Category Archives: Health Disease

Europe has an Unaccompanied Children Crisis Too

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New World Dis-Order

Unaccompanied child refugees: ‘These children aren’t seen as children’

A network of 30 European NGOs supporting missing and exploited children have come together to tackle the rising problem of missing refugee children

Guardian: Human smugglers increasingly combine smuggling with exploitation and their victims are often children,” says Federica Toscano. “At chaotic border situations, it happens that smugglers deliberately separate refugee children from their parents to exploit them.’’

“We also hear that families at the border between Greece and Macedonia have been forced to ‘pay’ smugglers with one of their children,” continues Toscano. “Smugglers have come to realise they can make much more profit by taking advantage of vulnerable people. And the most vulnerable people are children.”

Toscano is well-placed to know. She works for Missing Children Europe, a network of thirty European NGOs that are active in the field of missing and sexually exploited children. Since its foundation in 2001, MCE has focussed on different groups of missing children (pdf). Half of the cases of children that disappear in Europe are runaways: those who run away from home or institutions after a history of violence or abuse. More than a third are abducted by parents.

Related reading: Invisible refugees: ‘You are the only organisation that has ever visited us’ 

But the most recent category is unaccompanied child refugees. “This group only makes up 2% of cases, which is a low percentage,” says Delphine Moralis, the secretary general of MCE, “but that doesn’t say anything about the magnitude of the problem. These children are seldom reported as missing. That’s why we find it so important to focus on this problem too.’’

Earlier this year Europol stated that at least 10,000 unaccompanied child refugees have gone missing in Europe. A recent EU report warned that these children have become targets for criminal gangs, who exploit them in the sex industry or force them to beg, steal or smuggle drugs.

But MCE believe the true number to be far higher than 10,000. Toscano says that “in Italy alone 5,000 refugee children have gone missing. And Germany reported that in 2015 almost 6,000 of these children have disappeared.’’

The organisation has been aware of the problem for some time. “As far back as 2005 a Belgian study showed that one fourth of unaccompanied children seeking asylum went missing within the first 48 hours upon arrival. So it’s no news to us.”

But for a whole range of reasons, many of these disappearances go unreported. “First of all, there’s no sense of urgency,” explains Toscano. “When a child refugee goes missing, the general assumption is that he or she has a plan, and that the child is resilient. The police and social services don’t feel the same sense of urgency as when the child is from their own country. They are not aware of the risks these children run, that they might fall victim to exploitation. So nothing is really done.’’

The lack of formal procedures when these children disappear is another problem. “Much depends on the goodwill of the single professional involved,” says Toscano. “There is no common system to collect information about missing children in Europe. There are good practices, but they’re very local. So the traffickers just go to another area.’’

MCE was founded fifteen years ago in 2001, when it became clear that European cooperation on this issue was seriously lacking. “I was working for a Belgian NGO at the time when two Belgian girls went missing,” says Moralis. “On the third day of their disappearance a judge called us and said: ‘We have no idea where these children are, they could be anywhere in Europe, we really need your help now.’ There was no other way to tackle the problem but by contacting one by one all the 309 European organisations working in this field. That’s when we realised it was necessary to create a network of contact points for missing children.”

The organisation facilitates training of professionals to respond better to the disappearance of child refugees. It also exerts pressure on European institutions to provide clear rules and legislation to protect these children. This year, MCE has published a handbook (pdf) on good practises to help prevent and respond to unaccompanied children going missing.

“We try to be as practical as possible,” says Toscano. “You can do so much to prevent a child from disappearing. Just a simple example: when a child arrives in a shelter and is given food, he may think he has to pay for it. When he has no money, he will try to escape as soon as possible. Workers should take time to explain everything to the child … Sometimes these children don’t even realise it when they are exploited. Their traffickers tell them all kinds of lies to make them extra vulnerable. They say: watch out for authorities, they will lock you up.’’

They also closely monitor development throughout Europe. Toscano has been collecting information on missing children in Europe through the EU co-funded SUMMIT project (pdf). This included a study into interagency cooperation around unaccompanied migrant children done through surveys and interviews with hotlines for missing children, professionals at refugee reception centres, guardians and law enforcement in the UK, Italy, Greece, Cyprus, Spain, Belgium and Ireland.

As a result they are hearing from the frontlines. “We know that there are networks of child traffickers that operate in different countries,” says Toscano. “For example, when a refugee child has been exploited in Eritrea and claims asylum in the Netherlands, there will be another criminal gang waiting to exploit him there. Traffickers have excellent lines of communication. When a child has a history of trafficking, the risk that he will be trafficked again is very high.”

According to Moralis, the closing of borders means that lots of refugees are stuck in bad conditions: “This makes them more vulnerable and creates more opportunities for criminals. How is it possible that all this is going on in Europe and nobody seems to know where these children are?”

“Our main aim is to raise awareness that these children are children,” says Toscano. “It’s very simple. You’d think that everyone would be aware of this, but it is certainly not the case. Not for authorities, not for members of the civil society, nor for the general public. These children usually aren’t seen as children, but as people who just come here and use resources that we want to use for something else.’’

Migrants linked to 69,000 would-be or actual crimes in Germany

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Inviting in people of unknown backgrounds under the banner of humanitarian objectives is a dangerous policy, when innocent citizens are victims. This is occurring in the United States with wild abandon, yet apathy reigns and there are no real grass-roots efforts to demand and restore order or security.

Even if cases go to court, the judicial systems in Europe and in the United States render feeble sentences which is worse and almost no one is deported. Discretionary application of the law for the sake of an alleged culture, humanity and for refugee/asylum conditions with grow instability, clog and corrupt processes and cause illness or death.

Below, in the case of Germany the publication of this condition translate to a situation that is likely worse than actually being reported especially when Merkel had control over a media blackout.

Migrants linked to 69,000 would-be or actual crimes in Germany in first three months of 2016: police

Reuters: Migrants in Germany committed or tried to commit some 69,000 crimes in the first quarter of 2016, according to a police report that could raise unease, especially among anti-immigrant groups, about Chancellor Angela Merkel’s liberal migrant policy.

Immigrants are escorted by German police to a registration centre, after crossing the Austrian-German border in Wegscheid near Passau, Germany, October 20, 2015. REUTERS/Michael Dalder

There was a record influx of more than a million migrants into Germany last year and concerns are now widespread about how Europe’s largest economy will manage to integrate them and ensure security.

The report from the BKA federal police showed that migrants from northern Africa, Georgia and Serbia were disproportionately represented among the suspects.

Absolute numbers of crimes committed by Syrians, Afghans and Iraqis – the three biggest groups of asylum seekers in Germany – were high but given the proportion of migrants that they account for, their involvement in crimes was “clearly disproportionately low”, the report said.

It gave no breakdown of the number of actual crimes and of would-be crimes, nor did it state what percentage the 69,000 figure represented with respect to the total number of crimes and would-be crimes committed in the first three months of 2016.

The report stated that the vast majority of migrants did not commit any crimes.

It is the first time the BKA has published a report on crimes committed by migrants containing data from all of Germany’s 16 states, so there is no comparable data.

The report showed that 29.2 percent of the crimes migrants committed or tried to commit in the first quarter were thefts, 28.3 percent were property or forgery offences and 23 percent offences such as bodily harm, robbery and unlawful detention.

Drug-related offences accounted for 6.6 percent and sex crimes accounted for 1.1 percent.

In Cologne at New Year, hundreds of women said they were groped, assaulted and robbed, with police saying the suspects were mainly of North African and Arab appearance. Prosecutors said last week three Pakistani men seeking asylum in Germany were under investigation after dozens of women said they were sexually harassed at a music festival.

The number of crimes committed by migrants declined by more than 18 percent between January and March, however, according to the report.

Refugees with Active TB Arrived

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Eleven Refugees With Active TB Arrived in Florida After 2013

Eleven refugees with active tuberculosis (TB) were among more than 111,000 refugees who arrived in Florida during the three years between 2013 and 2015, according to a report the Florida Department of Health recently sent to Breitbart News.

Their active TB status was determined in medical screenings completed within 90 days of their arrival in the Sunshine State.

This news comes barely a week after Breitbart News reported that four refugees with active TB were sent to Indiana in 2015.

The Florida Department of Health provided a breakdown, by year of arrival, of the eleven refugees who arrived in Florida with active TB:

Number of refugees who completed domestic medical screening who were diagnosed with active TB at the time of that screening.

Year        Number Diagnosed with Active TB
2013                               5
2014                               5
2015                               1

Total                             11

Breitbart: The vast majority of these refugees who arrived in Florida between 2013 and 2015–104,000 of the 111,000– came from Cuba  under the “wet-foot, dry-foot policy,” the 1995 “amendment to the 1966 Cuban Adjustment Act. . . [that] gives migrants from Cuba special treatment that no other group of refugees or immigrants receives… [and] puts Cubans who reach U.S. soil on a fast track to permanent residency,” as Dan Moffett reports.

Only a small percentage of these 104,000 Cuban refugees–an estimated total of 3,000–entered as “traditional arrival” refugees, the program through which approximately 70,000 refugees per year enter the United States from over 100 different countries.

The remaining 111,000 Cuban refugees were classified as part of the additional 70,000 migrants who enter the United States annually and are designated as “other served populations” eligible to participate in refugee programs administered by the Office of Refugee Resettlement. Many in this group are classified by the federal government as “non-traditional arrivals,” a designation that includes “irregular maritime arrivals. . . and border crossers.”

In 2015, for instance, of the 140,093 total migrants who were eligible to be served by the refugee programs administered by the Office of Refugee Resettlement 69,933 were refugees, while 70,160 were “other served populations.”

Another small percentage of the 111,000 refugees who entered Florida between 2013 and 2015–a total of 7,000–entered through the “traditional arrival” refugee resettlement program administered by the Office of Refugee Resettlement from countries other than Cuba.

While all 10,000 refugees (3,000 from Cuba, 7,000 from other countries) who arrived in Florida between 2013 and 2015 through the “traditional arrival” refugee resettlement program were medically screened overseas prior to being approved to come to the U.S., the 101,000 Cubans who came to Florida under the category “others served by the refugee resettlement program” over the same period were not medically screened prior to their arrival in the U.S.

Most startling of all the information included in the Florida Department of Health data is that only two of the eleven refugees (18 percent) who arrived in Florida with active TB were included in the B1, B2, B3 refugee tuberculosis medical risk notifications sent to the Florida Department of Health by the CDC through the National Electronic Disease Notification System.

Total number of refugees who arrived with a B1, B2, or B3 tuberculosis notification who were diagnosed with active TB at the time of that screening, expressed as an absolute number and also as a percentage of notification of refugees screened.

Year         Number Diagnosed with Active TB          Percentage of Refugee Notifications
2013                                 1                                                              3.7%
2014                                 1                                                              2.4%
2015*                               0                                                               0%
* Preliminary data

The other nine refugees who arrived in Florida with active TB (82 percent) were most likely Cuban migrants in the category “others served by the refugee resettlement program” who were not medically screened overseas prior to their arrival in the U.S. It possible, however, that some of the non-Cubans who were given a clean bill of health by the CDC’s overseas medical screening program were in this latter  group.

When the CDC provides the Florida Department of Health with advance notifications for each “traditional arrival” refugee bound for Florida when they arrive at a U.S. port of entry, it also provides B1, B2, and B3 tuberculosis medical risk notifications for those “traditional arrival ” refugees carrying those classifications. The Florida Department of Health provided Breitbart News with the number of refugees who arrived with  B1,B2, and B3 medical risk notifications between 2013 and 2015:

Number of B1, B2, and B3 tuberculosis notifications sent to the Florida Department of Health by the CDC.

Arrival         Number of Refugees
2013                             61
2014                             80
2015                             92

Source: Electronic Disease Notification system (EDN)

Refugees who entered Florida with these medical risk notifications were from among the 10,000 “traditional arrival” refugees between 2013 and 2015, 3,000 from Cuba, and 7,000 from other countries. None of the 111,000 Cubans who entered Florida between 2013 and 2015 from the “others served by the refugee resettlement program” category were subject to these medical notifications, since none had been medically screened overseas.

Though the CDC has gone to great lengths to assure Americans that refugees do not present a tuberculosis health risk to them, the actual data from Florida and Indiana belie that claim.

As Breitbart News reported previously:

Refugees who are diagnosed in overseas medical screenings as having “active infectious tuberculosis” are classified as Class A medical risks, and are not allowed to migrate to the United States without a special waiver.

Refugees who are diagnosed as having something the CDC calls, in a classic bureaucratic oxymoron, “active tuberculosis – non-infectious,” are classified as Class B1 medical risks and are allowed to migrate to the United States.

According to the most recent 2007 standards provided by the CDC to the approximately 700 medical doctors who have been authorized by U.S. embassies or consulates overseas to be part of the U.S. Control Panels that perform overseas medical screenings of U.S. bound refugees, any refugee who (1) has a chest radiograph that suggests the presence of TB and has either (1) sputum smears that test positive or (2) sputum cultures that test positive, is categorized as a Class A medical risk.

Class B2 tuberculosis medical risks are refugees who complete the overseas medical screening and require “[l]atent tuberculosis infection evaluation .”

Class B3 tuberculsosis medical risks are refugees who complete the overseas medical screening and require “contact evaluation.”

The Florida Health Refugee Health Program Report for 2010 to 2012 explains why refugees from Cuba and Haiti are treated differently than those from other countries:

Most refugee arrivals in Florida enter through the Miami port of entry and resettle in Miami-Dade County. However, Florida is experiencing an increase in refugees arriving through the Chicago and New York City ports of entry.

The RHP (Florida Refugee Health Program) is notified in advance of traditional port of entry (i.e.,international airports and seaports) refugee arrivals by the Centers for Disease Control and Prevention’s (CDC’s) Electronic Disease Notification (EDN) System.

The RHP does not receive prior arrival notifications for non-traditional refugee arrivals such as primary asylees, irregular maritime arrivals, and border crossers who are eligible for refugee services.

Irregular maritime arrivals and border crosser populations refer to Cuban/Haitian entrants who may have arrived via water or land (U.S./Mexico or U.S./Canada border) and have received an immigration status that deems them eligible for refugee benefits.

The vast majority of Texas arrivals consisted of border-crossers.

Arrivals through non-traditional ports of entry increased dramatically between 2010 and 2012.

There were 338 (1.4%) non-traditional arrivals in 2010, 2,298 (8.8%) in 2011, and 8,229 (26.9%) in 2012. Non-traditional arrivals include both border-crossers and irregular maritime arrivals.

Border-crossers are Cuban/Haitian entrants who may have arrived via water or land (U.S./Mexico or U.S./Canada) and have received an immigration status that deems them eligible for refugee benefits, such as public interest parole…

Closely related to the trends in ports of entry for refugee arrivals are the trends in the immigration status of refugee arrivals. Although the term refugee is used throughout this report to encompass all eligible populations, there are 11 different immigration statuses represented in Florida’s arrivals.

Since 2010, parolees ( …individuals granted entry into the U.S. for humanitarian reasons or for emergent or compelling reasons of significant public benefit) have been the largest immigration status represented in the eligible arrival population in Florida, followed by refugees and asylees.

Many  Cuban refugees (the majority of whom are technically “parolees”) enter the United States by land, with Texas being the leading port of entry.  These individuals, along with Cuban refugees who are classified as “non-traditional maritime” arrivals are not medically screened prior to their arrival here.

As Pew Research reported:

Thousands of Cubans have migrated to the U.S. by land. Many fly to Ecuador because of the country’s liberal immigration policies, then travel north through Central America and Mexico. The majority of Cubans who entered the country arrived through the U.S. Border Patrol’s Laredo Sector in Texas, which borders Mexico. In fiscal 2015, two-thirds (28,371) of all Cubans came through this sector, an 82% increase from the previous fiscal year.

However, a larger percentage increase occurred in the Miami sector, which operates in several states, but primarily in Florida. The number of Cubans who entered in the Miami sector during fiscal 2015 more than doubled from the previous year, from 4,709 .

Over 80 percent of the more than 56,000 Cuban refugees and migrants who arrived in the United States in FY 2015 were resettled in Florida. Ten percent were resettled in Texas, while the remainder were resettled in other states.

In Florida, Cuban refugees and migrants account for well over 90 percent of all resettled refugees, as this breakdown of refugees arriving in the Sunshine State between 2013 and 2015, as provided to Breitbart News by the Florida Department of Health, shows:

FY 2013-2015 Arrivals,  By Country of Origin
Country                   2013              2014              2015              Total
Cuba                      29,506         31,443            43,681           104,630
Burma                         383              408                 467                1,258
Iraq                              481              577                  302               1,360
Haiti                             486             538                  189                1,213

Total                       31,906      33,978              45,907             111 ,791

NOTE: some of this data is still preliminary in nature.

Residents of the Sunshine State can take some comfort, however, in the fact that Florida has consistently had a very high rate–well over 90 percent–of arriving refugees who successfully complete their medical screenings within 90 days:

Total Arrivals, FY 2013 to FY 2015

Year                    Number of Arrivals Number Screened Percentage Screened
FY 13                            31,906                      29,838                   93.52%
FY 14                            33,978                      33,217                   97.76%
FY 15                           45,907                      44,672                    97.31%

This is just part of the TB refugee health data provided by the Florida Department of Health to Breitbart News, important information that is not made available to the public in many other states, particularly those like Tennessee where refugee resettlement operations are controlled by VOLAGs (voluntary agencies) selected by the Office of Refugee Resettlement under the statutorily questionable Wilson Fish alternative program.

The special treatment of Cuban refugees, however, may be coming to an end, a result of concerns over financial scandals reported in the resettlement program in Florida, as well as the re-establishment of formal relations with Cuba by the Obama administration in 2015.

Critics question why Cubans should not enter through the traditional refugee resettlement program like the 70,000 refugees resettled by ORR each year. Should that take place, Cuban refugees would then be subject to overseas medical screenings.

Since two of the eleven refugees who arrived in Florida with active TB between 2013 and 2015 went through that screening and were classified B1, B2, B3 tuberculosis medical risks cleared for entry into the U.S., it is not clear if adding overseas medical screenings to Cuban refugees will offer significant improvements to the public health risks Americans face from refugees who are now readily cleared by an obviously imperfect  medical screening system.

But, since nine of the eleven refugees who arrived with active TB between 2013 and 2015 were likely not subjected to overseas medical screening, adding overseas medical screenings as a requirement for entry for all Cuban refugees would not make the current flawed system worse.

The only sure-bet policy that could make the current system better, however, at least in terms of guaranteeing that no refugees arriving in the U.S. will increase the risk of Americans being infected with active or latent TB, would be to completely shut down the program and allow no refugees to enter.

Chemical Weapons in Iraq and Beyond

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During the first Gulf War, distribution was made to our soldiers for the protection of chemical weapons.

U.S. troops were frequently ordered to don their gas masks and protective suits. The term Mission Oriented Protective Posture (MOPP) refers to the amount of protective gear that troops are ordered to wear in response to an assessed chemical-warfare threat, and ranges from MOPP-0 (no protection) to MOPP-4 (the entire protective ensemble).

The incidents are recorded here by date, location and the type of chemical weapon. The Veterans Administration noted the types of risks and was careful omitting admission of chemical weapons, yet did include them on the website.

There was also congressional testimony in 1992/1993. One cannot ignore the in depth report the New York Times did about two years ago.

Soldiers Exposed to “Chemical Unknown” in Iraq not Getting Adequate FOIA Responses from DOD, and More: FRINFORMSUM 5/19/2016

May 19, 2016

 

The two-page 2003 Camp Taji Incident report -- released a dozen years after the dangerous exposure.

The two-page 2003 Camp Taji Incident report — released a dozen years after the dangerous exposure.

The Defense Department is telling soldiers that were exposed in 2003 to a “chemical unknown” in Taji, Iraq that it has no documents on the incident – after a decade of saying that documents on the event were classified.

C. J. Chivers of the The New York Times reported in May 2015 that, for over a decade, the US military denied FOIA requests on the chemicals soldiers were exposed to, resulting in chronic illnesses. The Army only released the two-page 2003 Camp Taji Incident report, written by the multinational Iraq Survey Group, after years of FOIA requests; the report found that the chemical soldiers came in contact with was a potentially fatal “carcinogen and poisonous chemical.” The Archive’s Director Tom Blanton told the Times in 2015 that, in addition to the secrecy trumping common sense, that “the outrage here is extraordinary.” Blanton noted, “Soldiers exposed to something really dangerous cannot find out what it was because ‘Sorry it’s classified’?” he said. “It’s creepy and it’s crazy.”

Now, according to reporting by Samantha Foster at the Topeka Capital-Journal, the Army is telling soldiers like Army Spc. Sparky Edwards and former Sgt. First Class Dennis Marcello that there are no documents on the chemical they were exposed to or the incident. Nate Jones, the Archive’s FOIA project director, notes that the DOD may be claiming to have no documents because they were possibly destroyed or misfiled during the war – or because the large, decentralized Defense Department genuinely doesn’t know where to look to find the records. Jones identifies this as a prime example of why FOIA requesters “must specify exactly where they want to search or risk the agency not going the extra mile” to find them, and that it is always a good idea to appeal a “no records” response.

According to Department of Justice statistics, last fiscal year an obscenely high 130,113 FOIA requests (16.9 percent of requests processed) were deemed to result in “no records” responses. As the Archive has learned, more often than not, appealing a “no records” response and explaining why you think the records exist and even suggesting which records (including the Washington Records Center –control f) the agency should search leads to more records being found. Link for citation is here.

As recently as last month, it was found that Islamic State had taken cached and reserve chemical weapons and made a new factory at Mosul University.

Just last week:

ISIS testing chemical weapons on prisoners and animals in grisly laboratories

VILE Islamic State (ISIS) jihadis are testing chemical weapons on its prisoners in grisly suburban laboratories, terrified Iraqi citizens have claimed.

ExpressUK: The sick militants are testing chlorine and mustard gas on its captives, in direct opposition to the Geneva Protocol’s war crime guidelines.

ISIS’s laboratories are located deep within its territory in the city of Mosul in northern Iraq.

 

The lunatic extremists are understood to be working frantically to improve its chemical and nuclear weapon capabilities, with plans to launch attacks in Iraq, Syria and on the West.

Abu Shaima, the head of ISIS’s chemical warfare unit, has now moved the operation away from the city’s university to residential areas like al-Mohandseen, which are surrounded by innocent civilian homes.

Concerned residents have reported several houses in the area have now been taken over by ISIS researchers, according to The Telegraph.

Chillingly, dozens of dead dogs and rabbits have also been found nearby, hinting at the cruel experiments taking place within, while nearby residents are suffering from breathing difficulties and rashes.

The extremists are believed to have seized chemicals and weapons from Syrian forces, with which they have already launched a devastating chemical attack on the Iraqi town of Taza.

That attack this March killed a three-year-old girl and injured 600 others, as well as highlighting the terror group’s chemical warfare intentions.

Hamish de Bretton-Gordon, formerly of the UK Chemical, Biological, Radiological and Nuclear Regiment, said: “ISIL’s chemical weapons operation has been heavily targeted – as is detailed in this report – and moving into residential areas is exactly what you would expect them to do now.

“Now we know the extent of the ISIL chemical and dirty bomb aspirations we must make doubly sure that our security in the UK is absolutely water-tight against this threat.”

Iraqi forces uncover an Islamic State weapon hideaway including gas canisters used to make homemade bombs. For the slide show on photos, go here.

*****

Chemical Agents as Weapons of Terror Rather Than as Weapons of Mass Destruction

In February 2012, the Director of the Defense Intelligence Agency identified that “terrorist organizations are working to acquire and employ chemical, biological, and radiological materials.”43 Many experts believe that it would be difficult for terrorist groups to use chemical agents as weapons of mass destruction. In 1993, the Office of Technology Assessment estimated that VX, the most lethal of nerve agents, spread uniformly and efficiently would require tons of material to kill 50% of the people in a 100 km2 area.44 On the other hand, chemical agents might be effectively used as weapons of terror in situations where limited or enclosed space might decrease the required amounts of chemical. That is, the use of the weapon itself, even if casualties are few, could cause fear that would magnify the attack’s effect beyond what would be expected based solely on the number of casualties. Full summary here.

 

Healthcare Provider Lawsuits v. Feds Begin

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Blue Cross insurer sues U.S. for funds owed under health care law

BusinessInsurance: Highmark Inc. and its subsidiaries have sued the federal government for failing to pay funds the insurers say they are owed through one of the Affordable Care Act’s public health insurance exchange safety net programs.

Pittsburgh-based Highmark, the fourth-largest Blue Cross and Blue Shield insurer, is demanding $222.9 million, which it argues it is owed through the ACA risk corridor program for 2014 losses, according to the lawsuit filed Tuesday in the U.S. Court of Federal Claims in Washington.

Highmark said the government has paid only $27.3 million of the total owed for 2014. In early April, Highmark President and CEO David Holmberg said during an analyst call that the insurer was owed more than $500 million from the risk corridor program for 2014 and 2015.

The risk corridor program is intended to help stabilize premiums by offsetting insurers’ losses during the first three years of the public health exchanges.

But the U.S. Centers for Medicare and Medicaid Services last year said it would pay only 12.6% of the money insurers requested for 2014 losses. CMS said the rest of the tab would be paid in 2015 and 2016 if necessary.

The suit accuses the government of breach of good faith and fair dealing among other allegations.

CMS could not be immediately reached for comment.

“The United States has specifically admitted in writing its statutory and regulatory obligations to pay the plaintiff insurers the full amount of risk corridor payments owed to them for calendar year 2014, but it has failed to pay the full amount due,” the lawsuit states.

“Instead, the government arbitrarily has paid the plaintiff insurers only a pro-rata share — less than 12.6% — of the total amount due, asserting that full payment to the plaintiff insurers is limited by available appropriations, even though no such limits appear anywhere in the ACA or its implementing regulations or in the plaintiff insurers’ contracts with the government.”

In a statement Monday, Mr. Holmberg said the Highmark has a “fiduciary responsibility to our 5.2 million health plan members to seek payment.”

Still, Mr. Holmberg said the insurer “remains committed” to the public health exchanges.

Highmark said it tried to negotiate with CMS, which the insurer said refused requests for full payment. It also said CMS has taken the position that “none of the risk corridor payments” for 2014, 2015 and 2016 are due until fall 2017 after the program has concluded.

The insurers involved in the lawsuit, First Priority Life Insurance Co. Inc. et al v. USA, include First Priority Life Insurance Co., Highmark BCBSD Inc., Highmark Inc., Highmark Select Resources Inc., Highmark West Virginia Inc., and HM Health Insurance Co.

In February, Lake Oswego, Oregon-based insurer Health Republic Insurance Co. of Oregon, which now is out of business, filed a $5 billion class action against the federal government for failing to make the risk corridor payments.

**** Good news?

Sessions, Cassidy to introduce ‘The World’s Greatest Health Care Bill. Ever’

FNC: House Rules Committee Chairman Pete Sessions, R-Texas, and Sen. Bill Cassidy, R-La., plan to introduce what they are terming an “alternative” health care bill Thursday which will not repeal ObamaCare, but work alongside the existing Affordable Care Act and modify various parts of the system.

 

The legislation is technically called the HELP Act, short for “Health Empowerment Liberty Plan.”  Sessions however prefers a less clinical moniker with a title infused with a dose of Donald Trump-esque hubris. Instead, the Texas Republican calls the legislation “The World’s Greatest Health Care Bill. Ever.”

Sessions notes that the legislation allows people to keep ObamaCare if they so desire, noting that his measure does not entail a full repeal of ObamaCare.

“Someone who repeals (ObamaCare) is left with nothing,” he said.

That’s why his bill works in tandem with the existing law.

Meanwhile, it does get worse.

UnitedHealth Quits 27th Obamacare State as Insurer to Exit N.J.

Bloomberg: UnitedHealth Group Inc. is exiting New Jersey’s Obamacare exchange, marking the 27th state market the insurer is quitting.

UnitedHealth’s Oxford Health Plans unit won’t participate in New Jersey’s individual market in 2017, on the Affordable Care Act exchange or elsewhere, according to a letter obtained by Bloomberg through an open-records request. Another unit will continue selling plans outside of Obamacare, and the company will keep offering coverage to small businesses, according to Marshall McKnight, a spokesman for New Jersey’s Department of Banking & Insurance.

Chief Executive Officer Stephen Hemsley said last month that UnitedHealth would only offer ACA plans in a “handful of states” for 2017, though the company hasn’t listed them. The company is retreating from the markets created by the ACA amid mounting losses on the policies. Bloomberg has confirmed that the insurer is exiting at least 27 of the 34 states where it sold 2016 coverage.

The company will still probably sell ACA plans in at least three states next year: New York and Nevada have confirmed UnitedHealth’s participation and the company has filed plans to participate in Virginia.

In addition to UnitedHealth, several other insurers offered plans in New Jersey last year, according to the Kaiser Family Foundation. They include Oscar Insurance Corp., AmeriHealth, Health Republic Insurance of New Jersey and Horizon Blue Cross Blue Shield of New Jersey.