Older Americans with pre-existing conditions are likely to be priced out of health coverage under the Republican American Health Care Act.
The American Health Care Act (AHCA) will charge older Americans more for their health insurance, cut funding for Medicare, and end Medicaid as we know it. It will result in higher premiums and less security for people age 50 to 64 purchasing coverage in the nongroup or individual market and people 65 and older.
Deep cuts to Medicaid will threaten the ability for these hospitals to provide care to rural residents. On average, Medicaid makes up more than 10 percent of net revenue in rural hospitals, which often have operating margins of less than 1 percent. As rural hospitals are an economic engine in many small communities, these Republican-proposed cuts to Medicaid could jeopardize employment, too. The report describes how the health care sector employs 17 percent of all workers in rural counties. In more than 40 percent of rural counties in the U.S., hospitals account for more than 10 percent of the county’s total employment.
The Trump Administration continues to use administrative actions and its bully pulpit to undermine the stability of the health insurance market – feeding uncertainty that can only lead to higher premiums and fewer insurance choices for consumers. Congressional Republicans, with the backing of the Administration, are causing further havoc in the market due to their efforts to enact the American Health Care Act, which would upend the system starting immediately. While experts say the health insurance market has been showing signs of stabilizing and moving toward profitability, President Trump and Congressional Republicans have put that progress at considerable risk.
Investing in the health of Pennsylvania’s rural residents produces healthier communities and drives economic opportunity and social well?being throughout the Commonwealth. Indeed, affordable health coverage helps individuals thrive and families flourish in each of Pennsylvania’s 48 rural counties. Affordable health coverage is the ticket to life?sustaining and life?saving health care services for children, families and seniors, as well as a driving force behind good paying jobs and economic activity in rural areas across the state.
Unfortunately, the recently unveiled Better Care Reconciliation Act (BCRA) would strip affordable health care from rural residents in Pennsylvania. The legislation would cause health care costs to skyrocket and coverage to shrink across rural Pennsylvania, putting essential health care services out of reach for thousands and threatening employment and related economic activity.
Rural hospitals play a critical role in ensuring that Americans and their families have access to needed health care services. Given that rural communities tend to be older, rural hospitals are particularly important for older Americans in these communities. Rural hospitals are also often a critical driver of economic activity in the areas in which they are located, serving as an important employer and providing good-paying jobs that inject money into local communities.
America is in the grip of an opioid addiction crisis, and Pennsylvania families are on the front-line. Opioid addiction – including addiction to prescription opioid pain medication, heroin, and fentanyl – is devastating families across our Nation and our Commonwealth while putting a tremendous strain on first responders, health systems, law enforcement, and social services. The Republican health care plan would retreat from the fight against opioid addiction at the height of the epidemic. Their bill would make it harder to get much needed treatment by effectively ending the expansion of Medicaid, cutting Medicaid by $834 billion over 10 years, cutting the premium tax credits that help make coverage affordable, and allowing states to waive treatment coverage requirements and pre-existing condition protections for those with substance use disorders.
As a result of the Affordable Care Act (ACA), nearly 1.4 million pre-Medicare adults (age 50 to 64) who were previously uninsured gained health insurance coverage with the assistance of a premium tax credit, 1 and between December 2013 and March 2015, the uninsured rate for Americans age 50 to 64 dropped by nearly half.2 The Republican proposal threatens to roll back these coverage gains.
Republicans in the U.S. House of Representatives passed the American Health Care Act (AHCA), which will result in higher Marketplace premiums and less security for Americans aged 50-to-64.
Medicaid plays a critical role in providing long-term services and supports (LTSS) to seniors, persons with disabilities, and other individuals with chronic conditions. In FY2013, Medicaid covered LTSS benefits for 4.1 million individuals via fee-for-service arrangements1, and for many others via managed care arrangements. Medicaid is also one of the largest payers for the services provided by workers in nursing and residential care facilities and home health and direct service providers – industries that in 2015 employed roughly 4.8 million workers nationwide.2 Any proposals to slash Medicaid funding would undermine states’ ability to provide LTSS to the most vulnerable and would substantially cut funding to industries that employ thousands of workers in every state.
Senator Casey’s office has compiled selected health indicators by county and congressional district, as well as estimated impacts of ACA repeal.