Action alert: AHCA revived

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?

Tell your friends, family, and social media networks that you made a phone call to your members of Congress and they can too! Use this tweet and Facebook post to spread the word!

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!


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Legislative Update: March 13

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!


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Now is the time to #ProtectOurCare

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!


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Legislative Update: February 13

  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. 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.


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2017 Advocate’s Guides & Week 3 Legislative Updates

 

Get your 2017 Consumer Health Advocate’s Guide!
GHF’s annual Consumer Health Advocate’s Guide is your map for navigating the Georgia legislative session. The Guide provides information on the legislative process, contact information for legislators, key agency officials, and health advocates, and a new glossary of terms to help you understand what is happening under the Gold Dome. This tool will help advocates, volunteers, and consumers navigate the 2017 Georgia General Assembly.

 

 

 

 

 

 

 

 

 


 

Surprise medical billing legislation expects a hearing
As we announced last week, Sen. Renee Unterman and Rep. Richard Smith each introduced legislation (SB 8 and HB 71) to protect consumers from surprise out-of-network medical bills. Both seek to eliminate this problem for consumers, but they resolve it in different ways. The bills are at the initial stages of the legislative process, so it’s too early to tell what the final solution may look like, but all sides agree that patients should be protected when accessing health care at an in-network facility. We expect to see the first hearing on the legislation this week in the House Insurance Committee.
WHAT HAPPENED LAST WEEK
“Repeal and replace” Task Force 
The Senate has established a “Repeal and Replace” Task Force to address any changes to or repeal of the Affordable Care Act and the potential impacts on Georgia. Senators Burke, Judson Hill, Watson, and Unterman have been appointed to serve on the task force. They have begun initial closed-door meetings, but we expect that the process will include public meetings in the future.


AFY 2017 and FY 2018 Budgets 
The House of Representatives passed the amended FY 2017 budget, also called the little budget. Very few changes were made from the Governor’s recommended budget. Appropriations hearings continued on the FY 2018 budget.


Oral Health Legislation 
Rep. Sharon Cooper introduced HB 154 last week. This bill is more limited in scope than Sen. Unterman’s SB 12, but both allow for general supervision of dental hygienists under certain circumstances. “General supervision” means that a dentist can authorize a licensed dental hygienist to perform certain duties but does not require the dentist to be present when those duties are performed. The primary purpose of both bills is to reduce the barriers to dental care for children, seniors, and people with disabilities in Georgia.


Opioid Abuse omnibus bill introduced 
Sen. Unterman introduced SB 81, titled the “Jeffrey Dallas Gay, Jr. Act”, which addresses the ongoing opioid abuse crisis in a number of ways. The legislation enables greater access to naloxone, a medication used to combat opioid overdoses, by allowing the Commissioner of the Department of Public Health to issue a standing order permitting over-the-counter access or under other imposed conditions. The bill also requires prescribing physicians to discuss with their patients the potential risks associated with use of a controlled substance. Under this legislation, inspections would be required for all licensed narcotic treatment programs in the state, as well as the submission of patient outcomes data by the programs to the Department of Community Health. This bill contains many provisions to prevent and treat substance use disorders and we will provide a fuller analysis soon.

 

 

IN CASE YOU MISSED IT 
Webinar: Health Care Policy in 2017
On Thursday, Director of Outreach and Partnerships Laura Colbert hosted a webinar to discuss the expected and proposed changes in health care policy at both the state and federal levels.She reviewed the most recent information about “repeal & replace efforts”, Protect Our Care advocacy, and health care in the 2017 Georgia legislative session. If you missed the webinar, don’t worry! You can see it on demand here.


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GHF Participates in “A Nation Engaged”

 Georgians for a Healthy Future’s Executive Director Cindy Zeldin participated as a featured guest at WABE’s A Nation Engaged community forum at the Carter Center in Atlanta on the evening of January 17th. The forum, an initiative of WABE’s A Closer Look radio show, featured a range of thought leaders, community activists, policy experts, and previous guests of the program. The conversation was wide-ranging and incorporated different views and perspectives. Georgians for a Healthy Future was honored to be invited and to be part of the lively event. You can see more details and listen to the entire special broadcast here.


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Legislative Update: The First Two Weeks

Legislation introduced to protect consumers from surprise medical bills!
This morning, Sen. Renee Unterman and Rep. Richard Smith each introduced legislation to protect consumers from surprise out-of-network medical bills. A surprise medical bill can occur when an insured consumer unknowingly receives care from an out-of-network provider at an in-network health care facility. The consumer is then responsible for the excess medical costs which can add up quickly. The bills introduced today would help to protect consumers from these large, unexpected bills.You can help!

  • Contact Sen. Unterman and Rep. Smith to thank them for their attention to this important consumer issue.
  • If you have received a surprise out-of-network medical bill, share your story with our partners at Georgia Watch. Consumer stories help illustrate why legislation is needed to protect Georgia consumers like you.

 

 

 

FY 2018 Budget 
One of the legislature’s major responsibilities is to pass a state budget each year. Governor Deal proposed a $25 billion state budget in his State of the State address for Fiscal Year 2018, and last week the legislature held budget hearings to gather input from state agencies about their proposed departmental budgets. Three state agencies have jurisdiction over health and health care: the Department of Community Health (DCH), which oversees Medicaid, PeachCare, and other state health care programs; the Department of Public Health (DPH), which administers public health and prevention initiatives and programs in Georgia; and the Department of Behavioral Health and Developmental Disabilities (DBHDD), which provides treatment, support services, and assistance to people with disabilities, behavioral health challenges, and substance use disorders. Because of the critical role that Medicaid plays in covering low-income children and other vulnerable Georgians, it is important that it be adequately funded. Issues to watch this legislative session around Medicaid and the state budget include the renewal of the “hospital tax” or provider fee, increases in Medicaid reimbursement rates for certain primary care providers, and funding for autism services for children under 21. The Georgia Budget and Policy Institute’s Budget Primer is a great tool for learning more about how the state budget works and what to look out for during the session. You can also find power points and archived agenda from last week’s budget hearings here as well as the budget “tracking sheet” here.
Proposed Legislation
 

Oral Health–SB 12 
This bill would provide for “general supervision” of dental hygienists in Georgia, meaning that with a dentist’s permission dental hygienists could provide cleaning services to patients when a dentist is not present. The purpose of this legislation is to expand access to oral hygiene services in safety net settings like school based health centers, long term care facilities, and charity clinics. Read more about this legislation here.


Expansion of the rural hospital tax credits–HB 54 
Introduced by Rep. Duncan, this legislation would expand the new rural hospital tax credit program from a 70% credit to a 90% credit, among other minor changes. The tax credit program went into effect this year, after enabling legislation was passed in 2016.


Expected legislation 
It is early in the legislation session, so many health-related bills are still in the works. We expect to see legislation arise from two study committees that met this fall. The Senate Study Committee on Opioid Abuse is expected to result in legislation that strengthens the Prescription Drug Monitoring Program and permanently allows naloxone to be sold over the counter, among other strategies to curb the opioid abuse crisis. Some legislation or action is expected from the House Study Committee on Children’s Mental Health as well. That may include the creation of a Children’s Mental Health Reform Council, similar to the Governor’s successful Criminal Justice Reform Council. Finally, we have heard serious discussions about raising Georgia’s tobacco tax. No legislation has yet emerged but we do expect to see a bill introduced in the coming weeks.

If legislation is introduced addressing any of these issues or other health care-related topics, we will include updates in our weekly emails throughout the legislation session. You can also track health care-related legislation on our website any day of the week.


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The 2017 Legislative Session is underway!

Georgians for a Healthy Future will be at the Capitol throughout the forty-day session to monitor health-related legislation, serve as a voice for health care consumers, and keep you informed about opportunities to engage and take action. For the past four years, our top legislative priority had been closing Georgia’s coverage gap by expanding Medicaid. In the wake of the 2016 election, the national policy landscape has shifted considerably, knocking that off the table this year and placing existing coverage, care, and consumer protections at risk. Despite this backdrop of uncertainty and a critical need for federal advocacy, there will be important decisions made over the next three months at the state level that impact the health of individuals, families, and communities.

 

While it is early, here are the major health care issues we preliminarily expect legislators to tackle in 2017:

  • Renewal of the provider fee commonly known as the “hospital tax” or “bed tax” to help fund Medicaid and keep hospital doors open
  • Development of a set of reforms to improve mental health services based on the recommendations of a legislative study committee that has been meeting over the past several months
  • Creation of a “repeal” task force to assess the impact of changes to or repeal of the Affordable Care Act on Georgia
  • Addressing the practice of surprise medical billing, which can leave insured consumers with unexpected bills when a health care provider is out-of-network
  • Increasing reimbursement rates for certain primary care services for health care providers participating in Medicaid
  • Improving access to dental care for children, seniors, and people with disabilities

 

Georgians for a Healthy Future has several ways for you to stay up-to-date on what’s happening under the Gold Dome this year:

 

Stay tuned for updates throughout the session.

 


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Action Alert: #ProtectOurCare

The President-Elect and Congressional leadership are already working to repeal the Affordable Care Act, but have not yet communicated what a replacement might be. Repealing the law without an adequate replacement would do great harm to consumers, destabilize Georgia’s health insurance market, and stress our health care delivery system. It´s important to take care of your health in every way possible, if you happen to have issues such as stress or depression buy kratom a natural drug that fights these issues immediately.
Approximately one million Georgians would lose their health insurance by 2019, bringing the number of uninsured in our state to a staggering 2.4 million people – more than before the ACA was passed. Millions more would lose their basic rights and protections as consumers, and access to care would be at risk. We could lose:

 

  • Protections for people with pre-existing conditions from being charged more or from being barred from coverage. Pre-existing conditions include chronic diseases like diabetes, mental health conditions, asthma, cancer, and more
  • Protections that keep women from being charged more than men
  • Free preventive care
  • The ability to keep young adults on their parent’s plan until age 26
  • Financial protections that limit the amount of money consumers must pay out-of-pocket each year for care and that keep insurers from limiting lifetime benefits
  • Anti-discrimination provisions that protect consumers based on sex, gender identity, language spoken, or country of origin
  • Health insurance navigators who offer free, local, unbiased assistance to help people find the health care coverage that works best for them

 

We need your help!

 

Members of Congress value what their constituents think, and the battleground over repeal will be focused on the United States Senate. Senators Isakson and Perdue need to hear from you today. Please call them at 202-224-3121 and tell them “Repealing the health care law without a replacement will affect everyone, particularly the one million Georgians who will lose coverage. Don’t take away our health care.”
Want to do more?

 

Please also consider sharing your health care story with us or with your Member of Congress or United States Senator. Federal policymakers need to hear the stories of their constituents whose basic access to coverage and care hangs in the balance before they make any decisions that impact your health care.

 

Follow #ProtectOurCare and GHF on Twitter and Facebook for updates and action alerts.

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What’s Next for Health Care Consumers?

Tuesday’s election results have the potential to dramatically shift the health care landscape nationally and here in Georgia. It’s too soon to know precisely what policy changes will occur and what their impact will be, but advocacy at both the state and federal levels on behalf of Georgians who need access to quality, affordable health care has never been more important.

The President-Elect and Congressional leadership have vowed to repeal the Affordable Care Act, landmark legislation that established a framework for coverage that has resulted in the lowest uninsured rate ever recorded, rights and protections for health care consumers, and provisions to advance health equity. Repeal is a serious threat and the consequences would be devastating: twenty million Americans and nearly 500,000 Georgians would lose their coverage, while millions more would be stripped of basic protections and face higher costs. Congressional leaders have also signaled their intention to make cuts to Medicaid and other critical health care programs, which would further threaten coverage and access to care for Georgia children and families.

Georgians for a Healthy Future is committed to lifting up the voices of Georgians whose basic access to care hangs in the balance and ensuring these voices are heard and considered as policy decisions are made. We cannot return to the days when anyone with a pre-existing condition like cancer or diabetes can be denied coverage, where women can be charged more for health insurance simply because of their gender, and where LGBT Georgians can be discriminated against in health care. We cannot allow the hundreds of thousands of Georgians who have finally experienced the sense of security that comes with health coverage to go back to being uninsured and out of options. In short, we plan to fight and we need your support and partnership.

We ask you to partner with us in the coming weeks and months as our work enters this new phase. Here is what you can do:

  • Sign up for action alerts so we can keep you updated on opportunities for advocacy
  • Consider a donation to Georgians for a Healthy Future so we have the resources we need to stand up for health care consumers every step of the way
  • Tell us if your organization is able to partner with us as we move forward to defend the tremendous strides we have made in the new environment

Thank you for all that you do.


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