Last year we had what we hope will be the last significant legislative effort to repeal and replace the Affordable Care Act. The culmination came just a few days before Christmas with the signing of a bill undoing a major element of the ACA. It didn’t have any words like “healthcare” or “personal responsibility” in the title, but the Tax and Jobs Act, signed by President Trump on December 22, effectively eliminated the individual mandate as a spur for people to obtain coverage. The bill’s passage gave the majority their first legislative victory after nine years of efforts to kill the ACA. For those scoring at home, that puts the anti-ACA camp’s win-loss record at 1-70. Continue reading “It’s 2018 – and the ACA is Still Popular”
>Health & Disability Advocates stands in strong opposition to the steps President Trump has taken to undermine the vital consumer protections found in the Affordable Care Act. As a result of pushing federal agencies to expand the growth of association and short term insurance plans, coupled with his late night decision to end critical subsidy payments to insurers, people with complex conditions are now at greater risk than ever for higher premiums, lifetime caps, and losing coverage due to pre-existing conditions.
Health & Disability Advocates was disappointed that the House of Representatives passed HR 1628 – The American Health Care Act (AHCA). Despite assurances that the AHCA will ensure better coverage at less cost, the AHCA will instead:
- Cause an estimated 24 million people to lose coverage
- Give states the option to remove cost and coverage protections for people with pre-existing conditions
- Reduce Medicaid funding to all states by $880 billion over the next ten years
- Increase out-of-pocket costs for seniors
Congressional proposals have argued that states deserve more flexibility in their Medicaid programs.
But states already have great flexibility in their Medicaid programs.
Every state has its own Medicaid plan, which can be permanently altered. This series of informational briefs seeks to show in clear and simple ways how states can change the payments rates, services covered, benefits and benefit limits, and their cost-sharing in partnership with the federal government. We hope you find them helpful.
- Medicaid flexibility one-pagers
- Roundups of waivers pending/expiring: 1915(b) waivers • 1115 and 1332 waivers
Right now, Congress is weighing the merits of the “American Health Care Act” – the ACA repeal-and-replace bill. The Congressional Budget Office estimates 24 million would lose coverage. These are regular, middle-class people who would be left behind: older adults, people with disabilities, people with complex health needs. People like you and your neighbors. Read our statement
As you know, the Affordable Care Act is critically threatened. And these threats extend beyond the confines of the ACA to include attacks on Medicaid the overall federal-state healthcare system. Anticipated changes will dramatically affect people’s lives and shift the entire health care landscape.
That’s why we are creating this series of one-pagers, to show in clear and simple ways how the protections of the ACA affect everyday people’s lives in substantial ways.
The liquidation of Land of Lincoln Health is just the first of mounting hurdles for Illinois consumers and small-business owners shopping for health insurance coverage in the Affordable Care Act marketplace.
Not only do Illinois consumers wait longer than others across the country to see annual rate increases, but they also have fewer resources to help navigate the marketplace. The state’s budget morass means the two state agencies charged with protecting consumer interests and helping consumers connect with coverage options—the Department of Insurance and Get Covered Illinois—are underfunded and ill-prepared to serve the public.
Illinois just dodged a bullet with the outcome of King v. Burwell. If the Supreme Court had ruled against subsidies being challenged in the case, working people and families in the state collectively would have lost more than $49 million a month to help purchase health insurance.
In its decision, the court affirmed the legality of the provision of premium tax credits under the Patient Protection and Affordable Care Act in all states, whether they established their own health insurance marketplace or used the federal marketplace. Continue reading “Illinois Dodges Disaster on Supreme Court’s Obamacare Ruling”
HDA and the Chicago Department of Public Health have partnered to create a new initiative that hopes to maximize the health benefits and services that Chicago hospitals can bring to their communities.
Under the Affordable Care Act, charitable nonprofit hospitals are required to conduct community health Needs assessments and to implement community health improvement plans. The collaborative hopes to help hospitals better improve services for the populations they serve by working together and with other partners to implement plans that address common priorities identified in their assessments.
The much-anticipated “turnaround budget” from Illinois Gov. Bruce Rauner feels more like a “look back,” parading out failed ideas from past years. Rauner says this budget “preserves services to the state’s most vulnerable residents”—but a quick review suggests this is far from true. Instead, we see a budget that:
• Further decimates a fragile community mental health system
• Reduces access to lifesaving drugs for people living with HIV and prevention services for those at risk of HIV
• De-funds critical substance-abuse treatments
Continue reading “Rauner’s Budget is Bad Medicine for State’s Health Services”