On March 21 the U.S. House of Representatives passed H.R. 3590, the Patient Protection and Affordable Care Act, as well as the reconciliation bill, H.R. 4872, the Health Care and Education Affordability Reconciliation Act, which contains additional refinements. HMA continues to review health system reform provisions as they relate to Hawaii’s unique situation.The HMA Council has voted to reserve support for legislation that does not properly address medical liability reform, commissions and committees that lead to limiting medical innovation, lack of provisions ensuring universal access, and factors that increase overall costs.
The AMA offered its qualified support for passage of H.R. 3590, stating that “it will improve the ability of patients and their physicians to achieve better health outcomes.” The association has also stated they will work with Congress and the Obama administration to make critical changes—outlined in a letter to Congress—that cannot be addressed through the reconciliation process.