Congressman Bobby Rush

Representing the 1st District of Illinois
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Some 1.1 Million Illinois Residents Could Lose Health Care Coverage if ACA is Replaced With “TrumpCare”

Mar 10, 2017
Press Release

CHICAGO — The office of Congressman Bobby L. Rush (D-Ill.) released the following fact sheet about the impact of “TrumpCare” on Illinois and the 1st Congressional District if Republicans are successful in dismantling the Affordable Care Act (ACA). Illinois stands to lose $3.2 billion in federal funding.

“The elimination of the Medicaid expansion will strip medical coverage from 637,056 Illinoisans and $3.2 billion in federal Medicaid funding from the state as a whole,” Rush said. “Abolishing the Medicaid expansion will prevent 55,000 of my constituents from accessing affordable health care and will have a detrimental impact on them and our society as a whole. The “Make America Sick Again” proposals from the Republicans will face a vigorous challenge when it reaches the full House.”

Roughly 20 million Americans have gained access to health care through the coverage provisions of the Affordable Care Act (ACA), including subsidized coverage through the insurance Marketplaces and the ACA’s historic Medicaid expansion.

President Trump and congressional Republicans’ plan to repeal the ACA would have devastating effects on these individuals and their families. This fact sheet summarizes what is at stake in Illinois in the affordable health care repeal debate as Republicans in Congress consider eliminating many of the ACA’s provisions through a process known as budget reconciliation.

Repealing or weakening the law could reverse historic gains in coverage and access to care and endanger the health and welfare of hundreds of thousands of individuals and their families in Illinois.

Here’s what at risk in the 1st Congressional District:

The district’s uninsured rate has gone from 13.9% to 6.8% since the ACA was implemented. This 7.2 percentage point drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

  • 337,500 individuals in the district who now have health insurance that covers preventive services like cancer screenings and flu shots without any copays, coinsurance, or deductibles stand to lose this access if the Republican Congress eliminates ACA provisions requiring health insurers to cover important preventive services without cost-sharing.
  • 387,300 individuals in the district with employer-sponsored health insurance are at risk of losing important consumer protections like the prohibition on annual and lifetime limits, protection against unfair policy rescissions, and coverage of preexisting health conditions, if the ACA is entirely or partially repealed.
  • 19,400 individuals in the district who have purchased high quality Marketplace coverage now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.
  • 13,900 individuals in the district who received financial assistance to purchase Marketplace coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress eliminates the premium tax credits.
  • 9,200 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket costs such as deductibles, copays, and coinsurance, are now at risk of health care becoming unaffordable if the Republican Congress eliminates cost-sharing reductions.
  • 48,900 individuals in the district who are covered by the ACA’s Medicaid expansion now stand to lose coverage if the Republican Congress eliminates the Medicaid expansion.

Here is what is at risk in the State of Illinois:

  • 1,106,000 individuals in the state who have gained coverage since the ACA was implemented could lose their coverage if the ACA is entirely or partially repealed.
    • 335,243 individuals in the state who purchased high quality Marketplace coverage now stand to lose their coverage if the Republican Congress dismantles the exchanges.
    • 259,701 individuals in the state who received financial assistance to purchase Marketplace coverage in 2016, averaging $237 per individual, are at risk of having coverage become unaffordable if the Republican Congress eliminates the premium tax credits.
    • 671,100 individuals in the state who enrolled in Medicaid under the ACA’s Medicaid expansion now stand to lose coverage if the Republican Congress eliminates the Medicaid expansion.
    • 163,000 kids who have gained coverage since the ACA was implemented are also at risk of having their coverage rolled back.
    • 91,000 young adults in the state who were able to stay on a parent’s health insurance plan thanks to the ACA now stand to lose coverage if the Republican Congress eliminates the requirement that insurers allow children to stay on their parents’ plans until age 26.
  • 156,469 individuals in the state who received cost-sharing reductions to lower out-of-pocket costs such as deductibles, copays, and coinsurance are now at risk of having healthcare become unaffordable if the Republican Congress eliminates cost-sharing reductions.
  • 5,883,105 individuals in the state who now have private health insurance that covers preventive services without any copays, coinsurance, or deductibles stand to lose this access if the Republican Congress eliminates ACA provisions requiring health insurers to cover important preventive services without cost-sharing.
  • Women in the state who can now purchase insurance for the same price as men are at risk of being charged more for insurance if the Republican Congress eliminates the ACA’s ban on gender rating in the individual and small group markets. Before the ACA, women paid up to 55% more than men for their health insurance.
  • Roughly 2,038,000 individuals in the state who have preexisting health conditions are at risk of having their coverage rescinded, being denied coverage, or being charged significantly more for coverage if the Republican Congress eliminates the ACA’s ban on preexisting conditions.
  • The state is at risk of losing $3.37 billion in federal Medicaid dollars if the Republican Congress eliminates the Medicaid expansion.
  • 196,727 seniors who have saved an average of $1,041 each as a result of closing the Medicare prescription drug “donut hole” gap in coverage stand to lose this critical help going forward.
    • 1,185,594 seniors who have received free preventive care services thanks to ACA provisions requiring coverage of annual wellness visits and eliminating cost-sharing for many recommended preventive services covered by Medicare Part B, such as cancer screenings, are at risk of losing access to these services if congressional Republicans go forward with their plan to repeal the ACA.

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