Key GOP senators slam House Obamacare replacement after CBO report

Elias Hubbard
May 28, 2017

As a result, the CBO analysis estimates that 14 million people would lose Medicaid coverage, which accounts for most of the savings under the bill, $834 billion over 10 years.

But reaction from Republicans has been relatively limited. The bill does all this while giving the 400 wealthiest households in America an average tax cut of $7 million.

Republicans who have spoken out have turned the discussion into how something needs to be done as the ACA is failing.

Portman represents one of the 52 GOP Senators who will have to modify and vote to pass the American Health Care Act - a tall order given the bill's contentious nature. Come 2020, average premiums would decrease depending on whether the state opts out of provisions that would require insurers to not charge those with pre-existing conditions more than healthy people, and another that would revoke a minimum coverage requirement. "I am working with Senate colleagues to do so", said Sen. The CBO estimates that about half the population resides in states that would not request waivers, about one-third of the population resides in states that would make moderate changes to market regulations, and about one-sixth of the population resides in states that would obtain waivers. "Putting a greater financial burden on older Americans is not the way to solve the problems in our health care system", LeaMond said.

If you don't like the sound of AHCA choices, perhaps you'd prefer the opposite as proposed by Sen. The bill also paralyzes Medicaid, capping and ratcheting down federal support so that it provides less help each year. "That means hospitals and health systems would need to be much more proactive in developing their safety net strategy".

The Congressional Budget Office report, issued Wednesday, also found that average premiums would fall compared with President Barack Obama's health care overhaul, a chief goal of many Republicans. "Millions of Americans will become uninsured-with low-income families on Medicaid being hit the hardest", the statement said.

"If you are a member of the Trump family, you may receive a tax break of up to $4 billion", Sanders said. The budget changes Medicaid from an entitlement to a capped benefit, based on the number of beneficiaries in a state. Their Obamacare repeal bill, they insist, would only allow insurers to jack up prices on sick people if those people haven't maintained continuous health coverage. It would replace Obama's tax subsidies for health insurance consumers, based largely on income and premiums, with GOP tax credits geared more to people's ages. Many people with Medicaid are employed but do not have employer-sponsored coverage. But it's impossible to make a meaningful blanket statement about how premiums would change under this bill, as those changes differ vastly for different groups of people.

AHIP again asked for market stability through the continuation of cost-sharing reduction payments. The House Republican plan provides several ways to try to do that, including so-called "high-risk pools" - insurance of last resort that has not worked well in the past. This includes what are called essential health benefits, a list of medical services, such as mental health care or prescription drugs, that plans are required to cover under the current law.

"Those decisions affect out-of-pocket limits and annual limits and lifetime limits", Buckey said. "I'm going to do everything I can to make sure it never, ever becomes law", said Sen.

But we now know that isn't really accurate.

House Speaker Paul Ryan, R-Wis., cited the flexibility the House bill would give states to determine coverage requirements and said, "That's why I'm actually comforted by the CBO report which shows, yeah, we'll lower premiums".

Acknowledging that it can't pinpoint which states might seek the waiver, CBO analysts project that one-sixth of the US population reside in states that could choose not to cover essential health services and may opt to charge people with preexising conditions more in in premiums than healthy people.

Small Business Majority Founder and CEO John Arensmeyer the AHCA would be a disaster for small businesses because it would destabilize the health insurance market, cause premiums to skyrocket and leave millions of people with pre-existing conditions unable to afford coverage.

Other reports by Click Lancashire

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