Explains what Medicaid Section 1115 waivers are and how advocates can take advantage of new rules that give them a bigger voice in the waiver process.
Congress has left D.C. for the summer without passing legislation to repeal the Affordable Care Act (ACA) or cut Medicaid. Leadership and rank-and-file representatives and senators on both sides of the aisle appear to be looking past the repeal fight that has embattled Congress for the past year and looking ahead toward efforts to stabilize the insurance market. Are these overtures of bipartisanship to be believed? Are the ACA and Medicaid finally safe? As always, it’s complicated.
Coming off the Senate failure to repeal the Affordable Care Act (ACA) last week, President Trump has threatened an immediate cutoff of payments to insurance companies that support the reductions in the amount lower-income people must pay out of their own pockets for their marketplace plans. The president threatened to stop these cost-sharing reduction (“CSR”) payments both personally via Twitter and through multiple administration representatives.
We always believed in our hearts that it would not be possible for Congress to pass repeal—that we could stop these harmful efforts because too many people rely on the Affordable Care Act and Medicaid for it to be so easy to rip coverage away through a sweeping piece of legislation.
The House Republican bill to repeal the Affordable Care Act (ACA) and cut the Medicaid program would cause immediate and critical problems for American Indian and Alaska Native peoples. Repeal would take funding away from federally recognized tribes and tribal organizations that now provide comprehensive health services in Alaska.
On July 20, CBO scored the Senate’s third version of the Better Care Reconciliation Act (BCRA). The third time is not a charm. This iteration of the Senate bill would still gut the core Medicaid program, end the Medicaid expansion, dramatically increase deductibles and out-of-pocket costs, and take away health insurance from 22 million people.
Late last night, Senate Majority Leader McConnell announced that he will not hold a vote on the Better Care Reconciliation Act (BCRA), the bill that repeals and replaces the Affordable Care Act (ACA). Instead, McConnell now proposes to revive 2015 legislation that simply eliminates the ACA’s coverage provisions and funding mechanisms, without saying what would take their place.
See how the repeal bill currently making its way through Congress will affect seniors.
The postponed vote is proof of the power and impact of people around the country raising their voices and contacting their lawmakers about the harm this bill would cause.Your calls, letters, demonstrations, and story-telling are working!
This fight is not over. When Congress returns on July 10 from the July 4 recess, the Senate could quickly take up and pass a revised bill.
If the Senate passes a bill repealing the Affordable Care Act and cutting federal funding for Medicaid, the pain will not be limited only to people who rely on the ACA and Medicaid for health coverage. When millions lose health insurance, the burden of paying for the health care these now uninsured people need will end up hitting the rest of us – in the wallet.