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Straight, No Chaser in the News: Evaluating the Next Version of Trumpcare – The Graham-Cassidy Bill (Includes Numbers for Your Senator)

By Jeffrey Sterling, MD September 16, 2019

 

The newest effort to repeal and replace the Affordable Care Act (aka Obamacare, ACA) is called the Graham-Cassidy Bill. Although the actual legislation has been clouded in secrecy, there are a few fundamentals that can be shared, and we’ll present them in Q&A format. Be reminded that this reform is meant to impact approximately 1/6th of the United States economy. We’ve done our best to prevent facts Straight, No Chaser style, so consider points that seem slanted self-evident truths and evaluate your reaction to them.

I. What’s a block grant? Let’s address both the facts and the spin. Block grants are a means for the federal government to cap expenses by taking a fixed amount of funds (typically what’s currently or historically being spent) and offering those same funds to individual states for their management. This isn’t a new idea. Republicans have been pushing block grants for Medicaid since the Reagan administration (1981). Block grants were notably used in converting welfare (Aid to Families with Dependent Children) away from an entitlement program in 1996. The spin (and the danger) is states would be allowed to manage those funds as they saw fit, which allows for either greater or lesser health protections, as well as innovation and restrictions. Simply put, states would be empowered to decide what services are offered and who would qualify for those services.

2. What would happen to Medicaid? In the block grant scenario, the amount would be capped with annual adjustments to account for inflation, but those amounts would not keep pace with the rate of medical inflation. In other words, states would eventually have less money with which to work. Furthermore, the proposal explicitly ends coverage for childless adults and ends the Medicaid expansion that occurred under Obamacare and currently covers 15 million adults. As such, there will be a massive redistribution away from states who opted into the ACA Medicaid expansion toward those that did not. Although the Congressional Budget Office hasn’t yet had time to score the Graham-Cassidy bill, in the past, it has opined that block grant proposals could cut Medicaid spending by as much as a third over the next decade. That’s not all. Most notoriously, the block grant would end after 2026. That’s right, in ten years the federal government would have to renew the grant, or states would need to replace every last federal dollar or roll back coverage even more. In other words, all funds currently assigned to Medicaid and the ACA would no longer be spent by the federal government in ten years under the currently proposed bill. Whether or not you believe in reducing costs, you should be quite concerned about the lack of market stability that represents, much less what’s going to happen to health care in 10 years. A conservative estimate is tens of millions of Americans will lose healthcare under any scenario of Graham-Cassidy.

3. How are preexisting conditions affected? Here’s the facts and the spin. Based on the best information available, states would be required to “offer” services to those with preexisting conditions. However, remember that services are actually provided by insurance companies. This bill neither addresses pricing nor mandates affordability to those covered. Thus, a health service could be offered, but it is probable that the price of coverage will become so high for the high-risk patient and those with preexisting conditions that they’ll either elect to or not be able to pay the cost. The nuances here allow competing interests to claim both that pre-existing conditions are or are not going to be covered.

4. Is this supported by the medical and public health communities? How about the public? Every conceivable apolitical sector, from hospitals, insurance companies, health organizations and the public are speaking out against this proposal. On Saturday, a joint press release was signed by multiple prominent medical organizations and insurance companies, united in opposition to the bill. Signing healthcare entities included the following: American Medical Association, American Academy of Family Physicians, Federation of American Hospitals, American Hospital Association, American Health Insurance Plans and the Blue Cross Blue Shield Association. Here is a quote from the press release: “While we sometimes disagree on important issues in health care, we are in total agreement that Americans deserve a stable healthcare market that provides access to high-quality care and affordable coverage for all… The Graham-Cassidy-Heller-Johnson bill does not move us closer to that goal. The Senate should reject it.” Only 24 percent of Americans support Graham-Cassidy, according to a new poll released Thursday by Public Policy Polling. Meanwhile, the public supports retaining the Affordable Care Act over replacing it with the proposed Graham-Cassidy bill by 56-33 percent in a new ABC News/Washington Post poll.

5. What’s going on with Obamacare (Affordable Care Act/ACA) these days? It actually is very much intact, although multiple executive orders have been enacted to weaken it (that will further the appearance and reality that it is flawed). The Trump administration has reduced advertising funds by 90% to announce enrollment, but you should know enrollment for 2018 starts November 1 and ends December 15.

6. Are there any women’s health concerns? It is implicit in the effort to rollback delivery of healthcare to the states that politics will play a role in multiple issues, including those of women’s health. It is explicitly of note that the Graham-Cassidy proposal eliminates federal funding to Planned Parenthood for one year.

7. How can I express my concern? What follows is an exhaustive list of contact numbers for your Senators. Media reporting suggests the number of calls hasn’t been close to that of previous efforts to repeal the ACA, so if you have a voice to share, you have until week’s end (Friday) to be heard.

StateSenatorOffice LocationPhone Number
AlabamaStrange, LutherBirmingham(205) 731-1500
AlabamaStrange, LutherHuntsville(256) 533-0979
AlabamaStrange, LutherMobile(251) 414-3083
AlabamaStrange, LutherMontgomery(334) 230-0698
AlabamaStrange, LutherWashington, D.C.(202) 224-4124
AlabamaStrange, LutherWiregrass(334) 792-4924
AlabamaShelby, RichardBirmingham(205) 731-1384
AlabamaShelby, RichardHuntsville(256) 772-0460
AlabamaShelby, RichardMobile(251) 694-4164
AlabamaShelby, RichardMontgomery(334) 223-7303
AlabamaShelby, RichardTuscaloosa(205) 759-5047
AlabamaShelby, RichardWashington, D.C.(202) 224-5744
AlaskaMurkowski, LisaAnchorage(907) 271-3735
AlaskaMurkowski, LisaFairbanks(907) 456-0233
AlaskaMurkowski, LisaJuneau(907) 586-7277
AlaskaMurkowski, LisaKenai(907) 283-5808
AlaskaMurkowski, LisaKetchikan(907) 225-6880
AlaskaMurkowski, LisaMat-Su Valley(907) 376-7665
AlaskaMurkowski, LisaWashington, D.C.(202) 224-6665
AlaskaSullivan, DanAnchorage(907) 271-5915
AlaskaSullivan, DanFairbanks(907) 456-0261
AlaskaSullivan, DanJuneau(907) 586-7277
AlaskaSullivan, DanKenai(907) 283-4000
AlaskaSullivan, DanKetchikan(907) 225-6880
AlaskaSullivan, DanMat-Su Valley(907) 357-9956
AlaskaSullivan, DanWashington, D.C.(202) 224-3004
ArizonaFlake, JeffPhoenix(602) 840-1891
ArizonaFlake, JeffTucson(520) 575-8633
ArizonaFlake, JeffWashington, D.C.(202) 224-4521
ArizonaMcCain, JohnPhoenix(602) 952-2410
ArizonaMcCain, JohnPrescott(928) 445-0833
ArizonaMcCain, JohnTucson(520) 670-6334
ArizonaMcCain, JohnWashington, D.C.(202) 224-2235
ArkansasBoozman, JohnEl Dorado(870) 863-4641
ArkansasBoozman, JohnFort Smith(479) 573-0189
ArkansasBoozman, JohnJonesboro(870) 268-6925
ArkansasBoozman, JohnLittle Rock(501) 372-7153
ArkansasBoozman, JohnLowell(479) 725-0400
ArkansasBoozman, JohnMountain Home(870) 424-0129
ArkansasBoozman, JohnStuttgart(870) 672-6941
ArkansasBoozman, JohnWashington, D.C.(202) 224-4843
ArkansasCotton, TomEl Dorado(870) 864-8582
ArkansasCotton, TomJonesboro(870) 933-6223
ArkansasCotton, TomLittle Rock(501) 223-9081
ArkansasCotton, TomSpringdale(479) 751-0879
ArkansasCotton, TomWashington, D.C.(202) 224-2353
CaliforniaFeinstein, DianneFresno(559) 485-7430
CaliforniaFeinstein, DianneLos Angeles(310) 914-7300
CaliforniaFeinstein, DianneSan Diego(619) 231-9712
CaliforniaFeinstein, DianneSan Francisco(415) 393-0707
CaliforniaFeinstein, DianneWashington, D.C.(202) 224-3841
CaliforniaHarris, KamalaFresno(916) 448-2787
CaliforniaHarris, KamalaLos Angeles(213) 894-5000
CaliforniaHarris, KamalaSacramento(916) 448-2787
CaliforniaHarris, KamalaSan Diego(619) 239-3884
CaliforniaHarris, KamalaSan Francisco(213) 894-5000
CaliforniaHarris, KamalaWashington, D.C.(202) 224-3553
ColoradoBennet, MichaelArkansas Valley(719) 542-7550
ColoradoBennet, MichaelDenver Metro(303) 455-7600
ColoradoBennet, MichaelFour Corners(970) 259-1710
ColoradoBennet, MichaelNorthern Colorado(970) 224-2200
ColoradoBennet, MichaelNorthwest/I-70W(970) 241-6631
ColoradoBennet, MichaelPikes Peak(719) 328-1100
ColoradoBennet, MichaelSan Luis Valley(719) 587-0096
ColoradoBennet, MichaelWashington, D.C.(202) 224-5852
ColoradoGardner, CoryColorado Springs(719) 632-6706
ColoradoGardner, CoryDenver(303) 391-5777
ColoradoGardner, CoryFort Collins(970) 484-3502
ColoradoGardner, CoryGrand Junction(970) 245-9553
ColoradoGardner, CoryGreeley(970) 352-5546
ColoradoGardner, CoryPueblo(719) 543-1324
ColoradoGardner, CoryWashington, D.C.(202) 224-5941
ColoradoGardner, CoryYuma(970) 848-3095
ConnecticutBlumenthal, RichardBridgeport(203) 330-0598
ConnecticutBlumenthal, RichardHartford(860) 258-6940
ConnecticutBlumenthal, RichardWashington, D.C.(202) 224-2823
ConnecticutMurphy, ChrisHartford(860) 549-8463
ConnecticutMurphy, ChrisWashington, D.C.(202) 224-4041
DelawareCarper, TomDover(302) 674-3308
DelawareCarper, TomGeorgetown(302) 856-7690
DelawareCarper, TomWashington, D.C.(202) 224-2441
DelawareCarper, TomWilmington(302) 573-6291
DelawareCoons, ChrisDover(302) 736-5601
DelawareCoons, ChrisWashington, D.C.(202) 224-5042
DelawareCoons, ChrisWilmington(302) 573-6345
FloridaNelson, BillBroward(954) 693-4851
FloridaNelson, BillFort Myers(239) 334-7760
FloridaNelson, BillJacksonville(904) 346-4500
FloridaNelson, BillMiami-Dade(305) 536-5999
FloridaNelson, BillOrlando(407) 872-7161
FloridaNelson, BillTallahassee(850) 942-8415
FloridaNelson, BillTampa(813) 225-7040
FloridaNelson, BillWashington, D.C.(202) 224-5274
FloridaNelson, BillWest Palm Beach(561) 514-0189
FloridaRubio, MarcoJacksonville(904) 398-8586
FloridaRubio, MarcoMiami(305) 418-8553
FloridaRubio, MarcoNaples(239) 213-1521
FloridaRubio, MarcoOrlando(407) 254-2573
FloridaRubio, MarcoPalm Beach(561) 775-3360
FloridaRubio, MarcoPensacola(850) 433-2603
FloridaRubio, MarcoTallahassee(850) 599-9100
FloridaRubio, MarcoTampa(813) 287-5035
FloridaRubio, MarcoWashington, D.C.(202) 224-3041
GeorgiaIsakson, JohnnyAtlanta(770) 661-0999
GeorgiaIsakson, JohnnyWashington, D.C.(202) 224-3643
GeorgiaPerdue, DavidAtlanta(404) 865-0087
GeorgiaPerdue, DavidWashington, D.C.(202) 224-3521
HawaiiHirono, MazieHawaii(808) 522-8970
HawaiiHirono, MazieWashington, D.C.(202) 224-6361
HawaiiSchatz, BrianHonolulu(808) 523-2061
HawaiiSchatz, BrianWashington, D.C.(202) 224-3934
IdahoCrapo, MikeEastern Idaho, North(208) 522-9779
IdahoCrapo, MikeEastern Idaho, South(208) 236-6775
IdahoCrapo, MikeIdaho State(208) 334-1776
IdahoCrapo, MikeNorth Idaho(208) 664-5490
IdahoCrapo, MikeNorth-Central Idaho(208) 743-1492
IdahoCrapo, MikeSouth-Central Idaho(208) 734-2515
IdahoCrapo, MikeWashington, D.C.(202) 224-6142
IdahoRisch, JimBoise(208) 342-7985
IdahoRisch, JimCoeur D’Alene(208) 667-6130
IdahoRisch, JimIdaho Falls(208) 523-5541
IdahoRisch, JimLewiston(208) 743-0792
IdahoRisch, JimPocatello(208) 236-6817
IdahoRisch, JimTwin Falls(208) 734-6780
IdahoRisch, JimWashington, D.C.(202) 224-2752
IllinoisDuckworth, TammyChicago(312) 886-3506
IllinoisDuckworth, TammyWashington, D.C.(202) 224-2854
IllinoisDurbin, RichardCarbondale(618) 351-1122
IllinoisDurbin, RichardChicago(312) 353-4952
IllinoisDurbin, RichardRock Island(309) 786-5173
IllinoisDurbin, RichardSpringfield(217) 492-4062
IllinoisDurbin, RichardWashington, D.C.(202) 224-2152
IndianaDonnelly, JoeEvansville(812) 425-5813
IndianaDonnelly, JoeFort Wayne(260) 420-4955
IndianaDonnelly, JoeHammond(219) 852-0089
IndianaDonnelly, JoeIndianapolis(317) 226-5555
IndianaDonnelly, JoeJeffersonville(812) 284-2027
IndianaDonnelly, JoeSouth Bend(574) 288-2780
IndianaDonnelly, JoeWashington, D.C.(202) 224-4814
IndianaYoung, ToddEvansville
IndianaYoung, ToddFort Wayne
IndianaYoung, ToddIndianapolis(317) 226-6700
IndianaYoung, ToddNew Albany(812) 542-4820
IndianaYoung, ToddWashington, D.C.(202) 224-5623
IowaErnst, JoniCedar Rapids(319) 365-4504
IowaErnst, JoniCouncil Bluffs(712) 352-1167
IowaErnst, JoniDavenport(563) 322-0677
IowaErnst, JoniDes Moines(515) 284-4574
IowaErnst, JoniSioux City(712) 252-1550
IowaErnst, JoniWashington, D.C.(202) 224-3254
IowaGrassley, ChuckCedar Rapids(319) 363-6832
IowaGrassley, ChuckCouncil Bluffs(712) 322-7103
IowaGrassley, ChuckDavenport(563) 322-4331
IowaGrassley, ChuckDes Moines(515) 288-1145
IowaGrassley, ChuckSioux City(712) 233-1860
IowaGrassley, ChuckWashington, D.C.(202) 224-3744
IowaGrassley, ChuckWaterloo(319) 232-6657
KansasMoran, JerryHays(785) 628-6401
KansasMoran, JerryManhattan(785) 539-8973
KansasMoran, JerryOlathe(913) 393-0711
KansasMoran, JerryPittsburg(620) 232-2286
KansasMoran, JerryWashington, D.C.(202) 224-6521
KansasMoran, JerryWichita(316) 631-1410
KansasRoberts, PatDodge City(620) 227-2244
KansasRoberts, PatOverland Park(913) 451-9343
KansasRoberts, PatTopeka(785) 295-2745
KansasRoberts, PatWashington, D.C.(202) 224-4774
KansasRoberts, PatWichita(316) 263-0416
KentuckyMcConnell, MitchBowling Green(270) 781-1673
KentuckyMcConnell, MitchFt. Wright(859) 578-0188
KentuckyMcConnell, MitchLexington(859) 224-8286
KentuckyMcConnell, MitchLondon(606) 864-2026
KentuckyMcConnell, MitchLouisville(502) 582-6304
KentuckyMcConnell, MitchPaducah(270) 442-4554
KentuckyMcConnell, MitchWashington, D.C.(202) 224-2541
KentuckyPaul, RandBowling Green(270) 782-8303
KentuckyPaul, RandCrescent Springs(859) 426-0165
KentuckyPaul, RandHopkinsville(270) 885-1212
KentuckyPaul, RandLexington(859) 219-2239
KentuckyPaul, RandLouisville(502) 582-5341
KentuckyPaul, RandOwensboro(270) 689-9085
KentuckyPaul, RandWashington, D.C.(202) 224-4343
LousianaCassidy, BillAlexandria(318) 448-7176
LousianaCassidy, BillBaton Rouge(225) 929-7711
LousianaCassidy, BillLafayette(337) 261-1400
LousianaCassidy, BillLake Charles(337) 493-5398
LousianaCassidy, BillMetairie(504) 838-0130
LousianaCassidy, BillMonroe(318) 324-2111
LousianaCassidy, BillShreveport(318) 798-3215
LousianaCassidy, BillWashington, D.C.(202) 224-5824
LousianaKennedy, JohnWashington, D.C.(202) 224-4623
MaineCollins, SusanAugusta(207) 622-8414
MaineCollins, SusanBangor(207) 945-0417
MaineCollins, SusanBiddeford(207) 283-1101
MaineCollins, SusanCaribou(207) 493-7873
MaineCollins, SusanLewiston(207) 784-6969
MaineCollins, SusanPortland(207) 780-3575
MaineCollins, SusanWashington, D.C.(202) 224-2523
MaineKing, AngusAugusta(207) 622-8292
MaineKing, AngusBangor(207) 945-8000
MaineKing, AngusPresque Isle(207) 764-5124
MaineKing, AngusScarborough(207) 883-1588
MaineKing, AngusWashington, D.C.(202) 224-5344
MarylandCardin, BenBaltimore(410) 962-4436
MarylandCardin, BenBowie(301) 860-0414
MarylandCardin, BenCumberland(301) 777-2957
MarylandCardin, BenRockville(301) 762-2974
MarylandCardin, BenSalisbury(410) 546-4250
MarylandCardin, BenSouthern Maryland(202) 870-1164
MarylandCardin, BenWashington, D.C.(202) 224-4524
MarylandVan Hollen, ChrisWashington, D.C.(202) 224-4654
MassachusettsMarkey, EdBoston(617) 565-8519
MassachusettsMarkey, EdFall River(508) 677-0523
MassachusettsMarkey, EdSpringfield(413) 785-4610
MassachusettsMarkey, EdWashington, D.C.(202) 224-2742
MassachusettsWarren, ElizabethBoston(617) 565-3170
MassachusettsWarren, ElizabethSpringfield(413) 788-2690
MassachusettsWarren, ElizabethWashington, D.C.(202) 224-4543
MichiganPeters, GaryDetroit(313) 226-6020
MichiganPeters, GaryGrand Rapids(616) 233-9150
MichiganPeters, GaryLansing(517) 377-1508
MichiganPeters, GaryMarquette(906) 226-4554
MichiganPeters, GaryRochester(248) 608-8040
MichiganPeters, GarySaginaw(989) 754-0112
MichiganPeters, GaryTraverse City(231) 947-7773
MichiganPeters, GaryWashington, D.C.(202) 224-6221
MichiganStabenow, DebbieFlint/Saginaw Bay(810) 720-4172
MichiganStabenow, DebbieMid-Michigan(517) 203-1760
MichiganStabenow, DebbieNorthern Michigan(231) 929-1031
MichiganStabenow, DebbieSoutheast Michigan(313) 961-4330
MichiganStabenow, DebbieUpper Peninsula(906) 228-8756
MichiganStabenow, DebbieWashington, D.C.(202) 224-4822
MichiganStabenow, DebbieWest Michigan(616) 975-0052
MinnesotaFranken, AlDuluth(218) 722-2390
MinnesotaFranken, AlMoorhead(218) 284-8721
MinnesotaFranken, AlRochester(507) 288-2003
MinnesotaFranken, AlSaint Paul(651) 221-1016
MinnesotaFranken, AlWashington, D.C.(202) 224-5641
MinnesotaKlobuchar, AmyMetro(612) 727-5220
MinnesotaKlobuchar, AmyNortheastern(218) 741-9690
MinnesotaKlobuchar, AmyNorthwestern & Central(218) 287-2219
MinnesotaKlobuchar, AmySouthern(507) 288-5321
MinnesotaKlobuchar, AmyWashington, D.C.(202) 224-3244
MississippiCochran, ThadGulf Coast(228) 867-9710
MississippiCochran, ThadJackson(601) 965-4459
MississippiCochran, ThadOxford(662) 236-1018
MississippiCochran, ThadWashington, D.C.(202) 224-5054
MississippiWicker, RogerGulfport(228) 871-7017
MississippiWicker, RogerHernando(662) 429-1002
MississippiWicker, RogerJackson(601) 965-4644
MississippiWicker, RogerTupelo(662) 844-5010
MississippiWicker, RogerWashington, D.C.(202) 224-6253
MissouriBlunt, RoyCape Girardeau(573) 334-7044
MissouriBlunt, RoyColumbia(573) 442-8151
MissouriBlunt, RoyKansas City(816) 471-7141
MissouriBlunt, RoySpringfield(417) 877-7814
MissouriBlunt, RoySt. Louis/Clayton(314) 725-4484
MissouriBlunt, RoyWashington, D.C.(202) 224-5721
MissouriMcCaskill, ClaireCape Girardeau(573) 651-0964
MissouriMcCaskill, ClaireColumbia(573) 442-7130
MissouriMcCaskill, ClaireKansas City(816) 421-1639
MissouriMcCaskill, ClaireSpringfield(417) 868-8745
MissouriMcCaskill, ClaireSt. Louis(314) 367-1364
MissouriMcCaskill, ClaireWashington, D.C.(202) 224-6154
MontanaDaines, SteveBillings(406) 245-6822
MontanaDaines, SteveBozeman(406) 587-3446
MontanaDaines, SteveGreat Falls(406) 453-0148
MontanaDaines, SteveHardin(406) 665-4126
MontanaDaines, SteveHelena(406) 443-3189
MontanaDaines, SteveKalispell(406) 257-3765
MontanaDaines, SteveMissoula(406) 549-8198
MontanaDaines, SteveSidney(406) 482-9010
MontanaDaines, SteveWashington, D.C.(202) 224-2651
MontanaTester, JonBillings(406) 252-0550
MontanaTester, JonBozeman(406) 586-4450
MontanaTester, JonButte(406) 723-3277
MontanaTester, JonGlendive(406) 365-2391
MontanaTester, JonGreat Falls(406) 452-9585
MontanaTester, JonHelena(406) 449-5401
MontanaTester, JonKalispell(406) 257-3360
MontanaTester, JonMissoula(406) 728-3003
MontanaTester, JonWashington, D.C.(202) 224-2644
NebraskaFischer, DebKearney(308) 234-2361
NebraskaFischer, DebLincoln(402) 441-4600
NebraskaFischer, DebNorfolk(402) 200-8816
NebraskaFischer, DebOmaha(402) 391-3411
NebraskaFischer, DebScottsbluff(308) 630-2329
NebraskaFischer, DebWashington, D.C.(202) 224-6551
NebraskaSasse, BenKearney(308) 233-3677
NebraskaSasse, BenLincoln(402) 476-1400
NebraskaSasse, BenOmaha(402) 550-8040
NebraskaSasse, BenScottsbluff(308) 632-6032
NebraskaSasse, BenWashington, D.C.(202) 224-4224
NevadaCortez Masto, CatherineLas Vegas(702) 388-5020
NevadaCortez Masto, CatherineReno(775) 686-5750
NevadaCortez Masto, CatherineWashington, D.C.(202) 224-3542
NevadaHeller, DeanLas Vegas(702) 388-6605
NevadaHeller, DeanReno(775) 686-5770
NevadaHeller, DeanWashington, D.C.(202) 224-6244
New HampshireHassan, MaggieManchester(603) 622-2204
New HampshireHassan, MaggieWashington, D.C.(202) 224-3324
New HampshireShaheen, JeanneBerlin(603) 752-6300
New HampshireShaheen, JeanneClaremont(603) 542-4872
New HampshireShaheen, JeanneDover(603) 750-3004
New HampshireShaheen, JeanneKeene(603) 358-6604
New HampshireShaheen, JeanneManchester(603) 647-7500
New HampshireShaheen, JeanneNashua(603) 883-0196
New HampshireShaheen, JeanneWashington, D.C.(202) 224-2841
New JerseyBooker, CoryCamden(856) 338-8922
New JerseyBooker, CoryNewark(973) 639-8700
New JerseyBooker, CoryWashington, D.C.(202) 224-3224
New JerseyMenendez, BobBarrington(856) 757-5353
New JerseyMenendez, BobNewark(973) 645-3030
New JerseyMenendez, BobWashington, D.C.(202) 224-4744
New MexicoHeinrich, MartinAlbuquerque(505) 346-6601
New MexicoHeinrich, MartinFarmington(505) 325-5030
New MexicoHeinrich, MartinLas Cruces(575) 523-6561
New MexicoHeinrich, MartinRoswell(575) 622-7113
New MexicoHeinrich, MartinSanta Fe(505) 988-6647
New MexicoHeinrich, MartinWashington, D.C.(202) 224-5521
New MexicoUdall, TomAlbuquerque(505) 346-6791
New MexicoUdall, TomCarlsbad(575) 234-0366
New MexicoUdall, TomEastside(575) 356-6811
New MexicoUdall, TomLas Cruces(575) 526-5475
New MexicoUdall, TomSanta Fe(505) 988-6511
New MexicoUdall, TomWashington, D.C.(202) 224-6621
New YorkGillibrand, KirstenAlbany(518) 431-0120
New YorkGillibrand, KirstenBuffalo(716) 854-9725
New YorkGillibrand, KirstenHudson Valley(845) 875-4585
New YorkGillibrand, KirstenLong Island(631) 249-2825
New YorkGillibrand, KirstenNew York City(212) 688-6262
New YorkGillibrand, KirstenNorth Country(315) 376-6118
New YorkGillibrand, KirstenRochester(585) 263-6250
New YorkGillibrand, KirstenSyracuse(315) 448-0470
New YorkGillibrand, KirstenWashington, D.C.(202) 224-4451
New YorkSchumer, ChuckAlbany(518) 431-4070
New YorkSchumer, ChuckBinghamton(607) 772-6792
New YorkSchumer, ChuckBuffalo(716) 846-4111
New YorkSchumer, ChuckMelville(631) 753-0978
New YorkSchumer, ChuckNew York City(212) 486-4430
New YorkSchumer, ChuckPeekskill(914) 734-1532
New YorkSchumer, ChuckRochester(585) 263-5866
New YorkSchumer, ChuckSyracuse(315) 423-5471
New YorkSchumer, ChuckWashington, D.C.(202) 224-6542
North CarolinaBurr, RichardAsheville(828) 350-2437
North CarolinaBurr, RichardGastonia(704) 833-0854
North CarolinaBurr, RichardRocky Mount(252) 977-9522
North CarolinaBurr, RichardWashington, D.C.(202) 224-3154
North CarolinaBurr, RichardWilmington(910) 251-1058
North CarolinaBurr, RichardWinston-Salem(336) 631-5125
North CarolinaTillis, ThomCharlotte(704) 509-9087
North CarolinaTillis, ThomGreenville(252) 329-0371
North CarolinaTillis, ThomHendersonville(828) 693-8750
North CarolinaTillis, ThomHigh Point(336) 885-0685
North CarolinaTillis, ThomRaleigh(919) 856-4630
North CarolinaTillis, ThomWashington, D.C.(202) 224-6342
North DakotaHeitkamp, HeidiBismarck(701) 258-4648
North DakotaHeitkamp, HeidiDickinson(701) 225-0974
North DakotaHeitkamp, HeidiFargo(701) 232-8030
North DakotaHeitkamp, HeidiGrand Forks(701) 775-9601
North DakotaHeitkamp, HeidiMinot(701) 852-0703
North DakotaHeitkamp, HeidiWashington, D.C.(202) 224-2043
North DakotaHoeven, JohnBismarck(701) 250-4618
North DakotaHoeven, JohnFargo(701) 239-5389
North DakotaHoeven, JohnGrand Forks(701) 746-8972
North DakotaHoeven, JohnMinot(701) 838-1361
North DakotaHoeven, JohnWashington, D.C.(202) 224-2551
North DakotaHoeven, JohnWestern North Dakota(701) 580-4535
OhioBrown, SherrodCincinnati(513) 684-1021
OhioBrown, SherrodCleveland(216) 522-7272
OhioBrown, SherrodColumbus(614) 469-2083
OhioBrown, SherrodLorain(440) 242-4100
OhioBrown, SherrodWashington, D.C.(202) 224-2315
OhioPortman, RobCincinnati(513) 684-3265
OhioPortman, RobCleveland(216) 522-7095
OhioPortman, RobColumbus(614) 469-6774
OhioPortman, RobToledo(419) 259-3895
OhioPortman, RobWashington, D.C.(202) 224-3353
OklahomaInhofe, JimEnid(580) 234-5105
OklahomaInhofe, JimMcAlester(918) 426-0933
OklahomaInhofe, JimOklahoma City(405) 608-4381
OklahomaInhofe, JimTulsa(918) 748-5111
OklahomaInhofe, JimWashington, D.C.(202) 224-4721
OklahomaLankford, JamesOklahoma City(405) 231-4941
OklahomaLankford, JamesTulsa(918) 581-7651
OklahomaLankford, JamesWashington, D.C.(202) 224-5754
OregonMerkley, JeffBend(541) 318-1298
OregonMerkley, JeffEugene(541) 465-6750
OregonMerkley, JeffMedford(541) 608-9102
OregonMerkley, JeffPendleton(541) 278-1129
OregonMerkley, JeffPortland(503) 326-3386
OregonMerkley, JeffSalem(503) 362-8102
OregonMerkley, JeffWashington, D.C.(202) 224-3753
OregonWyden, RonBend(541) 330-9142
OregonWyden, RonEugene(541) 431-0229
OregonWyden, RonLa Grande(541) 962-7691
OregonWyden, RonMedford(541) 858-5122
OregonWyden, RonPortland(503) 326-7525
OregonWyden, RonSalem(503) 589-4555
OregonWyden, RonWashington, D.C.(202) 224-5244
PennsylvaniaCasey, BobCentral Pa(814) 357-0314
PennsylvaniaCasey, BobErie(814) 874-5080
PennsylvaniaCasey, BobHarrisburg(717) 231-7540
PennsylvaniaCasey, BobLehigh Valley(610) 782-9470
PennsylvaniaCasey, BobNortheastern(570) 941-0930
PennsylvaniaCasey, BobPhiladelphia(215) 405-9660
PennsylvaniaCasey, BobPittsburgh(412) 803-7370
PennsylvaniaCasey, BobWashington, D.C.(202) 224-6324
PennsylvaniaToomey, PatAllentown/Lehigh Valley(610) 434-1444
PennsylvaniaToomey, PatErie(814) 453-3010
PennsylvaniaToomey, PatHarrisburg(717) 782-3951
PennsylvaniaToomey, PatJohnstown(814) 266-5970
PennsylvaniaToomey, PatPhiladelphia(215) 241-1090
PennsylvaniaToomey, PatPittsburgh(412) 803-3501
PennsylvaniaToomey, PatScranton(570) 941-3540
PennsylvaniaToomey, PatWashington, D.C.(202) 224-4254
Rhode IslandReed, JackCranston(401) 943-3100
Rhode IslandReed, JackProvidence(401) 528-5200
Rhode IslandReed, JackWashington, D.C.(202) 224-4642
Rhode IslandWhitehouse, SheldonProvidence(401) 453-5294
Rhode IslandWhitehouse, SheldonWashington, D.C.(202) 224-2921
South CarolinaGraham, LindseyGolden Corner(864) 646-4090
South CarolinaGraham, LindseyLowcountry(843) 849-3887
South CarolinaGraham, LindseyMidlands(803) 933-0112
South CarolinaGraham, LindseyPee Dee(843) 669-1505
South CarolinaGraham, LindseyPiedmont(803) 366-2828
South CarolinaGraham, LindseyUpstate(864) 250-1417
South CarolinaGraham, LindseyWashington, D.C.(202) 224-5972
South CarolinaScott, TimLowcountry(843) 727-4525
South CarolinaScott, TimMidlands(803) 771-6112
South CarolinaScott, TimUpstate(864) 233-5366
South CarolinaScott, TimWashington, D.C.(202) 224-6121
South DakotaRounds, MikeAberdeen(605) 225-0366
South DakotaRounds, MikePierre(605) 224-1450
South DakotaRounds, MikeRapid City(605) 343-5035
South DakotaRounds, MikeSioux Falls(605) 336-0486
South DakotaRounds, MikeWashington, D.C.(202) 224-5842
South DakotaThune, JohnAberdeen(605) 225-8823
South DakotaThune, JohnRapid City(605) 348-7551
South DakotaThune, JohnSioux Falls(605) 334-9596
South DakotaThune, JohnWashington, D.C.(202) 224-2321
TennesseeAlexander, LamarChattanooga(423) 752-5337
TennesseeAlexander, LamarJackson(731) 664-0289
TennesseeAlexander, LamarKnoxville(865) 545-4253
TennesseeAlexander, LamarMemphis(901) 544-4224
TennesseeAlexander, LamarNashville(615) 736-5129
TennesseeAlexander, LamarTri-Cities(423) 325-6240
TennesseeAlexander, LamarWashington, D.C.(202) 224-4944
TennesseeCorker, BobChattanooga(423) 756-2757
TennesseeCorker, BobJackson(731) 664-2294
TennesseeCorker, BobKnoxville(865) 637-4180
TennesseeCorker, BobMemphis(901) 683-1910
TennesseeCorker, BobNashville(615) 279-8125
TennesseeCorker, BobTri-Cities(423) 753-2263
TennesseeCorker, BobWashington, D.C.(202) 224-3344
TexasCornyn, JohnCentral Texas(512) 469-6034
TexasCornyn, JohnEast Texas(903) 593-0902
TexasCornyn, JohnNorth Texas(972) 239-1310
TexasCornyn, JohnSouth Central Texas(210) 224-7485
TexasCornyn, JohnSouth Texas(956) 423-0162
TexasCornyn, JohnSoutheast Texas(713) 572-3337
TexasCornyn, JohnWashington, D.C.(202) 224-2934
TexasCornyn, JohnWest Texas(806) 472-7533
TexasCruz, TedCentral Texas(512) 916-5834
TexasCruz, TedEast Texas(903) 593-5130
TexasCruz, TedNorth Texas(214) 599-8749
TexasCruz, TedSouth Texas(956) 686-7339
TexasCruz, TedSouth/Central Texas(210) 340-2885
TexasCruz, TedSoutheast Texas(713) 718-3057
TexasCruz, TedWashington, D.C.(202) 224-5922
UtahHatch, OrrinCedar City(435) 586-8435
UtahHatch, OrrinOgden(801) 625-5672
UtahHatch, OrrinProvo(801) 375-7881
UtahHatch, OrrinSalt Lake City(801) 524-4380
UtahHatch, OrrinSt. George(435) 634-1795
UtahHatch, OrrinWashington, D.C.(202) 224-5251
UtahLee, MikeOgden(801) 392-9633
UtahLee, MikeSalt Lake City(801) 524-5933
UtahLee, MikeSt. George(435) 628-5514
UtahLee, MikeWashington, D.C.(202) 224-5444
VermontLeahy, PatrickBurlington(802) 863-2525
VermontLeahy, PatrickMontpelier(802) 229-0569
VermontLeahy, PatrickWashington, D.C.(202) 224-4242
VermontSanders, BernieBurlington(802) 862-0697
VermontSanders, BernieSt. Johnsbury(802) 748-9269
VermontSanders, BernieWashington, D.C.(202) 224-5141
VirginiaKaine, TimAbingdon(276) 525-4790
VirginiaKaine, TimManassas(703) 361-3192
VirginiaKaine, TimRichmond(804) 771-2221
VirginiaKaine, TimRoanoke(540) 682-5693
VirginiaKaine, TimVirginia Beach(757) 518-1674
VirginiaKaine, TimWashington, D.C.(202) 224-4024
VirginiaKaine, TimWashington, D.C.(202) 224-4024
VirginiaWarner, MarkAbingdon(276) 628-8158
VirginiaWarner, MarkNorfolk(757) 441-3079
VirginiaWarner, MarkRichmond(804) 775-2314
VirginiaWarner, MarkRoanoke(540) 857-2676
VirginiaWarner, MarkVienna(703) 442-0670
VirginiaWarner, MarkWashington, D.C.(202) 224-2023
WashingtonCantwell, MariaEverett(425) 303-0114
WashingtonCantwell, MariaRichland(509) 946-8106
WashingtonCantwell, MariaSeattle(206) 220-6400
WashingtonCantwell, MariaSpokane(509) 353-2507
WashingtonCantwell, MariaTacoma(253) 572-2281
WashingtonCantwell, MariaVancouver(360) 696-7838
WashingtonCantwell, MariaWashington, D.C.(202) 224-3441
WashingtonMurray, PattyEverett(425) 259-6515
WashingtonMurray, PattySeattle(206) 553-5545
WashingtonMurray, PattySpokane(509) 624-9515
WashingtonMurray, PattyTacoma(253) 572-3636
WashingtonMurray, PattyVancouver(360) 696-7797
WashingtonMurray, PattyWashington, D.C.(202) 224-2621
WashingtonMurray, PattyYakima(509) 453-7462
West VirginiaCapito, Shelley MooreBeckley(304) 347-5372
West VirginiaCapito, Shelley MooreCharleston(304) 347-5372
West VirginiaCapito, Shelley MooreMartinsburg(304) 262-9285
West VirginiaCapito, Shelley MooreMorgantown(304) 292-2310
West VirginiaCapito, Shelley MooreWashington, D.C.(202) 224-6472
West VirginiaManchin, JoeCharleston(304) 342-5855
West VirginiaManchin, JoeEastern Panhandle(304) 264-4626
West VirginiaManchin, JoeFairmont(304) 368-0567
West VirginiaManchin, JoeWashington, D.C.(202) 224-3954
WisconsinBaldwin, TammyEau Claire(715) 832-8424
WisconsinBaldwin, TammyGreen Bay(920) 498-2668
WisconsinBaldwin, TammyLa Crosse(608) 796-0045
WisconsinBaldwin, TammyMadison(608) 264-5338
WisconsinBaldwin, TammyMilwaukee(414) 297-4451
WisconsinBaldwin, TammyWashington, D.C.(202) 224-5653
WisconsinBaldwin, TammyWausau(715) 261-2611
WisconsinJohnson, RonMilwaukee(414) 276-7282
WisconsinJohnson, RonOshkosh(920) 230-7250
WisconsinJohnson, RonWashington, D.C.(202) 224-5323
WyomingBarrasso, JohnCasper(307) 261-6413
WyomingBarrasso, JohnCheyenne(307) 772-2451
WyomingBarrasso, JohnRiverton(307) 856-6642
WyomingBarrasso, JohnRock Springs(307) 362-5012
WyomingBarrasso, JohnSheridan(307) 672-6456
WyomingBarrasso, JohnWashington, D.C.(202) 224-6441
WyomingEnzi, MichaelCasper(307) 261-6572
WyomingEnzi, MichaelCheyenne(307) 772-2477
WyomingEnzi, MichaelCody(307) 527-9444
WyomingEnzi, MichaelGillette(307) 682-6268
WyomingEnzi, MichaelJackson(307) 739-9507
WyomingEnzi, MichaelWashington, D.C.(202) 224-3424

Feel free to ask your SMA expert consultant any questions you may have on this topic.
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