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Let's Discuss: Implementation and Implications: The Impact of the Affordable Care Act on Cancer Control

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We have a record-breaking number of registrants for this afternoon's cyber-seminar, so we are opening the dicussion a little early to give you an opportunity ot ask questions of our speakers and share your perspectives with the speakers and the rest of the R2R community.

We are most fortunate this afternoon to have welcomed Carter and Jennifer and appreciate their expertise and perspectives.  As their presentations indicate, the major provisions of the ACA and Medicaid changes have major implications for cancer control practice and research.

We are interested in hearing from you!

  • How are your instututions, cancer control coalitions and organizations addressing these changes?
  • Who have been your key partners?
  • What questions do you encourgae others to ask?

We welcome your perspective regarding the impact of the ACA and how state and local coalitions can align their priorities and efforts to seize the opportunities and address the issues that stem from this monumental shift in health care policy and provision.

Join the discussion!

If you would like to request a PDF copy of the slides from the seminar, please use the contact us link at the bottom of the page or email


Thank you all for joining the

Thank you all for joining the cyber-seminar today!  We have a few questions that we were unable to get to during the presentation, so Carter and Jennifer have agreed to follow up.

Julie asked: Could you send the link/ name of the Medicaid white paper describing uptake rates?

Tuyet askedAre the migrant workers and illegal residents qualified for ACA?

Hayley askedHow will the current sequester, that has impacted drug margins, impact chemotherapy as it relates to the coverage or certain teirs/class of drugs with the ACA?

Elisa asked:  Is it true that if health care coverage for dependents are more than 9% of household income, the dependents can purchase through Exchange and the primary can remain with his/her employer plan?


Tuyet - the ACA doesn't cover

Tuyet - the ACA doesn't cover illegal residents.

Hayley - I am not aware of the sequester impacting drug coverage like it likely  will cancer screenings, cancer registries, etc.


Elisa - Dependents CAN

Elisa - Dependents CAN purchase through the exchange but can only get subsidies if the out of pocket cost for covering the one employee (individual not family coverage) is more than 9.5 % annual household income.


Julie - Here is the link to

Julie - Here is the link to the Medicaid White Paper.

The discussion on "take up rates" is on page 6 (bottom left of the page).  I hope this helps!


Thanks again to everyone who

Thanks again to everyone who was able to join us yesterday. We have also uploaded the "table of questions" and other resources Jennifer and the Kentucky Cancer Coalition is using in their work with their state's leadership.

Jennifer and Carter covererd a great deal of ground yesterday and hope that you will share your experiences, your questions and lessons learned with the R2R community.


We know that cancer care in

We know that cancer care in the U.S. costs more than $125 billion annually, yet stark disparities in access to and quality of cancer prevention and treatment persist. And, we know that the Affordable Care Act (ACA) expands the depth and breadth of insurance coverage for most Americans.  But, how will these sweeping changes affect cancer prevention and control?

Researchers at Virginia Commonwealth University’s Department of Healthcare Policy and Research and Massey Cancer Center – Drs. Lindsay Sabik, Andrew Barnes, and Cathy Bradley - discuss several implications of the ACA for cancer care:

1)   Effects of expanding Medicaid coverage on cancer screening among low-income populations.

2)   Comprehension of insurance sold in the Marketplace and its effect on choosing enough coverage given expected health care needs.

3)   Whether employees diagnosed with cancer will continue to work at the same levels to retain their employer-sponsored coverage or reduce their work hours to focus on treatment and recovery now that coverage for individual private insurance has expanded.

For more information on research on the ACA and cancer care please visit: and