GLMS Policy & Advocacy 2017 KMA Resolutions

Adopted as Amended 2017-20 RESOLUTION Subject: Health Care Coverage for the Medically Underserved Submitted by: Greater Louisville Medical Society Referred to: Reference Committee WHEREAS, leaving citizens uninsured and underinsured causes them to delay prevention and care, thus presenting with costly advanced-stage diseases, which imposes enormous consequences of family suffering, preventable premature deaths (500-1000 per million persons per year), avoidable bankruptcies (20K per million families per year) and vastly increased uncompensated care costs ($4.4 billion per million uninsured per year) that are shifted to taxpayers, insured policyholders and providers; and WHEREAS, Kentucky health needs are far above national averages for cancer, metabolic illness, nursing home needs, and substance abuse treatment/prevention, which are often greater in rural and medically underserved areas (83 of Kentucky’s 120 counties) with substantial Medicaid-eligible populations; and WHEREAS, Medicaid expansion, a component of the 2010 Affordable Care Act, greatly increases skilled chronic disease management, prevention measures and early treatment, which now protects over one-half million Kentuckians and their families from the above-cited harm, and brings substantial economic relief from uncompensated care costs shifted to providers and all taxpayers and insured policyholders; and WHEREAS, currently considered national and State proposals (including the Kentucky HEALTH 1115 waiver application) reduce numbers of insured and thus raise total health care costs across America, and greatly more for Kentucky (most harmed of 50 states, ref: KY Center for Economic Policy), which brings proportionately greater harm to rural and safety-net hospitals, and to physician recruitment and retention in medically underserved areas; and WHEREAS, the 10 Essential Health Benefits of 45 CFR 156.100 are: 1) ambulatory patient services; 2) emergency services; 3) hospitalization; 4) maternity and newborn care; 5) mental health and substance use disorder services including behavioral health treatment; 6) prescription drugs; 7) rehabilitative and habilitative services and devices; 8) laboratory services; 9) preventative and wellness services and chronic disease management; and 10) pediatric services, including oral and vision care. If these are eroded or eliminated from Medicaid, individual or small group policies, the uncovered care harms patients, and generates large costs that are shifted to taxpayers, insured policyholders and providers; now, therefore, be it KMA House of Delegates August 2017