The newest Senate Republican try to repeal the Affordable Care Act and enact sweeping reforms to the American well being care machine has generated intense opposition from the very well being care suppliers, affected person teams and insurance coverage firms that might be pressured to evolve to the adjustments envisioned by way of the law.
The invoice, backed by way of GOP Sens. Bill Cassidy of Louisiana and Lindsey Graham of South Carolina, would undo lots of the Affordable Care Act and radically refashion the Medicaid program by way of shrinking the budgets for federal well being care techniques and turning over the remainder cash to states, which must devise their very own new well being care programs.
The invoice additionally undermines the Affordable Care Act’s protections for folks with pre-existing prerequisites. The effects can be tens of millions fewer folks with well being protection. The Senate is slated to vote at the invoice subsequent week.
The well being care sector is, to position it mildly, now not . The following are excerpts from statements issued by way of just about each primary group representing the pursuits of the well being care machine and its sufferers.
American Medical Association
“On behalf of the physician and medical student members of the American Medical Association (AMA), I am writing to express our opposition to the Cassidy-Graham-Heller-Johnson Amendment to H.R. 1628, the ‘American Health Care Act of 2017.’ We also urge the Senate to reject any other legislative efforts that would jeopardize health insurance coverage for tens of millions of Americans.”
American Academy of Family Physicians
American Academy of Pediatrics
American College of Physicians
American Congress of Obstetricians and Gynecologists
American Osteopathic Association
American Psychiatric Association
“The undersigned organizations are desirous about the proposal offered nowadays by way of Senators Cassidy and Graham, which we imagine can have a adverse affect on inexpensive protection for sufferers throughout our country. We would observe equivalent proposal was once put forth by way of those two Senators in July. Based on our research, the revised proposal would possibly in reality be worse than the unique.
“Our organizations, which represent over 560,000 physicians, oppose the new Graham-Cassidy bill and its approach to reforming our health care system. The proposal fails to protect the health care coverage and consumer protections available under current law. Additionally, it would create a health care system built on state-by-state variability that would exacerbate inequities in coverage and most likely place millions of vulnerable individuals at risk of losing their health care coverage.”
American College of Physicians
“We believe that the substantial cuts to Medicaid authorized by this legislation would cause a significant increase in the number of uninsured patients and that it would undermine essential benefits provided for patients insured under current law. We urge you to set aside this legislation and instead allow the Senate to consider any improvements to the ACA, through a more deliberative process of regular order, in which hearings are held to solicit the advice of health care experts and stakeholders, with any such improvements considered in a bipartisan manner in which both parties may offer amendments.”
National Council for Behavioral Health
“Last week, the unsightly well being care debate reared its head once more on Capitol Hill with the advent of a brand new invoice by way of Senators Graham (R-SC), Cassidy (R-LA), Heller (R-NV) and Johnson (R-WI) to tremendously reduce Medicaid and different federal well being budget to states.
“This bill may go by a different name than previous efforts to reshape the health care system, but it maintains ― and even worsens ― the devastating provisions from those bills that led to a massive constituent outcry earlier this summer. It’s the same pig with different lipstick.”
American Hospital Association
“We imagine that protection may well be in danger for tens of tens of millions of Americans below the Graham-Cassidy proposal. We proceed to induce senators to paintings in a bipartisan means to deal with the demanding situations going through our well being care machine.
“This proposal would erode key protections for sufferers and shoppers and does not anything to stabilize the insurance coverage marketplace now or in the long run. In addition, the block grant to offer reinforce for the growth inhabitants expires in 2026, thereby getting rid of protection for tens of millions of Americans.
“For these reasons, we oppose the Graham-Cassidy plan.”
Federation of American Hospitals
“The Graham-Cassidy proposal may just disrupt get entry to to well being maintain tens of millions of the greater than 70 million Americans who rely on Medicaid and the marketplaces for his or her well being protection.
“It is time to transport directly to safe the well being protection for individuals who have it, and to find answers for individuals who don’t.
“We urge the Senate to reject legislation that fails to move us forward in assuring Americans access to affordable health care and coverage.”
Children’s Hospital Association
“The nation’s children’s hospitals stand in strong opposition to the most recent legislative proposal introduced by Sens. Lindsey Graham, R-S.C., Bill Cassidy, R-La., Dean Heller, R-Nev., and Ron Johnson, R-Wis. Their legislation would slash funding for Medicaid, the nation’s largest health care program for children, by one-third, reducing access and coverage for more than 30 million children in the program. Furthermore, the legislation weakens important consumer safeguards, and as a result, millions of children in working families would no longer be assured that their private insurance covers the most basic of services without annual and lifetime limits and regardless of any underlying medical condition. This bill would have devastating consequences for children and families.”
Catholic Health Association of the United States
“The Senate is predicted to vote subsequent week on law offered by way of Senators Lindsey Graham (R-SC) & Bill Cassidy (R-LA) to repeal and change the Affordable Care Act (ACA) and restructure the Medicaid program.
“I beg you to touch your Senators nowadays and inform them to:
“Vote ‘NO’ at the Graham-Cassidy law to repeal and change ACA—which removes Medicaid enlargement protection, top rate tax credit, and cost-sharing aid subsidies and replaces them with state block grants.
“Oppose your entire restructuring and deep investment discounts to the Medicaid program within the invoice — capping & reducing federal Medicaid investment, thru each in keeping with capita caps and block grants, basically undermines the well being care protection internet and our talent to serve beneficiaries.
“Instead enact bipartisan legislation to stabilize the individual insurance market.”
Association of American Medical Colleges
The Association of American Medical Colleges (AAMC) has frequently advocated for numerous key rules as basic cornerstones of any a success well being care machine. These rules come with providing fine quality, inexpensive medical health insurance to all; keeping and fortifying the protection internet thru Medicaid and different insurance policies; and inspiring innovation within the supply machine, amongst others. The GCHJ law does now not meet those rules, because it repeals the person and employer mandates, repeals Medicaid enlargement, and caps conventional Medicaid investment. Under this law, the selection of uninsured sufferers national will build up dramatically and vital current affected person protections will probably be in danger. Importantly, the GCHJ proposal, which represents an entire overhaul of the well being care machine, must be absolutely and adequately tested by way of the Congressional Budget Office (CBO) earlier than any more motion is taken.”
America’s Essential Hospitals
“Throughout this 12 months’s well being care debate, America’s Essential Hospitals stood by way of its place that coverage adjustments should take care of protection for individuals who have it, keep get entry to, and offer protection to hospitals that maintain low-income and different inclined folks.
“While we do not yet have a Congressional Budget Office (CBO) score for the Graham-Cassidy proposal, the plan appears to violate those core principles.”
American Health Care Association/National Center for Assisted Living
“There is not any query that this invoice will undermine maintain inclined seniors and folks with disabilities who depend on Medicaid for his or her day-to-day long run care. Most of the a million individuals who live in nursing facilities depend on Medicaid, in addition to tens of 1000’s of seniors in America’s assisted dwelling communities.
“As Baby Boomers increasingly need long term services and supports in coming years, our seniors deserve better than an unstable and underfunded safety net. We urge Senators to oppose this legislation and protect Medicaid access for seniors and people with disabilities.”
America’s Health Insurance Plans
“We imagine that legislative proposals that might reform and have an effect on the protection and care of tens of millions of Americans must meet sure rules….
“The Graham-Cassidy-Heller-Johnson proposal fails to satisfy those guiding rules, and would have actual penalties on shoppers and sufferers by way of additional destabilizing the person marketplace; reducing Medicaid; pulling again on protections for pre-existing prerequisites; now not finishing taxes on medical health insurance premiums and advantages; and probably permitting government-controlled, unmarried payer well being care to develop.
“While we cannot support this proposal, we will keep working to find the right solutions that reflect the commitment we all share: affordable coverage and high-quality care for every American. By working together, we can improve health care and deliver the coverage and care that every American deserves.”
Blue Cross Blue Shield Association
“Although we support providing states with greater flexibility in shaping health care options for their residents, we share the significant concerns of many health care organizations about the proposed Graham-Cassidy bill. The bill contains provisions that would allow states to waive key consumer protections, as well as undermine safeguards for those with pre-existing medical conditions. The legislation reduces funding for many states significantly and would increase uncertainty in the marketplace, making coverage more expensive and jeopardizing Americans’ choice of health plans. Legislation must also ensure adequate funding for Medicaid to protect the most vulnerable.”
American Cancer Society Cancer Action Network
American Diabetes Association
American Heart Association
American Lung Association
Cystic Fibrosis Foundation
Lutheran Services in America
March of Dimes
National Health Council
National Multiple Sclerosis Society
National Organization for Rare Diseases
Volunteers of America
“Sixteen affected person and supplier teams oppose the proposal put ahead by way of Senators Lindsey Graham (R-S.C.), Bill Cassidy (R-La.), Dean Heller (R-Nev.), and Ron Johnson (R-Wis.) that can negatively affect sufferers’ get entry to to ok and inexpensive well being protection and care.
“This invoice would prohibit investment for the Medicaid program, roll again vital crucial well being get advantages protections, and probably open the door to annual and lifelong caps on protection, endangering get entry to to vital maintain tens of millions of Americans. Our organizations urge senators to oppose this law.
“Affordable, adequate care is vital to the patients we represent. This legislation fails to provide Americans with what they need to maintain their health.”
“Older Americans care deeply about access to and affordability of health care. They need and deserve affordable premiums, lower out-of-pocket costs, and coverage they can count on as they age. On behalf of our nearly 38 million members in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands, AARP is urging the Senate to reject the Graham/Cassidy/Heller/Johnson bill because it would do precisely the opposite. Overall, the Graham/Cassidy/Heller/Johnson bill would increase health care costs for older Americans with an age tax, decrease coverage, and undermine preexisting condition protections. In addition, this bill would jeopardize the ability of older Americans and people with disabilities to stay in their own homes as they age and threaten coverage for individuals in nursing homes.”
“While this piece of legislation has a new title and makes new promises, it is more of the same threats to Medicaid and those who rely on it for a life in the community. The Graham-Cassidy-Heller-Johnson proposal cuts and caps the Medicaid program. The loss of federal funding is a serious threat to people with disabilities and their families who rely on Medicaid for community based supports.”
“Consumers Union, the coverage and mobilization arm of Consumer Reports, nowadays strongly adverse the Graham-Cassidy-Heller-Johnson proposal, the newest effort to repeal the Affordable Care Act. This invoice would go away tens of tens of millions uninsured and basically restructure and intestine the Medicaid program. It would additionally permit states to waive key client protections and protection necessities….
Consumers Union suggested lawmakers to reject this newest partisan proposal and keep involved in bipartisan efforts in Senate committees to stabilize and give a boost to the insurance coverage markets.”