In the Health Reform Update for this week, Senate
leaders revise their bill to repeal and replace key Affordable Care Act (ACA)
provisions in an effort to woo conservative holdouts. However, key moderates remain opposed to the dramatic
increases in consumer out-of-pocket costs and severe Medicaid cuts that remain
The Senate Majority Leader pushes for quick vote on
the revised bill, with or without a cost estimate from the Congressional Budget
Office. Republicans and Democrats put
forward more limited alternatives in the event the legislation fails. House appropriators seek to separately attack
the ACA by barring funding for Marketplaces, navigators, and enforcement of the
A Kaiser Family Foundation study finds that insurer
participation in ACA Marketplaces is down by 38 percent, due largely to
uncertainty over if and how Congress will repeal the ACA. Opportunistic insurers agree to cover
counties in Missouri and Washington left unserved by departing Marketplace
The Trump Administration grants Alaska a federal ACA
waiver allowing the federal government to fund most of its previously
state-funded reinsurance program that dramatically brought down Marketplace
premium increases. Oregon becomes the
third state behind Alaska and Minnesota to create such a reinsurance program.
Ohio’s Republican governor successfully vetoes a
freeze on that state’s Medicaid expansion, while Kentucky’s Republican governor
asks for a federal waiver to impose strict work requirements on all
“able-bodied” Medicaid enrollees.
You can find the full Health Reform Update here. If
you’re interested in Advocacy you can also join the PSI Patient Coalition here.