Health Care

Marc Stier, Director of the Pennsylvania Budget and Policy Center, released the following statement on the announcement that the U.S. Senate GOP will include a repeal of the Affordable Care Act individual mandate in their tax bill.

Later this week or next we should get a CBO score of the latest Senate health care bill and we will revise, once again, our projections for its impact on Pennsylvania. But, we are not expecting major changes in anything but in how long it takes for well over a million fewer Pennsylvanians to have insurance as a result of the bill. To see why, one must step away from some of the details of the bill and look at the big picture, focusing not just on the policy but the politics of the bill. 

From that perspective, it is pretty obvious why the Republican approach to repealing and replacing the ACA – and drastically reducing the size of the Medicaid program – can’t be fixed. 

The Manatt Health Group and the Robert Wood Johnson Foundation have released a new study of the impact of the Senate health care bill, the Better Care Reconciliation Act of 2017, on the states. Their estimates of the impact of the bill confirms our recent study showing that Pennsylvania will suffer devastating reductions in federal funding for Medicaid. It also offers some more fine-grained detail on the nature of these reductions.

Pennsylvania must brace itself for a substantial decrease in federal Medicaid payments that would devastate our state budget and cause massive losses in Medicaid coverage as the Senate moves to pass a version of the House’s American Health Care Act. Under the leadership of Pennsylvania’s own junior senator, Pat Toomey, that version of the bill has significantly deeper cuts to Medicaid than the House bill. 

The Affordable Care Act of 2010 (ACA or Obamacare) is one of the most important pieces of domestic legislation enacted since the 1960s. It has had a dramatic impact in reshaping the provision of health care in the United States at a time when health care amounts to 18% of the United States economy. 

 

This report aims to quantify the benefits of the ACA to Pennsylvanians, in part by showing just how costly repeal of it will be.


In his budget address, Governor Wolf observed that Pennsylvania faces a choice of two paths. Taking one path would require us to deal with the reality of our structural deficit and raise revenues to close it. It would enable government to continue to meet its responsibilities to educate our children, serve those who need our help, protect the environment and encourage economic growth. Taking the other path would require us to accept devastating cuts to education and health and human services.

The ideas in this document were compiled by the Pennsylvania Budget and Policy Center based on our own work and that of our partner, the Keystone Research Center, and that of advocates on many issues. The names of our partners are in our letter to the Governor and the members of the General Assembly.

Monthly archive