The Administration today approved Georgia's unprecedented ACA waiver: https://go.cms.gov/2HXW0jq . A thread on comments from providers, patient advocates, & community orgs on what the plan, if implemented, will mean for health coverage, esp. for people w/pre-existing conditions 1/
The unprecedented part of GA’s waiver would end Georgians’ access to http://HealthCare.gov (starting in 2023), requiring them to enroll in coverage just thru insurers & brokers. As @TaraStraw explains, that would like cause many to lose coverage: https://bit.ly/3efHqzH 2/
The Administration received 1,826 comments on this “Georgia Access Model,” of which 1,818 were opposed. Here's a sampling 3/
A coalition of 23 patient and consumer groups, including @American_Heart, @LungAssociation, & @LLSusa, wrote GA's waiver would "jeopardize quality and affordable healthcare coverage for patients with acute and chronic health conditions" 4/
. @UnitedWay, @unitedwayatl, @UnitedWayCGA, & @unitedwaycv wrote GA's waiver would be "a return to the pre-ACA fragmented system to access healthcare that could cause tens of thousands of Georgians to fall through the cracks and lose coverage" 5/
. @AmerMedicalAssn wrote GA's waiver "will have a negative impact on access to affordable health insurance coverage for Georgia residents and does not meet the statutory requirement under Section 1332" 6/
. @GAChapterAAP: "Moving from a central marketplace to a fragmented system could lead to confusion among families... families could unintentionally sign up for plans that do not offer them all of the coverage and services they and their children need." 7/
. @GAFamilyDocs: "... removing Georgia from the http://healthcare.gov platform would penalize Georgians looking for a one stop marketplace to compare and select insurance plans, forcing them to rely on scattershot network of web-brokers" 8/
. @acog: "As physicians dedicated to providing quality care to women, we have concerns with the state’s proposal, including the elimination of the federal marketplace... We urge the Centers for Medicare and Medicaid Services (CMS) todeny this waiver." 9/
. @BlkMamasMatter: "We believe that the proposed Georgia Access model will put Black women and birthing people at risk of becoming un- or under-insured." 10/
@NAMICommunicate: "we are concerned that the Georgia Access Model (Part II) will jeopardize access to quality and affordable health care coverage for people with mental illness" 11/
. @ACSCAN: "We have very serious concerns that this proposal would actually create greater confusion for consumers and potentially lead them to use inadequate coverage" 12/
. @medicarerights: "Based on our experience, it is far more likely that the change [GA's waiver] would instead heighten confusion about where and how to access good-quality health coverage, thus hindering enrollment" 13/
. @NatUrbanLeague: "By exiting the federal marketplace, the state is jeopardizing healthcare at a moment when there is untold cost directly to Black, Hispanic, and low-income communities." 14/
The full text of these comments - and many more - are available here: https://go.cms.gov/31ZzrBJ https://go.cms.gov/34LgJja https://go.cms.gov/2JojUFf 15/15