Biden’s Ending of the Covid Emergency Is a Public Health Disaster
But two recent decisions—by a Democratic Congress and the Biden White House—break with that template, because they represent harmful action rather than harmful inaction. The first decision came in December, with the passage of the omnibus spending bill. The second came just this week, when the Biden administration announced that it will soon be ending the Covid-related public health emergency declarations. Both choices by the Democrats will hurt millions of people.
Let’s start with the omnibus bill signed in December. Many people haven’t paid much attention to the provisions of this massive piece of legislation, but one in particular is a disaster in the making. In 2020, Democrats and Republicans—yes, in bipartisan fashion—allowed people on Medicaid to continuously stay on the rolls until the public health emergencies that had been declared at the beginning of the pandemic were lifted. This was a momentous decision and a wise one. According to the Kaiser Family Foundation, “Total Medicaid/CHIP enrollment grew to 90.9 million in September 2022, an increase of 19.8 million or more than 27.9 percent from enrollment in February 2020.” That represents close to a third of all Americans who were protected from losing their health insurance for the past three years.
However, Senate majority leader Chuck Schumer, then-House Speaker Nancy Pelosi, and President Biden decided to do the inexplicable just in time for the holidays: They put a measure into the bill to delink the continuous enrollment provision in Medicaid from the public health emergency and end it as of March 31, 2023. According to Kaiser, “between 5 million and 14 million people will lose Medicaid coverage once the continuous enrollment provision ends.” Some of these people may find a way to get other health insurance coverage, but we are likely to see many who are left high and dry in the months ahead, even as the pandemic marches on. It is incumbent on the White House to tell Americans how it will address this crisis in coverage before the clock runs out in two months.