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Senior Spectrum Newspaper
January 2019
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Senior Spectrum Publications

Letter to the Editor
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NCOA Position on Texas v. US Ruling on the Affordable Care Act 

President and CEO of the National Council on Aging (NCOA), James Firman, said in a statement that the Federal District Court in Fort Worth, TX, ruling on the Affordable Care Act will have tremendous impact on health care in the US.

“This court’s decision, if allowed to stand, will have far-reaching and devastating impacts on the health and well-being of nearly all Americans. It jeopardizes health insurance coverage for millions of Americans with pre-existing conditions, as well as Medicaid health coverage for low-income Americans, Medicare prescription drug and preventive services coverage for seniors and people with disabilities, and protections for families with employer-based health insurance. In our view, the decision is wrong and must be overturned.

“Coverage for people with pre-existing conditions is a major concern for the pre- Medicare population. Adults aged 55-65 are more likely than younger people to have chronic and other health conditions that, before the ACA, made it extremely difficult for them to get health insurance. These protections are also particularly important for people of all ages with disabilities. If the ACA is repealed, millions of middle-aged Americans will not receive adequate treatment for chronic diseases at earlier stages, which will eventually contribute to much higher overall costs when they eventually enroll in Medicare.

“Legal scholars who have reviewed the decision agree that tying the repeal of the individual mandate to unrelated Medicare and Medicaid provisions in the law is unlikely to be upheld upon appeal. Nonetheless, we cannot predict how future courts will rule and believe it is important to understand the potential implications for older Americans. The ACA includes provisions that:

“The decision also would overturn the ACA Medicaid expansion, which has provided health coverage for millions of low-income Americans, including an estimated 2 million adults aged 50-65,” Firman said.

“The Texas court’s opinion has no immediate impact on the broad range of health improvements and services that the ACA covers, but the decision will be appealed and the U.S. Supreme Court may rule at some point on these critical issues.”

In the meantime, “NCOA will continue to support efforts to protect and strengthen Medicare, Medicaid, and the Affordable Care Act for all Americans.”