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Massachusetts health care — wonky, with a healthy dose of reality

Almost 370,000 Massachusetts residents would lose health coverage under ACA repeal

Almost 370,000 Massachusetts residents would lose health coverage under ACA repeal

December 8, 2016

It would be a disaster if the ACA were repealed, almost 370,000 Massachusetts residents would lose health coverage in 2019.

Chart from CBPP factsheetThat’s the stark conclusion of an analysis just released by the Urban Institute and the Center on Budget and Policy Priorities (CBPP). The report details the implications of a partial repeal of the Affordable Care Act through “reconciliation” – the process that allows the US Senate to approve budget-related bills with just 51 votes, avoiding a filibuster.  The report concludes that, “This scenario does not just move the country back to the situation before the ACA. It moves the country to a situation with higher uninsurance rates than was the case before the ACA’s reform.”

Here are some highlights from the report:

On the national level:

  • 29.8 million people nationwide would lose health insurance coverage. Of these 29.8 million, a majority of them would be working-class families and minorities.
  • Of the 29.8 million people newly uninsured, 22.5 million would become uninsured because they would no longer be eligible financial assistance.
  • Many, if not most, insurers are unlikely to participate in Marketplaces in 2018—even with tax credits and cost-sharing reductions still in place—if the individual mandate is not enforced starting in 2017.

But what about in Massachusetts? The CBPP looked specifically at the impact here.

  • The number of uninsured people would increase by 273%, to over half a million uninsured.
  • The health care system would be forced to absorb immense cuts, with hospitals and doctors facing huge increases in demand for uncompensated care.
  • Massachusetts would lose $1.4 billion in federal Medicaid funds for 2019, and $491 million in support for Health Connector plans.

Even if the ACA is replaced after reconciliation with programs designed to increase the insurance rate, the government would still need to raise taxes, cut spending, or increase the deficit. Reconciliation would also directly affect the most vulnerable populations in the US and across the Commonwealth, which is why it is so vital that we work to keep our health reforms in place.

Please add your voice to support affordable health care in Massachusetts and get involved today. 

-- Angela Swanson