Impact of the Patient Protection and Affordable Care Act Repeal in MD
Congress voted 64 times to repeal the Patient Protection and Affordable Care Act (ACA) over the last 6 years, and yet never offered any specific plan to replace it. Now, repeal is almost certain, putting the health — and lives — of countless Marylanders at risk, in addition to having enormous economic consequences. Here’s what Maryland stands to lose if the the ACA is repealed (source document in links)
Nearly half a million Marylanders may lose their health care coverage.
- 476,000 Marylanders could lose their coverage if the ACA is entirely or partially repealed.
- Even more Marylanders, roughly 2.5 million people, have pre-existing health conditions and could be denied coverage altogether or be charged significantly more.
- 41,000 young adults are at risk of losing the coverage they now have on their parents’ plans.
There will be higher costs for insurance premiums, prescription drugs, and for being a woman.
- More than 100,000 people who receive premium subsidies would no longer be able to afford insurance.
- The ACA mandates that women can purchase insurance for the same price as men; previously they paid up to 39 percent more for coverage.
- More than 86,000 seniors and people with disabilities are currently saving $1,158 on prescription drugs, on average, because the ACA closed the Medicare “donut hole.” These savings are at risk.
Coverage for preventive services, protection from personal financial disaster, and behavioral health services could be eliminated.
- Almost 3 million people could lose the preventive services they currently receive without co-pays, coinsurance or deductibles, including physicals and other vital services.
- 2.25 million Marylanders, including 585,000 children, are at risk of having lifetime limits on their coverage restored – a potentially catastrophic financial hit.
- Seniors are at risk of losing free annual wellness visits, and cost-sharing could be reimposed for many recommended preventive services, including cancer screenings. More than 604,000 seniors took advantage of these free services in 2015.
- The ACA has expanded treatment for mental health issues, resulting in an estimated 11,000 fewer Marylanders reporting symptoms of depression.
Maryland's overall healthcare system would be severely weakened.
- Billions of dollars in federal Medicaid funding is at risk if the Medicaid expansion is eliminated, forcing the State to drop hundreds of thousands from coverage or drastically reduce benefits.
- 52,000 private and public sector jobs could be lost by 2019.
- Innovative quality initiatives that led to a 10 percent decrease in hospital readmissions among Medicare beneficiaries are at risk.