22 Sep The Graham-Cassidy Bill

The Graham-Cassidy Bill

After a relatively brief hiatus, we have some legislative activity to share with you that, if passed, could have a profound impact on the healthcare industry.  Two Republican Senators – Lindsey Graham and Bill Cassidy – have co-sponsored the Graham-Cassidy Bill which is intended to be a replacement of the Patient Protection and Affordable Care Act (ACA).  If the Senate passes the bill by September 30th, they will need only a simple majority under budget reconciliation rules.  With a 52-48 majority in the Senate, and no support for the bill from the other side of the aisle, the pressure is on to pass the legislation by September 30th or the bill is not likely to go further without changes that may garner further support.

There is fairly vocal opposition to this bill throughout the healthcare industry.  Yesterday, all fifty of the Medicaid Directors issued a joint statement in opposition to the bill.  Several other healthcare organizations have come out in opposition to the bill as well.  Some of the concern is centered on the transition of federal Medicaid funding to the states via block grants.  The graph below illustrates how this would affect traditional Medicaid spending.


The bill is expected to go to a vote next week.  As of today, the landscape looks shaky for passage of this bill, but a lot can happen in a matter of days.  More to come next week…

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