Guiding Principles & Legislative Priorities

Guiding Principles

Accessible and affordable quality health care in Virginia should be:

  • The shared responsibility of our entire community:  individuals, providers, employers and government.
  • Available to all Virginians, regardless of ability to pay and without causing financial hardship.
  • Comprehensive, including a full range of services (primary, preventive, acute and long term care) in order to promote and maintain physical, oral and mental health.
  • Provided in a manner that is timely and culturally/linguistically appropriate.
  • Financed and delivered in a manner that leverages state spending, maximizes efficiency of resources, eliminates waste, and supports economic growth throughout Virginia.

Legislative Priorities

Both President Trump and the Republican Caucus in Congress have promised to drastically change many of the health programs that millions of Americans rely on. In addition to plans to “repeal and replace” the Affordable Care Act (ACA), there are threats to the Medicaid program.

As the healthcare landscape continues unfolds, HAV will be engaged to:

  • Prevent cuts to existing health programs; and
  • Promote needed improvements.

State Issues:

  • Defeat Work Reporting Requirement Proposal
  • Strengthening Virginia’s Medicaid Program
    • Adding Dental Benefits for Medicaid Adults
    • Ending 40 Working Quarter
      • After satisfying the federal 5-year bar, lawful permanent residents (LPR) must still prove a 10-year work history — 40 work quarters — in order to be eligible for Medicaid in Virginia. Virginia is one of only six states to add this extra barrier to Medicaid enrollment for its LPR immigrant population.
    • Adopt Medicaid Maternal Mortality Solutions
      • Medicaid reimbursement for doula/midwife services
      • Medicaid funding for voluntary home visiting services to new families
      • Extend postpartum Medicaid coverage from 60 days to 12 months
    • Supporting a Robust ACA Individual Marketplace
      • Establish a State Based Exchange
      • Limit Short Term Limited Duration Health Plans

Federal Issues:

  • Affordable Care Act – Oppose repeal and stay active on current lawsuit.
  • Medicaid – Oppose block grants, per capita caps, and work reporting requirement policies.