On December 9, a coalition consisting of prominent health care and social and economic justice groups, and calling itself "The Protect Our Care Coalition", called on President-elect Trump and Congress to not pursue the repeal of the Affordable Care Act (ACA) which has been promised when the new administration takes office in January. In a press release, the group said, “Repealing the ACA could harm millions, double the number of uninsured by 2019, and throw the U.S. health care system into disarray, according to a recent study from the Urban Institute. It could take affordable health care coverage away from 30 million people, including children and working families covered under the ACA’s Medicaid expansion." It goes to to say, "[S]ome in Congress are rushing forward to repeal the ACA with no guarantee that people in America will have comparable protections restored. This so called ‘Repeal and Delay’ strategy is irresponsible. It would cause significant immediate harm in 2017 by throwing 4.3 million Americans off of coverage."
The group is voicing concerns that mirror many disability advocates' concerns regarding the prospect of a wholesale repeal of the ACA without a simultaneous replacement plan that addresses the most pressing concerns for individuals who would lose benefits that they have obtained under the healthcare law. Some of the key provisions of the ACA that would be lost under a repeal are Medicaid expansion to low-income single adults, coverage for individuals with pre-existing conditions, and the ability for childen to remain on their parents' insurance plans until age 26. Specific to home and community based services is the provision that created the Community First Choice Option, a provision of the ACA that often is overlooked in the larger conversation. For people with IDD that rely on this funding mechanism, and others contained in the ACA, it is important to keep these issues from getting lost in the larger conversation around repeal of the ACA.