Basically The Entire Health Care System Hates The New Obamacare Repeal Bill

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The newest Senate Republican try to repeal the Affordable Care Act and enact sweeping reforms to the American well being care device has generated intense opposition from the very well being care suppliers, affected person teams and insurance coverage firms that may be compelled to evolve to the adjustments envisioned through the regulation.

The invoice, backed through GOP Sens. Bill Cassidy of Louisiana and Lindsey Graham of South Carolina, would undo many of the Affordable Care Act and radically refashion the Medicaid program through shrinking the budgets for federal well being care systems 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 other folks with pre-existing stipulations. The effects can be hundreds of thousands fewer other folks with well being protection. The Senate is slated to vote at the invoice subsequent week.

The well being care sector is, to place it mildly, now not . The following are excerpts from statements issued through nearly each and every main group representing the pursuits of the well being care device and its sufferers.

American Academy of Family Physicians

American Medical Association

American Hospital Association

Federation of American Hospitals

America’s Health Insurance Plans

Blue Cross Blue Shield Association

“While we every now and then disagree on vital problems in well being care, we’re in overall settlement that Americans deserve a solid healthcare marketplace that gives get entry to to fine quality care and inexpensive protection for all. The Graham-Cassidy-Heller-Johnson invoice does now not transfer us nearer to that purpose. The Senate must reject it. …

“Health care is too important to get wrong. Let’s take the time to get it right. Let’s agree to find real, bipartisan solutions that make health care work for every American.”

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.”

[Letter to Senate leaders]

American Academy of Pediatrics

“As a pediatrician, I’m frightened for my sufferers and the unsure long term they’d face below Senators Lindsey Graham (R-S.C.) and Bill Cassidy’s (R-La.) well being care proposal, lately set for a vote subsequent week within the U.S. Senate. As president of the American Academy of Pediatrics, I should discuss out by contrast bad, ill-conceived coverage on behalf of our 66,000 pediatrician, pediatric surgical specialist and pediatric clinical subspecialist individuals, and forestall it from advancing. 

“This bill may be disguised under a different name, but it contains the same dangerous policies as the legislation that failed to advance out of the Senate earlier this summer. In fact, Graham-Cassidy goes even further in its attacks on Medicaid.”

[Press release]

American Academy of Family Physicians

American College of Physicians

American Academy of Pediatrics

American Congress of Obstetricians and Gynecologists

American Osteopathic Association

American Psychiatric Association

“The undersigned organizations are involved in the proposal offered these days through Senators Cassidy and Graham, which we imagine may have a damaging have an effect on on inexpensive protection for sufferers throughout our country. We would be aware equivalent proposal used to be put forth through those two Senators in July. Based on our research, the revised proposal would possibly in truth 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.”

[Letter to Senate leaders]

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.”

[Letter to Senate leaders]

American Psychological Association

“The American Psychological Association and its affiliated APA Practice Organization today expressed strong opposition to the Graham-Cassidy proposal to repeal and replace major portions of the current health insurance system, urging the Senate to reject the bill and resume bipartisan discussions of proposals to improve health care, stabilize the health insurance marketplaces, lower the cost of health care and extend coverage to more of the millions of Americans still without it.”

National Council for Behavioral Health

“Last week, the unsightly well being care debate reared its head once more on Capitol Hill with the creation of a brand new invoice through Senators Graham (R-SC), Cassidy (R-LA), Heller (R-NV) and Johnson (R-WI) to enormously minimize Medicaid and different federal well being finances 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 might be in peril for tens of hundreds of thousands of Americans below the Graham-Cassidy proposal. We proceed to induce senators to paintings in a bipartisan approach to deal with the demanding situations going through our well being care device.

“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 supply make stronger for the growth inhabitants expires in 2026, thereby getting rid of protection for hundreds of thousands of Americans.

“For these reasons, we oppose the Graham-Cassidy plan.”

Federation of American Hospitals

“The Graham-Cassidy proposal may disrupt get entry to to well being handle hundreds of thousands 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 in finding 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 regulation offered through Senators Lindsey Graham (R-SC) & Bill Cassidy (R-LA) to repeal and substitute the Affordable Care Act (ACA) and restructure the Medicaid program.

“I encourage you to touch your Senators these days and inform them to: 

  • “Vote ‘NO’ at the Graham-Cassidy regulation to repeal and substitute ACA—which removes Medicaid enlargement protection, top rate tax credit, and cost-sharing relief subsidies and replaces them with state block grants.

  • “Oppose the entire restructuring and deep investment discounts to the Medicaid program within the invoice — capping & slicing federal Medicaid investment, thru each consistent with capita caps and block grants, basically undermines the well being care protection web and our talent to serve beneficiaries.

  • “Instead enact bipartisan legislation to stabilize the individual insurance market.”

[Bulletin to member hospitals]

Association of American Medical Colleges

The Association of American Medical Colleges (AAMC) has regularly advocated for a lot of key rules as elementary cornerstones of any a success well being care device. These rules come with providing fine quality, inexpensive medical health insurance to all; maintaining and fortifying the security web thru Medicaid and different insurance policies; and inspiring innovation within the supply device, amongst others. The GCHJ regulation does now not meet those rules, because it repeals the person and employer mandates, repeals Medicaid enlargement, and caps conventional Medicaid investment. Under this regulation, the collection of uninsured sufferers national will build up dramatically and vital present affected person protections can be in peril. Importantly, the GCHJ proposal, which represents a whole overhaul of the well being care device, must be absolutely and adequately tested through the Congressional Budget Office (CBO) prior to any longer motion is taken.”

America’s Essential Hospitals

“Throughout this yr’s well being care debate, America’s Essential Hospitals stood through its place that coverage adjustments should take care of protection for individuals who have it, keep get entry to, and give protection to hospitals that handle low-income and different prone other 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 handle prone 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 are living in nursing facilities depend on Medicaid, in addition to tens of 1000’s of seniors in America’s assisted residing 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.”

Cleveland Clinic

“Healthcare in the United States should be of the highest quality, affordable and accessible to all Americans. At Cleveland Clinic, it is our mission to deliver the best possible care to all the patients we serve. The proposed Graham-Cassidy healthcare bill does not support what our organization thinks healthcare in America should be, therefore we oppose the pending legislation. As an organization, we will continue to communicate with our policymakers to implement changes that have a positive impact on our nation’s healthcare system.”

[Blog post]

National Association of Medicaid Directors

 “Any effort of this magnitude needs thorough discussion, examination and analysis, and should not be rushed through without proper deliberation. The legislative proposal would not even have a full CBO score until after its scheduled passage, which should be the bare minimum required for beginning consideration. With only a few legislative days left for the entire process to conclude, there clearly is not sufficient time for policymakers, Governors, Medicaid Directors, or other critical stakeholders to engage in the thoughtful deliberation necessary to ensure successful long-term reforms.”

State Insurance Commissioners

Current commissioners: California, Colorado, District of Columbia, Hawaii, Minnesota, New Mexico, New York, Oregon, Pennsylvania, Rhode Island, Washington

Former commissioners: California, Delaware, District of Columbia, Illinois, Indiana, Iowa, Kansas, Maine, Maryland, Montana, New Jersey, North Dakota, Oregon, Pennsylvania, Rhode Island, Texas, West Virginia, Wisconsin, District of Columbia

“As present and previous state insurance coverage commissioners, we urge you to oppose the well being care repeal regulation that has been proposed through Senators Bill Cassidy and Lindsey Graham. Instead, we ask that you just paintings towards a bipartisan invoice that may reinforce marketplace balance. At a time when state insurance coverage markets urgently want better balance and predictability, this invoice would move within the unsuitable path. …

“The Cassidy-Graham invoice would build up the collection of other folks with out well being protection and seriously disrupt states’ person insurance coverage markets, with sharp top rate will increase and insurer exits prone to happen within the brief time period and over the years. …

“This series of disruptions ― over the short, medium, and longer terms ― would batter state insurance markets and the consumers that they serve. While we are strong supporters of state flexibility and state regulation of health insurance, the Cassidy-Graham bill puts states in an impossible position.”

[Letter to congressional leaders]

America’s Health Insurance Plans

“We imagine that legislative proposals that may reform and impact the protection and care of hundreds of thousands of Americans must meet positive rules….

“The Graham-Cassidy-Heller-Johnson proposal fails to satisfy those guiding rules, and would have actual penalties on shoppers and sufferers through additional destabilizing the person marketplace; slicing Medicaid; pulling again on protections for pre-existing stipulations; 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.”

[Letter to Senate leaders]

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.”

Alliance of Community Health Plans

“The GrahamCassidy-Heller-Johnson regulation being thought to be through the Senate would jeopardize the well being of hundreds of thousands of running Americans and we can not make stronger the invoice…

“This proposal would significantly impact the health of our communities, hurting our neighbors, friends and employees. It puts in jeopardy the coverage gains won over the past few years and the critical consumer safeguards provided by essential health benefits and protections afforded by a ban on pre-existing conditions.”

[Letter to Senate leaders]

Association for Community Affiliated Plans 

“We are disenchanted to peer that the Senate is repeating ― and in many ways, doubling down on ― lots of the similar errors because it made with the Better Care Reconciliation Act. …

“We’ve seen what’s possible with health reform; there have been promising talks in the Senate HELP Committee around stabilizing Marketplaces and bipartisan progress around the must-pass funding extension for the Children’s Health Insurance Program (CHIP), for which no new allotments exist after the end of the month. We urge the Senate in the strongest possible terms to turn away from partisan politics and instead build on the promising work around CHIP and the HELP committee.”

[Press release]

Kaiser Permanente and the Coalition of Kaiser Permanente Unions

“Kaiser Permanente and the Coalition of Kaiser Permanente Unions imagine that adjustments to our country’s well being care regulations must build up get entry to to fine quality, inexpensive care and protection for as many of us as conceivable. The Graham-Cassidy invoice now being thought to be within the United States Senate does now not meet any of the ones checks. …

Helping people who find themselves uninsured to get and have enough money protection, and making sure those that have it can proceed to have enough money it, must be the concern for any proposals round well being reform. Policymakers must make sure that any proposals take care of or amplify protection, supply incentives for top quality, and take on affordability.”

[Press release]

ALS Association

American Cancer Society Cancer Action Network

American Diabetes Association

American Heart Association

American Lung Association

Arthritis Foundation

Cystic Fibrosis Foundation

Family Voices


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 through Senators Lindsey Graham (R-S.C.), Bill Cassidy (R-La.), Dean Heller (R-Nev.), and Ron Johnson (R-Wis.) that may negatively have an effect on sufferers’ get entry to to good enough and inexpensive well being protection and care.

“This invoice would restrict investment for the Medicaid program, roll again vital very important well being get advantages protections, and probably open the door to annual and lifelong caps on protection, endangering get entry to to vital handle hundreds of thousands of Americans. Our organizations urge senators to oppose this regulation.

“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.”

The Arc

“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

“Consumers Union, the coverage and mobilization arm of Consumer Reports, these days strongly hostile the Graham-Cassidy-Heller-Johnson proposal, the most recent effort to repeal the Affordable Care Act. This invoice would depart tens of hundreds of thousands uninsured and basically restructure and intestine the Medicaid program. It would additionally permit states to waive key shopper protections and protection necessities….

Consumers Union steered lawmakers to reject this newest partisan proposal and keep enthusiastic about bipartisan efforts in Senate committees to stabilize and improve the insurance coverage markets.”

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