CAHC is proud of the hard work and collaboration that goes into improving the quality of health care across America.
Explore our archive of CAHC resources by scrolling down or clicking on the listings below.

Health Spending

Overall Health Care Spending

Health Care Spending and Prescription Drugs

Health Care Spending and Chronic Care

Affordable Care Act

General ACA


  • CAHC Comment Letter: The Interim Final Rule for PPACA; Amendments to Special Enrollment Periods and the Consumer Operated and Oriented Plan Program - July 5, 2016

  • CAHC & Galen Institute Letter to Congress: Requesting Oversight of the Consumer Operated and Orients Plans (CO-OPs) - September 10, 2015

  • Senate Version: Requesting Oversight of the Consumer Operated and Orients Plans - September 10, 2015

Flexibility for Employers

US tax law requires that employers report detailed information on employees and their families for the purpose of administering the Affordable Care Act’s individual and employer mandates and subsidy provisions. CAHC supports reducing these reporting burdens on small businesses by streamlining the process.


  • Letter to Treasury, HHS, and Department of Labor supporting proposed rule expanding HRAs - December 2018

  • CAHC Issue Brief: Three Small Business Legislative Issues- July 2015

    1. Protect and preserve the small group market

    2. Allow employers to use HRAs

    3. Simplify onerous and time consuming reporting requirements

  • Sign-on Letter: House Health Committee Chairman and Ranking Members Requesting Bipartisan Passage of Bills that will Provide Small Businesses Relief from Rising Health Costs and Regulatory Red Tape - September 2015

Small Business Issues

Preserve Health Plan Choices

ACA Issues

  • Return to a 40-Hour Work Week in the ACA

  • The Affordable Care Act imposes an annual excise tax- popularly termed the “Cadillac tax,” on employer-sponsored insurance coverage in excess of a predetermined threshold. Health benefits are part of the total compensation package, and as such, their costs are borne entirely by workers. In some cases, the tax will stimulate changes in plan design that increase the share of health coverage costs subject to income and payroll taxation. In others cases, health plans will pass the tax onto workers in the form of higher premiums. CAHC is monitoring any regulatory activity concerning the tax and will support modifying or repealing the tax.

    • CAHC letter to IRS: Notice 2015-16 Regulatory Guidance with Respect to the Excise Tax on High Cost Employer-Sponsored Health Coverage - May 2015

Medicare Part D

Medicare Part D was established in 2006 and has successfully operated under budget for 10 years. Its average premiums are nearly 50% below original projections and 9 out of 10 seniors are satisfied with their coverage. CAHC is working to maintain the integrity Medicare Part D, a success story for both seniors and taxpayers; the program delivers needed prescription drugs at lower costs than expected and improves beneficiaries’ health.

Oppose Mandatory Part D Rebates

Oppose Efforts to Allow Government Interference in Private Prescription Drug Negotiations

Other Regulatory Issues

Medicare Access and CHIP Reauthorization Act (MACRA)

Special Enrollment Periods



  • Many factors are driving up healthcare expenditures, including unhealthy behaviors. Factors such as smoking and obesity contribute to a long list of chronic health conditions, such as heart disease, cancer, stroke, and diabetes – which in turn – increase costs.According to the Centers for Disease Control and Prevention (CDC), smoking-related illness in the United States costs more than $300 billion each year, including nearly $170 billion for direct medical care for adults and more than $156 billion in lost productivity. Obesity also poses a serious problem. In fact, the annual medical costs of obesity may be as high as $147 billion. People who are obese end up expending nearly $1,500 more per person per year on health care.

    CAHC has been a long-standing, vocal proponent of wellness programs and advocated for the inclusion of Section 2705(j) of the Public Health Service Act, as added by Section 1201 of the Affordable Care Act. We believe providing rewards to people for engaging in healthy behaviors and participating in preventive activities in both the group and individual markets can improve outcomes and lower health costs, and should be encouraged, not discouraged.

    It is currently against the law, in most instances, for insurers to provide wellness incentives, such as premium discounts or rebates, for individuals who purchase health insurance in the individual market. CAHC encourages Congress to extend the discounts currently allowed in the small and large group markets to the individual market and to subscribers in the Federal Employee Health Benefit Program.

Regulatory Comment Letters

  • CAHC Letter to the EEOC: The Proposed Rule to Amend the Regulations Implementing Title II of the Genetic Information Nondiscrimination Act (GINA) of 2008 as they relate to Employer Wellness Programs - January 2016

  • CAHC letter to the EEOC on the proposed rule to amend the regulations and interpretive guidance implementing Title I of the Americans with Disabilities Act as they relate to employer wellness programs