1. © The Catholic Health Association of the United States Keeping the Faith in Health Reform FamiliesUSA Health Action Conference Saturday February 6, 2016 Sister Carol Keehan, DC President & CEO, Catholic Health Association

2. © The Catholic Health Association of the United States A moral imperative

3. © The Catholic Health Association of the United States ‘Lord, let our eyes be opened.’ Moved with compassion, Jesus touched their eyes. Immediately they regained their sight and followed him. Matthew 20:33-34

4. © The Catholic Health Association of the United States Education, work and access to health care for all are key elements for development... for the attainment of social justice, for membership in society, and for free and responsible participation in political life. Pope Francis — October 2, 2014

5. © The Catholic Health Association of the United States A plea for the common good

6. © The Catholic Health Association of the United States November, 1945 — President Truman proposes national health program February, 1974 — President Nixon proposes comprehensive health reform September, 1993 – President Clinton proposes comprehensive health reform Historic & Challenging Journey

7. © The Catholic Health Association of the United States Why so difficult? Politics Money Vested interests Fundamentally different views on role of government Fear of what is different / unknown Historic & Challenging Journey

8. © The Catholic Health Association of the United States We Couldn’t Wait...

9. © The Catholic Health Association of the United States Wonderful partnerships among organizations & grassroots

10. © The Catholic Health Association of the United States Many elements of ACA grew out of Republican ideas: Individual mandate Pay for performance Incentives for participation in employee wellness program Dependent coverage through age 26 Ban on pre-existing condition exclusions Incredible Effort Toward Bipartisan Solution

11. © The Catholic Health Association of the United States Only Democrats voted for the bill

12. © The Catholic Health Association of the United States Significant misinformation campaign Misinformation Rationing Job Killer

13. © The Catholic Health Association of the United States Beware, Obamacare: Mandates death panels Costs too much; will raise national debt / deficit Creates single-payer, government-run, socialist-inspired health care Misinformation: More of the Myths

14. © The Catholic Health Association of the United States March 23, 2010 – President Obama signs into law comprehensive health reform Historic & Challenging Journey

15. © The Catholic Health Association of the United States Greater health security Reliable, affordable coverage and peace of mind No more denials due to pre-existing condition Illness prevention / community health improvement Greater financial security Fewer personal bankruptcies due to medical bills No more worries about affording doctor visit for child No more choices between food and medicine Making a Difference / Changing Lives

16. © The Catholic Health Association of the United States Health Reform Works: Bryce’s Story

17. © The Catholic Health Association of the United States Broad Coverage Expansion

18. © The Catholic Health Association of the United States Then & Now THENNOW Approximately 18% uninsured in 2013Approximately 9% uninsured currently Disproportionate lack of insurance among minority populations Latinos: 12% in uninsured rate African-Americans: 9.2% Inconsistent and inadequate coverage of preventive services Free coverage for many preventive services including cancer screenings and immunizations Help for poor and vulnerable personsMedicaid now covers 12 million people who otherwise would not have insurance Tens of thousands of unnecessary deaths due to incomplete coverage Patient safety provisions have saved 50,000 lives and saved $12 billion

19. © The Catholic Health Association of the United States Then & Now: Building on Progress

20. © The Catholic Health Association of the United States How did myths work out? MYTH / SCARE TACTIC 2010Now Unemployment9.8%4.9% Excessive cost of subsidies2014 cost estimate: $16 billion 2014 actual spend: $11 billion Harm free marketLaw will damage state economies Medicaid has been a stimulus in every state that has expanded

21. © The Catholic Health Association of the United States To keep the law on the books  House has voted to repeal the ACA 60+ times  Constant threats to funding and major provisions  Misinformation on how it works and who it helps continues to surface To implement the law effectively  Complex legislation  Need to get it right to silence critics and keep people covered  Must also be fair to health care providers Historic challenge

22. © The Catholic Health Association of the United States Also had to survive Supreme Court challenges TWICE already! Historic challenge

23. © The Catholic Health Association of the United States Then we had the website problems...

24. © The Catholic Health Association of the United States Governors’ Refusal to Expand Medicaid

25. © The Catholic Health Association of the United States Medicare & Medicaid faced obstacles too

26. © The Catholic Health Association of the United States ACA was a major accomplishment for our nation and a significant advance for human dignity. We must address the challenges but also look beyond them... The law is working and has built a tremendous foundation for 100% coverage. Vital to focus on accomplishment

27. © The Catholic Health Association of the United States Building a health care future the American people deserve

28. © The Catholic Health Association of the United States Keeping the Faith in Health Reform FamiliesUSA Health Action Conference Saturday February 6, 2016 Sister Carol Keehan, DC President & CEO, Catholic Health Association