19 May, 2017
Thirty-one states, including IL and the District of Columbia, participate in the Medicaid expansion program, which provides billions of federal dollars to pay for health insurance to low-income Americans.
Sens. Rob Portman and Pat Toomey have been trying to strike a compromise that bridges disagreements between Republican moderates who want to keep Medicaid expansion and conservatives who want to rapidly eliminate it and rein in spending. Under the House bill, those payments to state governments would drop to roughly 57 percent of the coverage costs, instead of 90 percent, which is what the federal government is set to pay in 2020. It is the idea that if citizens don't have money to pay for their health care, they should go without it, which results in certain suffering and even death for thousands of citizens.
Under the original version of the AHCA (not the revised version the House passed), it was projected that 24 million fewer Americans would have healthcare coverage. The House approach "probably is a little too sudden and that is problematic for many state budgets". Another 10 million got coverage through the expansion of Medicaid. In California, we have done everything possible to make sure the Affordable Care Act works.
McCain, who gets his health care through the VA, has had surgery for melanoma. Sen. Simpson said he voted for it knowing the bill would not become law without significant changes. Insurers in states with such waivers could vary premiums by health status for an entire plan year for enrollees with a gap in insurance of 63 or more consecutive days in the past year.
A letter to every senator from AARP urged them to oppose the House's American Health Care Reform Act, and to have the Senate "start from scratch" in writing new health-care legislation.
Though the ACA's coverage provisions primarily focused on uninsured adults, the health law helped increase coverage among low-income children by insuring more of their parents, raising awareness about the mandate to have health insurance, and simplifying enrollment and renewal processes, said Jennifer Haley, an Urban Institute researcher and co-author of the report.
The new Republican health plan will allow insurance companies to charge five times as much or more.
The proposed bill will largely benefit middle to high income people without preexisting medical conditions, some of whom have seen skyrocketing premiums in recent years.
The aggressive cuts would ultimately provide states with less federal Medicaid dollars and shift costs typically covered by Medicaid away from the program, and onto hospitals and states. If you have an Obamacare plan, get care while you still can.