Louisiana's secretary of health is against GOP Louisiana Sen. Bill Cassidy's health-care bill

Louisiana Secretary of Health Rebekah Gee sent a letter on Monday to Sen. Bill Cassidy (R-La.) expressing her "deep concerns" about his proposed Graham-Cassidy bill. "In its current form, the harm to Louisiana from this legislation far outweighs any benefit," Gee wrote about the health-care bill, which was introduced last week by Cassidy and Sen. Lindsey Graham (R-S.C.) as the Republican Party's last-ditch effort to repeal and replace ObamaCare.

Gee wrote that she's particularly concerned about the consequences that ending Medicaid expansion in 2020 would have for Cassidy's home state. She noted that in "only one year," Louisiana has been "able to provide more than 433,000 Louisianians with coverage, resulting in more than 100,000 primary care visits, tens of thousands of screenings for cancer, and thousands of new mental health services." "This would be a detrimental step backwards for Louisiana," she wrote, warning that the bill's proposal to end the expansion could cause "thousands" of Louisianians to "lose coverage and access."

She also worried that the Graham-Cassidy bill includes the "same per capita cuts" as the summer's failed health-care bill, which would have resulted "in profound cuts to Louisiana's most vulnerable citizens, including children, the disabled, and pregnant women." Also problematic, Gee wrote, is the fact that the plan makes it easier for states to waive essential health benefits and price protections for individuals with pre-existing conditions or "complex and costly conditions." "Finally, this bill, like ones before it, uniquely and disproportionally hurts Louisiana," she wrote.

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Republicans have until Sept. 30 to pass the bill with a majority vote. Three 'no' votes in the Senate would kill it. Already, Sen. Rand Paul (R-Ky.) has come out firmly as a 'no,' and Sen. Susan Collins (R-Maine) is expected to oppose it, too.

Read Gee's letter in full below. Becca Stanek