Leader McConnell, Chairman Hatch, and Chairman Alexander:

In follow-up to our letter on the Better Care Reconciliation Act (BCRA) dated June 26th, I am writing on behalf of the Association for Community Affiliated Plans (ACAP) to express concerns with the proposed changes outlined in the revised bill draft from June 26th. ACAP represents 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. Our members serve almost 1 of every 2 Medicaid enrollees in managed care and our qualified health plan (QHP) members have seen massive increases in coverage provided to enrollees in the Marketplaces nationwide.
As discussed in our previous letter, we believe there are numerous changes needed to the health care system and the Affordable Care Act, however, we anticipate the BCRA represents a fundamental threat to the millions of Americans who receive coordinated care services through Safety Net Health Plans (SNHPs)—both through Medicaid and the Marketplace. For the purposes of this letter, we would like to focus on the provision included in §206 of the updated discussion draft to allow an insurer in the individual market to impose a 6-month waiting period on an enrollee who had had a gap in coverage of 63 days or more during the preceding 12 months.

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