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IN THE NEWS: Big Health Insurance Companies Continue “Lobbying Frenzy” to Protect Massive Medicare Advantage Profits

Over the past several months, the insurance industry has been running a massive advertising campaign to scare seniors into believing the Biden administration is cutting Medicare. Republicans in Congress are echoing these claims to protect insurance company profits. In reality, the Biden administration is proposing to increase spending on Medicare Advantage by approximately $4 billion while protecting the program from overpayments, fraud, and abuse by big insurance companies. Recent coverage makes clear that health insurance companies are working overtime to “exaggerate the stakes” in order to protect their massive profits at the expense of seniors. 

Read Protect Our Care’s fact sheet about how big insurers are spreading falsehoods about Medicare Advantage here

HEADLINES

STAT: Wary Of Changes To Medicare Advantage, Health Insurers Put Up A Fight — And Exaggerate The Stakes. “For the past two months, the health insurance industry has attempted to scare older adults and the public into thinking the federal government is slashing Medicare benefits next year… Since any changes to Medicare are politically unpopular, health insurers are hoping the pressure will force the Biden administration to retreat from its February proposals that would specifically change how Medicare Advantage plans are paid. Final regulations are due to come out April 3. But insurance companies, as well as some doctors’ groups, are distorting the reality of the proposals in an effort to protect the sizable and growing profits they earn from Medicare Advantage. If anything, the government’s proposals are relatively tame, according to researchers and experts who have no ties to the industry. And they say officials could do more to combat the most egregious coding practices, which increase costs.” [STAT, 3/27/23]

The New York Times: Biden Plan To Cut Billions In Medicare Fraud Ignites Lobbying Frenzy. “The change in payment formulas is an effort, Biden administration officials say, to tackle widespread abuses and fraud in the increasingly popular private program… Without reforms, taxpayers will spend about $25 billion next year in “excess” payments to the private plans, according to the Medicare Payment Advisory Commission, a nonpartisan research group that advises Congress. The proposed changes have unleashed an extensive and noisy opposition front, with lobbyists and insurance executives flooding Capitol Hill to engage in their fiercest fight in years.” [The New York Times, 3/22/23]

Axios: The Quiet Privatization Of Government Health Insurance Programs. “The insurers that administer Medicare benefits and their allies are running an enormous lobbying blitz against proposed regulations by the Biden administration that they say will cut their government funding and, in turn, harm enrollees. Supporters of the cuts say that the proposal corrects overpayment, which plans obtain by manipulating the billing system. The potency of the lobbying is a sign of just how ingrained Medicare Advantage has become among seniors over the years — and how important it is to some insurers’ business mix.” [Axios, 3/28/23

Stat: Denied By AI: How Medicare Advantage Plans Use Algorithms To Cut Off Care For Seniors In Need. “Behind the scenes, insurers are using unregulated predictive algorithms, under the guise of scientific rigor, to pinpoint the precise moment when they can plausibly cut off payment for an older patient’s treatment. The denials that follow are setting off heated disputes between doctors and insurers, often delaying treatment of seriously ill patients who are neither aware of the algorithms, nor able to question their calculations. Older people who spent their lives paying into Medicare, and are now facing amputation, fast-spreading cancers, and other devastating diagnoses, are left to either pay for their care themselves or get by without it. If they disagree, they can file an appeal, and spend months trying to recover their costs, even if they don’t recover from their illnesses.” [Stat, 3/13/23

Medicare Rights Center: New Campaign Urges Commonsense Medicare Advantage Reforms. “A new national survey shows current and future Medicare beneficiaries agree—they overwhelmingly support addressing MA payment flaws, including as outlined in the 2024 AN:

  • 90% favor reforms to reduce MA overpayments.
  • 70% want policymakers to prevent fraudulent MA plan billing practices.
  • 65% say MA plans should be held accountable for providing value to beneficiaries and taxpayers.” [Medicare Rights Center, 3/23/23]

Health Affairs: Born On Third Base: Medicare Advantage Thrives On Subsidies, Not Better Care. “Over the past seven years, Medicare Advantage’s (MA’s) enrollment has almost doubled, adding 10 percent to its market share , now at 49 percent… The Medicare Advantage industry’s explanation of its success is grounded in claims about MA’s ability to deliver Medicare Part A and B benefits for much less than TM. These savings are, in theory, the basis for the rebates, the incremental revenue CMS pays to plans that fund the improved benefits and lower premiums as compared to TM, which in turn help attract members to MA plans… However, a close examination of the bid process reveals that most of these savings are artifacts of the process and not due to better or more efficient care. They result from including “induced utilization costs” from Medicare supplemental insurance, legislated increases in the benchmarks, and risk score gaming.” [Health Affairs, 3/27/23]

Stat: Key Senators Blast Medicare Advantage Insurers For ‘Exorbitant Salaries,’ ‘Massive Payouts’ To Execs. “Sens. Elizabeth Warren (D-Mass.) and Jeff Merkley (D-Ore.) slammed seven different Medicare Advantage insurers for lobbying against proposed rate cuts to the program while their executives still collected ‘exorbitant salaries’ and gave ‘massive payouts’ to their shareholders. The strong language came in a series of letters from the two key Senate Democrats to Humana, Centene, UnitedHealthcare, Aetna CVS Health, Molina Health, Elevance Health and Cigna — which collectively account for 70% of the market for Medicare Advantage, a private alternative to traditional Medicare. Nearly all of those companies, along with the insurance industry’s major trade group, America’s Health Insurance Plans, have been pushing back against a Biden administration proposal that would cut baseline payments to the plans by 2.3% in 2024.” [Stat, 3/23/23]

McCarthy’s Letter Says It All: Republicans Want Deep and Dangerous Cuts to American Health Care While Protecting Tax Breaks for Wealthy Americans

Washington DC — Today, GOP Speaker Kevin McCarthy outlined the Republican agenda for an upcoming debt ceiling bill. Republicans are seeking broad and devastating cuts to health care programs, including so-called work requirements and other draconian policies that would raise costs and rip away coverage from millions of Americans. These policies are especially harmful to children, rural Americans, people of color, and older adults. In response, Protect Our Care Executive Director Brad Woodhouse issued the following statement: 

“Kevin McCarthy’s latest stunt confirms that Republicans are fighting to hold our economy hostage so they can slash vital health care programs. More Americans are covered under the Affordable Care Act and Medicaid than ever before, but Republicans want to roll back this progress and throw moms and kids off the rolls with burdensome paperwork requirements — all so they can preserve tax breaks for the wealthiest Americans. Republicans are once again showing us who they truly are by proposing deep and devastating cuts to health care, completely disregarding what the American people want and need to stay healthy. If Republicans truly cared about the state of the economy for working families, they would try to tackle rising health care costs instead of ripping away coverage from millions.”

U.S Representatives Kathy Castor and Colin Allred Call on Governors to Protect Medicaid Coverage for Children and Families

Medicaid Coverage Requirement is Set to Expire April 1, Threatening Health Care for Millions of Families

Watch the Full Event Here.

Washington, DC – Today, U.S. Representatives Kathy Castor and Colin Allred joined Protect Our Care for a press conference calling governors across the country to protect coverage for families as the requirement to keep people on Medicaid ends April 1. The speakers will talk about the responsibility governors have to use their authority and resources to ensure children and families counting on Medicaid do not lose coverage due to burdensome paperwork and bureaucratic red tape. 

Congress passed legislation at the beginning of the COVID-19 pandemic to protect access to Medicaid by ensuring no one could be disenrolled during the public health emergency. This provision has helped secure the lowest level of uninsured Americans ever. When the requirement ends, an estimated 15 million people could potentially lose coverage, disproportionately affecting people of color and children. It is especially important to keep families covered in all the states where leaders continue to reject Medicaid expansion, including Florida and Texas. The Biden-Harris administration has committed to expanding access to care and providing guidance to states to assess eligibility in a way that will minimize coverage losses, particularly for children, people of color, people with disabilities, and others who rely on the Medicaid program for their health care. 

“Medicaid has been a lifeline to our neighbors for the past three years, thanks to the swift congressional action at the beginning of the COVID-19 pandemic. Having continuous coverage has brought a sense of financial and health security to many throughout the pandemic, particularly our nation’s children and new parents,” said U.S. Representative Kathy Castor. “Governor DeSantis and his colleagues across the country must take all available steps to ensure that individuals who are renewing their Medicaid coverage are provided every opportunity to stay enrolled in Medicaid if they are eligible, or to be given help enrolling in other affordable coverage options, like the Affordable Care Act marketplace.”

“Governor Abbott has a responsibility to make sure that Texans who qualify for Medicaid don’t get bogged down in red tape and paperwork – especially the 1.4 million kids and 300,000 Texas moms who are at risk of losing coverage,” said U.S. Representative Colin Allred. “I worry that our state is not prepared for the amount of processing it will take to ensure that there’s no lapse in coverage for these families. That’s why it’s so important that we do all we can to get these families the resources and information they need to keep their family healthy.”

“It is the responsibility of every state and every governor to be sure that those who qualify for Medicaid stay covered. This means helping everyone to understand their coverage options and giving them the help they need to re-enroll so that no one loses their health care because they fail to submit the right paperwork or simply because they were not communicated in the language most appropriate for them,” said Leslie Dach, Chair of Protect Our Care. “It is critical to understand what’s at risk here – the families, people who are working hard every day, people with disabilities, children, moms who rely on Medicaid could lose access to basic health care. Every state elected official must think of their own families and what it would be like if health care was ripped away from them for no reason.”

PRESS CALL: U.S Representatives Castor, Allred to Call on Governors to Protect Children and Families as Medicaid Continuous Coverage Requirement Ends

***MEDIA ADVISORY FOR MONDAY, MARCH 27 AT 10:00 AM ET***

Washington, DC – On Monday, March 27, 2023, at 10 AM ET, U.S. Representatives Kathy Castor and Colin Allred will join Protect Our Care for a press conference to call on governors across the country to keep families in America covered as the requirement to keep people on Medicaid ends April 1. The speakers will talk about the responsibility governors have to use their authority and resources to ensure children and families counting on Medicaid do not lose coverage due to burdensome paperwork and bureaucratic red tape. 

Congress passed legislation at the beginning of the COVID-19 pandemic to protect access to Medicaid by ensuring no one could be disenrolled during the public health emergency. This provision has helped secure the lowest level of uninsured Americans ever. An estimated 15 million people could potentially lose coverage, disproportionately affecting people of color and children. It is especially important to keep families covered in all the states where leaders continue to reject Medicaid expansion, including Florida and Texas. The Biden-Harris administration has committed to expanding access to care and providing guidance to states to assess eligibility in a way that will minimize coverage losses, particularly for children, people of color, people with disabilities, and others who rely on the Medicaid program for their health care.

PRESS CALL:

WHO:
U.S. Representative Kathy Castor (D-FL-14)
U.S. Representative Colin Allred (D-TX-32)
Leslie Dach, Founder and Chair, Protect Our Care

WHAT: Virtual Press Conference 

WHERE: Register for the Event Here.

WHEN: Monday, March 27 at 10 AM ET

HEADLINES: President Biden Celebrates 13th Affordable Care Act Anniversary

Washington, DC – Today, President Biden celebrated the 13th anniversary of the Affordable Care Act (ACA) at the White House. President Biden was introduced by Teresa Acosta, whose family, including her son with Type 1 diabetes, relies on the ACA for affordable coverage.  During the speech, President Biden emphasized his administration’s commitment to building on the ACA, a stark contrast to the GOP agenda of repealing the ACA and the Inflation Reduction Act and hiking costs for millions of seniors and families.

Thanks to the ACA, health outcomes have improved across all age groups, medical debt has decreased, and financial security is stronger for families. We’ve also seen stark inequities in care narrow – both for rural Americans and communities of color who have traditionally faced serious barriers to health care. When paired with policies to address other social and structural determinants of health, expanding access to care improves the health and well-being of every American. Read Protect Our Care’s ACA anniversary fact sheet here

Thanks to the tireless work of President Biden and Democrats in Congress, the 2023 open enrollment period was the most successful in history — with almost 16 million Americans signing up for coverage. Coupled with the health law’s expansion of Medicaid, protections for people with preexisting conditions and cost-saving measures, the ACA has touched the lives of nearly every person in the nation. 

HEADLINES

Washington Post: President Biden Calls Out Republicans Seeking to Repeal the Affordable Care Act. “Today, before heading to Ottawa to meet with Canadian Prime Minister Justin Trudeau, President Biden used an event marking the 13th anniversary of the Affordable Care Act to criticize congressional Republicans for wanting to repeal the now-popular program enacted under President Barack Obama — saying that would have ‘a devastating impact on the American people.’ Biden said the ACA moved the country in the direction of ‘the fundamental principle that we hold as Democrats and Americans that health care is a right, not a privilege.’” [Washington Post, 3/23/23]

Fox News: President Biden Says Saving Lives “Doesn’t Mean Much to Our Republican Friends.” “Biden criticized ‘MAGA Republicans’ for their opposition to the ACA at the White House event, which had former Speaker Nancy Pelosi; Vice President Kamala Harris and many other top-level Democrats in attendance. ‘The Affordable Care Act has been law for 13 years. It has developed deep roots in this country,’ Biden said. ‘It has become a critical part of our healthcare and saving lives.’ Biden added that ‘MAGA Republicans’ are intent on repealing the ACA, despite Biden’s claims that it would have a ‘devastating impact’ on Americans.” [Fox News, 3/23/23]

WSAZ: Biden Celebrates 13th Anniversary of the Affordable Care Act. “President Joe Biden on Thursday marked the 13th anniversary of the signing of the Affordable Care Act, also known as Obamacare. Biden gave remarks from the White House on the key accomplishments of the landmark bill. He highlighted how the law has resulted in quality health care for more than 40 million Americans and lowered costs for families. Biden also mentioned steps he has taken as president to boost the legislation, including capping out-of-pocket drug costs for seniors on Medicare. The president slammed House Republican proposals the White House dubbed a ‘five-alarm fire.’ Biden called out the House Freedom Caucus’ proposed budget, which he says will increase health care costs and push the biggest cut to Medicare in decades.” [WSAZ, 3/23/23]

The Hill: What We Have Gained 13 Years Later From the Affordable Care Act. “A reported 13.6 million Americans got insurance in 2021 alone via that ACA marketplaces. Closing the prescription drug “donut hole” saved millions of Medicare recipients billions of dollars, and 2022 surveys by the Kaiser Family Foundation and Morning Consult found that a majority of Americans approve of the ACA. Staunch Republican opposition is shrinking. It turns out that public opinion is even more striking when you ask folks about specific ACA provisions. For example: 90 percent of Americans support prohibiting health insurance companies from denying coverage for people with preexisting conditions; 89 percent support requiring health insurance companies to cover the cost for most preventive services; 88 percent support prohibiting health insurance companies from denying coverage to pregnant women; 87 percent support prohibiting health insurance companies from charging sick people more, and the same percentage support giving states the option to expand Medicaid; 85 percent support providing financial help to low- and moderate-income Americans to purchase coverage; and 78 percent support allowing young adults to stay on their parents’ insurance plans until age 26. More than 35 million Americans have health insurance today because of the ACA — men, women and children who are benefiting from lower cost and higher quality health care coverage. They can thank the vision and courage of leaders such as former House Speaker Nancy Pelosi (D-Calif.), former Majority Leader Steny Hoyer (D-Md.) and former Majority Whip Jim Clyburn (D-S.C.), who socialized the issue and worked to secure the history-making votes in Congress.” [The Hill, 3/23/23]

MSNBC: The Affordable Care Act Has Never Been Stronger Than Today. “After the Affordable Care Act became law 13 years ago today, there were plenty of points at which its future appeared to be in doubt. Legal challenges put the ACA in jeopardy — including three separate cases that went to the U.S. Supreme Court. After Donald Trump’s 2016 election, the fate of Obamacare appeared sealed. All the while, Republicans made all kinds of predictions about the ACA’s imminent failure and disastrous consequences. Obamacare, the GOP insisted, would create ‘armageddon.’ Thirteen years later, it’s now obvious that Republicans were wrong and the ACA’s proponents were right. In fact, thanks entirely to the reform law, the nation’s uninsured rate has never been lower. Just as important is the fact that health insurance has never been more affordable than it is now: Democrats included generous new ACA subsidies in the party’s American Rescue Plan in 2021, with some consumers seeing their premiums fall to nearly or literally zero, thanks entirely to the investments in the Democrats’ relief package. Those benefits were extended last year — though many congressional Republicans are eager to roll back the benefits and force premiums higher. The ACA is working; it’s popular; it’s affordable; it’s advancing; it’s withstood far too many legal challenges; and it no longer has a Republican-imposed target on its back. Thirteen years ago today, this dynamic was hard to predict, but to the benefit of tens of millions of American families, it’s the truth.” [MSNBC, 3/23/23]

On the 13th Anniversary of the ACA, North Carolina Becomes the 40th State to Expand Medicaid After Years of Republican Obstruction

North Carolina Expands Medicaid, Giving 600,000 Residents Access to Affordable Health Care

Washington DC — Today, on the 13th anniversary of the Affordable Care Act (ACA) being signed into law, North Carolina became the 40th state to expand Medicaid, extending affordable health care to 600,000 North Carolinians. This move will especially help low-income workers, moms and children, people with disabilities, and Black, Brown, Indigenous, and rural residents. 

Before today, North Carolina was just one of 11 states that have refused Medicaid expansion. Democratic Governor Roy Cooper has fought tirelessly for Medicaid expansion, making it one of his central priorities since taking office in 2017. Already, about 3.5 million North Carolinians rely on Medicaid and the ACA for health coverage, or 33 percent of the state population. In addition to securing coverage for those who need it, this measure will strengthen the economy, boost support for rural hospitals and other safety net providers, relieve hardships for families living in poverty, and — together with policies that focus on other social and structural determinants of health — reduce gaps where people can’t get the health care they need to thrive if they live in certain places or are of certain backgrounds.

In response, Protect Our Care Executive Director Brad Woodhouse issued the following statement: 

“Governor Cooper, Democratic lawmakers, and advocates fought tirelessly for North Carolina’s Medicaid expansion for years — and now, on the 13th anniversary of the ACA being signed into law, they got it over the finish line. This is a victory for North Carolinians and a victory for the 600,000 individuals and their families who will now have access to lifesaving care. Medicaid expansion is especially significant for moms and kids, people of color, folks living in rural areas, people with disabilities, and other communities who face extreme barriers to accessing care and suffer worse health outcomes. This is a critical step to increase coverage and make health care more affordable.

“Even as Republicans in Washington try to gut the Affordable Care Act and Medicaid, this bipartisan action shows what can happen in the states after years of gridlock because the people demanded it.”

Background

More North Carolinians’ Lives Will Be Saved. According to the Center on Budget and Policy Priorities, Medicaid expansion saved the lives of 19,200 older adults aged 55 to 64 between 2014 and 2017. A study published in the Journal of Health Economics found that Medicaid expansion reduced mortality in non-elderly adults by nearly four percent. Medicaid expansion will insure over 365,000 North Carolinians, saving them millions of dollars and increasing access to quality and affordable health care.

North Carolinians Will Receive Expanded Services. Medicaid expansion has helped patients access preventive care, including colon cancer screenings. Expansion also increased patient access to kidney transplants and made diabetes medication more affordable for low-income patients. The program was also tied to earlier diagnoses of colorectal cancer and reducing diabetes-related amputations.

North Carolina Will See Reduced Racial Disparities in Health Care. The ACA led to historic reductions in racial disparities in access to health care, but racial gaps in insurance coverage narrowed the most in states that adopted Medicaid expansion. States that expanded their Medicaid programs saw a 51 percent reduction in the gap between uninsured white and Black adults after expansion and a 45 percent reduction between white and Hispanic adults. There is evidence already that North Carolina’s adoption of Medicaid Expansion will not just follow these trends, but secondarily increase economic activity throughout the state and reduce economic inequities as well.

North Carolina’s 4.6 Million Rural Residents Will Secure Better Care. The uninsured rate for low-income adults dropped from 35 percent to 16 percent in rural areas and small towns in states that expanded Medicaid. Investigations into North Carolina have found areas in the western part of the state will see uninsurance rates drop by over 8 percent, with that number being even higher for those without a high school education. Research also confirms that rural hospitals in Medicaid expansion states are 62 percent less likely to close, and 75 percent of vulnerable rural hospitals are in non-expansion states.

U.S. Representatives, Governor Evers, and Health Care Advocates to Join Protect Our Care in Michigan, Wisconsin, California, and Arizona to Mark 13-Year Anniversary of the Affordable Care Act

***MEDIA ADVISORY FOR THURSDAY, MARCH 23***

U.S. Representatives Elissa Slotkin (MI-07), Judy Chu (D-CA-28), and Jimmy Gomez (D-CA-34), Wisconsin Governor Tony Evers, and Health Care Advocates Join Protect Our Care to Discuss How Democrats Have Fought to Strengthen the ACA

On Thursday, March 23, U.S. Representatives Elissa Slotkin (MI-07), Judy Chu (D-CA-28), and Jimmy Gomez (D-CA-34), Wisconsin Governor Tony Evers, and health care advocates will join Protect Our Care in Michigan, Wisconsin, California, and Arizona to highlight the 13th anniversary of the Affordable Care Act and discuss how people across the country have benefitted from the law, which expanded access to quality, affordable health care. The historic legislation eliminated lifetime caps, expanded Medicaid, and secured protections for millions of people living with pre-existing conditions. The Inflation Reduction Act built on the strong foundation of the ACA by lowering premiums for middle- and working-class families by an average of $2,400 a year. Thanks to the ACA, more than 21 million Americans have gained coverage through Medicaid expansion, and Medicaid has become a pillar of the American health care system, demonstrating the overwhelming need and desire for affordable health coverage.

Thanks to the ACA, health plans are also required to cover preventive care services without cost-sharing. Access to preventive care has improved health outcomes and reduced economic inequity. The ACA has helped reduce longstanding disparities in coverage rates, improving health care access for children, rural Americans, people with disabilities, and people of color across the nation.

Speakers will also highlight ongoing Republican attacks on health care, and celebrate how  President Biden and Democrats in Congress have made historic investments to secure the future of American health care. Thanks to their vision and determination, people can now sleep easier at night knowing President Biden and Democrats in Congress are hard at work to expand health coverage and lower health care and prescription drug costs.

MICHIGAN
WHO:
U.S. Representative Elissa Slotkin
Laura Appel of the Michigan Health & Hospital Association
Laura Bonnell, Bonnell Foundation director
Sarah Stark, diabetic and Michigan resident

WHEN: Thursday, March 23 at 11:00 AM ET

WHERE: Register to join the Zoom event (Registration required)

WISCONSIN
WHO:
Wisconsin Governor Tony Evers
Kat, marketplace consumer from Milwaukee
Chad, marketplace consumer from Central Wisconsin
Mary, retired nurse from SE Wisconsin

WHEN: Thursday, March 23 at 11:30 AM CT

WHERE: Register to join the Zoom event (Registration required)

CALIFORNIA
WHO:
U.S. Representative Judy Chu
U.S. Representative Jimmy Gomez
Michael Lawson, President, Los Angeles Urban League
Susan Meyer, California Alliance for Retired Americans 

WHEN: Thursday, March 23 at 10:00 AM PT

WHERE: Register to join the Zoom event (Registration required)

ARIZONA
WHO:
Matt Jewett, Children’s Action Alliance
Alison Farrell, Arizona mother and entrepreneur
Ron Barber, Former Arizona Congressman 

WHEN: Thursday, March 23 at 2:00 PM MST

WHERE: Register to join the Zoom event (Registration required)

Thirteen Years Later, the Affordable Care Act Is Only Getting Stronger

ACA Anniversary Comes As Republicans Reignite War on Health Care

Washington DC — Thirteen years ago today, President Barack Obama signed the Affordable Care Act (ACA) into law, and millions of Americans gained quality health care as a result. In the years since, Democrats have stopped Republican efforts to repeal the ACA, and they have built on the health care law by passing the Inflation Reduction Act to deliver lower health care and prescription drug costs for millions of seniors and families across the nation. 

Over the past 13 years, we’ve seen health outcomes improve across all age groups, medical debt decrease, and stronger financial security for families. We’ve also seen stark inequities in care narrow – both for rural Americans and communities of color who have traditionally faced serious barriers to health care. When coupled with policies to address other social and structural determinants of health, expanding access to care improves the health and well-being of every American.  

Thanks to the tireless work of President Biden and Democrats in Congress, the 2023 open enrollment period was the most successful in history — with almost 16 million Americans signing up for coverage. Coupled with the health law’s expansion of Medicaid, protections for people with preexisting conditions and cost-saving measures, the ACA has touched the lives of nearly every person in the nation. Read Protect Our Care’s ACA anniversary fact sheet here

“The ACA is a pillar of our health care system,” said Protect Our Care Chair Leslie Dach. “Thanks to the ACA, millions of people with pre-existing conditions like diabetes or asthma are protected, people who buy insurance on their own can afford their premiums, more than 21 million people are covered through Medicaid expansion, and over 150 millions patients have access to free cancer screenings and other preventive care. Thirteen years in, the law is now built into the fabric of America and is only getting stronger.”

“On the ACA’s 13th anniversary, it’s important not to lose sight of Republicans’ war on health care,” said Protect Our Care Executive Director Brad Woodhouse. “They want to raise costs on families, they want to go back to a time where people with pre-existing conditions paid more, and they want to keep siding with Big Pharma and insurance companies. While President Biden and Democrats in Congress have worked tirelessly to build on the ACA and ensure affordable, quality health care for every American, the GOP is still fighting to cut the ACA, reject Medicaid expansion, and undermine the law’s protections in the courts. Some things never change: Republicans want to raise health costs, ditch critical protections, and put profits over patients.” 

Background:

Republicans Want To Gut The ACA

Thirteen years after the passage of the ACA, Republicans’ threat of repeal is as real as ever. Republicans are consulting with Russ Vought, Trump’s former Office of Management and Budget Chief, to navigate debt ceiling negotiations. Vought’s plan would cut $2 trillion from Medicaid alone, disproportionately impacting children, rural Americans, and people of color. Vought is also advocating for $600 billion in cuts to the ACA, which would rip coverage from 20 million Americans and raise premiums for nearly 15 million more.   Meanwhile the House Freedom Caucus has proposed draconian budget cuts and onerous work requirements designed to strip Medicaid coverage from millions of Americans who rely on it. 

If Republicans get their way and the Affordable Care Act is repealed:

  • GONE: Protections for 135 million Americans with pre-existing conditions, including 54 million people with a pre-existing condition that would make them completely uninsurable.
  • GONE: Medicaid expansion, which covers more than 21 million people. 
  • GONE: 49 million seniors will have to pay more for prescription drugs because the Medicare ‘donut hole’ will be reopened.
  • GONE: 2.3 million adult children will no longer be able to stay on their parents’ insurance. 
  • GONE: Insurance companies will be able to charge women more than men.
  • GONE: Premium tax credits that help 80 percent of people who purchase health care on the marketplace.
  • GONE: Key support for rural hospitals. 
  • GONE: Ban on insurance companies having lifetime caps on coverage.
  • GONE: Requirements that insurance companies cover prescription drugs and maternity care.
  • GONE: 61.5 million Medicare beneficiaries will face higher costs and disruptions to their medical care. 

“This Legislation Saved Lives”: Nancy Pelosi and Health Care Advocates Discuss How The ACA Is Stronger Than Ever on its 13th Anniversary

(Photo by Paul Morigi/Getty Images for Protect Our Care)

Watch the Event Here.

Washington, DC – Today, Speaker Emerita Nancy Pelosi joined Protect Our Care and health care storytellers for an intimate round table discussion to mark the 13th anniversary of the Affordable Care Act (ACA). During the event, speakers reflected on the achievements of the ACA and how their lives have improved since its passage.

Speaker Pelosi was instrumental in getting the ACA over the finish line and giving millions peace of mind knowing they can afford the care they need. Not only was Nancy Pelosi central to its passage, but she thwarted Republican efforts to repeal the ACA and its protections for millions of Americans with pre-existing conditions. In the last year alone, she built on the ACA by passing the Inflation Reduction Act to deliver lower health care and prescription drug costs for millions of seniors and families across the nation. This past open enrollment period was the most successful in the history of the ACA with almost 16 million signing up for coverage, proving these policies have touched the lives of nearly every person in the nation, providing patients with lifesaving care.

“We are celebrating the great mobilization not just to pass the Affordable Care Act, but also to save it,” said U.S. Representative Nancy Pelosi (D-CA-11), Speaker Emerita of the House.This anniversary is the happiest day of my public life because of what it means for people. This legislation saved lives, but it would not have happened without our grassroots.”  

“It is no exaggeration that my daughter Xiomara and countless children with complex medical needs and disabilities like her are alive today because of the ACA,” said Elena Hung, Co-Founder and Executive Director, Little Lobbyists. “So that is what the ACA means to me and to families like mine, that we give our children a chance for a childhood, a chance to grow up and that we get to celebrate more birthdays with them.” 

“Without the ACA, I would have had to make choices over mortgage or health care. The ACA has become such an integral part of life that we take for granted. It’s not only saved lives, it’s saved bankruptcies, it’s saved the ability to change jobs,” said Amy Raslevich from Pittsburgh, PA, Storyteller. 

I was diagnosed with type one diabetes in 2007 – it was my third day of my freshman year of high school. Thankfully, my dad was in the Navy at the time so I had TRICARE but as I was creeping towards the end of high school, it was getting really scary for what my future was gonna look like once I could no longer be on my dad’s insurance. He was starting to put money to the side thinking that we were gonna have to pay out of pocket for a lot of not just my insulin, but all the supplies,” said Rhena Hicks from Norfolk, VA, Storyteller. “The ACA allowed me to stay on my dad’s insurance and to live an easier life with Type 1 Diabetes.” 

“Our pregnancy with my son was completely normal. We didn’t find out till about 24 hours after he was born that he had a serious heart defect and he eventually needed a heart transplant. Our journey, our fight, and our benefits from the ACA are innumerable. He’s not going to have to worry about getting coverage in the future,” said Steve Gomez from Phoenix, AZ, Storyteller. “My wife and I had many sleepless nights during the repeal fight. If they repeal this, what’s going to happen to us?” 

“Thirteen years later, the ACA is a pillar of our health care system,” said Protect Our Care Chair Leslie Dach. “Nearly every person in this country has been touched by the ACA, whether you’re someone with a pre-existing condition like diabetes or asthma protected from discrimination, a small business owner purchasing affordable coverage on your own, or someone who relies on free cancer screenings and other preventive care — that’s all thanks to the health care law. We would not be here today without the tireless efforts of Speaker Pelosi and health care advocates across the nation who ensured the law’s passage, defended it from repeal, and are now working to make the ACA even stronger.” 

“We owe a great deal of thanks to the health care storytellers who continue to shine a bright light on what the law means to them and millions of other families across the country. Together, we’ve defended the health care law from Republican attacks, and we’ve worked to build on its success to make health care more affordable for millions of families. And this is just the beginning — we will continue to work to ensure everyone in this country has quality, affordable health care,” said Protect Our Care National Organizing Director Adam Hoyer.

TOMORROW: Speaker Emerita Nancy Pelosi Joins Storytellers and Protect Our Care to Mark the 13th Anniversary of the Affordable Care Act

***MEDIA ADVISORY FOR WEDNESDAY, MARCH 22 AT 11 AM ET***

Over 13 Years, Nancy Pelosi Has Championed the Passage, Protection, and Expansion of the ACA, Ensuring Affordable Health Care for Millions of Families Nationwide

Washington, DC – On Wednesday, March 22, 2023, at 11 AM ET, Speaker Emerita Nancy Pelosi will join Protect Our Care and storytellers in an intimate round table discussion to celebrate the 13th anniversary of the Affordable Care Act (ACA). Speakers will reflect on the achievements of the ACA and how they have been personally affected by its passage. 

Speaker Pelosi was instrumental in getting the ACA over the finish line and giving millions peace of mind knowing they can afford the care they need. Not only was Nancy Pelosi central to its passage, but she thwarted Republican efforts to repeal the ACA and its protections for millions of Americans with pre-existing conditions. In the last year alone, she built on the ACA by passing the Inflation Reduction Act to deliver lower health care and prescription drug costs for millions of seniors and families across the nation. This past open enrollment period was the most successful in the history of the ACA with almost 16 million signing up for coverage, proving these policies have touched the lives of nearly every person in the nation, providing patients with lifesaving care.

ROUND TABLE:

WHO:
U.S. Representative Nancy Pelosi (D-CA-12), Speaker Emerita of the House
Leslie Dach, Founder and Chair, Protect Our Care
Adam Hoyer, National Organizing Director, Protect Our Care
Steve Gomez from Phoenix, AZ, Storyteller
Rhena Hicks from Norfolk, VA, Storyteller
Elena Hung, Co-Founder and Executive Director, Little Lobbyists
Amy Raslevich from Pittsburgh, PA, Storyteller

WHAT: ACA Anniversary Round Table Discussion with Speaker Emerita Nancy Pelosi

WHERE: Watch the live stream here 

WHEN:  Wednesday, March 22, 2023, at 11 AM ET