Why ACA Repeal Efforts Hurt Schools & How to Get Involved

Efforts to repeal the Affordable Care Act (ACA), also known as Obamacare, continue to make headlines as members in Congress work to finalize a new replacement bill and bring it to a vote. With so much coverage, we thought it would be helpful to collect the best resources on the impact of ACA repeal and replacement efforts on school-based health and Medicaid billing programs.

First, a quick summary. Past versions of a replacement bill, known as the American Health Care Act (AHCA), included deep cuts to Medicaid funding, $839 billion over ten years. Schools draw down over $2 billion annually in federal matching funds for expenses they’ve already incurred to provide school-based health services, outreach, and enrollment assistance to students and their families. These matching funds are at risk under the AHCA which would cap Medicaid payments to a finite amount per enrollee (as opposed to payment based on actual cost).

Learn More

If you’re curious about how ACA repeal efforts might impact school Medicaid programs, we’ve rounded up a few great resources:

Get Involved

If you want to protect school health programs and the children who benefit from these services, you’re in luck. Getting involved is as simple as calling your U.S. Congressional Representative to voice your opposition to the AHCA.

Wednesday, May 3, 2017, is National Call-In Day-so call on or before the 3rd to have the biggest impact!

Step One: Call 1-844-USA-0234 to be connected with your U.S. Representative

Step Two: Use these talking points developed by the Save Medicaid in the Schools Coalition

  • Hi, my name is [Name] and I’m from [City/Zip]. As a constituent and a [Parent/Teacher/School Nurse/etc.], I oppose the passage of H.R. 1628, the American Health Care Act. Rather than close the gap and eliminate the rate of uninsured children in America, the current proposal will ration the health care America’s most vulnerable children receive and undermine the ability of districts to meet the educational needs of students with disabilities and students in poverty. 
  • Children represent 46% of all Medicaid beneficiaries yet represent only 19% of the costs. Currently, 4-5 billion dollars flow to school districts every year, so they can make sure students with disabilities who need the help of therapists can learn and that students who can’t get to a doctor regularly can receive the basic medical care they need to learn and thrive. The current proposal will jeopardize students’ ability to receive comprehensive care at schools and create barriers to access.
  • The American Health Care Act would undermine critical healthcare services my district provides to children. It would also lead to layoffs of school personnel, the potential for new taxes to compensate for the Medicaid shortfall, and shifting general education dollars to special education programs to compensate for these cuts.