Health Reform

Position Paper - April 19, 2021

Medicare Payment Policies

Quality Payment Program

Health Information Technology

Federal Compliance

Federal Insurance Markets

On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act (ACA) into law. This 900+ page comprehensive health reform law included provisions to expand access to health insurance coverage, enhance prevention and wellness services, and decrease rising healthcare costs. Since its inception, there have been efforts to limit the scope of the ACA and challenge its legality. The Tax Cuts and Jobs Act of 2017, signed into law on Dec. 22, 2017, reduced the individual mandate’s tax penalty to $0 starting in 2019. On Nov. 10, 2020, the U.S. Supreme Court heard oral arguments in California v. Texas, which challenged the validity of the ACA based on the constitutionality of the individual mandate. The Supreme Court’s decision is expected before the end of June 2021. Notwithstanding the outcome of the Supreme Court case, Congress could pass legislation that attempts to preserve or build upon provisions of the ACA. As the voice of the country’s medical groups, MGMA offers the following policy principles for consideration as Congress and the Administration address health reform.

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