Close X
Attorney Spotlight

How did Mike DeAgro's experience co-founding a nonprofit advocacy organization lead to a career in the legal field? Find out more>

Search

Close X

Experience

Search our Experience

Experience Spotlight

Envision to Sell to KKR for $9.9 Billion

We represented Envision Healthcare Corporation (NYSE: EVHC) in its definitive agreement to sell to KKR in an all-cash transaction for $9.9 billion, including debt. KKR will pay $46 per Envision share in cash to buy the company, marking a 32 percent premium to the company's volume-weighted average share price from November 1, when Envision announced it was considering its options. The transaction is expected to close the fourth quarter of 2018. Read more


Envision Healthcare

Close X

Thought Leadership

Enter your search terms in the relevant box(es) below to search for specific Thought Leadership.
To see a recent listing of Thought Leadership, click the blue Search button below.

Thought Leadership Spotlight

Six Things to Know Before Buying a Physician Practice spotlight

Dermatology, ophthalmology, radiology, urology…the list goes on. Yet, in any physician practice management transaction, there are six key considerations that apply and, if not carefully managed, can derail a transaction. Download the 6 Things to Know Before Buying a Physician Practice to keep your physician practice management transactions on track.

Click here to download the guide.

Key Provisions of the American Health Care Act

Firm Publication

Publications

March 10, 2017

On March 6, 2017, Republicans in the House of Representatives unveiled two bills that aim to repeal and replace the 2010 Patient Protection and Affordable Care Act (ACA). The bills, collectively called the American Health Care Act, were introduced by the Ways and Means and Energy and Commerce committees, and both committees have since passed the legislation. 

The much-anticipated Republican ACA replacement would dismantle many of the healthcare reforms put in place over the past seven years, including the individual mandate and Medicaid expansion. 

Key provisions of the bills include:

  • Repeal of the Medicaid expansion by making it optional for states. 
  • Elimination of the ACA's individual mandate requiring health insurance coverage. Instead, a continuous coverage requirement would allow health insurers to charge a 30% late-enrollment surcharge to any applicant who went longer than 63 days without continuous health insurance coverage during a 12-month look back period. 
  • Creation of a per capita cap on federal Medicaid starting in fiscal year 2020. 
  • Creation of flexible block grant options for states. 
  • Elimination of the penalties associated with the employer responsibility provisions under the ACA.
  • Elimination of numerous ACA tax provisions and delay of the effective date for the tax on "Cadillac" plans until 2026.
  • $10 billion of safety net funding over the next five years to states that did not expand Medicaid.
  • Requirement that states with Medicaid expansion populations re-determine expansion enrollees' eligibility every six months and a temporary 5% FMAP increase to states as an incentive.
  • Creation of a work requirement option that states can apply for non-disabled, non-elderly, non-pregnant adults under Medicaid. 
  • A one-year freeze on mandatory funding to nonprofit essential community providers primarily engaged in family planning and reproductive health services that provide abortions in cases that do not meet the Hyde Amendment exception for federal payment and received over $350 million in federal and state Medicaid dollars in fiscal year 2014. 
  • Creation of the Patient and State Stability Fund, which is intended to lower patient costs and stabilize state markets. 
  • Repeal of certain Medicaid provisions regarding presumptive eligibility determination and income eligibility levels for poverty-related children.
  • Elimination of the ACA's small business tax credit beginning in 2020. 
  • Elimination of the Medicaid Disproportional Share Hospital (DSH) cuts for non-expansion states in 2018 and elimination of the cuts for expansion states in 2020. 
  • Repeal of the cost-sharing subsidy program designed to lower out-of-pocket costs for certain plans purchased through an exchange under the ACA. 
  • Repeal of the ACA actuarial value standards used to determine plan tier labeling (Bronze, Silver, Gold and Platinum) to allow for more flexibility in benefit plan design. 
  • Modification of the permissible age variation in health insurance premiums to a ratio of 5 to 1 with states permitted to set their own ratios. 
  • Increases in funding for the Community Health Center Fund, which awards grants to Federal Qualified Health Centers (FQHCs). 
  • Repeal of the Prevention and Public Health Fund annual appropriations for prevention, wellness and public health initiatives starting fiscal year 2019.

As House Republicans work to undo major parts of the ACA, at least three central provisions of the 2010 healthcare law would remain intact: the ban on lifetime coverage caps, the provision allowing individuals to remain on their parents' health plans until age 26, and the prohibition on denying coverage for pre-existing conditions.


In Case You Missed It:

Related Professionals

Related Services

Notice

Visiting, or interacting with, this website does not constitute an attorney-client relationship. Although we are always interested in hearing from visitors to our website, we cannot accept representation on a new matter from either existing clients or new clients until we know that we do not have a conflict of interest that would prevent us from doing so. Therefore, please do not send us any information about any new matter that may involve a potential legal representation until we have confirmed that a conflict of interest does not exist and we have expressly agreed in writing to the representation. Until there is such an agreement, we will not be deemed to have given you any advice, any information you send may not be deemed privileged and confidential, and we may be able to represent adverse parties.