Repeal & Replace Update

Lauren Pollow in Legislative

Yesterday AHCA/NCAL hosted a webinar to review the details of the Graham-Cassidy Bill, the latest effort to repeal and replace the Affordable Care Act. If you were unable to join our webinar, you can replay it online here. The Senate has until September 30th to pass this legislation with just 51 votes and Rand Paul (KY) is the only Republican Senator that has definitively announced he will not vote in favor of the bill.

AHCA has stated with no ambiguity how the terms of this legislation will impact our industry:

  • AHCA projects that this bill will create a reduction of funding anywhere from $10 to $50 billion to New York State by 2026;
  • This bill will redirect funds from New York State and other expansion states to 19 Republican-run states that opted out of Medicaid expansion;
  • It will place a per capita cap growth rate that does not keep up with projected growth rates for Medicaid, and,
  • It reduces the maximum provider tax from 6.0% to 4.0%. 

This will come down to another pressure-filled vote as early as next week, and presents a dramatic step backward for long-term care providers. Please use the AHCA grassroots advocacy system in Mark Parkinson’s message below to contact your legislator via e-mail.

What You Can Do 

The time frame for action on this bill is short. The Senate must pass the bill by September 30 or it loses the right to pass it with 51 votes. Senate Majority Leader Mitch McConnell has announced that there will be a vote as soon as next Wednesday. You can see more details in the email sent earlier this week.

To ensure our success in defeating this proposal, the most important thing you can do is this:

Call every Senate and House member that you have any connection to and tell them to vote NO. You can register for our online grassroots Care Advocacy resource to easily locate and contact them. It's important to call House members, as well. If the Senate does pass a bill, it will then come back to the House for a vote. The House members need to know that the Senate bill is much worse for us than the House version of repeal and replace.

It is critical that we contact every Senate and House Republican in every state. Thank you for ensuring that our voice is heard.


Mark Parkinson
President and CEO


Lauren Pollow
Director, Government Affairs
518-462-4800 x25