The latest proposal (www.cassidy.senate.gov) to repeal and replace the Affordable Care Act from Senators Bill Cassidy (R-LA) and Lindsey Graham (R-SC) has failed. The proposal would have:
- Eliminated the Medicaid expansion, as well as Advance Premium Tax Credits and cost-sharing reductions;
- Redistributed the money through block grants to the states;
- Eliminated the individual and employer mandates effective immediately;
- Allowed states to get waivers to abolish the Essential Health Benefits and reduced protections for people with pre-existing conditions; And
- Washington state's federal funding would have been cut by $10 billion from 2020-2026. After 2026, all federal funding would have ended, unless renewed by Congress.
Commissioner Kreidler and Gov. Jay Inslee wrote our Washington delegation (www.governor.wa.gov) to share their concerns with this proposal.
Kreidler's guiding principles for any ACA replacement
Any proposed change to the ACA must be measured against the progress we've made and cannot move us backward, including:
- No fewer people covered
- No reduction in benefits
- No cost-shifting to states
- No destabilization of the health insurance market
Read a detailed chart (PDF, 284KB) showing parts of the ACA codified in Washington state law vs. federal law
Letters to Congress
Commissioner Kreidler has shared his concerns with the Trump administration and Washington's congressional delegation.
- Joint letter from Gov. Inslee and Commissioner Kreidler to Washington Congressional delegation about BCRA (PDF, 8MB)
- Letters from National Association of Insurance Commissioners to U.S. House (PDF, 720MB) and U.S. Senate (PDF, 720MB) urging them to continue funding for subsidy payments.
- Letter from Commissioner Kreidler, AWHP to HHS Sec. Tom Price (PDF, 3MB)
- Letter from Commissioner Kreidler to Washington Rep. Dan Newhouse, March 23 (PDF, 2MB)
- Joint letter from Gov. Inslee and Commissioner Kreidler to Washington Congressional delegation about AHCA's impact (PDF, 2 MB)
- Joint letter from Gov. Inslee and Commissioner Kreidler to U.S. House Majority Leader Kevin McCarthy on ACA (PDF, 119KB)
- Commissioner Kreidler letter to U.S. House Majority Leader Kevin McCarthy on the ACA (PDF, 340KB)
- Joint ACA letter from Commissioner Kreidler and the Association of Washington Healthcare Plans (AWHP) to Washington's Congressional delegation (PDF, 60KB)
- Commissioner Kreidler letter to U.S. Senator Lamar Alexander on the ACA (PDF, 73KB)
County and statewide data
- 2014-2016 Individual market enrollment outside of the state's exchange (PDF, 149KB)
- County, and legislative and congressional district data on enrollment, subsidies and more (PDF, 2MB) (www.ofm.wa.gov).
- Additional details on who has gained coverage (www.1in4wa.com) through our state's exchange, Washington Healthplanfinder (www.wahealthplanfinder.org).