Health Reform

Excise Tax on Medical Devices Should Not Be Repealed

The House may soon vote on a measure to repeal the 2.3-percent excise tax on medical devices that policymakers enacted in 2010 to help pay for health reform.  The excise tax is sound, however, and the arguments against the tax don’t withstand scrutiny:

  • The tax does not single out the medical device industry for unfair treatment.
  • The tax will not cause manufacturers to shift production overseas. 
  • The tax will have little effect on innovation in the medical device industry.

The industry’s lobbying campaign against the medical device tax is based on misinformation and exaggeration, as a number of industry executives and analysts confirm.


Republican Health Plan Would Cause Millions to Lose Current Coverage, Add to Ranks of Uninsured

The plan lacks many essential details.  But, it seems clear the plan would:

  • result in millions of people losing their existing coverage;
  • make coverage unaffordable for substantial numbers of low- and middle-income individuals, likely adding millions of people to the ranks of the uninsured and underinsured;
  • eliminate or significantly weaken health reform’s consumer protections and market reforms;
  • leave states with shortfalls in federal Medicaid funding that could cause many poor beneficiaries to become uninsured or underinsured over time; and
  • jeopardize employer-based coverage for some people who work at firms with fewer than 100 employees.


Greenstein: Republican Leaders Deploying Untruths on 40-Hour Health Bill

While political leaders often stretch the truth to make their case, they usually don’t claim the opposite of the truth.  That, however, is essentially what Republican congressional leaders are doing by claiming that a measure to alter a provision of health reform will safeguard the 40-hour work week and thereby protect workers. 

House Ways and Means Chairman Paul Ryan claims in USA Today, for example, that the bill will enable “more people [to] work full time.”  In fact, it clearly will do just the opposite. Read more

Related: Health Reform Not Causing Significant Shift to Part-Time Work But Raising Threshold to 40 Hours a Week Would Make a Sizeable Shift Likely

Resources for Advocates

Health Reform's Medicaid Expansion: A Toolkit for Advocates

Over the coming months, most states will be considering whether to expand Medicaid. State advocates can play a critical role in these discussions by making the case that the expansion is a good deal for states. This toolkit brings together resources to help advocates analyze projections of the fiscal impact of the Medicaid expansion for their states, as well as additional materials to help make the case for expanding Medicaid. View the toolkit

Coordinating Human Services Programs with Health Reform Implementation

Careful consideration of how states will address and leverage applicants' or participants' connection to other benefits and services as a part of their health reform implementation efforts could help to yield better outcomes for families and efficiencies for state administration.

Each module of this toolkit provides states with tools and suggestions for a guided process that can be used to review the current eligibility and enrollment service delivery model and compare the current model to the desired future model. View the toolkit

Additional resources:

Health insurances exchanges

State Policy Decisions in Exchange Implementation

Status of State Health Insurance Exchange Implementation

States Should Structure Insurance Exchanges to Minimize Adverse Selection

Making Health Care More Affordable: The New Premium and Cost-Sharing Credits


Explaining Health Reform: The New Rules for Determining Income Under Medicaid in 2014

No Need to Wait Until 2014: States Can Cover Low-Income Adults in Medicaid Now

Holding the Line on Medicaid and CHIP: Key Questions and Answers About Health Care Reform's Maintenance-of-Effort Requirements

Medicaid and the Uninsured: Online Applications for Medicaid and/or CHIP

Other topics

State Considerations on Adopting Health Reform's "Basic Health" Option

Understanding Health Reform's Waivers for State Innovation

Employer Responsibility in Health Reform

By the Numbers

Medicaid Expansion Raises State Medicaid and CHIP Spending by Only 1.6 Percent
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