Republican health care bill
WHAT THE BILL CONTAINS
-Ends tax penalties, under the original Affordable Care Act, for individuals who don’t buy insurance coverage and larger employers who don’t offer coverage. Instead, insurers would apply a 30 percent surcharge to customers who’ve let coverage lapse for more than 63 days in the past year.
-Ends tax increases on higher-earning people and a range of industry groups including insurers, drug makers and medical device manufacturers.
-Cuts the Medicaid program for low-income people and lets states impose work requirements on Medicaid recipients. Forbids states that haven’t already expanded Medicaid to do so. Changes Medicaid from an open-ended program that covers beneficiaries’ costs to one that gives states fixed amounts of money annually.
-Overhauls insurance subsidy system from one based largely on incomes and premium costs to a system of tax credits. The credits would rise with customers’ ages and, like the subsidies, could be used toward premium costs.
-Lets states get federal waivers allowing insurers to charge older customers higher premiums than younger ones by as much as they’d like. Obama’s law limits the difference to a 3-1 ratio. States also can get waivers exempting insurers from providing consumers with required coverage of specified health services, and from Obama’s prohibition against insurers charging higher premiums to people with pre-existing health problems, but only if the person has had a gap in insurance coverage.
-States could only get the latter waivers if they have mechanisms like high-risk pools that are supposed to help cover people with serious, expensive-to-treat diseases. A newly added provision would give another $8 billion over five years to help states finance their high-risk pools. Despite criticism that the waivers strip protections, House Speaker Paul Ryan’s office maintains that since states that take the waivers would have to set up the high-risk pools, “insurance companies cannot deny you coverage based on pre-existing conditions.”
-Blocks federal payments to Planned Parenthood for a year.
-Retains requirement that family policies cover grown children to age 26.
This isn’t repealing, it’s overhauling Odummercare….I won’t buy it.