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Joint Statement on the Graham-Cassidy-Heller-Johnson legislation.

September 26, 2017

Over the weekend and earlier today, changes were made to the Graham-Cassidy-Heller-Johnson health system reform legislation.  These changes would primarily benefit a handful of states where Republican Senators have threatened to vote against the legislation on the floor.  In addition, changes were made that seem intended to address Senator Ted Cruz’s (R-TX) interest in providing still more flexibility to states under the proposed new block grant system.  Highlights of the recent changes include the following:

 

  • Directs more federal funding to key states, including Alaska, Arizona, Kentucky, and Maine:

 

  • Tightens language regarding pre-existing conditions:  states would have to describe how their health plans "shall maintain access to adequate and affordable health insurance coverage for individuals with pre-existing conditions." The original language said each state had to show how it "intends" to have adequate and affordable access to coverage.

 

  • States are given broad new authority to allow insurance companies to design new insurance rules for individuals and insurers that receive money through the block grant program.   Under the new version, states would no longer be required to apply for waivers from many of the ACA’s patient protections; instead, states could let insurers impose deductibles that are higher than the limits set by the ACA, or remove the health law’s limits on the costs that an individual family can incur in a year entirely. They could also offer coverage that lacks some of the ACA’s essential health benefits, such as maternity care, prescription drugs or mental health. Plus, states could let insurers widen the gap between how much older people and young people are charged. And states could remove requirements that insurers cover preventive-health treatments and immunizations. This could result in insurers offering bare-bones insurance policies that feature cheaper premiums but higher out-of-pocket costs, thereby pricing out individuals with pre-existing conditions.

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AMA Letter to Senate Leadership on Cassidy-Graham Amendment

September 19, 2017

The attached letter was sent to the Senate leadership today, expressing the AMA’s opposition to the Cassidy-Graham-Heller-Johnson Amendment to H.R. 1628, the “American Health Care Act of 2017.”  The legislation does not meet the principles for health system reform that the AMA shared with Congress on the first day of the 2017 legislative session.  In particular, it would result in millions of Americans losing health insurance coverage, further destabilize the health insurance marketplace, undermine the health care safety net provided by Medicaid, and jeopardize important insurance reforms such as guaranteed issue and the ban on pre-existing condition exclusions and benefit caps.

To take advantage of the preferred procedural rules provided for budget reconciliation bills that would allow passage by the Senate with a simple majority, the legislation must be passed by September 30.  House passage could be delayed until after that deadline, but no changes could be made.  A Congressional Budget Office estimate of the amendment’s impact is expected early next week; due to time constraints, it is not expected to include estimated impacts on coverage or other important details.

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NC Medicaid Comments Submission by NCMS

September 12, 2017

On behalf of the more than 12,000 physician and physician assistant members of the North Carolina Medical Society (NCMS), we respectfully submit these comments on the Proposed Plan Design for NC Medicaid.

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AMA Statement on Senate Debate on Health System Reform

July 26, 2017

During consideration of proposals related to the Affordable Care Act, the American Medical Association urges Senators to consider the impact their votes will have on the health of all Americans.

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The AMA Strongly Opposes the Senate’s Health-reform Proposal

June 27, 2017

A lot of big numbers have been tossed around in the days since Senate leaders unveiled a “discussion draft” of legislation—dubbed the Better Care Reconciliation Act of 2017 (BCRA)—that would dramatically reshape how our country’s health system is financed.

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From National Rural Health Association: Senate Releases Health Care Reform Bill

June 22, 2017

The Senate released their version of the House passed American Health Care Act entitled the Better Care Reconciliation Act of 2017.

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US House Of Representatives Pass Revised American Health Care Act

May 5, 2017

Today the US House of Representatives passed a revised version of the American Health Care Act (AHCA) on a party line vote of 217-213.

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AMA Warns that Proposed Changes to the American Health Care Act Do Not Remedy Bill’s Shortcomings

May 4, 2017

Despite amendments to bill, millions of Americans would still lose health insurance coverage

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North Carolina Medicaid and NC Health Choice Transformation- Request for Public Input

May 2, 2017

Let your voice be heard about Medicaid and Health Choice reform.

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Health Care Again at Risk! A Vote May Take Place Tomorrow!

May 2, 2017

This amendment, called the MacArthur/Meadows Amendment, makes a bad bill worse for low-income families in WNC.

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Grassroots Advocacy Forum : Tell Congress to vote NO on AHCA

April 28, 2017

Call your members of Congress and tell them to no on the American Health Care Act (AHCA).

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WCMS Executive Committee of the Board Votes to Support HB 662

April 25, 2017

Carolina Cares Letter of Support

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What is MACRA? A Simplified Presentation

September 8, 2016

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AMA Statement on VA Proposed Rule on Advanced Practice Nurses

May 26, 2016

Statement attributable to: Stephen R. Permut, M.D., J.D., Board Chair, American Medical Association

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Provider-Led and Patient-Centered Care, LLC

December 7, 2015

North Carolina’s largest health systems announce a collaboration to investigate development of a provider-led and owned Medicaid only Prepaid Health Plan

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