270,769 people with disabilities in Alabama are at risk of losing critical care that helps them live independently. 

Alabama stands to lose $2 billion in federal funding for Medicaid through the proposed American Health Care Act (AHCA) and its plan to implement per capita caps. Medicaid provides 270,769 people with disabilities in Alabama with access to critical care that helps them live independently. 

Alabama is already facing a budget shortfall. To compensate for the $2 billion dollar cut to Medicaid, Alabama will need to raise taxes, cut other budget areas, or cut Medicaid eligibility, benefits, and/or payments to hospitals and physicians. 

AHCA will disproportionately impact people with disabilities. Alabama spends $11,092 per disabled Medicaid enrollee, the lowest rate in the country. Medicaid caps would turn Alabama’s historically low spending into a permanent federal funding ceiling, stripping the state’s flexibility to get increased federal support to address changing health markets, residents’ needs, emerging treatments and technology, public health emergencies and policy choices.

 If you care about people with disabilities – if you or someone you love is supported by Medicaid, please take action NOW

You matter, your story about Medicaid is critical, and your call makes a difference. 

It is absolutely essential to make the case to your representatives Heller, Cortez Masto, and Sandoval, about the impact of the Medicaid per capita caps on community services and supports for individuals with disabilities.

Please, whether you’re a lifelong activist or haven’t voted in years – take five minutes today to help defend essential services for people with disabilities.

Call: the main Capitol line at: (202) 224-3121 (You’ll be directed to an operator at the Capitol switchboard who can direct you to both of your senators.)

What to Say

Alabama will be uniquely, dramatically, and negatively affected by the AHCA. Your Alabamian representatives could hold the key to defeating it. The numbers are in, the AHCA will cost the State of Alabama $2,000,ooo,000.  Swaying your representatives to oppose AHCA is crucial, please contact them and encourage your friends and family to join you.

Your Representatives

Senator Richard Shelby 
(202) 224-5744
304 Russell Senate Office Building, Washington, D.C. 20510
(202) 224-4124
326 Russell Senate Office Building, Washington, D.C. 20510
Governor Kay Ivey
Alabama State Capitol
600 Dexter Avenue
Montgomery, Alabama 36130
Phone: (334) 242-7100

Key messages:

  • Do NOT support the American Health Care Act.  
  • Do NOT allow Medicaid to be gutted.  Per Capita Caps would decimate the program on which people with disabilities and seniors rely for critical healthcare and community services.  
  • Do NOT allow states to opt out of requiring health plans to cover basic health care and keep it affordable for people with pre-existing conditions, including people with disabilities.

Learn More About the Impact of the AHCA on Alabamians:

Mental Health and the AHCA (the Bazelon Center)

Alabama Harmed By Medicaid Caps (Georgetown University Center for Children and Families (CCF) and NHeLP)

Defending Health Care in 2017: What Is at Stake for Alabama (Families USA)

Medicaid Facts Alabama (Children’s Hospitals Association)

Medicaid in Alabama (Kaiser Family Foundation)

House Republican Health Plan Would Shift $2 Billion in Medicaid Costs to Alabama (Center on Budget and Policy Priorities)

Reports on State Impact

State Medicaid Financing Fact Sheets (Robert Wood Johnson Foundation)

The Impact of Medicaid Cuts on People with Disabilities: State-by-State Breakdown (Center for American Progress)

State Variation in Medicaid Per Enrollee Spending for Seniors and People with Disabilities  (Kaiser Family Foundation)

The Impact of Per Capita Caps on Federal and State Medicaid Spending (Urban Institute)

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