Saturday, June 28, 2025

Protect & Improve Health Coverage: Supermajorities, Transparency & Value-Based Care

 

Safeguarding Affordable, High-Quality Health Care

American health coverage must be protected—no backsliding, no neglect. Here's how we can ensure healthcare remains affordable, comprehensive, and resilient:


🛡️ 1. Require Supermajority for Health-Related Bills

To prevent quick rollback of critical healthcare protections, any legislation affecting health insurance, patient rights, pre-existing conditions, or coverage standards would require a supermajority (60%) in Congress to pass—ensuring bipartisan support and safeguarding public trust.


💊 2. Reinforce ACA Protections

The Affordable Care Act guarantees essential benefits and prevents insurers from denying treatment due to pre-existing conditions myjournalcourier.com+1newyorker.com+1. We’ll codify these protections permanently and restore premium subsidies to prevent millions from losing coverage .


📈 3. Expand Value-Based Insurance Design

Encourage plans that reduce costs and improve outcomes by covering high-value care with minimal out-of-pocket expenses—while avoiding low-value services sanders.senate.gov+15en.wikipedia.org+15obamawhitehouse.archives.gov+15. This model boosts quality and affordability for patients.


📋 4. Enhance Transparency & Simplify Claims

Major insurers have pledged to reform prior-authorization processes cms.gov+4sfchronicle.com+4washingtonpost.com+4. We’ll turn that into law—requiring faster approvals, clearer communications, and standardized appeals. We’ll also mandate transparency in billing, so Americans understand their costs before receiving care.


🤝 5. Protect Medicaid, CHIP, Rural Hospitals

Support the Senate’s $25 billion stabilization fund for rural hospitals cms.gov+3sfchronicle.com+3kff.org+3politico.com and prevent cuts to Medicaid and CHIP. Federal audits and block grants will modernize and protect these lifelines .


Why This Matters for District 1

  • Nobody gets left behind—coverage won’t vanish with the next political shift.

  • Affordable care is real—value-based plans and transparency reduce costs.

  • Small towns saved—rural health systems and Medicaid funding remain strong.

  • Health care stays focused on people—supermajority ensures broad support.

National Coverage Plan: End Dead Zones & Protect Every SC District 1 Resident

 

Closing the Digital Divide: Real Solutions for Nationwide Coverage

Why It Matters

With nearly half of American homes relying solely on cell phones, wireless service has become essential—especially in emergencies en.wikipedia.org+5ooma.com+5relocation.com+5. Yet, many rural and urban areas still suffer from “dead zones”: dropped calls, failed texts, and no access to 911 wired.com. In a crisis, that gap can become a life-or-death issue.


🔧 Proposed Reforms for Full Coverage

  1. Expand Cell Towers & Small Cells
    Mandate carriers to fill gaps using strategies like AT&T’s small-cell trials, which have proven 100% coverage in test zones relocation.com+15wired.com+15reddit.com+15. Prioritize rural and highway coverage with targeted infrastructure grants.

  2. Enable Satellite Backup Services
    Support partnerships like the new T‑Mobile‑Starlink initiative, approved by the FCC, to deliver cell service via satellites—eliminating coverage gaps in rural or remote locations reuters.com+1theverge.com+1.

  3. Carrier Accountability & Transparency
    Require carriers to publicly report coverage blackspots and demonstrate concrete plans to fix them. If you're paying $150/month for 2 phones, you deserve reliable service everywhere—even off the beaten path.

  4. Support Lifeline & Low-Income Plans
    Expand FCC’s Lifeline program to provide discounted or free mobile services to low-income and rural households, ensuring no resident is left unreachable deadcellzones.comcellcoveragemapping.com+1theseniorlist.com+1phonearena.com+2en.wikipedia.org+2lively.com+2.

  5. Boost Building & In-Home Signal Support
    Encourage widespread deployment of cellular repeaters or femtocells in schools, nursing homes, and public buildings—addressing coverage gaps created by structure and terrain en.wikipedia.org+2ooma.com+2esim.holafly.com+2.


🛡️ The Public Safety Case

With 600+ dead zone complaints per million people in some regions deadzones.com+5esim.holafly.com+5deadcellzones.com+5, unreliable service isn’t just an annoyance—it’s a danger. By investing in next-gen infrastructure and satellite backup, and enforcing strict accountability, we ensure that every District 1 citizen can call for help anytime, anywhere.

FEMA & Insurance Reform: Faster Disaster Aid & Fairer Claims

 

Modernizing FEMA & Strengthening Insurance Protection

Why This Matters for District 1

With FEMA facing staff shortages, morale issues, and bureaucratic delays—especially after disasters like hurricanes—it’s clear the system needs urgent reform eelp.law.harvard.edu+15reuters.com+15facebook.com+15. Meanwhile, insurance companies are increasingly stalling payouts or canceling policies in high-risk areas, creating financial hardship just when communities need support most en.wikipedia.org. For SC District 1 and the entire nation, this is unacceptable—and my “FEMA & Insurance Reform Act” provides real solutions:


1. Make FEMA Fully Independent & Speed Up Assistance


2. Modernize Insurance—Cover Claims When They Matter

  • Mandatory prompt payouts: Require insurers to pay out validated claims within 60 days post-disaster. Denials must be specific and appealable.

  • Regulate market conduct: Expand the Federal Insurance Office’s authority to monitor private insurance, enforce consumer protections, and ensure claims are honored en.wikipedia.org.

  • Encourage parametric policies: Establish federally-backed index-insurance pilots for floods and wildfires—triggering fast, automatic payouts linked to storm data, reducing claim wait times and disputes .


3. Accountability, Transparency & Preparedness

  • Central tracking portal: Make all FEMA and insurance payments publicly visible—who received what and when—so taxpayers can hold agencies accountable .

  • Federal-Local partnership: Offer financial incentives to states that pre-submit disaster mitigation plans—rewarding preparation and lowering future response delays cbo.gov+15transportation.house.gov+15facebook.com+15.

  • Rebuild staff & training: Reverse recent FEMA layoffs by hiring new personnel and increasing training programs for emergency responders, especially ahead of wildfire/hurricane seasons .


🔥 What This Means for You

When Disaster StrikesUnder This Plan
FEMA delays responseFunds go directly to states to start rebuilding immediately
Insurance claim deniedMust receive fast, fair payout or clear appeal instructions
Smoke from wildfirePre-set index triggers instant relief
Taxpayer funds?Every dollar is tracked on a public site

With these reforms, SC District 1—and the entire U.S.—will receive faster assistance, fairer insurance payouts, and stronger disaster resilience.