The California Medical Association (CMA) joined nine other state medical associations to oppose the Senate health care reform bill, the Better Care Reconciliation Act of 2017 (BCRA), which could be headed for a vote next week. The BCRA would convert federal Medicaid financing to a per-capita cap or a block grant beginning in 2020, and the amount would increase by the medical consumer price index (CPI) for adults and children, and the medical CPI plus 1 percent for the elderly and people with disabilities. This financing formula would reduce Medicaid by more than 3 percent every year, or about $114 billion from Medi-Cal from 2020 to 2027, according to the California Department of Health Care Services (DHCS). The CMA, as part of the Coalition of State Medical Societies, is urging Congress to ensure patient access to high-quality, affordable care and coverage. To read their letter to Senate leaders, go to