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GOP Releases Plan to Repeal ACA: Call Your Legislator Today!

Today, March 6th, the GOP released their long awaited plan to repeal the Affordable Care Act (ACA). The plan will be devastating to the health of California seniors, children and communities of color. The proposed bill would strip away health care from 20 million Americans and repeal consumer protections for millions of Californians.

Below are some highlights of what Republicans are proposing. Republicans want to:
  • Cut Medi-Cal by $20 billion or more out of a $100 billion program in California, undermining care for kids, people with disabilities, and seniors.[1]
  • Dismantle the Medi-Cal expansion by freezing new enrollment after 2 years. Current enrollees would be allowed to keep their Medi-Cal but only if they do not have a break in eligibility for more than one month effective 2020. 
  • Institute Drastic Cuts to Medi-Cal by requiring states to move to a per-capita cap financing system that would cap federal spending for each enrollee, minimizing the flexibility of states to expand the program to new populations or to respond to changes in health care costs due to unforeseen factors such as higher prescription drug costs, increases in the prevalence of chronic disease or the adoption of new health care technology.
  • Repeal ACA Cost-Sharing and Tax Credit Subsidies, replacing income-based assistance with a new Patient and State Stability Fund, funded at a unspecified amount, that provides states with flexibility to decide whether or how they will continue to provide financial assistance to their enrollees moving forward.
  • Eliminate the Prohibition on Pre-Existing Conditions, starting in 2019, enrollees would be required to maintain continuous coverage or pay a penalty. Individuals who go longer than 63 days without coverage would be assessed a 30% late enrollment surcharge on top of their base premiums for a full year. This provision would apply to enrollees during special enrollment starting in 2018.
  • Eliminate Essential Health Benefits requirements, removing the protection and subsequent federal funding that helps to ensure California consumers can access a broad range of health care services including mental health, substance use disorder, prescription drug coverage and preventive services.
  • Repeal funding for the Prevention and Public Health Trust Fund (PPHTF) which provides support for community based prevention efforts, including controlling tobacco use, promoting healthy eating and active living, and providing communities with vital resources for immunizations. California stands to lose over $300 million in prevention funding over the next 5 years.[2]
The California Pan-Ethnic Health Network (CPEHN) believes all people deserve access to affordable health care. Any new health care plan needs better coverage to more people at a lower price. The Republican plan does the opposite, eliminating coverage for millions Californians, and making the ACA unaffordable not just for policy holders, but potentially for people with employer sponsored health care as well.

CPEHN will be providing a more detailed analysis of the GOP plan. Please check out our ACA Hub for updates in the coming days. And use these hashtags on social media: 

Take Action Now!:
Call your representatives!
 Dial the Capitol switchboard at: (202) 224-3121 or click here

Tell them:
  • Do not vote on the bill until lawmakers and the public know the impact it will have on the federal budget and, more importantly, the more than 20 million people who have gained coverage under the Affordable Care Act.
  • Follow the normal procedures, hold formal hearings, and wait to vote until the Congressional Budget Office (CBO) reviews the bill and gives it a score. 
  • Protect vulnerable communities. Don’t undermine care for kids, people with disabilities and older adults by cutting our Medicaid program.

[1] Medi-Cal covers one-third of California residents. Rural counties will be hardest hit as five counties in the Central San Joaquin Valley have the highest percentages of residents enrolled: Tulare 55%, Merced 51.5%, Fresno 49.9%, Madera 45.3%, Kings 37.9%
[2] California Could Lose more than $300 Million to Fight Health Epidemics over Five Years if the ACA and Prevention and Public Health Fund are Repealed, Washington, D.C.: Trust for America’s Health, 2016. Available online at:
Questions? Please contact Cary Sanders, Director of Policy Analysis, at or (510) 832-1160.

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