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Home Care at Risk in Latest Version of Health Care Bill - Take Action Now

Thursday, July 6, 2017   (0 Comments)
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June 30, 2017


Contact your congressional delegation and ask that they reject any proposal to cut Medicaid support.  Medicaid is a program for all Americans. Increasingly, it is a program for America’s middle class as the high cost of long term care can deplete the resources of all but a few families. It is not just a “safety net” for the poor; it is a program that protects those who are very ill and infirm of virtually all socioeconomics groups.


These cuts are sure to hurt homecare.  States may need to drop existing Medicaid home care and hospice programs. With reduced federal support, it is unlikely states could raise payment rates to cover any increased care costs, including staff compensation.  There are an estimated 1 million Medicaid caregivers providing services to over seven million Medicaid beneficiaries.


While the Senate has delayed a vote on its health care reform proposal, the bill still has a significant chance of moving forward in the week of July 10 when Congress returns from its recess. The Medicaid provisions in that bill appear to be intact, but there is growing recognition that Medicaid beneficiaries will be at high risk if the bill passes. The Congressional Budget Office (CBO) released an analysis yesterday showing that federal Medicaid support will drop by 35% by 2035 as a result of the “per capita caps” formula. That loss of federal support will certainly put home care and hospice benefits at risk given that home care and hospice are Medicaid options. In addition, the bill continues to include a repeal of the Community First Choice benefit that represents a $19 billion cut in federal support for Medicaid home care.


We strongly urge you to continue communications with your Senators.  We need your help to make sure we protect our most vulnerable patients. Calls and personal letters will make the most meaningful impact. One quick and easy way to act is to head over to the NAHC Legislative Action Center for a pre-drafted letter that is a few quick clicks away.

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