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Dear Representatives and Senators:

On behalf of the Association for Community Affiliated Plans (ACAP) and the 61 Safety Net Health Plans and the more than 21 million Americans they serve, I am writing to express our opposition to the House/Senate conference agreement on H.R.1, the Tax Cuts and Jobs Act, and urge you to vote against this legislation when it comes before you.

In our December 7 communication with members of the House/Senate conference, ACAP identified three specific areas of concern with the legislation. Specifically, ACAP expressed concerned about:

  • The repeal of the Affordable Care Act’s Individual Mandate, which the Congressional Budget Office says will cause up to 13 million Americans to become uninsured over the next 10 years and premiums to increase by at least 10 percent. ACAP is concerned that this decision will destroy the health insurance Marketplaces, which when coupled with the Administration’s forthcoming proposal to expand access to short-term limited-duration insurance, will further exacerbate the market, leading to a death spiral.
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