AAHD Legislative Agenda

AAHD Advocacy Priorities 2021

  1. Expand Medicaid Home and Community Based Services and Address the Medicaid Institutional Bias including making Home and Community Based Services (HCBS) a mandatory Medicaid benefit; expanding & strengthening HCBS Infrastructure by passing the HCBS Infrastructure Investment Act; and permanently reauthorizing the Money Follows the Person program.
  1. Provide for more comprehensive coverage through the Affordable Care Act marketplaces by doing the following:

2.1  Adequately fund education and outreach, including restoring funding for navigator services to 2016 levels;

2.2  Limit use of plans that do not provide comprehensive coverage, including rescinding the short-term limited duration plan and association health plan rules;

2.3  Extend the open enrollment period for the Marketplaces to begin October 15 (the same as Medicare open enrollment) and end December 15;

2.4  Rescind the State Relief and Empowerment Waivers guidance regarding section 1332 of the ACA; and

2.5  Strengthen requirements for essential health benefits (EHBs), specifically reverse ability to benchmark EHBs from another state.

  1. Reduce health disparities and promote health and wellness in people with disabilities, including women’s health, access to healthcare providers and health care facilities, and training of health care providers, including maintenance of existing protections through the Americans with Disabilities Act.
  1. Support inclusive healthy communities and full accessibility, including maintenance of existing protections through the Americans with Disabilities Act.
  1. Promote Quality and Performance Measurement, including appropriate self-directed, home and community-based services targeted to persons with disabilities.
  1. Promote Self-Management and Self-Direction in Health Promotion and Wellness.
  1. Expand the patient/consumer centered health (medical) home and promote the bi-directional integration of behavioral health, general health, and primary care.
  1. Collect, Analyze, and Publicly Report – Appropriate agencies of the federal government in all COVID-19 testing, cases, and deaths, in all settings and by setting, should collect, analyze, and regularly publicly report COVID-19 and co-occurring demographic factors including disability status, race, ethnicity, sex, age, primary language, sexual orientation, gender identity, and socio-economic status. Ideally, the data system analysis should be able to cross-walk between these various precise demographic factors; for example, disability status and race. This COVID-19 disability status data template should serve for use in all public health and health funded programs.

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