Richard Afable, MD, executive vice president of Providence St. Joseph Health
Southern California Region and president and CEO of St. Joseph Hoag Health,
explains how the Better Care Reconciliation Act (BCRA) and repeal of Medicaid
expansion would negatively affect the health of community members.
Senate Republicans' healthcare bill, the Better Care Reconciliation
Act, would undo many major provisions of the ACA, including Medicaid expansion,
the individual mandate and nearly all of the current law's revenue-generating taxes.
The nonpartisan Congressional Budget Office
estimated the BCRA would reduce the federal deficit by $321 billion, a 170 percent
improvement over the House-approved American Health Care Act. Reduced
federal spending on healthcare would largely be attributable to decreased
funding to Medicaid — an
updated analysis from the CBO says the BCRA would cut Medicaid funding by 35 percent over
the next 20 years.
organizations — including the American Hospital Association, the American Medical
Association and the
Institute for Healthcare Improvement — have come out against the BCRA. A major area of worry is the proposed
repeal of Medicaid expansion, the ACA initiative that enabled millions
of previously uninsured Americans to gain coverage. The CBO estimates
if Medicaid expansion is undone, 22 million more people would be insured
by 2026, compared to the current law.