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The undersigned organizations are writing to share our views on critical provisions we believe must be included in any legislation modifying the nation’s health care system. We also want to share serious concerns with several of the reforms included in the discussion draft of the Better Care Reconciliation Act of 2017 (BCRA). We are very concerned that the BCRA’s proposed changes to our health care system will result in reductions in health care coverage, particularly for vulnerable populations including those suffering from substance use disorders and mental illness, and we cannot support the bill.