Medicaid is US NASTAD Prevention & Care Technical Assistance Meeting July 20, 2017
Agenda • Introducing ACAP • Medicaid in BCRA, AHCA, & Other Proposals • State of Play • What We Can Do • Meanwhile, Back at the Ranch…
Introducing ACAP ACAP represents 60 Safety Net Health Plans , which provide health coverage to more than twenty million people in 29 states. Safety Net Health Plans serve their members through Medicaid, Medicare, the Children’s Health Insurance Program (CHIP), the Marketplace and other health programs. For more information, visit www.communityplans.net. ACAP’s mission is to strengthen not-for-profit Safety Net Health Plans in their work to improve the health of lower income and vulnerable populations. ACAP's vision is to improve health and well-being of lower-income and vulnerable populations and the communities in which they live.
Medicaid in BCRA, AHCA, & Other Proposals • Key elements of Legislative Proposals 1. Erosion of Medicaid expansion 2. Per capita allotment / block grant financing 3. Disparate treatment of expansion vs non-expansion states 4. State option to condition eligibility for nondisabled, nonelderly, nonpregnant individuals on a work requirement 5. Grants to states to support treatment and recovery services for people with SUD or MH diagnoses 6. Allowance for states to cover services provided by qualified inpatient psychiatric hospitals with 50% match for up to 30 consecutive days and 90 days total per year 7. Defunding of Planned Parenthood for one year 8. Funding increases for Community Health Center program 9. Other changes, including to presumptive eligibility, retroactive eligibility, FMAP bump for HCBS, provider taxes
Medicaid in BCRA, AHCA, & Other Proposals • The Impact of repeal & replace in BCRA & AHCA • Between $772 and $880 billion in federal Medicaid dollars cut over 10 years • Federal Medicaid cuts = 26% decline in federal outlays • Between 14 and 19 million fewer enrollees in Medicaid by 2026 • Between 19 and 32 million fewer insured overall by 2026 than under current law projections
State of Play
What We Can Do • Action taken to date … more to come • July 14 ACAP letter in opposition to BCRA • June 26 ACAP letter in opposition to BCRA • ACAP also submitted preemptive comments to Senator Hatch (cc to all Committee Republicans) May 23 based on our capped funding principles, urging 1. Preservation of state option to expand Medicaid 2. Preservation of federal funding and protections for plans, providers, and enrollees under per capita allotment structure 3. Stability for health insurance Marketplaces and affordability for consumers 4. Hold a productive dialogue with Congress, governors, and other stakeholders • Numerous Action Alerts for our member plans • Partnership for Medicaid coalition has also took action • Press statement June 22 expressing our “deep concern with the impact the Senate’s BCRA will have on the Medicaid program and the nation’s most vulnerable citizens • To Senator Hatch May 24 requesting maintenance of federal financial commitment, development of national Medicaid quality data reporting system, utilization of Senate’s regular order, by bringing bill through Senate Finance Committee and holding bipartisan hearing, and a mark-up
#Medicaid is US • Targeted communications campaign for awareness of effect of potential Medicaid cuts on ordinary Americans • Television and social media ads • People driven to website from which they can urge their Members of Congress to oppose cuts • Op eds throughout country • Create public affairs infrastructure for future use • www.MedicaidisUS.org 27,000 Letters Sent to Hill!
Meanwhile, Back at the Ranch…
Work to Improve Medicaid & Chip Continues • Actuarial soundness legislation to ensure appropriate payment to plans, providers, and access to enrollees • Stabilize Medicaid and CHIP Act of 2017 re- introduced in May • Medicaid and CHIP Quality Improvement Act of 2017 re-introduced in June • Recall September 2016 coalition letter to Congress with CHIP funding extension quality recommendations included MCQIA for kids. • Action needed: Children’s Health Insurance Program • Medicaid managed care regulation effort afoot
Thank you! Jenny McGuigan Babcock Vice President, Medicaid Policy; Director of Strategic Operations Association for Community Affiliated Plans jbabcock@communityplans.net 202-204-7518 #MedicaidisUS
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