HAP

Login to view your account.

Don't have an account? Click here.

Advocacy

Access to Care

ACA Repeal and Replace


The U.S. Senate’s Better Care Reconciliation Act of 2017 includes deep cuts to the Medicaid program, which serves nearly 2.8 million of Pennsylvania’s children, pregnant women, seniors, and individuals with disabilities. Please click here to contact our U.S. Senators and tell them how Medicaid has helped your hospital.


Pennsylvania hospitals have been committed to and engaged in health care reform efforts that have reduced the ranks of the uninsured and advanced the Triple Aim—improving overall health and the safety and quality of health care while reducing per capita U.S. health care spending. 

Federal policymakers are in the process of reconsidering the Affordable Care Act (ACA).

 

HAP has produced an interactive state map to help the public and policymakers understand the Affordable Care Act’s health care coverage impact in the state’s Congressional districts.

 

The hospital community has stood firm in its commitment to coverage and transformation. As such, any alternative to the ACA must:

  • Ensure continuity of coverage and care through access to a robust, competitive delivery system
  • Ensure stable and sufficient funding for hospitals
  • Maintain momentum in delivery system transformation and innovation

Leading into the 115th Congress, the Republican-controlled Congress and the incoming Trump Administration pledged to take swift action to repeal the ACA. Those advocating for repeal have cited key areas of concern with the law including federally imposed mandates, instability and rising prices under the health insurance marketplaces, and a greater role and financial responsibility of the federal government in health insurance coverage.

Congress is grappling with how to approach repealing the law, and what alternative health care reform policies to pursue.

Policy concepts to address coverage and Medicaid reform that have been contemplated by Republican policymakers include:

  • Market-oriented, consumer-driven mechanisms to expand coverage such as health savings accounts and refundable tax credits
  • Insurance Market Reforms—retaining some of the consumer protections of the ACA, or attempting to achieve similar means through alternative policies
  • High-risk pools and default options for the uninsured
  • Tax Treatment of Employer-Sponsored Coverage—replacing the current Cadillac tax with a cap on the exclusion for employer-sponsored insurance
  • Medicaid Reform—proposals to block grant or provide a per-capita allocation, and reform through waivers

Pennsylvania hospitals face significant implications if repeal is not coupled with adequate replacement policies:

  • Coverage: 1.1 million Pennsylvanians have benefit from health care coverage through the health insurance marketplace, Medicaid expansion, and dependent coverage. More than 412,000 Pennsylvanians have gained health insurance coverage through the marketplace, with 78 percent relying on subsidies, and from 2013 to 2016, 685,000 Pennsylvanians have secured coverage through Medicaid or the Children’s Health Insurance Program (CHIP). Millions of Pennsylvanians have also benefited from consumer protections secured as a result of the ACA—coverage for patients with pre-existing conditions, no lifetime limits, a minimum essential benefits package.
  • Funding to support care: A report, issued by the American Hospital Association (AHA) and Federation of American Hospitals, details the impact ACA repeal would have on hospitals and health systems nationwide. ACA-mandated hospital cuts will amount to $14.9 billion for Pennsylvania hospitals for the period of 2018 to 2026. Hospitals will need that funding to address the additional uncompensated care that will result from growing numbers of uninsured patients.

ACA IMPACT – INFORMATION AND RESOURCES

HAP President and CEO Andy Carter Letter to Pennsylvania Delegation (Download PDF) -3/22/17

SUMMARY: The American Health Care Act (Download PDF) - 3/1/17

PA Health Care Providers Letter to Pennsylvania Congressional Delegation (Download PDF) - 5/2/17

PRESENTATION: The American Health Care Act: Policy and Implications (Download PDF) - 3/28/17

Analysis of the CBO Report and Implications for Pennsylvania (News Article) - 3/13/17

AHA Letter to Members of Congress on AHCA (Download PDF) - 2/16/17

Report Card Health Care Transformation in PA (Download PDF) - 2/14/17

PRESENTATION | Fundamentals of Medicaid (MS PowerPoint) - 3/2/17

INFOGRAPHIC | Repealing the ACA: Coverage Consequences (Download PDF) - 3/17

Regional Economic Impact of Pennsylvania Hospitals and Health Systems (Download PDF | MS PowerPoint)    - 2/17

POSITION PAPER: Coverage Consequences (Download PDF) - 3/2/17

POSITION PAPER: Eliminating Medicaid Expansion (Download PDF) - 2/17/17

POSITION PAPER: Medicaid Financing Reform (Download PDF) - 2/17/17

POSITION PAPER: Health Care Transformation (Download PDF) - 3/1/17

NEW HAP POSITION: Medicaid DSH Payments (Download PDF) - 9/14/17

NEW POSITION PAPER: Repealing the ACA: Addressing Insurance Rate Increases (Download PDF) - 9/6/17

NEW POSITION PAPER: Repealing the ACA: Stabilizing the Insurance Market (Download PDF) - 9/6/17

NEW RESEARCH BRIEF: Extend Funding for S-CHIP (Download PDF) - 9/8/17

Health Care Transformation

By the Numbers: Health Care Transformation in PA (Download PDF) - 2/17/17

Health Care Transformation in Pennsylvania Before and During the Affordable Care Act (ACA) (Download PDF) - 2/17

Economic Impact

MAP | Projected Regional Economic Impact of Medicaid Expansion in 2016 (Download PDF | MS PowerPoint) - 2/17

Related News

Workshop Highlights Opioid Best Practices, Features Remarks from PA Secretary of Health by Rmoore@haponline.org

Hospital and health system clinical leaders, as well as members of the health care community, met today in Harrisburg to participate in an opioid workshop and discuss best practices and new ideas to address the crisis in Pennsylvania.

New Federal Proposal for Strengthening the Health Care Workforce to Respond to the Opioid Epidemic by admin

Newly introduced legislation, the Opioid Workforce Act of 2018, would strengthen the health care workforce’s ability to respond to the opioid crisis. The act incentivizes the training of physicians specialized in the treatment of substance abuse disorders and pain management. 

PA Launches Campaign to Build Awareness and Enrollment for CHIP by admin

Today, the Pennsylvania Department of Human Services (DHS) launched CHIP Strong, a public awareness campaign reminding families that get health coverage for their children through the Children’s Health Insurance Program (CHIP). The campaign’s federally funded television, radio, and social media messages highlight this high-quality health insurance, which includes dental and vision coverage.

Americans Less Confident They Can Pay for Their Health Care by admin

New findings from the Commonwealth Fund's Affordable Care Act (ACA) Tracking Survey show that Americans’ confidence in their ability to afford their health care continues to decline.

New Report Highlights Integrated Health Approach to Help Youth Impacted by Traumatic Events by jkissinger@haponline.org

A new report shows that nearly half of the nation’s children have experienced at least one traumatic event in their lifetime. An integrated health approach can help them cope and live healthier lives.

News Release: PHC4 Report Underscores Need for Financially Strong Hospital Community by Rmoore@haponline.org

News Release:  The latest analysis from the Pennsylvania Health Care Cost Containment Council (PHC4) underscores the need for the hospital community to remain financially strong.

HAP Statement: Pennsylvania’s Hospitals Provide Cutting-Edge Care and So Much More by Rmoore@haponline.org
Survey Finds Coverage Gains under ACA Beginning to Reverse by JCOLLINS@HAPONLINE.ORG

Findings from the latest Commonwealth Fund tracking survey demonstrate that the increased number of individuals covered by health insurance under the Affordable Care Act (ACA) is beginning to reverse.

AHA Opposes Short-Term, Limited-Duration Health Insurance Policies; Details Potentially Negative Impact in Comment Letter by cglessner@haponline.org

The American Hospital Association (AHA) this week submitted a comment letter to the Centers for Medicare & Medicaid Services, emphasizing concern surrounding a proposed federal rule amending the definition of short-term, limited-duration health insurance policies. The AHA cautioned the rule would undermine efforts to promote greater enrollment in coverage that provides vital consumer protections, ultimately reducing costs by balancing insurance market risk pools.

Financial Obstacles Preventing Some Americans from Getting Needed Health Care by cglessner@haponline.org

A new consumer study indicates that many Americans fear the high costs associated with a serious illness more than the illness itself; only 33 percent feared the illness more. Survey findings also identified serious disparities; Hispanic and black Americans and families with lower incomes had greater concerns about medical bills than other Americans did.

Related Blogs

Workshop Highlights Opioid Best Practices, Features Remarks from PA Secretary of Health by Rmoore@haponline.org

Hospital and health system clinical leaders, as well as members of the health care community, met today in Harrisburg to participate in an opioid workshop and discuss best practices and new ideas to address the crisis in Pennsylvania.

New Federal Proposal for Strengthening the Health Care Workforce to Respond to the Opioid Epidemic by admin

Newly introduced legislation, the Opioid Workforce Act of 2018, would strengthen the health care workforce’s ability to respond to the opioid crisis. The act incentivizes the training of physicians specialized in the treatment of substance abuse disorders and pain management. 

PA Launches Campaign to Build Awareness and Enrollment for CHIP by admin

Today, the Pennsylvania Department of Human Services (DHS) launched CHIP Strong, a public awareness campaign reminding families that get health coverage for their children through the Children’s Health Insurance Program (CHIP). The campaign’s federally funded television, radio, and social media messages highlight this high-quality health insurance, which includes dental and vision coverage.

Americans Less Confident They Can Pay for Their Health Care by admin

New findings from the Commonwealth Fund's Affordable Care Act (ACA) Tracking Survey show that Americans’ confidence in their ability to afford their health care continues to decline.

New Report Highlights Integrated Health Approach to Help Youth Impacted by Traumatic Events by jkissinger@haponline.org

A new report shows that nearly half of the nation’s children have experienced at least one traumatic event in their lifetime. An integrated health approach can help them cope and live healthier lives.

News Release: PHC4 Report Underscores Need for Financially Strong Hospital Community by Rmoore@haponline.org

News Release:  The latest analysis from the Pennsylvania Health Care Cost Containment Council (PHC4) underscores the need for the hospital community to remain financially strong.

HAP Statement: Pennsylvania’s Hospitals Provide Cutting-Edge Care and So Much More by Rmoore@haponline.org
Survey Finds Coverage Gains under ACA Beginning to Reverse by JCOLLINS@HAPONLINE.ORG

Findings from the latest Commonwealth Fund tracking survey demonstrate that the increased number of individuals covered by health insurance under the Affordable Care Act (ACA) is beginning to reverse.

AHA Opposes Short-Term, Limited-Duration Health Insurance Policies; Details Potentially Negative Impact in Comment Letter by cglessner@haponline.org

The American Hospital Association (AHA) this week submitted a comment letter to the Centers for Medicare & Medicaid Services, emphasizing concern surrounding a proposed federal rule amending the definition of short-term, limited-duration health insurance policies. The AHA cautioned the rule would undermine efforts to promote greater enrollment in coverage that provides vital consumer protections, ultimately reducing costs by balancing insurance market risk pools.

Financial Obstacles Preventing Some Americans from Getting Needed Health Care by cglessner@haponline.org

A new consumer study indicates that many Americans fear the high costs associated with a serious illness more than the illness itself; only 33 percent feared the illness more. Survey findings also identified serious disparities; Hispanic and black Americans and families with lower incomes had greater concerns about medical bills than other Americans did.

Learn

There are no events for this issue.

See all Access to Care events
« Close