Health Matters: Navigating ACA Reform


ACA Reform

Following the November 2016 election results, the future of healthcare reform hangs in the balance.

Republican control of the White House and Congress is expected to bring sweeping healthcare changes beginning in the earliest days of 2017. The Republican leadership has reiterated its intention to repeal and replace the Affordable Care Act (ACA), which also could include major reforms to the Medicare and Medicaid programs. Repeal of the ACA—whether in full or in part—would affect every health sector and stakeholder, including health insurers, manufacturers, laboratories, hospitals, providers, and most importantly, patients.

In addition to reforming the individual and small group health insurance markets and aspects of the group health insurance market, the ACA includes significant reforms to the Medicare and Medicaid programs. Examples of such reforms include filling the Medicare Part D “donut hole”, expanding Medicaid eligibility and creating both the Medicare Independent Payment Advisory Board and the Center for Medicare and Medicaid Innovation. In addition, the ACA amended the 340B drug pricing program, created a new approval pathway for biosimilar biological products, and established the Patient-Centered Outcomes Research Institute.

Sidley has assembled a dedicated task force that is closely monitoring all ACA-related developments. We will report on legislative and administrative proposals, as well as nominations and government investigations. We are ready to advise our clients on the impact of these developments and to assist in engaging and responding every step of the way.

News & Insights

  • The Department of Health and Human Services (HHS) has released information regarding the federal officials who will lead HHS during the presidential transition, beginning January 20. HHS Deputy Assistant Secretary Norris Cochran will serve as the acting Secretary. Acting leadership for the federal health agencies and offices, including the Centers for Medicare and Medicaid Services (CMS), Food and Drug Administration, Health Resources and Services Administration, Office for Civil Rights and National Institutes of Health, can be found here.

    CMS acting officials are listed below:
    • Patrick Conway, acting Administrator 
    • Liz Richter, acting Principal Deputy Administrator
    • Karen Jackson, acting Chief Operating Officer
    • Cynthia Tudor, acting Director, Center for Medicare
    • Tim Hill, acting Director, Center for Medicaid and CHIP Services
    • Jeff Wu, acting Director, Center for Consumer Information and Insurance Oversight
    • Jonathan Morse, acting Director, Center for Program Integrity
    • Amy Bassano, acting Director, Center for Medicare and Medicaid Innovation

Affordable Care Act Events

ACA Reform

If you have any questions regarding ACA reform and how it might have an impact on your business, please contact the Sidley lawyer with whom you usually work, or

Government Strategies 
Dora Hughes
Senior Policy Advisor
+1 202 736 8653
dhughes@sidley.com 
Patricia DeLoatche
Senior Policy Advisor
+1 202 736 8862
pdeloatche@sidley.com 
Laura Cohen
Policy Attorney
+1 202 736 8127
laura.cohen@sidley.com
Michael Borden
Partner
+1 202 736 8521
mborden@sidley.com 

Healthcare
 and Food, Drug and Medical Device Compliance & Enforcement
Stephanie Hales
Partner
+1 202 736 8349
shales@sidley.com  
Trevor Wear
Partner
+1 312 853 7101
twear@sidley.com 
Barbara Cammarata
Counsel
+1 202 736 8785
bcammarata@sidley.com
William McConagha
Partner
+1 202 736 8322
wmcconagha@sidley.com