Dear Senator:

On behalf of the Association for Community Affiliated Plans (ACAP), our 60 member plans in 29 states serving more than 20 million Americans receiving coverage through Medicaid, CHIP, Medicare Advantage D-SNPs, and the Health Insurance Marketplaces, I am writing to express our strongest opposition to legislation currently being considered in the United States Senate to repeal and replace the Affordable Care Act.

To date, no public version of the legislation presented – the House-passed American Health Care Act, the ObamaCare Repeal Reconciliation Act, or the July 20 version of the Better Care Reconciliation Act – meets ACAP’s core principles of Medicaid and Marketplace reform. These bills would result in between 19 million and 32 million Americans losing coverage. Likewise, any new version of repeal and replace that would be offered on the Senate floor as an amendment, but has not been made public at this time, does not give ACAP or our members time to evaluate the impact on our plans and should be rejected out of hand for that reason. Regardless of which version ends up being the final version, the options presented are unacceptable and we urge you to reject them when they come before you this week.

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