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North Carolina Hospital Association

Serving North Carolina Hospitals & Health Systems

Affordable Care Act

UPDATE on Thursday, May 4: The U.S. House of Representatives has voted 217-213 to pass the American Health Care Act (AHCA), legislation to repeal and replace parts of the Affordable Care Act (ACA). The bill would make significant changes to the Medicaid program, including repealing the ACA’s Medicaid expansion and cutting nearly $840 billion from the program. An amendment by Rep. Tom MacArthur (R-NJ) would allow states to waive certain insurance rules and consumer protections required under the ACA, specifically those related to essential health benefits and community rating, thereby impacting pre-existing conditions. An additional amendment by Rep. Fred Upton (R-MI) would establish an $8 billion pool to support individuals with pre-existing conditions. 


UPDATE on Friday, March 24: The U.S. House cancelled a vote on the American Health Care Act because of a lack of support for the bill. The future of congressional action addressing the ACA is uncertain at this time. NCHA and its member hospitals and health systems remain committed to working with elected officials and agency administrators on improvements to the ACA to ensure high quality healthcare for all North Carolinians.  

The Congressional Budget Office (CBO) on March 13th estimated that, under the March 9th AHCA bill, 14 million people would lose coverage in 2018, 5 million of whom would be Medicaid recipients. Over 10 years, CBO estimated that nearly 24 million people would lose coverage, 14 million of whom would be Medicaid recipients. The bill also would reduce Medicaid program funding by $880 billion over 10 years – a 25 percent reduction from current law.


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