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NYSACRA/NYSRA Resources on the Better Care Reconciliation Act

U.S. Senate Unveils ACA Repeal Bill – “The Better Care Reconciliation Act”

Yesterday, the U.S. Senate released the highly anticipated draft legislation which proposes to undo the Affordable Care Act (ACA) and implement draconian cuts to the Medicaid program. The bill is entitled “The Better Care Reconciliation Act” and while it reflects the same sentiment as the American Health Care Act (AHCA) passed by the House of Representatives last month, we understand the U.S. Senate measure would impose stricter Medicaid funding limits on states. This stricter limit would result in more of a negative impact on a state such as New York.

The U.S. Senate bill also contains per capita caps on Medicaid funding to the states and applies a longer timeframe for reversal of the expansion that was enacted under the ACA. The U.S. Senate bill deviates from the AHCA in that it proposes to adjust annual Medicaid caps by using the regular Consumer Price Index (CPI) rather than the medical CPI which can be typically higher.

Further complicating issues for New York State is that the U.S. Senate bill includes the politically charged provision which holds New York’s counties harmless of the county share of Medicaid. The Collins-Faso amendment, named after Congressmembers John Faso of the Hudson Valley region and Chris Collins of Western New York, places the financial burden of the local share of Medicaid onto the State of New York.

U.S. Senate leadership has stated the bill may be voted upon by the Senate as early as Thursday, June 29th, less than one week from today.

NYSACRA and NYSRA are learning more about “The Better Care Reconcilliation Act” and will provide members with an analysis of the proposed legislation, its impact on New York State and how the bill differs from the AHCA.

We’re pleased to provide the following links to initial analyses provided by ANCOR, the Center for Budget and Policy Priorities, Kaiser Family Foundation,