Since efforts to repeal the ACA stalled out in Congress, the Trump Administration has used its administrative authority in an attempt to reshape Medicaid to be more in line with conservative arguments that employment is linked to better health outcomes and helps move people off Medicaid and out of poverty.
The Administration is giving the green light to states to condition Medicaid eligibility on meeting a work and/or community engagement requirement. Guidance from the Centers for Medicare & Medicaid Services has expressed a preference for following existing federal program work requirements found in programs like the Temporary Assistance for Needy Families (TANF), and the Supplemental Nutrition Assistance Program (SNAP). Continue reading “Work Requirements Don’t Solve Problems”
Smart Policy Works is pleased to see that an agreement in principle was reached that will re-open our government, fund the Children’s Health Insurance Program, and allow for the resumption of critical programs. We continue to stand with healthcare organizations, businesses, and leaders to express our grave concern about the effect of continued budget uncertainty will have on programs and services that support countless millions.
SPW has spent 25 years breaking down the barriers to healthcare access faced by millions with complex health conditions. Many of these barriers are created when policy is written and implemented in isolation, without consideration to its impact on the people it’s meant to support and how various health programs can work together to improve outcomes. Countless healthcare agencies and organizations rely on a stable policy framework to drive their operations and support the health of the people they serve. Addressing long-term budget issues with short-term continuations creates tremendous uncertainty, which then forces organizations to work in the short term as well.
We believe that a clear budget policy that seeks to broaden access to healthcare is the best solution for everyone. We will continue to evaluate actions in Washington and provide information that translates those actions into impacts at the federal, state, and local level.
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
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.
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.