Protect Affordable Healthcare in Your State

The ACA repeal bill passed by the House of Representatives provides significantly more autonomy at the state level in protecting (or removing) access to affordable healthcare. The repeal bill allows states to seek exemptions to set their own minimum coverage standards, to decide how to cover those with pre-existing conditions (e.g., lifting the ban on charging sick people more and/or putting them in “high risk pools”), and to charge older people up to five times more than younger people (currently this cap is set at 3x higher). States will have the option to opt out of Medicaid expansion or to maintain expansion; however, federal funding for expanded Medicaid will be capped based on 2016 levels, meaning that additional coverage would have to come from already-stretched state budgets. Governors and state level legislators hold the power to decide these critical issues for each state. Constituent pressure has so far kept any Republican governors from publicly committing to seeking these exemptions. Indeed, about a dozen Republican governors have already formed a coalition to advocate for preservation of Medicaid expansion. As the Senate drafts their own version of an ACA replacement bill, governors must keep up the pressure to maintain key ACA policies that protect their constituents' healthcare access."