Republican health care plan moves forward
Providing details on this so-called “third phase” of the GOP vision for health reform is meant to bring conservatives on board with the current GOP health bill, known as the American Health Care Act.
“We’d be able to swallow, I think … some things that they may think are a good idea which we think are too costly and geared to the rich, if that’s the price to pay to do something else, depending on what else they’re willing to do”. However, early impressions of the bill suggest fewer people will be covered.
Health care industry organizations nearly immediately attacked the plan, saying it would slash the number of Americans with access to insurance.
GOP bill: Extent of coverage is unknown at this time, as well as its impact on the nation’s uninsured rate. “And the promise we made to the American people is we are going to repeal and replace Obamacare”.
The AHCA would also shift more than $4.5 billion in spending on Medicaid recipients over the next four years to state and county governments, as well as safety net hospitals, New York’s analysis concluded. The fixed dollar amount will use 2016 as the base year, vary by state and by beneficiary designation (elderly, blind and disabled, children, non-expansion adults and expansion adults) and be adjusted for inflation.
Kasich has been a leader among governors urging Congress to adopt an alternative that would change Medicaid from an open-ended federal entitlement to a program designed by each state within a financial limit. Moving up the end of Medicaid expansion would alienate moderates, particularly in the Senate. States will get a lower match for new enrollees. The state can continue to receive the enhanced matching rate after January 1, 2020, for those beneficiaries who were enrolled as of December 21, 2019, and remain enrolled. Democrats have banded against the approach as hurtful to lower-income Americans while also increasing the federal debt. Their plan also seeks to encourage people to buy insurance with the age-based credits that are capped at upper-income levels.
The proposed plan, though, would be far less generous for people who have low incomes or who are older – and most policy experts believe that millions of people are likely to lose their coverage. If the GOP plan becomes law, those making more than $75,000 would see their tax credits start to phase out, and an enrollee making more than $215,000 would no longer be eligible. More middle-class consumers will benefit, but there’s concern lower-income people would be disadvantaged.
-Payments to insurers for cost-sharing reductions by 2020. Clearly, the current system is not working for many. Representative Jason Chaffetz of Utah, for instance, told CNN that people should invest in their health care, “rather than getting that new iPhone”. But lawmakers face pressure from constituents not to throw America’s healthcare system into chaos.
“In contrast, a 50-year-old with a gap in coverage of the same length would be charged $96 more than a younger person per month, or $1,154 more over 12 months, for a total of $2,161”.