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The New Hampshire Republican Party and other conservative groups blasted the state’s two Democratic U.S. senators after they said they will vote against Judge Neil Gorsuch, President Donald Trump’s Supreme Court nominee, when he comes up for a confirmation vote next week. The senators also said that he should not be confirmed without 60 votes in the Senate.

Both Sens. Jeanne Shaheen and Maggie Hassan announced their decisions Tuesday.

Shaheen said his record on women’s reproductive rights is “very troubling” and he has a “very alarming record” of putting corporate interests before employees’ rights.

“I cannot support a Supreme Court justice who would turn back the clock on women’s reproductive rights,” she said in a statement. “I was also disheartened by his evasive answers to questions regarding the Citizens United decision, which has dramatically increased the amount of secret money in politics.”

Hassan released her decision with a post on Medium, writing “Judge Gorsuch is not in the mainstream. He has not shown a commitment to protecting the rights of all Americans, and he does not seem to always fully consider the consequences his decisions have on real lives.”

Both senators agreed with Senate Minority Leader Chuck Schumer, D-N.Y., that Gorsuch should be required to reach a 60-vote threshold in order to be confirmed.

“When President Obama nominated Judge [Merrick] Garland, Republican leadership immediately blocked his nomination, preventing a hearing and a vote. Despite this unprecedented obstruction by the Republican majority, I remain committed to upholding the constitution’s instruction to advise and consent on Supreme Court nominations,” Shaheen said. “As Judge Gorsuch’s nomination comes to the floor, I will support a 60-vote threshold for approval, an appropriate high bar that has been met by seven of the eight current Supreme Court justices.”

The GOP Senate leadership refused to hold a hearing or vote for former President Barack Obama’s nominee, Merrick Garland, last year. After Gorsuch’s hearings last week, Schumer said he will vote no on Trump’s nominee and asked other Democrats to join him in blocking an up-or-down, or direct “yay” or “nay,” vote on Gorsuch. To overcome that obstruction, Senate Majority Leader Mitch McConnell, R-Ky., needs 60 votes, or he could invoke the “nuclear option” and change Senate rules to allow Gorsuch to be confirmed by a simple majority vote.

There’s been some confusion over the language for confirming a Supreme Court nominee. By Democrats saying Gorsuch needs to be approved by a 60-vote threshold, the Washington Post’s fact checker gave them “Two Pinocchios,” calling it “slippery” and “misleading.” It’s not required for nominees to get 60 votes, since two of the current eight justices that sit on the bench did not meet that “standard.”

Despite that, Hassan also agreed with the 60-vote threshold for Supreme Court nominees.

NHGOP Chairman Jeanie Forrester said Shaheen was participating in “political partisanship” by denying Gorsuch’s confirmation.

“Sadly, Senator Shaheen would rather play obstructionist games and vote lock-step with liberal Democrats, like Chuck Schumer, than confirm a judge who has received high praise across the board,” Forrester said in a statement.

Forrester also accused Hassan of not being an “independent voice” in the Senate, despite promising to be that during the campaign last year.

“The truth is, she is serving her party’s leadership in Washington and its extreme left wing,” Forrester said. “This is pure politics.”

America Rising Squared (AR2), an arm of the Republican opposition research group America Rising, also attempted to paint Hassan as being a rubber stamp for the Democratic Party and just repeating what Shaheen does.

“Senator Hassan’s obstruction to the highly qualified Judge Gorsuch proves that not only is she willing to take marching orders from the loony liberals in her party, it is another reminder she is going to follow Shaheen’s every move,” said Nathan Brand, spokesman for AR2 and former U.S. Sen. Kelly Ayotte campaign staffer.

Despite the political backlash for their decision not to confirm Gorsuch, Shaheen, Hassan, and even Schumer have used different rhetoric in the past about Supreme Court nominees.

Hassan penned an op-ed in the New Hampshire Union Leader last year, calling on the Senate to hold a hearing and vote to fill the Supreme Court vacancy left by the death of Justice Antonin Scalia

“As is often said, justice delayed is justice denied. A stalled Supreme Court will not move our country forward; it will only exacerbate the deep political divide and gridlock in Washington,” Hassan wrote.

There was also some confusion earlier this year on Shaheen’s comments about Gorsuch’s confirmation vote. On the Senate floor, she surprised many people when she said on February 7 that she would support an up-or-down vote.

“Unlike the Republican majority, I haven’t heard any Democrats saying we don’t think that Judge Gorsuch should get a hearing or that he should get an up-or-down vote,” she said. “Everybody I’ve talked to agrees he should get a hearing and an up-or-down vote.”

However, Ryan Nickel, Shaheen’s communications director, took to Twitter to correct the record saying she meant a cloture vote, or 60 “yeas” to be approved.

In a 2013 press conference, Schumer said Democrats prefer up-or-down votes, “no matter who’s in power.”

“We much prefer the risk of up-or-down votes in majority rule, than the risk of continued total obstruction. That is the bottom line, no matter who’s in power,” Schumer said.

Gorsuch is scheduled to receive a vote on April 7.

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The American Health Care Act (AHCA) was pulled Friday minutes before a vote was to take place on the bill in the U.S. House of Representatives, which essentially means Obamacare is here to stay.

House Republicans were shy of the votes needed to get the legislation passed, and defections from the conservative House Freedom Caucus, whose members didn’t think the “repeal and replace” bill went far enough, put it out of reach for President Donald Trump and House Speaker Paul Ryan.

After pulling the vote, Trump said that the “best thing we can do, politically speaking, is let Obamacare explode. It’s exploding right now. Almost all states have big problems.”

With no new health care plan in the foreseeable future, there are a couple of bills that New Hampshire lawmakers are expected to revisit that would make changes to Granite Staters’ health care.

Under AHCA, the Congressional Budget Office estimated that 14 million fewer people would be insured in the first year if it passed. Although it was unknown how many New Hampshire residents could have lost coverage under the plan, about 91,000 people had individual plans on the health exchanges as of February, according to state estimates. Also, 52,000 low-income people in New Hampshire who have insurance through Medicaid expansion were at risk.

It didn’t take long for the Granite State’s all-Democratic congressional delegation to praise the withdrawal of the AHCA, citing how much harm it would do to the state’s residents.

“It’s time for them to admit that while the Affordable Care Act is not perfect, it has made New Hampshire and the country healthier and is worth improving, rather than repealing,” U.S. Sen. Jeanne Shaheen said to WMUR.

U.S. Sen. Maggie Hassan also applauded the defeat of the bill.

“The failure of Trumpcare is good news for people across New Hampshire and America who would have faced higher costs for less care,” she said.

They also all said that Republicans and Democrats should work together to make improvements to former President Barack Obama’s Affordable Care Act (ACA).

“It’s time to have a serious discussion about improvements that can help our health care system work better for everyone,” U.S. Rep. Carol Shea-Porter said. “There’s so much more work to do if we can put partisanship aside and work for the good of our constituents. Let’s get to work.”

Since it appears Congress isn’t going to change health care, it’s now up to the states to make changes within the scope of the ACA, and that’s what the New Hampshire Legislature will do. Leaders of each state party also seem ready to tackle Medicaid expansion with bipartisanship, yet there appears to be some disagreement over when it should get done.

Gov. Chris Sununu said he had issues with the AHCA and he wanted flexibility under the law to allow states the power to implement the policy in ways that made sense to each state. He previously supported a block grant system for Medicaid, which would have capped the federal share, letting the states decide how to spend the dollars on care.

“The bill that’s been proposed in Congress gives us concerns on a lot of different levels,” Sununu said last week. “Expanded Medicaid is part of that discussion. There’s no doubt expanded Medicaid has provided [drug] recovery, treatment options for a lot of folks that otherwise may not have had that option available.”

New Hampshire was one of 31 states that expanded Medicaid under Obamacare. Former Democratic Gov. Maggie Hassan signed the plan into law in 2014 after working with Republican legislators to approve it in two-year increments. She signed the latest expansion bill in 2016. New Hampshire has more than 187,000 individuals enrolled in either traditional or expanded Medicaid, according to state health officials.

Now that block grants aren’t on the table anymore, New Hampshire lawmakers will figure out if they want to extend the program past 2018. The Senate tabled a bill last week, without debate, that would make Medicaid expansion permanent. Senate leadership said they wanted to see what happened with the AHCA before they debated Medicaid expansion in the state.

Senate Minority Leader Jeff Woodburn told NH1 News that “what we designed in a bipartisan fashion clearly has worked. Democrats are ready to move immediately.”

Senate Majority Leader Jeb Bradley said lawmakers shouldn’t rush into anything, especially since the New Hampshire Protection Health Program doesn’t expire until the end of next year.

“Even though the legislation in Washington was pulled and there’s no changes right now to federal guidelines for Medicaid Expansion, I think before we think about reauthorizing the current program, we need to make sure that’s exactly what’s going to happen in Washington that three or four or five months from now, they’re not coming back with a new health care bill,” Bradley told NH1 News. “If December comes and there are no changes to the ACA, that will guide us in what we’re going to do in terms of Medicaid Expansion next year. To me that’s the prudent way to do it. It’s what we did in 2016. We waited for the implementation to go forward in [2015]…So I continue to think doing it now is premature.”

Sununu has also previously indicated that he doesn’t want to continue kicking the can down the road with Medicaid expansion by renewing it every two years. He said he wants to find a long-term solution.

The right-leaning public policy group, Federalism in Action, released a 2016 study discussing the issue of long term care in New Hampshire and the challenges it will face in the future.

“New Hampshire is an apt harbinger of the country’s long-term care challenges. The state’s age 85 plus population will nearly quadruple in the next three and a half decades,” the report stated. “If its Medicaid long-term care expenditures for the elderly keep pace they’ll increase from $282 million per year to $1,047 million, more than one billion dollars every year. Sustainability at that level is highly dubious.”

It’s not immediately clear if New Hampshire lawmakers plan on taking the Medicaid expansion bill off the table in 2017 or will debate in 2018.

The N.H. Senate also tabled Senate Bill 149 last week that would allow out-of-state health insurance companies to operate in the Granite State without providing the benefits required under state law. It was tabled most likely to see what the federal government was going to do.

Significant questions still remain over what Obamacare would have in store for people with health insurance on the exchanges. Health experts are also curious about how the insurance industry will react in 2018. Will they stay or leave? What will rates be like? Minuteman Health in New Hampshire said it plans to be on the exchange in 2018, but no other health insurer has yet to say it would remain in the state.

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