accountable by increasing transparency, standardizing paperwork and helping those with pre-existing conditions maintain access to care. 

We’ve long suspected that the ACA would eventually crumble under its own weight, and now that is exactly what is happening. Americans can no longer afford to abide by this costly law. I will continue working with my colleagues in Congress to replace the ACA with a plan that is effective and affordable for all Americans. 

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Congresswoman Kristi Noem’s Weekly Column: In a Pinch

noem press header kristi noem headshot May 21 2014In a Pinch
by Rep. Kristi Noem

People are feeling pinched right now, caught between rising household costs and stagnant – or in some cases, falling – wages.

In recent days, we’ve learned that healthcare premiums under Obamacare are once again set to rise – this time, by a staggering 25 percent nationwide, a number that is expected to be even higher in South Dakota.

And it’s not just healthcare costs.  The Obama administration’s motor-vehicle rules are expected to push the price of a new car up by nearly $3,000 over the next decade.  The cost of common household products – including fluorescent lamps, microwaves, air conditioners, and dishwashers – are also set to rise by around $1,600 per household as a result of onerous regulations.  Meanwhile, regulatory-related expenses are now responsible for almost 25 percent of a new home’s final cost.  And if you’re looking for a break on the utility costs, the administration’s latest environmental push promises to skyrocket energy bills.

At the same time, our economy remains at a standstill.  According to a recent Bureau of Economic Analysis report, America’s real GDP grew an average of just 1 percent during the first two quarters of 2016.  That has a real impact on families.  By some estimates, the prolonged economic stagnation has cost the median American family a total of $69,000 in lost income over the last eight years.

People need relief on both sides of the equation.  To help reduce a family’s weekly expenses, regulatory reform should be one of the first federal policy changes. One proposal I’ve backed, the REINS Act, would introduce more accountability into the regulatory system, requiring that any major regulation is reviewed and approved by Congress before it takes effect.  This is just a start.  Repealing big-government mandates, including Obamacare, and replacing them with consumer-driven approaches would also help cut your monthly bills.

Just tackling expenses, however, won’t be enough.  Families need their incomes to rise as well.  Through a tax plan House Republicans proposed earlier this year, the economy could grow 9.1 percent over the next decade, according to the nonpartisan Tax Foundation which also found that Americans of every income group would pay less in taxes under the plan.  This growth, fueled by a simpler and fairer tax code, would help raise Americans’ wages and create an environment where 1.7 million jobs could be created.

Additionally, investing in job-ready training for young people and opening new markets around the world for products grown or made in America could also help increase employment and incomes, while securing our borders can help protect opportunity at home.

It almost doesn’t matter where I am or who I’m talking to, people feel like they’re constantly being hit from all sides.  Virtually everything seems to cost more, but few people are making more.  We know how this can be resolved: the unnecessary mandates and regulations must be lifted while we create opportunities in the economy for incomes to rise. If we can do that, we can relieve the pinch all too many families feel today.

Governor Daugaard’s Weekly Column: Decisions Are Made By Those Who Show Up

daugaardheader DaugaardDecisions Are Made By Those Who Show Up
A column by Gov. Dennis Daugaard:

 The presidential election is getting most of the attention this election season, but in South Dakota, voters are deciding much more.

Of course, South Dakota has general elections this fall for U.S. Senate, U.S. House and the Public Utilities Commission. We are also voting on ten ballot measures:  constitutional amendments R, S, T, U and V; referred laws 19 and 20; and initiated measures 21, 22 and 23.

One of these measures, Constitutional Amendment R, was passed by the Legislature and is now before the people for ratification. Referred laws 19 and 20 were also passed by the Legislature, and then placed on the ballot by petition. The remaining amendments and initiated measures made the ballot through the petition process.

I encourage all South Dakota voters to study and thoroughly consider these ballot measures before voting this year. Information about all ten ballot measures is available on the Secretary of State’s website at https://sdsos.gov/elections-voting/upcoming-elections/general-information/2016-ballot-questions.aspx.

Many of us have seen the paid television ads and received postcards in the mail. Those can be informative, but paid advertising only tells one side of the story. And while some ballot measures campaigns have backers who are willing to spend hundreds of thousands of dollars to promote their view, other campaigns cannot afford much advertising.

With ten measures on the ballot, voting will take some time. I’d encourage South Dakota voters to consider voting early to avoid the lines. Early voting is available at your county auditor’s office on any business day between now and the day before Election Day.

It’s also a good idea to obtain a sample ballot before voting. Voters can study the issues at home, fill out the sample ballot and then copy their preferences onto the real ballot at the polling place. Sample ballots are printed in the newspaper and are available at the county auditor’s office, and you can also obtain one online from the Secretary of State at https://sos.sd.gov/Elections/VIPLogin.aspx .

Finally, I urge all South Dakota voters to show up and vote this fall. The tone of the presidential campaign can be disheartening, and the political advertisements can be irritating. But as Governor George S. Mickelson often said, “Decisions are made by those who show up.”

As Americans, we have a responsibility to study the candidates and the issues and to cast an informed ballot. We should never take that privilege for granted – not even in a tumultuous election year like this one. We owe it to our children and grandchildren, and to those who have defended our freedom, to show up on Election Day.

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Anti-Transparent and Out-of-State, Yes on V’s Campaign Mirrors the Measure

Anti-Transparent and Out-of-State, Yes on V’s Campaign Mirrors the Measure

Yes on V got 85.7% of Contributions from Out-of-State, while 78.3% came from Dark Money Groups
 
Fort Pierre, SD – October 28, 2016 – The pre-general campaign finance report for Yes on V showed a massive influx of out-of-state, dark money flowing to the campaign. To date, Yes on V has raised 85.7% of its money from out-of-state and 78.3% from Dark Money groups that do not disclose their donors.

“Amendment V is an anti-transparent, out-of-state plan that is wrong for South Dakota. The Yes on V campaign hides the source of its money just like Amendment V would hide party labels from voters,” said Will Mortenson, Chairman of Vote No On V.

The vast majority of Yes on V’s campaign donations have come from outside South Dakota. Yes on V has raised $1,323,068 from out-of-state, including $1,122,720 from a single, dark money donor in New York City, NY. Amendment V would install a California-style primary in South Dakota’s constitution.

“Amendment V is being pushed by dark money from Manhattan. South Dakota works best when we govern ourselves. Amendment V is an out-of-state plan pushed by out-of-state cash,” Mortenson added.

To date, Yes on V has raised a total of $1,543,350 to support their attempt to overhaul South Dakota’s constitution. 

Vote No On V reported raising $100,623. Over 99% of the funds raised for Vote No On V came from in South Dakota and over 98% of donations came from individuals or groups that disclose their donors. 

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Where are you falling on all of these ballot issues?

I’m planning on taking my dad to early vote today, or sometime next week. And in querying him where he sits on these ballot measures, I received a somewhat terse “I’m voting no on ALL of them.”   I also spoke with a good friend of mine yesterday out in the Hills, and asked him what he thought. He indicated that he early voted already, cast a ballot in favor of Amendment R on the tech schools… and was consistently no on all the others.  I believe a daughter who was here to early vote this past week was also a no vote on just about everything.

I’m sensing a trend of NO, which I suspect is going to be the case more than people may think via the polling that’s out being conducted. With already reported long lines, I just don’t people are going to mess around.

How did I vote? If I recall, I believe I was a Yes on R, and a Yes on S. I don’t recall specifically, but I may have also been a Yes on U, simply because I think people should have the ability to make their own choices on how they conduct their business.

But the rest of the field fared pretty poorly with literally a no vote on everything else.

Where are you falling on all of this?

Attorney General Jackley Addresses Research and Development for Medical Marijuana Derivatives with the FDA and DEA

jackleyheader2 Marty JackleyAttorney General Jackley Addresses Research and Development for Medical Marijuana Derivatives with the FDA and DEA

PIERRE, S.D. – Attorney General Marty Jackley continues to work with the FDA and DEA to address research and development for medical marijuana and its derivatives.

“As Attorney General, I am hopeful that research will conclude marijuana derivatives will help treat a child experiencing seizures or the pain of a cancer patient. I am urging the FDA and DEA to consider accelerated research of marijuana for treatment purposes. If marijuana is determined to provide a medical benefit, I believe safeguards for public health and safety can be put in place which include FDA approval, a South Dakota doctor prescribing the drug, and a South Dakota pharmacist dispensing the drug,” said Attorney General Jackley.

On August 19, 2016, Attorney General Jackley provided correspondence to the DEA and FDA urging consideration of an accelerated research and development process for marijuana derivatives. While Attorney General Jackley made clear he was not endorsing a particular area of research or marijuana use, he believes that the public health aspect justifies both the DEA and the FDA revisiting the research restrictions   as it relates to marijuana with an eye towards medical research in a controlled environment.

The DEA response on October 13, 2016, outlined several steps that have been taken to address the FDA approval process including with Cannabidiol (CBD). The DEA set forth that “while the DEA shares your desire to facilitate research with CBD, and to carry out any scheduling actions that are supported by the medical and scientific evidence, as you undoubtedly recognize the protection of the public health and safety must remain of paramount  consideration.”

Attorney General Jackley agrees and believes three important conditions must be satisfied for public health and safety reasons: 1) FDA approval for marijuana or one or more of the derivatives as a safe and effective drug; 2) A South Dakota doctor to prescribe the drug; and 3) A South Dakota pharmacist to dispense the drug.

In December 2015, the DEA adopted a new policy to waive certain regulatory requirements to those who are conducting research with CBD to include those conducting trials with CBD no longer have to request approval from the DEA before implementing changes to their research protocols.

In August 2016, the DEA adopted a new policy whereby additional entities may apply to become registered to grow marijuana for the purpose of supplying researchers. In addition, the DEA continues to assess the current regulatory requirements for conducting research with CBD to determine whether it can take further steps to reduce the regulatory burden while continuing to protect the public health and safety.

The DEA recognizes the possibility that drugs containing CBD might be proven to be safe and effective for the treatment of certain conditions and with FDA approval for marketing. The DEA closed the correspondence with their assurance they will strive to make it easier for research while keeping the public  safe.

Links to letters below:

http://stage7.atg.sd.gov/docs/Medical%20Marijuana.DEA.pdf

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