State Checklist: Medicaid-Related Provisions Impacted by an ACA Repeal
This worksheet, originally created by the Virginia Department of Medical Assistance Services (DMAS), identifies key requirements of the ACA that impact state Medicaid and CHIP programs and poses questions for state officials to consider in preparing for actions that may need to be taken upon repeal. NASHP is pleased to share this tool allowing other states to preliminarily assess the impact of repeal on state Medicaid programs and identify efforts that would need to be taken upon repeal.
State Officials can use this tool to help answer the following questions:
- What administrative challenges will be posed to states?
- What operational changes will need to be addressed?
- How will technology systems be impacted?
- Could any of the programmatic, policy or systems changes result in cost savings to the state?
Please also see NASHP’s recently released An Overview of ACA Provisions and Their Repeal Implications for States.
Support for this work was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.


For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































