Agenda

Return

C. 18

To:	Board of Supervisors
From:	LEGISLATION COMMITTEE
Date:	September 19, 2017

Contra

Costa

County

Subject:

Resolution to Support the Patient Protection and Affordable Care Act (ACA)

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 09/19/2017

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:

L. DeLaney, 925-335-1097

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: September 19, 2017
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

CONSIDER adopting a Resolution in support of the Patient Protection and Affordable Care Act (ACA), as recommended by the Legislation Committee.

FISCAL IMPACT:

No fiscal impact from the adoption of this Resolution.

BACKGROUND:

At its September 11, 2017 meeting, the Legislation Committee considered a draft Resolution that was developed to provide support for the federal Patient Protection and Affordable Care Act (ACA). The Legislation Committee (Chair Burgis, Vice Chair Mitchoff) voted unanimously to recommend its adoption to the Board of Supervisors, with no suggested changes.

BACKGROUND: (CONT'D)

The draft Resolution was reviewed by staff in the Health Services Department.

On the repeal and replace front, Republican Senators Bill Cassidy (LA) and Lindsey Graham (SC) have announced that they will introduce a revised version of their proposal to replace the ACA, with the goal of getting a vote in September. Senator John McCain (AZ) had indicated that he conceptually supports the Cassidy/Graham plan. The Cassidy/Graham previous proposal would:

Eliminate premium tax credits and cost sharing reductions.
Eliminate the enhanced match for Medicaid expansion starting in 2020.
Replace the marketplace subsidies and Medicaid expansion funding with a block grant, which is estimated to be about 16 percent below current law. After 2026, block grants funding would end entirely.
Allow states greater flexibility in their insurance markets.
Maintains the Medicaid per capita cap.

Apparently the new version will be largely the same though it would revise the state funding formulas, in an attempt to make the formula work better for more states, including Arizona. Staff will continue to track this issue closely.