Another 2018 Guide Update
Iowa's Secretary of Agriculture Bill Northey has resigned - he is moving to Washington DC to become an Undersecretary at the USDA, where he'll oversee... Read More...
Advocacy alone is rewarding - but we thought we'd add an extra incentive this year to tell your story.  Remember, you can alwasy get tips on telling... Read More...
Governor Gives First Condition of the State Speech
Today the Governor outlined her budget and priorities for the coming year.  Gov. Reynolds outlined her plans for tax reform, water quality, mental... Read More...
Iowa Budget in Trouble
Iowa's economy is growing, but its not growing enough to pay for the growth in government spending.  New revenue estimates were released today, and... Read More...
November 2, 2017.  The total annual contribution limit to an ABLE account will be increased from $14,000 per tax year to $15,000 per tax year... Read More...

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ACT NOW! Protect Medicaid Services!

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The US Senate plans to repeal and replace the Patient Protection and Affordable Care Act (ACA) before the 4th of July holiday.  The proposed bill (called the "Better Care Reconciliation Act of 2017") makes drastic cuts to Medicaid and rolls back several important patient protections that could impact Iowans with disabillities.  Advocates need to act now to explain why the ACA and Medicaid are essential to people with disabilities and their families.  

If you or your family benefit from the Affordable Care Act (ACA) or Medicaid,
call or e-mail Senator Charles Grassley and Senator Joni Ernst now!

Both Senators can be reached at 202-224-3121.
  • Who you are and where you live.
  • You are a person with a disability, a family member of someone with a disability, a friend, or an advocate.
  • Take time to think about how Medicaid or the ACA has helped you.  
  • Explain which services you use, and what would happen if you lost them.
  • Send photos with your email, or consider making a video message using YouTube (include link to it in email).

Medicaid is a partnership between the federal and state governments.  The bill being considered by the Senate caps and cuts Medicaid.  If this bill passes, the Federal government would set a limit on how much to reimburse states based on the number of people enrolled in Medicaid. Unlike current law, funding would not be based on the actual cost of providing services. Like the block grants also proposed, the intent of the caps is to save money for the federal government, which will lead to cuts in funding for states.  Less populated states like Iowa will get less money.  The negative impact for Medicaid recipients could include:

  • Loss of home and community-based services and supports and growing waiting lists.
  • Loss of critical services such as personal care, mental health treatment, prescription drugs, rehabilitative services.
  • Shifting of costs to individuals, family members, states and providers to make up for the cuts in federal funding.

The Affordable Care Act (aka "ObamaCare") included many patient protections that make sure all Iowans regardless of illness or disability have access to affordable health insurance.  Many of these protections are eliminated by the proposed bills.  The ACA may be the most significant law for people with disabilities since the Americans with Disabilities Act:

  • Because of the ACA, health insurers can't deny health insurance or charge higher premiums if you have a disability or chronic condition.
  • Because of the ACA, there aren't financial limits to how much health care you can get in a year or in your lifetime.
  • Because of the ACA, more people with disabilities and chronic health conditions are able to access health care due to the Medicaid expansion