Our Issues

Federal Advocacy Agenda

+ Preserving the insurance coverage gains under the Affordable Care Act

Completely repealing the Affordable Care Act without an immediate and adequate replacement directly impacts the well-being of both patients and providers. Passing the AHCA, or a similar proposal, would reduce or eliminate coverage for some of the most vulnerable residents of Illinois.

+ Protecting Medicare funding for hospital services

The Medicare Disproportionate Share Hospital (DSH) program provides vital financial support to hospitals that serve the nation’s most vulnerable populations, including low-income Medicare beneficiaries, the uninsured and underinsured. This program is vital as community health programs continue to suffer cuts and hospitals become the site of care when social workers, mental health professionals and other service providers are not available in the community.

+ Protecting the Medicaid expansion

The Affordable Care Act provided nearly 650,000 Illinoisans with health insurance through Medicaid expansion. If Congress changes the way Medicaid is structured, there needs to be a feasible replacement. Additionally, the payment cuts to hospitals for Medicaid and Medicare that were included in the ACA should be restored if not implemented.

+ Preserving and growing the 340B Program

Access to the 340B Drug Pricing Program must be preserved and protected. If the 340B Program were to be restricted, economic consequences would be significant and critical services would be reduced at Presence Health hospitals. The loss of the savings associated with the prescriptions in the 340B Program would limit our ability to finance a significant amount of community health services that we currently provide.

+ Expanding telehealth as a valid and appropriately reimbursed method of care delivery

Telehealth must be expanded to help meet Illinois’ patient needs. Telehealth is an effective way to provide needed health care services to people in medically underserved areas, especially rural areas and areas where access to specialty care is needed. It is vitally important that we reduce the barriers that prevent individuals from seeking the care they need.

State of Illinois Advocacy Agenda

+ Protecting Medicaid

Illinois receives less Federal Funds per Medicaid Beneficiary than any other state in the U.S. Illinois also has one of the lowest Medicaid matching rates in the country. It is critical to protect Medicaid funding from drastic cuts and harmful reforms that impact all patients’ access to health care and to fight for equitable funding for our state.

+ Improving MCO oversight

The transition to Medicaid Managed Care Organizations in Illinois has not come without challenges. Hospitals have experienced questions about observation status, increase in denials, faced a complicated, often slow credentialing process for physicians, and have had to add staff to deal with MCO contracts among other operational issues. Increased MCO oversight is essential to ensure transparency, accuracy and accountability.

+ Developing the next iteration of hospital assessments

The way hospitals are paid, also known as hospital assessments, is set to sunset in June 2018. We must protect Medicaid funding for hospital services that leverages as much federal money as possible and provide a stable and gradual transition of static payments for our safety net hospitals, those hospitals that provide care to low-income and uninsured people without concern for their ability to pay.

+ Monitoring challenges to tax-exempt status

Illinois uses the property tax exemption to encourage and enable non-profit organizations to spend and invest more on giving back to their communities. It is crucial to protect tax exempt status for hospitals in order to continue to provide services and community benefits to vulnerable populations across the state.

+ Expanding telehealth as a valid and appropriately reimbursed method of care delivery

Telehealth must be expanded to help meet Illinois’ patient needs. Telehealth is an effective way to provide needed health care services to people in medically underserved areas. It is vitally important that we reduce the barriers that prevent individuals from seeking the care they need.