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. 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

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 
Patricia DeLoatche
Senior Policy Advisor
+1 202 736 8862 
Laura Cohen
Policy Attorney
+1 202 736 8127
Michael Borden
+1 202 736 8521 

 and Food, Drug and Medical Device Compliance & Enforcement
Stephanie Hales
+1 202 736 8349  
Trevor Wear
+1 312 853 7101 
Barbara Cammarata
+1 202 736 8785
William McConagha
+1 202 736 8322