Health Care Hub

Bills to Repeal or Reform the ACA and Major Considerations

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10/19/2017

Alexander-Murray Bipartisan Health Care Stabilization Bill

Bill Text and Section by Section
 
 

9/29/2017

FY 2018 Budget Resolution and Health Care

Talking Points

The 2018 Senate budget resolution released today would let the Senate repeal most of the Affordable Care Act (ACA) and/or adopt additional deep cuts to Medicaid with just 50 votes, while at the same time cutting taxes by $1.5 trillion or more for high-income households and corporations.

 
 

9/25/2017

Testimony - Hearing to Consider the Graham-Cassidy-Heller-Johnson Proposal

pdf File Testimony for the Hearing to Consider the Graham-Cassidy Proposal [download]
 
 

9/19/2017

Rushed Senate Consideration of Cassidy-Graham Would Be Designed to Hide Bills Severe Flaws

Commentary

Congressional Republicans are making a last-ditch effort to repeal the Affordable Care Act (ACA) through their latest plan, from Senators Bill Cassidy and Lindsey Graham, and reportedly are close to securing the votes of 50 senators needed to push the bill through the Senate before fast-track reconciliation instructions expire on September 30. Such a strategy would violate the principles of �regular order� even more egregiously than the non-transparent, partisan process under which Congress has considered previous repeal bills. It would amount to passing a poorly understood bill through the Senate within two weeks without comprehensive hearings, floor debate, or input from constituents � and without a full Congressional Budget Office (CBO) analysis of the bill�s impact on coverage, on Medicaid, on access for people with pre-existing conditions, on premiums and out-of-pocket costs for people with individual-market coverage, and on the stability of the individual market. House members would then vote on the bill with no opportunity for changes.

 
 

9/18/2017

Cassidy-Graham Proposal: A Deal So Terrible for American Families That Its Been Rejected Already by the Senate

DPCC
pdf File DPCC Graham-Cassidy Report [download]
 
 

9/18/2017

Letter from LA Secretary of Health re Concerns of Graham-Cassidy Bill

pdf File LA Secrtary of Health Letter re Graham-Cassidy [download]
 
 

9/18/2017

Like Other ACA Repeal Bills, Cassidy-Graham Plan Would Add Millions to Uninsured, Destabilize Individual Market

In releasing a revised version of their legislation to repeal and replace the Affordable Care Act (ACA), Senators Bill Cassidy and Lindsey Graham, along with co-sponsors Dean Heller and Ron Johnson, claimed that their bill isn�t a �partisan� approach and doesn�t include �draconian cuts.� In reality, however, the Cassidy-Graham bill would have the same harmful consequences as those prior bills. It would cause many millions of people to lose coverage, radically restructure and deeply cut Medicaid, eliminate or weaken protections for people with pre-existing conditions, and increase out-of-pocket costs for individual market consumers.

 
 

9/13/2017

New Graham-Cassidy Bill: A Last GOP Shot At ACA Repeal And Replace Through Reconciliation

On September 13, 2017, senators from opposing parties introduced two bills in the Senate embodying radically different approaches to health care reform. This post will analyze the non-Medicaid provisions of a block-grant bill introduced by Republican senators Lindsay Graham (SC), Bill Cassidy (LA), Ron Johnson (WI), and Dean Heller (NV) late morning. A later post will describe the single-payer bill introduced by independent senator Bernie Sanders (VT) and sixteen Democratic co-sponsors mid-afternoon, while a third post will address the Medicaid provisions of Graham-Cassidy.

 
 

9/13/2017

Section by Section of Graham-Cassidy Repeal Bill

Section by Section

 
 

7/9/2017

Graham-Cassidy Proposal: Gigantic Block Grants and Huge Health Care Cuts

Families USA

What�s in the Graham-Cassidy proposal?

 
 

6/29/2017

Analysis of Senate Bill BCRA

with consideration of HCBS

The Better Care Reconciliation Act (AHCA) proposes to cap Federal Medicaid reimbursements to the states on a per-enrollee basis, effectively limiting growth to a rate only modestly exceeding the rate of inflation. The cap would be set according to each state�s 2016 perenrollee spending, inflation-adjusted for each subsequent year. Caps would take effect in 2020. The inflation adjustment for 2016 to 2019 is the consumer price index for medical care (CPIMC) for all types of enrollees, including people with disabilities and seniors who receive HCBS. Between 2020 and 2024, adjustments depend on enrollment category: the adjustment for people with disabilities and seniors is set at CPI-MC plus 1 percentage point, and the adjustment for other enrollment categories is CPI-MC. Beginning in 2025, the inflation adjustment is greatly reduced to the Consumer Price Index for all items, which does not take into account the higher growth rate of healthcare costs.1 Over the past ten years, the growth in the Consumer Price Index for all items averaged 1.8 percent per year, and the CPI-MC increased by an average of 3.3 percent per year. For most people who receive HCBS, it is by far the largest component of their Medicaid spending. If the AHCA were to be enacted, it is reasonable to assume that most states would limit HCBS spending to the per-enrollee cap amount; otherwise, any excess comes entirely out of the state budget.

 
 

6/29/2017

AUCD Summary of Better Care Reconciliation Act

People with disabilities, especially those with severe disabilities, often rely on a complex array of supports across many areas of public policy to lead successful and productive lives in the community. They often rely on the Medicaid program to address these needs. Under the Senate proposal, funding cuts would, over time, exceed the $800 billion (over 10 years) approved by the House, and overall spending would be capped. Specifically, it proposes:

 
 

6/29/2017

Impact of Medicaid Caps in Alaska

Executive Summary Medicaid caps would severely impact spending on home and community-based services in Alaska, where more than 7,000 people rely on these services to remain in their homes, avoid institutionalization, and participate in their communities.

 
 

6/29/2017

Impact of Medicaid Caps in Arizona

Executive Summary Medicaid caps would heavily impact spending on home and community-based services in Arizona, where more than 45,000 people rely on these services to remain in their homes, avoid institutionalization, and participate in their communities.

 
 

6/29/2017

Impact of Medicaid Caps in Colorado

Executive Summary Medicaid caps would severely impact spending on home and community-based services in Colorado, where more than 29,000 people rely on these services to remain in their homes, avoid institutionalization, and participate in their communities.

 
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