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    How Trumpcare affects optometry


    4 reasons why this is important to ODs

    Any changes to federal healthcare regulations have the potential to affect optometry. Keep these four reasons in mind when evaluating the AHCA or other potential healthcare policies.

    • Under the ACA, pediatric eye care is a required benefit included on all health insurance plans that qualify as minimum essential coverage; most Medicaid plans meet this qualification and cover comprehensive eye examinations for children10

    • All children under age 19 in individual, family, and small group markets must be offered eye care as an essential health benefit; loss of Medicaid coverage will adversely affect children’s eye and vision health, especially in underserved and low-income communities4

    • Essential health benefits, including comprehensive eye examinations for children, could be erased with future bills and/or modifications

    • The National Academies of Sciences, Engineering, and Medicine (NASEM) report shows insurance coverage is an independent predictor of vision health; a lack of insurance coverage is associated with a higher incidence of vision loss and an older mean age of diagnosis for degenerative diseases like glaucoma.9



    1. DeBonis M. Ryan: Health care plan must change to pass the House. Wash Post. Available at: https://www.washingtonpost.com/powerpost/speaker-paul-ryan-doubles-down-on-gop-health-care-plan-amid-opposition/2017/03/15/872c4f3c-0974-11e7-93dc-00f9bdd74ed1_story.html?utm_term=.1bdd85af2205. Accessed 3/20/17.

    2. Adler L, Fielder M. Expect the CBO to estimate large coverage losses from the GOP health care plan. Brookings Institute. Available at:  https://www.brookings.edu/blog/up-front/2017/03/09/expect-the-cbo-to-estimate-large-coverage-losses-from-the-gop-health-care-plan/. Accessed 3/20/17.

    3. Goodnough A, Abelson R. Millions risk losing health insurance in Republican plan, analysts say. NY Times. Available at: https://www.nytimes.com/2017/03/07/health/risk-of-losing-health-insurance-in-republican-plan.html?_r=0. Accessed 3/20/17.

    4. Center on Budget and Policy Priorities. Policy Basics:  Introduction to Medicaid.  Available at:http://www.cbpp.org/research/health/policy-basics-introduction-to-medicaid. Accessed 3/20/17.

    5. Medicaid. Eligibility. Available at: https://www.medicaid.gov/medicaid/eligibility/. Accessed 3/18/17.

    6. Rosenbaum S. The American Health Care Act And Medicaid: Changing A Half-Century Federal-State Partnership. Health Affairs Blog. Available at: http://healthaffairs.org/blog/2017/03/10/the-american-health-care-act-and-medicaid-changing-a-half-century-federal-state-partnership/. Accessed 3/18/17.

    7. Martin R. Molina Healthcare CEO Expresses Doubts About GOP's Health Plan. Morning Edition. Available at: http://www.npr.org/2017/03/10/519593216/molina-healthcare-ceo-expresses-doubts-about-gops-health-plan. Accessed 3/20/17.

    8. Musumeci M, Foutz J. Medicaid Restructuring Under the American Health Care Act and Nonelderly Adults with Disabilities. Kaiser Family Foundation. Available at: http://kff.org/medicaid/issue-brief/medicaid-restructuring-under-the-american-health-care-act-and-nonelderly-adults-with-disabilities/. Accessed 3/20/17.

    9. National Academies of Sciences, Engineering, and Medicine. Making Eye Health a Population Health Imperative: Vision for Tomorrow. Availabile at: http://www.nationalacademies.org/hmd/Reports/2016/making-eye-health-a-population-health-imperative-vision-for-tomorrow.aspx. Accessed 3/20/17.

    10. Obamacare Facts. Vision insurance. Available at: http://obamacarefacts.com/vision-insurance/. Accessed 3/18/17.


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