Laura Colbert, the executive director of the patient-advocacy group Georgians for a Healthy Future, is especially concerned about rural patients. Ninety percent of Georgia’s Obamacare customers would be protected from…
At the center of Congress’s recent health care debates has been Medicaid, the government health insurance program for low-income children, seniors, people with disabilities, and pregnant women., and significant support for the program from the public and elected officials is one of the primary factors in the demise of several health reform bills in the U.S. Senate. Since its enactment in 1965, Medicaid has provided millions of Americans with critical health care coverage and services, and it is the largest source of federal funding in state budgets.
In Georgia, Medicaid provides critical support for the health, education, family life, ability to work, and aging of people across the state. Our state’s Medicaid program:
- Provides health insurance for half of all Georgia children, including 100% of foster children;
- Ensures almost 40,000 people with disabilities can live and work in their communities rather than in institutions;
- Supports healthy mothers and babies by covering half of all Georgia births;
- Assists more than 70,000 low-income seniors by covering their Medicare co-pays and deductibles;
- Keeps kids in school by providing needed supports for the 118,000 students with disabilities statewide and funding for school nurses;
- Is the primary payer for 75% of Georgia’s nursing home stays;
- Connects people with substance use disorders to life-saving treatment; and
- Provides health insurance for around 2 million Georgians (20% of the state).
On July 30th, we celebrated the 52nd anniversary of Medicaid (and Medicare), and despite the overwhelming evidence that the program works, its future has been called into jeopardy. Efforts to cut and dismantle Medicaid, wrapped in the cloak of repealing the Affordable Care Act have so far been derailed, but the threat has not yet subsided. Medicaid beneficiaries and supporters alike must continue to oppose any such efforts. If we want to ensure that Medicaid will have another 52 years to contribute to Georgia’s health and prosperity, we have to continue to let our elected officials know we fully support the program and will not accept cuts, caps, block grants or any other proposal that would jeopardize the care of millions and throw our state budget into chaos. We must continue to communicate Medicaid’s importance and put forth evidence-based, patient-centered proposals that strengthen the program and enhance its value for Georgia. We hope you will join us as we work to ensure Georgians can count on Medicaid for another 52 years and more.
For more information about Georgia’s Medicaid program, check out GHF’s Medicaid chart book.
Senate votes to open debate on health care bill
Yesterday, the Senate voted to open debate on health care legislation that cuts and caps Medicaid and repeals major portions of the Affordable Care Act. Both Senators Isakson and Perdue voted in favor of the motion to proceed. The Senate will now begin a required twenty hours of debate followed by consideration of a lengthy list of amendments. There is a lot that still needs to happen before a final vote can be taken.
We can still stop this bill!
The foundation for the Senate debate is made up of proposals that would result in more than 20 million Americans losing coverage, the dismantling of Medicaid on which 2 million Georgia children, people with disabilities, and seniors rely, and the erasure of critical consumers protections. This legislation cannot be fixed with amendments and patch work funding. As the Senate proceeds with its debate, it is incumbent upon us to be vocal and visible in our insistence that these proposals cannot be made better.
We must ensure that Senators Isakson and Perdue hear from Georgians about what is best for our health and health care. There is still time to influence our Senators’ positions before the final vote as Senate leaders have not yet garnered the 50 votes they need for passage of any proposal. Here are three ways that you can make your voice heard in this critical time:
- Call Senators Isakson and Perdue. If you called yesterday or if you’ve never called, pick up the phone now. Ask that your Senators reject any bill that 1) results in coverage losses for Georgians; 2) cuts and caps our Medicaid program; 3) guts consumer protections for people with pre-existing conditions; or 4) makes health insurance less affordable for low- and middle-income Georgians. (None of the Senate proposals meet these standards.)
- Senator Isakson: 202-224-3643 or 770-661-0999
- Senator Perdue: 202-224-3521 or 404-865-0087
- Show Up! Stop by the local offices of Senators Isakson and Perdue to share your health care story and deliver your message in person. Both Senators have offices in metro-Atlanta:
- Senator Isakson: 3625 Cumberland Blvd, Suite 970, Atlanta, GA 30339
- Senator Perdue: 3280 Peachtree Rd. NE, Suite 2640, Atlanta, GA 30305
If you are a person of faith, attend a health care pray-in today at noon. No matter where in Georgia you live, you can put your faith into action and stand up for health care for all Georgians. Click here for details from our partners at the Interfaith Children’s Movement.
3. Ask others to join you. Ask five friends and family members to contact Senators Isakson and Perdue. All Georgians will be impacted by our Senators’ decisions over the next few days. Now is the time for all of us to speak up for what we want (and don’t) in health care reform.
We know that helping people with substance use disorders get into recovery is hard and requires a lot of resources—a strong support system, the will to recover, and access to necessary health care services and supports. The prevention of substance use disorders in the first place can take just as much work and requires similar resources.
We also know that the health care bill being considered by the Senate this week, puts recovery and prevention efforts at risk for millions of people, including thousands of Georgians.
The Senate’s proposed legislation would undermine guarantees that private insurance cover treatment for substance use disorders and mental illness. The bill’s $2.5 billion cut to Georgia’s Medicaid program would mean youth in low-income families could be denied critical preventive health services like screenings for depression or substance use disorders or even something as simple as immunizations. People who need treatment services could lose coverage and access to life-saving treatment.
Congress is trying to mask the damage they are doing to our communities by setting up an emergency opioid response fund as part of the health care bill. This fund is insufficient and is no replacement for reliable health care coverage. This proposed “opioid fund” would not make up for deep cuts in Medicaid and a return to private insurance policies that discriminate against people with pre-existing conditions, including substance use disorders. We can’t afford to return to a time when many state Medicaid programs and private insurers covered only short-term, minimal treatment for substance use disorders, if they covered it at all.
The Senate is set to vote on their health care bill this week and Georgia’s senators need to hear from you. Call Senator Johnny Isakson today! Tell him to oppose the legislation because it would harm people in treatment and recovery, handicap prevention efforts that avoid addiction in the first place, and decimate Georgia’s ability to respond to the ongoing opioid crisis.
Call 202-224-3643 today!
(Don’t know what to say when you call? Here’s some help.)
Just like any actor is no more than 6 degrees of separation from Kevin Bacon, you
are probably no more than 1 degree of separation from someone who would be impacted by Congress’s ongoing attempts to gut Georgia’s Medicaid program and repeal the Affordable Care Act. Are you or do you know any of these people?
- A child—half of Georgia’s children are covered by Medicaid, so even if the child in your life has some other kind of coverage, her best friend or classmates probably have Medicaid coverage
- A senior who already does or may soon need long term care or supports—Medicaid is the primary payer for 75% of nursing home stays in Georgia. For seniors aging in their homes, Medicaid provides home health aides and supports home modifications that allow older Georgians to age in the homes they know and love.
- A person who runs their own business—you may know a graphic designer, general contractor, photographer, or farmer who runs their own business. These entrepreneurs generally must purchase their own health insurance and many do through the health insurance Marketplace. For those just starting out, they probably receive financial assistance to help lower their premiums and reduce out of pocket costs. The AHCA proposes to significantly
reduce the amount of financial assistance available for those buying insurance on their own.
- A child or adult with a developmental or physical disability, you are able to get what you want no matter the circumstances,—for Georgia’s children and adults living with disabilities, Medicaid is a lifeline that provides them with access to life-sustaining health services. It also supports home and community-based careso that they can live, study, and work with or near family, friends, and neighbors.
- A person of color—African Americans and Hispanics have seen historic declines in their uninsured rates since the ACA went into effect, helping to close historic disparities in insurance coverage. The proposed rollback of financial assistance for private insurance and Medicaid eligibility would have a disproportionate impact on people of color, especially children. The Medicaid changes alone are estimated to leave 70,000 black children and 40,000 Hispanic children in Georgia without coverage.
- A person with a chronic condition like diabetes, HIV, depression, or cancer—
under the ACA, people with pre-existing conditions are protected from being charged more or rejected when seeking health coverage. And insurance companies have to cover the essential health benefits meaning that the services people need for pre-existing conditions are covered too. The AHCA would allow states to waive this requirement under certain circumstances, sending people back to a time they could be priced out of coverage entirely.
- A veteran—50,000 Georgia veterans rely on Medicaid for access to health care, a 29% increase since 2013. Not all veterans qualify for care through the Veterans Administration (VA). Medicaid helps to fill the gap so that all of these brave men and women can access the care they need.
The American Health Care Act would dismantle Georgia’s Medicaid program and repeal the Affordable Care Act, threatening the coverage, protections, and supports that all of these people rely on every day. Think of the people in your life that fit into these categories–is it you? A parent or child? A close friend or colleague? Then take action to protect their health care.
Call Senator Isakson today and tell him about your friends, family, and neighbors who would be hurt because of the AHCA. Ask him to oppose any measure that 1) cuts and caps Medicaid, or 2) reduces coverage for Georgians. Call 202-224-3643 today!
Today the U.S. House of Representatives narrowly passed the American Health Care Act, a disappointment for health care consumers across Georgia. At a minimum, we know that the bill decimates Georgia’s Medicaid program, cutting more than $4 billion over 10 years, and would result in at least 560,000 more uninsured Georgians within a decade. Through unconscionable cuts and a restructuring of Medicaid, it will put many of our most vulnerable Georgians at risk, including children, people with disabilities and pregnant women. Children from low-income families could be denied critical preventive services including screenings for vision and hearing, immunizations and treatment for mental health issues. People battling cancer or addiction could lose coverage and access to life-saving treatment. Georgia’s budget would be put under severe pressure, which could lead to sharp cuts in the services older adults and persons with disabilities need to remain in their own homes, which may lead to have the need of finding services such as a audiologist nyc which is out of state.
Furthermore, the AHCA does nothing to improve affordability or quality of care for Georgia consumers. Instead, it opens the door to discrimination against people with pre-existing conditions, skimpier insurance coverage for everyone and higher health care costs for Georgians. The bill even turns back the clock to a time when insurers could deny coverage for life-saving treatments by imposing annual and lifetime caps.
“Should it become law, the American Health Care Act will have a devastating effect on Georgia,” says Cindy Zeldin, Executive Director. “It will cause more than half a million Georgians to lose their coverage entirely while doing nothing to improve affordability or quality of care. This hastily thought out legislation will lead to higher deductibles while stripping consumers of critical protections. It will force unconscionable cuts in health care services for vulnerable children, people with disabilities, and seniors who rely on Medicaid for their most basic health needs. We urge Senators Isakson and Perdue to weigh the impact this legislation will have on people all across Georgia whose basic access to care hangs in the balance and to reject this harmful legislation.”
As this bill moves to the Senate, we call on Senators Isakson and Perdue to stand up for Georgia’s children, seniors, people with disabilities, pregnant women, families and those with pre-existing conditions who will pay a dangerous price if this ill-conceived bill becomes law. They should reject this bill and any bill that cuts coverage, reduces protections, and raises costs for Georgians.
We need you to #ProtectOurCare
We know how hard you all have worked over the last several weeks to defeat the AHCA. We want to thank you for your time and advocacy, but our work continues. It is imperative that Senator Isakson and Senator Perdue hear a swift and powerful message from their constituents–you! Call them today to tell them to reject the American Health Care Act.
Senator Isakson: 770-661-0999
Senator Perdue: 404-865-0087
Your member of Congress needs to hear from you today!
They are at it again. Leaders in the U.S. House of Representatives are getting closer to having the votes they need to pass the American Health Care Act, legislation that would dismantle Medicaid and threaten the coverage of millions of Americans. They may vote as early as tomorrow! Call your Member of Congress today at 866-426-2631 and tell him to vote “NO” on the bill.
The latest proposal keeps all of the bad features of AHCA such as the $4 billion cut to Georgia’s Medicaid program and plans to strip more than 560,000 Georgians of their health insurance. Added to that it would allow states to gut the main consumer protections of the ACA and return to a time when insurers could discriminate against those living with preexisting conditions – charging them higher premiums and selling them plans that don’t meet their health needs by limiting benefits and increasing out-of-pocket costs.
Now is the time for your member of Congress to hear from you. Demand that our lawmakers put the best interests of Georgians and our state ahead of partisan politics. Call your member of Congress today to tell him to vote “NO” on the AHCA. Call 866-426-2631 now!
Want to do more?
If you or a family member benefit from Georgia’s Medicaid program, join the #IamMedicaidGA campaign! Policymakers need to know that real Georgians will be impacted by their vote on the AHCA. Get started here!
Senate Health Reform Task Force held first public meeting
The Senate Health Reform Task Force was established by Lt. Gov. Cagle to study how federal health reform efforts would impact Georgia. The task force held its first public meeting on Friday and heard from two federal health policy professionals, Joseph Antos and Jim Frogue. Together, they provided a brief overview of the proposed American Health Care Act, some analysis of how the bill would impact Georgia, and suggestions for legislators to consider. The message from both presenters is that the AHCA is “not favorable” for Georgia because of the way the proposal cuts and caps Medicaid which would lock in Georgia’s pattern of low per capita Medicaid spending.
We agree that this proposal is “not favorable” for Georgia. Despite the harm it would do to our state, the bill seems headed for a vote in the House of Representatives. Call your Congressman today to tell him that this bill hurts Georgia!
Be a part of the movement to #ProtectOurCare! Georgia’s members of Congress are back home this week, and we want to show them that health matters to Georgians. Tomorrow, we’ll say that loud and clear with a rally hosted by the Save My Care bus tour. The bus has been touring the country to hear about why health matters to people like you and to tell Congress to save our health care! Join GHF, the Save My Care team, Minority Leader Stacey Abrams, and others to tell Congress to #ProtectOurCare!
If you can’t be at the rally, we still have you covered!
Connect with your members of Congress
One of the best ways for you to tell your members of Congress to #ProtectOurCare is to speak directly with them or their staff. This week contains several opportunities to meet your elected officials and their teams in person. Click here to see if your members of Congress are hosting an event in your area. Can’t make it to the events or your members of Congress aren’t hosting any? You can call (or email) their offices to share your thoughts. Click here for a list of phone numbers and a suggested script if you don’t quite know what to say.
Don’t know who your members of Congress are? Click here to find out. (Your members of Congress are listed in the second row on the page.)
Share your story with us
Stories from people like you who have benefited from the ACA or Medicaid are incredibly powerful! When you share your story, it helps others understand how a policy might impact their family or friends, and why its important. Your story can help shape the conversation about health care access in Georgia. Let us know if you have coverage through the ACA Marketplace or Medicaid. We want to hear from you!
Join the conversation
It’s more important than ever that Georgians have the facts and information that they need to form smart opinions on policies that will impact their health care. Join us on Twitter and Facebook this week. We will be talking about how the ACA and Medicaid have impacted Georgia, and what is at stake in the proposed plans to roll back health care access in our state. Get started by signing our petition to #ProtectOurCare and sharing it with your social media networks!
Re-authorization of provider fee successfully passes through legislature
On Friday Georgia’s House of Representatives voted to approve the hospital “provider fee” for another three years, and Governor Deal says he will sign the legislation tomorrow. The provider fee helps to fund Georgia’s Medicaid program by allowing the Department of Community Health to collect a tax on hospital revenues which is used to draw down additional federal dollars. The additional funds are disproportionately used to support rural and safety net hospitals that serve high numbers of indigent patients.
Oral health bills approved
Also on Friday, the Senate passed SB 12 and the House passed HB 154, both of which allow dental hygienists to practice in safety net settings, school clinics, nursing homes, and private practices without a dentist being present. While the bills are overwhelmingly similar, the differences between them will need to be worked out between the chambers.
WHAT HAPPENED LAST WEEK
Passage of Opioid Abuse Prevention Bill
SB 81 continued to draw a lot of attention last week. The bill was eventually passed by the Senate Health and Human Services committee with several significant changes. The current version of the bill still requires that all physicians register and use the Prescription Drug Monitoring Program (PDMP), but only requires that providers report on Schedule 1 drugs and reduces the penalty for not reporting to a minimum of a misdemeanor. The current version of the bill also changed language that would have required children with ADHD to renew their prescription every five days.
Surprise billing legislation heard in committee
The Senate Health and Human Services committee began its consideration of SB 8, legislation that would protect consumers from surprise out-of-network medical billing. Testimony was heard from insurers, health care providers, hospitals, and the consumer advocacy group, Georgia Watch. While all stakeholders seem to be in agreement that consumers should be held harmless when seeking care at an in-network facility and through no fault of their own encounter an out-of-network provider, there are significant differences on the matter of provider reimbursement for services provided in those situations. No vote was taken on the legislation but is expected to be re-considered by the committee this week. HB 71, legislation that address surprise billing in a different way, is expected to receive its first hearing this week in the House Insurance committee.
Resolution introduced to encourage block grants for state Medicaid program
HR 182 was introduced last week with the purpose of providing legislative permission to the Governor and the Department of Community Health to seek per capita block grant funding for Georgia’s Medicaid program. While resolutions are non-binding and do not impact state law, this resolution could begin a risky conversation among lawmakers. Shifting Georgia’s Medicaid program from its current federal-state partnership structure to a block grant program would mean cuts in services and in beneficiaries, putting Georgia’s most vulnerable children, parents, elderly, and people with disabilities at risk if you’re in one of these cases, you could get in touch with a home care agency. Check out GHF’s block grant fact sheet for more information about the dangers of restructuring the Medicaid program. It is unclear if this resolution will get a hearing or a vote.
Mark Your Calendar!
Save My Care Rally: February 20th
With Congress taking steps to repeal and replace the Affordable Care Act and thus blocking the access to care so many Georgians have gained in the past several years, it is more important than ever to stand up and let them know that Georgians want to #ProtectOurCare.
On February 20th, join the Save My Care bus, GHF, and hundreds of Georgians for a rally in Atlanta. Georgia’s members of Congress will be at home for recess and it’s the perfect time to make sure your elected officials hear you loud and clear.