Summary of Stakeholder Views


As the American Health Care Act of 2017 (“AHCA”) goes through revisions, it is important for policymakers to consider the views of different stakeholders.  Below is a compilation of different stakeholders’ positions on the proposed legislation.  This list will be updated as more companies, organizations, and other entities release statements.

Quick Jump

Advocacy Groups
Health Care Providers
Key Political Figures
Insurance Companies and Industry Trade Groups
Other Interest Groups


Advocacy Groups

AARP

On March 7, 2017, the AARP (formerly known as the “American Association of Retired Persons”) released a statement opposing the proposed AHCA. The organization asserted that the legislation would weaken Medicare and shift costs and risks to senior citizens.  For a full copy of the statement, visit AARP’s website.

American Action Forum

On March 9, 2017, Douglas Holtz-Eakin, president of American Action Forum referred to the AHCA as “a good start.”  He stated that the bill places trust in the decisions of individuals and families by making greater use of health savings accounts and respecting their ability to follow incentives to stay insured.  He also supported getting rid of the ACA’s tax policies and praised the tax credit scheme.  For Holtz-Eakin’s full article, view the article on the Washington Post.

American Public Health Association

On March 7, 2017, the American Public Health Association (“APHA”) stated that the organization strongly opposes the AHCA because the repeal will “jeopardize the health and lives of millions of Americans.” Of particular concern was the AHCA’s elimination of the Public Health and Prevention Fund, reduction in subsidies and the elimination of the individual mandate, and the change in Medicaid funding. The full statement can be found here.

California Pan-Ethnic Health Network

On March 8, 2017, the California Pan-Ethnic Health Network (“CPEHN”) released a statement opposing the AHCA.  The organization said that the proposed law would “be devastating to the health of California seniors, children and communities of color.”  Additionally, CPEHN stated that the AHCA “would strip away healthcare from 20 million Americans and repeal consumer protections for millions of Californians.”  The full statement can be found here.

National Health Law Program

On March 7, 2017, the National Health Law Program (“NHeLP”) released a statement that it opposes the AHCA.  NHeLP criticized the lack of a budgetary score from the CBO.  It also opposed the limitations on access to Medicaid and to preventative health care services at Planned Parenthood.  For NHeLP’s full statement, visit its website.

In an Issue Brief released March 21, 2017, NHeLP responded to the Manager’s Amendment released by the House GOP on March 20, 2017.  In its Brief, NHeLP stated that it opposes the work requirements for Medicaid eligibility that were included in the Amendment because work requirements “stand Medicaid’s purpose on its head by creating barriers to coverage and the pathway to health that the coverage represents.”  For the entire Issue Brief, click here.

Justice in Aging

Justice in Aging, an advocacy group for low-income older adults, opposes the AHCA.  The organization is particularly opposed to the Medicaid cuts and argues that would leave millions of older adults without insurance.  It also explained that the bill would make health care more expensive.  The organization’s full statement can be viewed on its website.


Health Care Providers

American Academy of Family Physicians

On March 8, 2017, the American Academy of Family Physicians (“AAFP”) published a statement opposing the AHCA.  The AAFP expressed significant reservations with the way that the proposed legislation would reduce health care coverage and benefits.  Visit the AAFP website for its full statement.

American Academy of Pediatrics

On March 8, 2017, the American Academy of Pediatrics (“AAP”) published a statement opposing the AHCA.  The AAP expressed significant reservations with the way that the proposed legislation would reduce health care coverage and benefits. The statement, issued jointly with the AAFP, ACP, ACOG and the AOA, can be read here.

American College of Physicians

The American College of Physicians (“ACP”) published a statement opposing the AHCA.  The ACP expressed significant reservations with the way that the proposed legislation would reduce health care coverage and benefits. More about the ACP’s position is available on its website.

American Congress of Obstetricians and Gynecologists

On March 8, 2017, the American Congress of Obstetricians and Gynecologists (“ACOG”) published a joint statement with other health care groups opposing the AHCA.  The ACOG expressed significant reservations with the way that the proposed legislation would reduce health care coverage and benefits. You can read the entire joint statement here.

America’s Essential Hospitals

On March 8, 2017, America’s Essential Hospitals published a statement opposing the AHCA.  The organization criticized the bill drafting committee for not giving sufficient time to analyze and model the impact of the bill and for not submitting the bill to CBO for scoring.  It urged the committee to keep all funding for Medicaid.  America’s Essential Hospitals also expressed concerns that the legislation would harm hospitals and patients.  You can visit the America’s Essential Hospitals website for the full statement.

American Health Care Association/National Center for Assisted Living

On March 7, 2017, the American Health Care Association/National Center for Assisted Living (AHCA/NCAL) issued a statement expressing concern with the AHCA because of the bill’s significant reductions in Medicaid funding. The group stated that the proposed legislation “will cut Medicaid funding for seniors and individuals with disabilities, jeopardizing access to the care they need.” The full statement is found here.

American Hospital Association

On March 7, 2017, the American Hospital Association (“AHA”) posted a statement opposing the AHCA for its lack of CBO economic analysis, restructuring of the Medicaid program, and repealing of health care funding.  Click here for AHA’s full statement.

American Medical Association

On March 8, 2017, the American Medical Association (“AMA”) released a statement opposing the AHCA.  The organization criticized the bill for partially basing its tax credits on age, diminishing insurance coverage for Americans, limiting states’ ability to respond to changes in demand for services, repealing the Prevention and Public Health Fund, and defunding of Planned Parenthood.  You may view a complete copy of the AMA’s statement here.

Association of American Medical Colleges

On March 8, 2017, the Association of American Medical Colleges (“AAMC”) published a letter addressed to Congress opposing to the AHCA.  The organization argued that the proposed legislation will limit Americans’ access to affordable health insurance or maintaining coverage under the Medicaid program.  View the AAMC’s complete statement here.

American Nurses Association

On March 8, 2017, the American Nurses Association (“ANA”) announced its position opposing the AHCA.  It
criticized the bill for eliminating the Prevention and Public Health Fund, jeopardizing the health of Americans with pre-existing conditions, and restructuring the Medicaid program so as to restrict access to health care.  For the ANA’s full statement, visit
its website.

American Psychiatric Association

On March 9, 2017, the American Psychiatric Association (“APA”) stated that it had “serious concern” about the AHCA because it would “reduce mental health and substance use coverage for millions of Americans enrolled in Medicaid and contribute to the loss of coverage for millions more individuals.”  The entire statement is available on the APA’s website.

Catholic Health Association of the United States

On March 7, 2017, the Catholic Health Association of the United States (“CHA”) announced that it opposes the AHCA.  CHA argued that low-income individuals will bear the brunt of the health care cuts.  CHA also argued that the bill will harm individuals on Medicaid because of the change in funding to a per capita cap, the elimination of the cost-sharing subsidies for low-income people and the income affordability adjustment for tax credits, the 30% monthly premium surcharge for re-enrollment after 63 days, and the creation of barriers to enrolling in Medicaid.  You can view CHA’s full statement here.

Children’s Hospital Association

On March 7, 2017, the Children’s Hospital Association (“CHA”) released a statement opposing the AHCA in its current state.  CHA criticizes the bill for negatively impacting children’s ability to get necessary health care, especially through the Medicaid program.  CHA’s full statement can be found on its website.

National Association of County and City Health Officials

On March 7, 2017, the National Association of County and City Health Officials (“NACCHO”) released a statement opposing the ACHA because it “eliminates funding for core public health programs that keep communities healthy and safe.” Of particular concern was the elimination of the Prevention and Public Health Fund (which funds 12% of the CDC’s budget) and the change in Medicaid funding.  The entire statement is available here.

University of California Health System

On March 13, 2017, the UC Health System expressed serious concern about the AHCA because as currently drafted, the legislation “could adversely impact our medical centers and the patients we serve.” Of particular concern are the proposed changes to the structure of Medicaid that could leave many patients uncovered, as well as the “unraveling of significant gains in patient access to coordinated care,” and ultimately the higher costs to the nation’s health systems. The entire statement is available here.

 


Key Political Figures

As representatives and other key political figures release official statements on the AHCA, the Health Reform Tracker will update this list.  However, until statements are published, you can view the Americans for Tax Reform’s list of representatives that details who voted for the ACA and who voted for its repeal.

Senator Mitch McConnell (Senate Majority Leader)

On March 8, 2017, Senator Mitch McConnell released a statement that neither supported nor opposed the bill.  He remarked that the ACA needs to be repealed and replaced and the AHCA is an important step in doing so.  However, he also urged the House to take the time to consider the bill and ask questions.  For Senator Mitch McConnell’s full statement, visit his website.

Senator Rand Paul

On March 6, 2017, Senator Rand Paul released a public statement criticizing the efforts to replace the ACA before repealing.  Then, on March 9, 2017, Senator Rand Paul reintroduced the 2015 reconciliation bill that was vetoed by President Obama in 2016.  This bill would repeal the ACA entirely.  For a summary of the ACA repeal bill and Senator Rand Paul’s arguments, visit his website.

Representative Nancy Pelosi (House Minority Leader)

On March 6, 2017, Democratic Leader Nancy Pelosi released a statement opposing the AHCA.  She argued that the bill would give billionaires a massive tax break and shift huge costs and burdens to working families.  She explained that families will pay for worse coverage and push millions of Americans off health coverage entirely.  For Rep. Pelosi’s full press release, go to her website.

Senators Rob Portman, Shelley Moore Capito, Cory Gardner, and Lisa Murkowski

On March 6, 2017, U.S. Senators Rob Portman (R-OH), Shelley Moore Capito (R-WV), Cory Gardner (R-CO) and Lisa Murkowski (R-AK) sent a letter to Senator Majority Leader Mitch McConnell opposing the February 10th draft of the bill.  They expressed concern that the draft does not provide stability or certainty for individuals and families in the Medicaid expansion programs nor the necessary flexibility for states.  To see the senators’ full statement, visit Senator Portman’s website.

Representative Paul Ryan (Speaker of the House)

On March 8, 2017, Representative Paul Ryan released a statement supporting the AHCA.  Rep. Ryan argued that the ACA increased cost for health care and forced insurers out of the market.  For his full statement, visit his website.

President Donald Trump

President Donald Trump has been a major proponent of repealing the ACA and, as of March 7, 2017, supports the AHCA.  For a complete summary of the President’s stance on health care reform, view our page detailing his stances and actions taken.


Insurance Companies and Industry Trade Groups 

America’s Health Insurance Plans

On March 9, 2017, Marilyn Tavenner, the chief executive of America’s Health Insurance Plans (“AHIP”), an insurance trade group that represents Anthem, Inc. amongst other insurers, released a public statement that heavily criticized the AHCA.  Tavenner argued that “the bill should be revised to offer premium tax credits that factor in both the age and income of a health plan member.”  She also said she was “concerned” about the cuts to Medicaid.  However, she supported the decision to continue the ACA’s premium tax credits in 2018 and 2019, provide $100 billion in funding for states to stabilize risk pools, and permanently eliminate the law’s health insurance premium tax.

You can read Modern Healthcare’s article for a summary of Tavenner’s statement.

One thing to note is that on December 6, 2016, Tavenner also criticized, but did not directly oppose Republican efforts to repeal the ACA.

Tavenner explained that the insurance trade group intends to stop the immediate threat of eliminating subsidies for plans sold to low-income people.  She also pointed out that insurers do not wish to return to a time before the law was passed when people with pre-existing conditions were denied coverage in the individual market.  Furthermore, she said that insurers are hesitant to include the creation of high-risk pools because those programs have not been adequately funded in the past.

However, insurers in the trade group have also emphasized the need for an alternative since the ACA’s penalty is not large enough to persuade enough people to enroll.

For more information on Tavenner’s statements, see this article on the New York Times website.

Anthem Insurance

According to a report in Modern Healthcare, in a letter dated March 9, 2017, Anthem CEO Joseph Swedish expressed support for the AHCA. This letter, which was addressed to Reps. Greg Walden (R-Ore) and Kevin Brady (R-Texas), stated that the AHCA was beneficial to both insurance companies and consumers and praised the expanded use of Health Savings Accounts.

This statement is contradictory to the statement that America’s Health Insurance Plans (“AHIP”) released.  Anthem Insurance is a member organization of AHIP.


Other Interest Groups

American Civil LIberties Union

On March 8, 2017, the American Civil Liberties Union (“ACLU”) issued a statement opposing the AHCA. The ACLU expressed concern that the AHCA will hurt millions of Americans, “including women, people with disabilities, communities of color, low-income individuals and families, and anyone seeking reproductive health care.” The entire statement is available here.

Freedom Partners Chamber of Commerce (Charles and David Koch)

As of March 7, 2017, the Koch brothers and their affiliated group oppose the AHCA.  They claimed that “as the bill stands today, it is Obamacare 2.0.”  The Koch brothers and their network of donors have staunchly opposed the ACA since its inception.  For the full article on the Koch brothers’ position, visit USAToday.