By now you know that a federal district court judge in Texas ruled Friday that the entire Affordable Care Act (ACA) was rendered unconstitutional when Congress eliminated the individual mandate penalty in last year’s tax act.
If this judge’s ruling stands, it would undermine major pillars of health coverage and care transformation in Maryland: Medicaid expansion, the individual marketplace, and our one-of-a-kind health care financing arrangement.
We at your MHA have been in touch with state officials over the weekend, and we’ve been following media reports. All indications — including from the federal Department of Health and Human Services—are that no changes to ACA-enabled programs will take effect until all legal appeals have been exhausted. That could take some time.
The newest iteration of Maryland’s financing innovation — the Total Cost of Care Model — will launch on January 1. It offers great opportunity for Maryland hospitals and health systems to demonstrate leadership in managing the care of the whole person and in improving the health of whole populations.
We will not squander this opportunity. In every corner of the state, we will stay focused on our missions of caring and on furthering the measures already begun to make the new model a roaring success.