The American Hospital Association (AHA) and 71 state, regional, and metropolitan hospital associations in a joint letter recently sent to President Trump and Congress expressed interest in working with policymakers to reform the Affordable Care Act (ACA).
In the letter, the groups wrote that they "understand the ACA needs change." They continued, "Hospitals and health systems have offered solutions to fix it, and we are committed to working with [policymakers] on legislation that maintains coverage and improves America's health care system through patient-centered care."
The groups urged policymakers to consider six priorities as they "deliberate" the ACA's future. The groups recommended that:
- If lawmakers repeal the ACA, they should simultaneously replace the law to ensure U.S. residents enrolled in coverage under the ACA do not lose that coverage;
- If lawmakers repeal the ACA without at the same time replacing the law, they should restore payment reductions for hospitals and health systems that were included in the ACA to ensure the providers have "sufficient resources to provide care to the uninsured";
- Lawmakers should not lower payments to hospitals and health systems as part of their efforts to repeal and replace the ACA;
- Medicaid should remain a federal-state partnership, and changes to the program should treat states that expanded the program under the ACA and states that did not equitably;
- Policymakers should continue to support the U.S. health system's shift toward value-based, clinically integrated care; and
- Regulatory reform should address the burdens facing hospitals and health systems (Rappeleye, Becker's Hospital Review, 1/31; AHA News, 1/27; American Hospital Association et al. letter, 1/27).
Navigating the first 100 days of the Trump administration
Since Donald Trump won the presidential election in November, health care reform has since quickly risen to the top of the GOP's policy agenda—and heath care executives are grappling with a new sense of uncertainty.
While many unknowns will remain across the next few months and potentially even years, the first 100 days of the Trump administration will provide significant insight into the direction of reform efforts. Read our briefing to learn what five key issues you should watch.