May 01, 2017

The American Health Care Act Targets Medicaid Reform

Felicia Y Sze, Hooper, Lundy & Bookman, San Francisco, CA

The American Health Care Act (H.R. 1628)1 envisions a number of significant changes to the way in which states may operate their Medicaid programs.  These changes cover many aspects of the Medicaid programs, including changes to: (1) the structure of federal/state shared funding; (2) eligibility and enrollment changes; and (3) provider payments. While this article focuses on the changes proposed to the Medicaid program, the AHCA also proposes other significant changes to the private markets and exchanges, such as, without limitation, the elimination of the individual and employer mandates imposed by the Patient Protection and Affordable Care Act,2 a premium surcharge penalty for breaks in coverage, and the waiver of certain protections (e.g., preexisting conditions, essential health benefits, and age bands).  

Premium Content For:
  • Health Law Section
    • ABA Health eSource
Join - Now