Kaiser Family Foundation says the Republican “American Health Care Act” will cost South Dakota health insurance buyers thousands of dollars each year. Scott A. Duke, president of the South Dakota Association of Healthcare Organizations, has sent Rep. Kristi Noem a letter saying her party’s health care plan will cost our state hundreds of millions of dollars:
…the AHCA proposal includes significant changes to the funding structure for Medicaid and gives more authority to states for operation of such programs. However, the switch to a per-capita cap funding model for Medicaid would make significant reductions ($880 billion nationally over 10 years, according to the CBO) to a program that provides services to our most vulnerable populations. Estimates point to a 30 percent reduction in Medicaid for states. Given that the South Dakota DSS budget for FY 18 was $1.1 billion, the potential losses could exceed $300 million annually in South Dakota.
South Dakota health care providers currently absorb $124 million in uncompensated care annually, and those loses, coupled with significant cuts to reimbursement from the ACA within the AHCA, cast a bleak forecast for the future of South Dakota providers, especially for rural and safety-net facilities [“SDAHO Urges Members to Reach out to Representatives on AHCA,” SDAHO, 2017.03.15].
SDAHO estimates that just the reduction in federal tax subsidies for health insurance could cause 25,000 South Dakotans to lose their coverage, contrary to the President’s promise of “insurance for everybody.”
Meanwhile, Rep. Noem posts results of a poorly worded snap poll from her unannounced and tightly controlled telephone town hall tonight and concludes that “we need to #RepealAndReplace #Obamacare”:
No, Congresswoman, the logical conclusion of those button-pressings is that you should get us in touch with those 17% of respondents who say their premiums went down so we can switch to their plans!
The logical conclusion is also SDAHO’s: the GOP plan insures fewer people and raises costs compared to the Affordable Care Act. Dump TrumpCare, protect Medicaid, and make the ACA work better!