What is the Future of Medicaid and the ACA? (March 14, 2017)
No, Medicaid Isn't Broken (May 15, 2017)
Medicaid Works: How Cuts Would Harm States (March 14, 2017)
Updates in the Media
White House plans Obamacare showdown next week (April 20, 2017)
Although AHCA is Dead,
Medicaid is Not Out Of The Woods Yet:
Stay Informed, Set Your Strategy, Take Action!
At APSE, we believe that work is a meaningful part of living a healthy, productive, and full life. The Employment First movement is dedicated to making employment a reality for every American adult. For millions of Americans with disabilities, having access to healthcare and other employment services is crucial to having the ability to work in their communities.
There is no doubt that the Medicaid expansion, a key provision of the Affordable Care Act (ACA) that passed in 2010, has enabled people with disabilities to lead more productive lives. Although the ACA survived the most recent threat by House Republicans to repeal and replace it with the American Health Care Act (AHCA), there is no guarantee that Medicaid won’t end up back on the chopping block during future negotiations.
Fortunately, the Speaker of the House did not have the support to bring the AHCA to the floor for a vote and in-fighting among Congressional Republicans has ended discussion of repealing the ACA anytime soon. But we cannot afford to mistake this dodged bullet for a clear victory.
Policy experts expect that Republican leaders will continue to consider changes, such as shifting from a guarantee of federal funds for Medicaid to sending a chunk of money—either in the form of a “block grant” or a “per capita” allotment—to states. This means that it would be up to state officials to determine how and whom to cover.
Additionally, last month, the US Secretary of Health and Human Services urged governors to make changes to Medicaid. Currently, states decide how to spend federal Medicaid funds with approval from Washington. But administration officials have suggested that states begin to prepare their Medicaid recipients for transitioning to commercial health insurance.
So, while the threat to Medicaid from the AHCA may be over for now, it remains important to stay engaged and to encourage your local business communities to consider how decisions in Washington affect daily lives closer to home.
Here’s what you can do to stay engaged during this time of legislative limbo:
1. Stay Informed
Major Proposed Reforms:
APSE urges everyone to monitor how reforms may affect the programs most important to people with disabilities in their local communities. ACA and Medicaid provisions that have been most important to the APSE Community include: the Medicaid expansion, dependent coverage, long term services and support (LTSS), Community First Choice (CFC), Home and Community-Based Services (HCBS), and intellectual disabilities/developmental disabilities waivers.
How can you play a role?
House GOP Passes Bill to Gut ACA, APSE is Taking the Fight to the Senate (May 4, 2017)
2. Set Your Strategy
My son has Down syndrome. The GOP’s health-care bill scares me to death. (May 18, 2017)
3. As a national organization...
Medicaid Cuts Are Real Threat to Home and Community Based Services (February 23, 2017)
APSE continues to be a strong voice for federal programs and legislation that support Employment First. The most effective voice of all, however, is a motivated constituent who takes the time to contact his/her legislator and weigh in on an issue. Grassroots advocacy efforts can make a big difference.
APSE provides tools—including APSE Action Alerts—to guide you when you contact members of Congress to discuss issues that matter to people with disabilities. We urge you to take advantage of these tools…and let us know how we can help!
Waiver Funding for Work: Supported Employment for People with IDD (February 28, 2017)
Medicaid Expansion Tied to Employment Among People with Disabilities (December 27, 2016)
Learn from APSE how Medicaid Puts People to Work (March14, 2017)
Updates from APSE
Strong Leadership for Uncertain Times: APSE is Ready for 2017 (December 28, 2016)
Act Now to Protect Health Care (January 9, 2017)
Fact Sheet: Medicaid and People with Disabilities (January 15, 2017)
My Medicaid, My Life (May 3, 2017)
Fact Sheet: Medicaid Long-Term Services & Supports, and Employment (January 15, 2017
A Self-Advocate’s Guide to Medicaid (May 17, 2017)
The Affordable Care Act: Where Are We? (January 25, 2017)
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