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Here’s how Cassidy-Graham bill would devastate rural America

Graham-Cassidy will increase the number of uninsured people. Those people will continue to rely on hospitals, which will, in turn, rely on DSH funds to cover the costs of the medical care. For rural America, the impact of this policy would be especially devastating. If Graham-Cassidy passes, and the MDH and LVHA programs aren’t renewed on top of that, low-income residents depending on rural hospitals as their only means to get proper health care will doubly suffer.As Congress continues to debate the last-ditch Republican effort to repeal and replace the Affordable Care Act (ACA), the deadline to permanently renew funding for rural hospitals faced with high costs and limited resources may go unnoticed. Hundreds of qualifying rural hospitals rely on payments provided by the Medicare Dependent Hospital (MDH) and the Low Volume Hospital Adjustment (LVHA) programs, both of which expire on September 30. Rep. Tom Reed (R-NY) introduced the Rural Hospital Access Act in April, which would make the programs permanent, but the bill has not yet moved through committee. Instead, Republican lawmakers are focusing their efforts on a bill to repeal and replace the ACA, led by Sens. Bill Cassidy (R-LA) and Lindsey Graham (R-SC). The measure, which has yet to receive a score from the Congressional Budget Office (CBO), would lead to a loss of health coverage for approximately 32 million peopleand would give states the right to remove protections against insurance companies that charge higher premiums for people with pre-existing conditions. The proposal will have a big impact on how millions of Americans receive their health insurance — and how many will be dependent on rural hospitals for their primary means of health care.

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Think Progress
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