Mercoledì, 23 Gennaio, 2019

Senate Bill to repeal Obamacare, Reaction to cuts in Georiga

Parmenio Sano | 23 Giugno, 2017, 21:02

"I have deep concerns with the details of the U.S. Senate's plan to fix America's health care system and the resources needed to help our most vulnerable, including those who are dealing with drug addiction, mental illness, and chronic health problems and have no where else to turn", Kasich said in a statement. Today Medicaid pays for all the care people need, and the state and federal governments share the cost.

Collins said, "I can't support a bill that is going to greatly increase premiums for our older Americans or out of pocket costs for those who aren't quite old enough for Medicare yet".

Will people have to get insurance or be charged more for going without insurance?

Senate Majority Leader Mitch McConnell has indicated that the Congressional Budget Office scoring of the bill won't be released until next week.

Responding to the late release of the latest draft of the American Health Care Act, Senator Elizabeth Warren referred to the deals the GOP has cut with the rich corporations in this country as "blood money".

The bill would penalize states for spending more than the average Medicaid recipient, not allowing any leeway for the nuances of individual situations depending on differences in the economic conditions between the states. Medicaid covers some 70 million people, from newborns to elderly nursing home residents. That growth rate is slower than that of the medical care component of CPI, which what was proposed in the House version for Medicaid spending. The Senate Bill won't remove such a provision. Higher payments would be provided through 2023. Medicaid funding would be capped on a per-person basis. Uses a less generous inflation adjustment than House bill.

HOUSE: The bill would repeal most Obamacare taxes retroactively after December 31, 2016, and delay the Cadillac tax to 2026. Those who let their coverage lapse pay a 30 percent premium penalty for a year.

Senate bill: States allowed to change what qualifies as an essential health benefit.

Overall, as rightly pointed out by Spencer Perlman, director of health-care research at Veda Partners, the Senate plan has the "same architecture" but with "nicer furnishings". States can not seek waivers that would allow insurers to charge more based on health.

"Just yesterday, another insurer announced it was pulling out of Obamacare exchanges", Sanders said. Premium subsidies keyed to the cost of a midlevel "silver" plan.

Hospital stocks, which don't even get the benefit of a big tax break in this bill, also rose broadly on its unveiling. "It's been made clear to us that you don't want to participate in the process". But the benchmark for subsidies would be a bare-bones "bronze" plan.

ACA: Subsidies to insurers help people pay deductibles and copays.

In theory there is nothing in the Senate bill to prevent people from foregoing health insurance when they are healthy and only buying it when they get sick.

The law has grown in popularity and many more Americans are insured, making the new safety net hard to unravel. It's every bit as bad as the House bill. Requires larger employers to offer coverage to full-time workers. However, under the Senate plan, fewer people would be eligible to receive the aid. Unlike the House plan, it does not allow states to apply for a waiver to opt out of those rules. It would do this by gradually but inexorably shifting more of the financial burden of Medicaid to states, in effect, forcing them to cover fewer people and to provide fewer services.

Senator Roger Wicker of MS expressed some disappointment that the new bill bears too many similarities to Obamacare.

Senate bill: Subsidies would end in 2020. Some from states that have expanded the program have battled to prolong the phase-out, while conservative Republicans have sought to halt the funds quickly.

The measure largely uses people's incomes as the yardstick for helping those without workplace coverage to buy private insurance. But, starting in 2025, the Senate would cut all of Medicaid more deeply than the House.

The new legislation would eliminate federal funding for Planned Parenthood, a non-profit health organization that Trump's administration has targeted for cuts because it provides abortion services. Millions of families will lose coverage entirely.


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