AFFORDABLE CARE ACT (ACA)/HEALTH CARE REFORM
(RESOLUTION 16-33) RESOLVED, that the ISMA ask the AMA House of Delegates to no longer support the ACA in its current form and to work for replacement or substantial revision of the act to include these changes: Allowing health insurance to be sold across state lines Allowing all businesses to self-insure and to purchase insurance through business health plans or association health plans Improving the individual mandate with a refundable tax credit that would be used to purchase health insurance Improving health-related savings accounts so as to help ACA insureds afford their higher deductibles and co-pays Reversing cuts to traditional Medicare and Medicare Advantage programs Encouraging states to develop alternatives to Medicaid by using federal funds granted under provisions of the ACA Eliminating all exemptions, loopholes, discounts, subsidies and other schemes to be fair to those who cannot access such breaks in their insurance costs; and be it further RESOLVED, that the ISMA encourage the AMA to maintain the following provisions to the ACA if it is replaced: Full coverage of preventive services Family insurance coverage of children living in a household until age 26 Elimination of lifetime benefit caps Guaranteed insurability (RESOLUTION 13-47) RESOLVED, that the ISMA support he following health care reform concepts: A competitive health care free market; Increasing access to portable, affordable health insurance; Expanding access to health savings accounts; Improving access to insurance for vulnerable Americans; Medical liability reform which does not compromise Indiana’s current, effective reforms; Repeal of the Medicare Sustainable Growth Rate Formula; Repeal of the Medicare Independent Payment Advisory Board; and Emphasis on patient involvement and personal accountability. (RESOLUTION 13-29) RESOLVED, that the ISMA delegation as the AMA House of Delegates to consider the following recommendations: Replace the individual mandate with a refundable tax credit that could only be used to purchase health insurance. Repeal the employer mandate. Businesses, as well as individuals, should be allowed to purchase health insurance with pretax dollars. Allow health insurance to be sold across state lines. Health insurance should be portable and should follow the individual from job to job and state to state. Allow small businesses to self-insure or purchase insurance through small business health plans or association health plans. Currently, this option is available only to large businesses. Improve health-related savings accounts and consumer-driven health care plans by allowing higher deductibles and high savings account contributions. Allow and encourage states to develop alternatives to Medicaid by using federal funds granted by the Health and Human Services Secretary under provisions of the ACA. Restore funds cut from traditional Medicare. Avoid reducing Medicare Advantage funding. This insurance is highly popular with seniors. Eliminate the unaccountable and unpopular Independent Payment Advisory Board. Eliminate involvement in the ACA by the Internal Revenue Service. Maintain the guaranteed insurability, full coverage of preventative services and elimination of lifetime benefit caps under the ACA. Continue the family insurance coverage of children living in a household until age 26. Eliminate the taxes on medical devices and pharmaceuticals and health insurance companies since this added expense would only be passed on to our patients. Repeal and replace the sustainable growth rate formula. Enact meaningful medical liability reform. Expand the funding of medical schools and residency programs in order to increase the number of physician providers. Cancel all current ACA waivers, exemptions, subsidies and discounts except for those based on patient income under provisions of the ACA. Prohibit any of these in the future unless they are based on income of the patient. Prohibit any future insurance plans that are alternatives to the ACA for all federal employees, members of Congress, federal judges and the president, as well as their dependents. Due to the complexity of improving the ACA, its implementation should be delayed at least one year. Finally, Congress should be asked to appoint a committee with a majority membership of health care providers and AMA leadership with a mandate to revise Medicare and to produce a plan that would allow its long-term viability and adequate health benefits for seniors and the disabled. The same committee would also work to identify the changes that would effectively improve the AVA and allow for its long-term vitality. (RESOLUTION 10-18) RESOLVED, that ISMA policy support and that the ISMA support legislation to obtain and utilize as much of the $250,000,000 appropriated for state grants from the Patient Protection and Affordable Health Care Act for the benefit of full health insurance disclosure and public education in Indiana.