Welcome to the first edition of SGIM Health Policy News, a bi-monthly enewsletter focused on educating members on key issues of importance in Washington, DC. Interested in learning more about SGIM's advocacy efforts?  Visit http://www.sgim.org/communities/advocacy for more information.
The Affordable Care Act:
Repeal, Replace or Repair?

Congress is moving ahead with a plan to repeal core elements of the Affordable Care Act (ACA), but some lawmakers are beginning to have second thoughts about how far they should go.

Relying on a fast-track procedure called budget reconciliation, four congressional committees have been tasked with coming up with detailed repeal legislation, with a vote likely to come sometime in March. But that timeline could slip because many lawmakers have already begun to hear from constituents concerned about what repeal might do to their own healthcare. Other lawmakers are worried repeal could cause chaos in the insurance market, or that constituents could lose coverage altogether.

For some, the change in heart came with the release of a new report from the nonpartisan Congressional Budget Office concluding that ACA repeal would result in an estimated 18 million people losing health insurance in 2018, rising to 32 million by 2026. The report also stated that repeal would likely result in a 20 – 25 percent hike in health insurance premiums over the next year. 

As a result, some top lawmakers are shifting their sights from repealing and replacing ACA to the more modest goal of repairing it so as to avoid negative repercussions—to their constituents and their political careers.

Perhaps the deepest split among Republicans is over what to do about the ACA’s Medicaid expansion, which extended coverage to about 11 million new low-income people. Legislators from the 31 states that accepted the expansion are more likely to want to preserve that expansion and the federal funds that came with it. (http://thehill.com/policy/healthcare/315173-gop-governors-defend-medicaid-expansion)

Also at issue is what to do about the taxes assessed by the ACA, like the so-called Cadillac tax on employer-based health plans and the medical device tax. While some GOP lawmakers insist those tax provisions must go, others say the revenue is needed to help pay for any replacement plan.  

We will continue to monitor this issue and will report back to the membership in future issues of SGIM Health Policy News.

Immigration as a Health Care Issue

The medical and scientific communities reacted quickly to the President’s executive order banning immigration from seven countries and enhancing vetting from many others – and SGIM was no exception.  Within three days of the order, SGIM had:


The security of the country is critical to every American.  But when a directive is not vetted by the appropriate government agencies and damages the health and well-being of the public, we are obligated as citizens to make our thoughts known.

For more information of SGIM's advocacy efforts, please visit the SGIM website 

Society of General Internal Medicine  | 1500 King Street Alexandria, VA 22314 |