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ENA Weighs-In With Congressional Leaders as 'Repeal and Replace' Begins


The U.S. Congress, with the support of the incoming Trump Administration, has indicated they will move quickly in the 115th Congress to make major changes to the U.S. health care system, including the repeal and possible replacement of the Affordable Care Act. The Republican Party controls both the Senate and the House, thereby giving them control of the chairmanship of every congressional committee and the ability to set the legislative agenda in both chambers. They have stated that their top legislative priority is repeal of the ACA. 
Depending on the replacement health plan that is passed, a repeal of the ACA could lead to more than 20 million Americans losing health insurance coverage. Many of these patients, especially those who gained coverage through the expansion of Medicaid, utilize emergency departments for many of their health care needs. In fact, in states that expanded Medicaid pursuant to the ACA, there was a 31 percent decrease in uninsured ED visits. There was a corresponding increase in Medicaid-paid ED visits in those states.
ENA recently submitted a letter to House and Senate leadership detailing ENA's position with respect to the possible changes to the U.S. health care system. It focuses on principles of importance to maintaining access to affordable, high-quality emergency care.