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State Health Policy

ACP's State Health Policy program helps internists gain influence in their state capitols on issues affecting them and their patients. Learn more below about the key policy issues impacting the states, how chapters can take action, and other available tools and resources.

Health Coverage

INFO Developments with the Affordable Care Act (ACA)
The Trump Administration and Congress have made repeated attempts to repeal and replace the Affordable Care Act, or otherwise weaken the law through executive action. Some recent changes to existing law are notable.

INFO ACA Enrollment: Help Your Patients Enroll in Health Insurance Marketplaces
ACP has put together a series of documents to address questions about the changes in healthcare coverage brought about by the marketplaces.

INFO Children's Health Insurance Program (CHIP)
Federal funding for CHIP expired for a period of months in 2017 and legislation was enacted in 2018 to reinstate funding for CHIP for 10 more years.


INFO Future of Medicaid
Efforts by the Trump Administration and Congress to repeal and replace the Affordable Care Act (ACA) have left many states uncertain about the future of the ACA and the financing for Medicaid expansion, and Medicaid as a whole.

ACTION Medicaid 1115 Waivers
Section 1115 Waivers under Medicaid allow states to experiment, pilot, or demonstrate projects that promote the objectives of Medicaid and CHIP, if approved by the U.S. Department of Health and Human Services. The agency recently made it easier for states to impose work requirements on certain groups of Medicaid-eligible people, contrary to ACP policy. Chapters are urged to submit comments on proposed Medicaid waivers in their states through an ACP-developed chapter action plan.

Federal Workforce Programs

INFO Community Health Centers, National Health Service Corps, and Teaching Health Center Graduate Medical Education
These federal health programs operate in communities across the country and are designed to expand access to primary care services and they rely on the federal government for their funding.

INFO Loan and Scholarship Programs under Title VII
These programs within Title VII are noteworthy because they have a significant impact on the pipeline of incoming primary care physicians.

Physician Payment

INFO The Medicare Access and CHIP Reauthorization Act (MACRA)
MACRA transformed the way that physicians are paid under Medicare, turning the system into one that focuses on value instead of the volume of services provided. Its implementation continues.

INFO New Primary Care Codes for Payment
Physicians rely on billing codes for payment under Medicare and they can now bill for a new set of primary care codes.


ACTION Reducing Administrative Burdens
Great strides have been made to help reduce excessive administrative tasks on physicians and patients and ACP has developed a new online tool to allow you to share your stories of “burden” with us.

INFO Deferred Action for Childhood Arrivals (DACA)
Individuals with deferred action for childhood arrival (DACA) status, including the dozens of them who are enrolled in U.S. medical schools or physician residency programs, will face deportation if Congress fails to act in granting them a legal pathway to U.S. citizenship.

INFO Climate Change Toolkit
ACP has developed resources to help reduce energy use and greenhouse gas emissions in your practice.

INFO Education and Events
Watch the latest ACP State Health Policy webinars.