Health Care Update

As you all know, the health care debate is heating up again in the Senate and we wanted to be sure to send you an update as well as a flyer that you can use with members with a toll free number that can be used to call Senators.

Senate Majority Leader Mitch McConnell (R-KY) is bearing down to finalize a health care bill and move it to the Senate floor.  The Senate bill will largely track the House bill, but McConnell is negotiating with Senate moderates and conservatives over some details on Medicaid, in order to nail down his votes.  Below is a summary of where we are with process and timing, policy, and the politics, and also next steps.

Process and Timing

McConnell is trying to get the policy nailed down so that it can be sent to the Congressional Budget Office (CBO) early this week for an official estimate of the impact on the federal budget and the number of people who will lose their coverage – in fact we are hearing reports that CBO received policy today.  CBO will need ten days to two weeks to score the bill.  Once there is a CBO score, the bill can be put on the floor.  McConnell wants to hold the floor debate during the week of June 26.


Policy Highlights

One area of negotiation is over how quickly the bill ends the Medicaid expansion.  Conservatives want the expansion terminated in 2020, moderates want it phased out over a few years, beginning in 2020.

The bill will include the Medicaid per capita cap funding structure, but there is a question over the annual adjustment.  The annual adjustment will be lower than the increase in health care costs, but it is not clear how much lower.

The bill may have more generous tax credits for older people buying Affordable Care Act coverage in an exchange.  But, the tax credits for young people may be reduced.

The Senate bill may keep community rating rules that prohibit plans from charging people with pre-existing conditions higher premiums.  But the Senate bill would allow states to waive essential health benefit requirements, allowing insurance companies to screen out sick people by excluding certain benefits.

The bill may create a pot of money for opioid treatment, but it won’t make up for the millions who will lose their health coverage.



Three Senate moderates stated this week that they are willing to go along with an end to the Medicaid expansion, if it is phased out gradually between 2020 and 2024.  Those Senators are Dean Heller (NV), Rob Portman (OH) and Shelley Moore Capito (WV).  This has created a boost of momentum for McConnell.  He doesn’t have the votes yet, but a deal is more likely.  There are 52 Republicans in the Senate.  McConnell needs 50 of their votes, plus the tie-breaking vote of the Vice President.

You can use the attached flyer and toll free # to encourage members to call their Senators. Below is the target list we are working with but even Democratic Senators need calls to thank them for their support in protecting ACA and Medicaid. The communications department will be pushing calls via text to targeted Senators this week and we are increasing our activity on social media.


Call Sen. Rob Portman today and tell him to vote NO.

Washington, D.C.: 202-224-3353

Columbus: 614-469-6774

Cleveland: 216-522-7095

Cincinnati: 513-684-3265

Column: Nurse on front lines sees value of health-care act

From the Columbus Dispatch. Tuesday, June 13, 2017. 

Pat Waller is on the front lines of our health-care system. As a labor and delivery nurse at O’Bleness Hospital in Athens, she has devoted her career to taking care of pregnant women and infants.

She is passionate about her work. “It is really the best feeling,” she says, “that you were there at that moment in time when this precious child came into the world.”

Pat — who is a member of the American Federation of State, County and Municipal Employees, the union where I serve as president — has seen firsthand the powerful difference that the Affordable Care Act has made in the lives of people in her community. She estimates that 60-70 percent of patients at O’Bleness have coverage thanks to the Medicaid expansion under the ACA. Throughout Ohio, the uninsured rate fell from 12 percent to 6 percent between 2013 and 2015, the period when people began enrolling in the ACA exchanges.

But back in Washington, DC, politicians are working overtime to take away that coverage and undermine Pat’s work. In early May, the House of Representatives voted narrowly to approve a bill that would repeal the ACA and replace it with a plan that would make the health care system significantly worse for working families.

According to an analysis by the Congressional Budget Office, 23 million people would lose their health insurance, nearly 540,000 of them in Ohio. Protections for people with pre-existing health conditions, a cornerstone of the Affordable Care Act, would be eliminated. So if you have high blood pressure, or if your child has asthma, insurance companies can price you out of the market.

The congressional health-care bill also cuts a staggering $834 billion from the Medicaid program, which serves low-income pregnant women and children, people with disabilities, senior citizens requiring long-term care and more. And in Ohio and elsewhere, as Pat points out, Medicaid dollars are also essential to addressing the growing opioid addiction crisis.

The new budget proposal from the Trump administration piles on another $611 billion in Medicaid cuts. All told, the program — which 1 in 5 Americans depends upon for health care — would be slashed nearly in half over the next decade. Meanwhile, millionaires and large corporations would be in line for a huge tax giveaway.

Shrinking Medicaid would also have a domino effect. If the federal government is contributing less to the program, the states would have to pick up the slack, which could mean less investment in schools, law enforcement, transportation and other public services we all depend on every day.

In Athens, these cuts could be devastating. Not only would far fewer residents have health coverage, but Medicaid also represents a key revenue source that sustains the hospital where Pat Waller works. O’Bleness is the only facility within a 45-minute drive that delivers babies; plus, it is a community anchor and one of the county’s largest employers. Pat worries that Medicaid cuts will lead to layoffs, shattering the local economy and leaving her patients without access to care.

But there is still time to derail these plans. As of yet, none of these cuts have become law. The ball is now in the court of the U.S. Senate, where Ohio Sen. Rob Portman, a Republican, is playing a key role in drafting a bill. Portman has not said where he stands on the House plan to cap the Medicaid dollars that the federal government gives to Ohio and thus end the program as we know it. The time is now for Ohioans to let him know they want to protect the Medicaid program that helps so many of their neighbors live with health and dignity.

Pat Waller is fighting for a health-care system that provides access to everyone. “I think health care is a basic human right,” she says. “No one ever should have to worry between taking your child to the doctor or putting food on the table.” Not in “one of the strongest, richest countries in the world.”

Let’s see if Portman and the rest of the Senate are listening.


Lee Saunders is president of the American Federation of State, County and Municipal Employees, AFL-CIO, a union of 1.6 million public service workers and retirees.

AFSCME Local 1002 City Workers Win Strong Contract

Lima City Council voted to approve a new contract with AFSCME Local 1002 which increases wages by 6.5 percent over the life of the three-year deal.

The new agreement includes an across-the-board first-year pay increase of a 2.5 percent, and additional 2 percent increases in 2018 and 2019.

The agreement also includes an increase in the uniform allowance, extends the shift differential to employees that work Saturdays and Sundays, and includes a $900 signing bonus.

“We could not have done it without a strong bargaining committee,” said Adam Maguire, who led the negotiations. “They stayed ‘AFSCME Strong’ and never quit. They’re a great team,” he said.

The contract covering more than 100 city workers is retroactive to the beginning of 2017.

The Local 1002 negotiating committee.

Happy Nurses Week from AFSCME Council 8!

During National Nurses week we celebrate and honor the commitment and dedication of our front line health care providers — nurses!
Operating room nurses and techs at Trumbull Memorial Hospital salute their fellow care givers.

“We salute every nurse for their tireless work to meet the needs of their patients,” said AFSCME Ohio Council 8 President John A. Lyall.  “Nurses are passionate about their work because they are also healers, teachers, and leaders during the most trying times of our lives,” he said.

“Nurses are the backbone of the health care industry and I’m proud to be represented by AFSCME Ohio Council 8, said Tom Connelly, president of AFSCME Local 2026, which represents 378 nurses at Trumbull Memorial Hospital in Warren.

“So proud of all my fellow nurses but most importantly my brothers and sisters from Trumbull Memorial Hospital. You have helped patients enter and exit life and all points in between. Nurses can be found in hospitals, clinics, public health, military service, in the air and on the sea, wherever life and health needs safe guarded!  So proud to be one ! God bless all of you who stand with and for the patient!,” Connelly said.

Each year National Nurses Week is celebrated during the week of May 12 in honor of the founder of modern nursing: Florence Nightingale.

Along with her trail blazing 19th century work in establishing sanitary “proper care” standards, she was also known for her night rounds to aid the wounded during the Crimean War, establishing her image as the “Lady with the Lamp”.

In addition to 311-bed Trumbull Memorial Hospital, Ohio Council 8 also represents health care workers at 69-bed Hillside Rehabilitation Hospital in Howland.  AFSCME Ohio Council 8 health care worker across the state including Akron City Hospital, Barberton Citizens Hospital, O’Bleness Hospital in Athens, University of Cincinnati Hospital, University of Toledo Medical Center, and MetroHealth System in Cuyahoga County.

AFSCME Pres. Lee Saunders on the American Health Care Act

WASHINGTON – AFSCME Pres. Lee Saunders issued the following statement on the passage of the American Health Care Act through the U.S. House of Representatives:

“The political fig leaves that were added behind closed doors to garner votes do nothing to change the facts of this bill. It will still leave at least 24 million Americans uninsured, still cut Medicaid in exchange for tax handouts for corporations and millionaires, still cause costs to skyrocket for older Americans and still eviscerate the protections for people with pre-existing conditions that are guaranteed under the Affordable Care Act.

“Patient groups, healthcare providers, and voters in blue states, red states, and purple states alike have already spoken out repeatedly against this cruel and dangerous legislation. But the House of Representatives and the Trump administration chose to ignore their pleas. It now falls to the U.S. Senate to finally listen to the American people and stop this bill in its tracks.”

ACA Repeal is looming: Here’s what you can do.

It’s not over til it’s over. Reportedly by this Wednesday Republicans in Congress are set to take another vote to repeal the Affordable Care Act.

Each “replacement” gets worse than the last repeal and replace attempt.

This bill still takes coverage away from 24 million people and still cuts $880 billion from Medicaid.  And it breaks a key promise by eliminating protections for people with pre-existing conditions.

Three moderate Ohio Republicans are being pressured by top conservative leaders, including President Trump and Vice President Pence, to vote yes on the bill which will be up for consideration before next week’s Congressional recess.

Call or e-mail Ohio US 6th District Representative Bill Johnson, 7th District Representative Bob Gibbs, and 14th District Representative David Joyce, today. Their information is below.

Tell them to do the right thing and vote no on the latest repeal and replace plan that will hurt Ohioans.  We will remember in November.

Workers Memorial Day 2017

Today, on the 46th anniversary of the creation of the Occupational Safety and Health Administration (OSHA), “AFSCME Ohio Council 8 joins all of labor remembering those working men and women who have lost their lives on the job,” said Ohio Council 8 President John A. Lyall.

On April 28, 1971, OSHA was given responsibility for establishing safe and healthful workplaces for all workers – “except public employees, who were specifically excluded,” he said.

“It would be another 23 years and many lives lost before Ohio’s public employees won the right to a safe workplace.  And it was AFSCME that led an eight-year battle that finally won a state job safety law in 1993,” Lyall said.

With no legal responsibility to provide worker training and safety equipment, safety was an after thought.  This led to thousands of injures and the on-the-job deaths of about 20 public employees every year.

The new law gave Ohio’s public employees the right-to-refuse unsafe work if they reasonably believed they faced imminent danger or death. Prior to the law workers were routinely disciplined or fired for refusing to perform clearly hazardous work.

Ohio Council 8 Political and Legislative Director Robert Davis stressed that OSHA is part of the Labor Department, which is why President’s nominee for Secretary of Labor and his proposal to cut 20 percent of the department’s budget is so critical.

“It’s not just politics, it’s a matter of  life and death for working Americans. We all need to pay attention and raise our voices for safe jobs,” said Davis.

Get the Degree You Need to Succeed – New Programs Added to AFSCME Free College Benefit


Dear Ohio Council 8 Member,

A recent survey showed that nearly 100% of surveyed members are excited that AFSCME is offering the AFSCME Free College Benefit. This benefit is helping make college a reality for thousands of our members and their families.

We have heard from many of you that you’d like to see additional programs offered through the AFSCME Free College Benefit. To that end, we are pleased to announce that our partner, Eastern Gateway Community College, is now enrolling students for Summer and Fall for the following online Associate Degree and Certificate programs.

Healthcare — These programs will get you started in this dynamic, growing field!

  • Healthcare Management (Business Management Degree Concentration)
  • Patient Navigator Certificate — An excellent program designed to train students for patient-centered work in healthcare.

BusinessThe changing economy means workers need to regularly update their skills. These programs will help you do just that.

  • Business Management Degree with additional Concentrations in:
    • Human Resources
    • Health Care Management
    • Marketing
    • Finance
  • EGCC is also offering a Business Management Certificate
    • Option for accounting concentration
  • Accounting

Paralegal  The Paralegal Program is designed to prepare students for employment in a law environment in both public and private sectors.

Associate of Individualized Study Degree — A flexible program designed for students who have substantial previous college credit.

Criminal Justice Degree — Many of our members can receive college credit for their Corrections or Peace Officer Training certifications.

Associate of Arts Degree — A great way to get started on your college degree.

Early Childhood Education Degree — Many courses will count toward state education standards points and help providers earn more pay.

Visit or call 888-590-9009 now to enroll. Summer classes begin May 30 and Fall classes begin August 21. All full-dues paying AFSCME members and their families* are eligible. Take just one class or go full-time. And you’ll never have to pay for tuition, fees or e-books. Get started today!

(* Family is defined as children and grandchildren, step children and step grandchildren, spouses, domestic partners and financial dependents.)

Spring into a New Home!


Choose a Union Plus Mortgage
Now’s a great time to spring into a new home. AFSCME can help. If you’re a dues paying AFSCME member in good standing, an AFSCME member retiree, a spouse or domestic partner of an AFSCME member, or the parent or child of a union member, you’re eligible for the Union Plus Mortgage Program.

Click here for more information.


Shop Smarter with Consumer Reports Digital

Spring is a great time to find a great deal on appliances, televisions and electronics. Buy the best by using the comprehensive archive of expert, unbiased reviews from Consumer Reports Digital. AFSCME members save 26% off the annual subscription rate with their Union Plus discount.

Subscribe Today by Clicking Here.


Earn Cash Back on Your Home Sale or Purchase

March through July are the most popular months for buying a house. If you’re looking to buy or sell, Union Plus Real Estate Rewards can save AFSCME members thousands of dollars. Every real estate agent that the Union Plus Real Estate Rewards program uses is pre-screened and is the best in your area, based on performance and service.

Learn More.

Shut down the government?

Dear Ohio Council 8 Member,

Here we go again. In just a few days, our country faces the threat of another government shutdown, all over a multi-billion dollar game of chicken President Trump and extremists in Congress are playing with our nation’s budget.

If our government shuts down, it will be because President Trump has threatened to veto any budget that does not defund key pieces of the Affordable Care Act, and pay for a $1.4 billion down payment on his proposed border wall.

Call your Senators today and tell them to pass a clean budget that supports working families and does not cut health care for millions.

If this budget stalemate results in a government shutdown, even funding for state and local public service workers is affected. A shutdown could cost us the resources we need to do our jobs, and it will cost our communities the public services they rely on.

For our communities, for our families and for our country, we need to stop this shutdown before it happens.

Call your Senators today and tell them to pass a clean budget that supports working families and does not cut health care for millions.

Those of us who spend every day making our communities stronger, safer and healthier know how important it is to keep the government running. Make sure Congress and President Trump know our communities are depending on them.

In solidarity,

Lee Saunders
AFSCME President

6800 North High Street, Worthington, Ohio, 43085-2512
Phone: 614-841-1918
Fax: 614-841-1299