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Affordable Care Act: No Repeal Without Replacement

As the President and Congress consider the future of the Affordable Care Act (ACA), the Healthcare Association of New York State (HANYS), representing New York’s not-for-profit hospitals and their affiliated nursing homes, home health agencies, and hospices, is urging that any consideration of ACA repeal must ensure replacement would be simultaneous and meaningful for patients in the form of affordable, robust, and continuous health coverage at least as expansive as under ACA; for the State of New York and its localities that jointly support Medicaid; and for hospitals and health systems that need predictable and reasonable public and private coverage policies and appropriate payments to continue the transformation of the healthcare system, safeguarding access to care for all New Yorkers.

Repeal of ACA without simultaneous, meaningful replacement would upend coverage for millions, destabilize insurance markets, cause a fiscal crisis for the state and localities, and profoundly undermine the ability of hospitals, nursing homes, home health agencies, and hospices to transform care, harming their core mission of access to quality care for all New Yorkers.

Contact your members of Congress and tell them to protect healthcare in New York by ensuring a meaningful plan for ACA replacement is fully developed prior to repeal.


Five Reasons Why ACA Should Not Be Repealed before a Replacement Plan Is in Place

1. Lost Healthcare Coverage

Nearly three million New Yorkers will lose healthcare coverage, with dire consequences for individuals and families.

2. Higher Insurance Costs

Subsidies to insurers will disappear, forcing them to raise premiums for everyone — including New Yorkers who weren’t part of Aca.

3. Fiscal Crisis for State and Local Governments

County governments would have to foot more of the bill for Medicaid.

4. State Budget Deficits

New York State could lose $5.7 billion annually, forcing cutbacks in state programs and services, including support for schools.

5. Dire Financial Problems for Local, Not-for-Profit Hospitals, Nursing Homes, Home Health Agencies, and Hospices

For example, when patients lose health care coverage they often come to the hospital emergency room for care. Hospitals will continue to provide care, but face mounting costs when bills go unpaid. Hospitals struggle financially when coverage is lost.

Your Hospital Is Critical to Your Community and Your Economy

New York hospitals are improving health, enhancing quality, and reducing costs, and they are the economic engines of your community:

  • $141 billion—New York hospitals generate $141 billion in economic activity (jobs and the purchase of goods and services)—10% of the state’s GDP.
  • 800,000—New York hospitals are among the largest employers in every region of the state, directly and indirectly generating nearly 800,000 jobs.
  • 6 of 10—Six of New York’s top ten private sector employers are hospitals and health systems.
  • $8.6 billion—New York’s private, non-profit hospitals provide free care, financial assistance, and other community health improvement programs at a cost of $8.6 billion—14.3% of their total expenses. Importantly, this statewide figure does not include the billions of dollars New York’s 25 public acute care hospitals expend on these activities annually because public hospitals are exempt from this federal reporting requirement.

$24 billion—Repeal of ACA is being considered that would eliminate health coverage expansion, but keep in place the Medicare and Medicaid payment cuts that are part of the original law. Those reductions were the hospital and other providers’ contribution to the cost of expanded coverage. If repeal is a partial repeal and those cuts are maintained, hospitals, nursing homes, home health agencies and hospices in New York State face $24 billion in reduced payment for services to Medicare beneficiaries over the next ten years; over $1 billion in this year alone. These cuts put the community and economic benefits that your local hospital providers at risk.