Health Care Reform 2017
The Trump administration and Congress have promised to repeal and replace the Affordable Care Act (ACA) and restructure the Medicaid program. WHA is communicating and working with Congressional and state policymakers on this important issue.
WHA is advocating for policies based on the following principles:
Ensure equitable and flexible Medicaid funding for Wisconsin in any Medicaid restructuring plan. Whether Medicaid funding changes include block grants, per capita caps, or some other formula, it is imperative that Wisconsin is not be penalized under any new Medicaid funding formula. Wisconsin expanded Medicaid by taking a unique approach to expanding Medicaid by using state dollars to cover everyone under 100% of the federal poverty level. Setting the baseline for Medicaid funding under a new formula should take into account Wisconsin’s fiscally sound approach which, at the same time, increased access to health care for its neediest citizens.
Maintain positive results from federal health care reform. Under the ACA, approximately 225,000 new individuals in Wisconsin gained health care coverage through the health insurance exchanges and Medicaid expansion. These coverage gains must be sustained under any ACA replacement. Losing this coverage would result in increased uncompensated care provided by hospitals, and reduced access to essential health care.
Preserve and strengthen Wisconsin’s competitive insurance market. Federal reforms should support and strengthen market competition in states like Wisconsin that have a healthy and competitive environment for insurers.
Assure fair competition and a level playing field for hospitals and other safety net providers. Any changes under health care reform that may change financing structures and/or coverage requirements should recognize the role that hospitals perform as safety net providers in their communities for persons with little or no health insurance. Reforms should not encourage “cherry picking” of the most profitable patients.
Ensure a realistic pace and transition of any ACA repeal and replacement. The health care delivery system has undergone significant structural changes since the implementation of the ACA. Any plan to replace the ACA must be adopted and ready to implement before the repeal of the ACA. Otherwise, massive disruption in insurance markets, and the health care system in general, could result.
Recent Federal Proposals for Replacing the ACA
- 10/20/17: WHA Continues to Make Progress on 2017 Goals as New Projects, Issues Arise
- 9/22/17: Graham-Cassidy-Heller-Johnson Bill Recognizes Wisconsin’s Innovative Reforms
- 8/25/20: What’s Next for WI in Health Reform Tops WHA Public Policy Council Agenda
- 8/18/17: CBO Says Not Funding CSRs Will Increase Federal Deficit by $194 Million
- 8/4/17: Market Uncertainty Causing Insurer Exits, Possible Premium Increases in WI
- 8/4/17: WHA Urges Washington to Act on Health Care
- 7/28/17: ACA Repeal, Replace Attempts Fail in U.S. Senate
- 7/21/17: WHA Weighs in on Health Reform and the Future of Medicaid at WHN Conference
- 7/21/17: WHA, Rural Leaders on Capitol Hill
- 7/14/17: High Risk Pools Could Help Stabilize Individual Insurance Market if Done Right
- 7/14/17: Obamacare Replacements Continue to Shortchange Wisconsin
- 6/30/17: U. S. Senate Delays Vote on Better Care Reconciliation Act
- 6/30/17: Tom Still: Wisconsin Faces Health Care Aid Disparity
- 6/23/17: WHA: U.S. Senate Health Care Bill Falls Far Short
- 6/23/17: Business and Health Care Organizations Join WHA in Letter to Sen. Johnson
- 6/16/17: President’s Column: The AHCA’s Painful Contradiction
- 6/9/17: AHCA Medicaid Funding Disparity For Wisconsin: $36.9 Billion Less
- 6/9/17: Budget Leaders Discuss Medicaid Waiver: Nygren says, "Wisconsin should be rewarded for what Wisconsin has done."
- 5/26/17: Revised Coverage, Spending Impacts of American Health Care Act Released
- 5/12/17: WHA, Members in DC to Discuss AHCA
- 5/5/17: U.S. House Passes American Health Care Act
- 5/5/17: Panel Ponders Medicaid Waivers, AHCA, Funding Impacts to Providers, Patients
- 5/5/17: Jacobson Joins Health Care Leaders to Discuss Medicaid, ACA, Health Reform
- 4/7/17: ACA Repeal/Replace, State Budget, Post-Acute Care Top WHA Board Agenda
- 4/7/17: WHA Testifies on ACA Reform Impact on State’s Medicaid Program
- 3/24/17: AHCA Faces House Vote
- 3/17/17: CBO Scores American Health Care Act Proposal
- 3/10/17: U.S. House Republicans Release ACA Repeal and Replacement Draft
- 3/10/17: Dozens of Hospital/System Leaders Send Joint Letters to Congress
- 3/10/17: WHA Board Chair Jacobson Talks ACA Repeal in Modern Healthcare
- 3/3/17: WHA Board Officers Send Delegation Letter on ACA
- 3/3/17: WHA Board Subcommittee on Health Care Reform Discusses WHA Priorities
- 2/3/17: Jacobson Appoints Subcommittee on ACA
- 2/3/17: WHA Meets With Delegation about ACA
- 1/13/17: Assembly Health Chair Sanfelippo says Maintaining Coverage is “Priority #1”
- 1/6/17: President’s Column: Op Ed: Unwind Obamacare with Caution
Recent news on ACA Replacement
- Obamacare enrollment down slightly in Wisconsin, Wisconsin State Journal (12/23/17)
- Wisconsin seems a winner under GOP health care bill formula (9/21/17)
- Johnson Joins Republicans In Last-Ditch Effort To Repeal ACA (9/13/17)
- Ron Johnson, Tammy Baldwin remain on opposite sides of health care debate (9/12/17)
- ACA stability suggested (8/21/17)
- Obamacare survives its latest threat — bare counties (8/20/17)
- Key Obamacare subsidies will continue being paid to insurers despite Trump threats to end them (8/16/17)
- CBO: Ending Obamacare cost-sharing subsidies would raise premiums and the deficit (8/15/17)
- If Trump decides to 'let Obamacare implode,' rates will soar for millions (8/7/17)
- Molina Healthcare to drop out of Wisconsin's Obamacare marketplace (8/2/17)
- Wisconsin Health Official: Failed Senate Vote Shouldn't Stop Health Care Debate (7/28/17)
- Sherry: On health care, we can and must do better — together (7/7/17)
- Senator Johnson clarifies position on health care bill (7/5/17)
- 5/23/17: It’s Time to Worry about Health Care in the Senate
- 5/16/17: Sherry: It's time to come together to improve health care for residents in Wisconsin
- 5/10/17: Turkal: The time is now for real health care reform
- 5/9/17: G.O.P. Bill Could Affect Employer Health Coverage, Too
- 3/27/17: In Health Bill’s Defeat, Medicaid Comes of Age
- 3/26/17: Some Lawmakers Now Look to Bipartisanship on Health Care
- 3/24/17: What's next after Obamacare's latest brush with death?
- 3/23/17: WHA concerned about Republican federal health reform bill
- 3/13/17: Froedtert's Cathy Jacobson concerned about post-Obamacare 'drop-off in coverage'
- 3/13/17: CBO ignites firestorm with ObamaCare repeal score
- 3/13/17: Health Bill Would Add 24 Million Uninsured but Save $337 Billion, Report Says
- 3/8/17: Hospitals wary of Obamacare replacement bill
- 1/12/17: Wisconsin Health News Panel: Trumpcare, What’s in Store?
- 1/4/17: Unwind Obamacare cautiously
- 1/12/17: Wisconsin health care leaders discuss future of Affordable Care Act
- 1/12/17: Walker, health execs: State shouldn't lose from Obamacare repeal
- 12/4/16: Wisconsin prepares for Obamacare, Medicaid changes under Trump, Congress
- 2/17/17: Kaiser Health News Repeal and Replace Watch
- 1/30/17: The Imperatives for Hospitals While the Repeal Dust Settles