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Four leading medical associations are urging Congress to protect people’s access to health benefits in any Obamacare changes they approve over the next year.

Any replacement to the Affordable Care Act shouldn’t result in a higher uninsured rate, undercut patient protections or strip lower-income Americans of safety net coverage, the groups wrote in a letter sent to Congress Monday.

“Our organizations have long supported policies that promote access to healthcare coverage for all Americans,” says the letter from the American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians and American Congress of Obstetricians and Gynecologists.

“We remain steadfast in pursuit of this goal. Key reforms enacted over the past decade, specifically those included in the ACA and Children’s Health Insurance Program (CHIP) have driven the uninsured rate to historic lows, helped ensure access to essential benefits, and strengthened consumer protections for all Americans,” they wrote.

The groups wrote that they “recognize and support the need to improve current laws” to improve health insurance offerings for consumers, many of whom have struggled to find affordable marketplace plans with adequate provider networks and deductibles that aren’t out of reach.

But they said any Obamacare replacement should uphold specific principles to ensure every person has access to the healthcare they need.

Congressional Republicans are planning to immediately start moving forward on repealing the healthcare law when they return to Washington Tuesday. They plan to phase out big parts of the law over several years, so they don’t leave people hanging without health benefits, but it’s not clear how they will replace it.

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