GOP's challenge: finding votes for Senate health care bill


But the Senate bill also differs in significant ways.

That likely would end the program in MI, one of eight states that expanded Medicaid with the caveat that the expansion would end if federal funding declined.

What happens to the 70 million people on Medicaid?

In terms of ending the Medicaid expansion, the House bill would start a rollback in 2020 and the Senate is over a three-year process, starting in 2021.

More significantly, ends Medicaid's longtime status as an open-ended entitlement, with Washington paying a share of what each state spends.

Providing tax credits for insurance enrollment for persons below 100 percent of the FPL is an especially consequential proposal.

The Senate's "Better Care Reconciliation Act of 2017", stretches the phase-out of Medicaid expansion financing and higher payments would be provided through 2023.

Wisconsin's spending per Medicaid participant is already near the bottom among states, and the federal caps would "lock that into place", he said. Uses a less generous inflation adjustment than House bill. That could make a huge difference for people in rural counties. "The bill fails all children by leaving more families uninsured, or without insurance they can afford or that meets their basic needs". They would pay no more than 6.4% and 8.9% of their household income, respectively, towards premiums. Discrimination based on pre-existing conditions could become the norm again. The Senate would determine who gets tax credits to help buy insurance by income, rather than age.

This has really brought the Republican Party together, as much as we've come up with a really incredible health care plan. Income-based subsidies help with premiums and with out-of-pocket costs such as deductibles and copayments.

CAHC also predicted that premium increases expected with the House bill would be scaled back. Ends cost-sharing subsidies in 2020, while failing to clear up uncertainty about whether they can be paid now. The estimate was released Friday by Arizona's Medicaid agency, which analyzed the effects of the legislation on the state health insurance program for low-income people. "The average annual deductible for individual plans was $4,358 and the average deductible for family plans was $7,983".

ACA: Insurers could charge older people up to 3 times more than younger people.

The Senate bill provides funding for the ACA's cost-sharing reduction program through 2019.

Silence from conservatives will do little to improve a bill that breaks every promise Republicans made to voters on health care reform.

ACA: Employer mandate requires larger companies to offer affordable coverage to employees.

Other than promising to repeal and replace Obamacare, Trump isn't communicating the same sense of urgency as he did with the House's health bill.

Senate GOP bill: Same as House.

The bill would let states get waivers to ignore some coverage requirements under Obama's law, such as specific health services insurers must now cover.

Sen. Dean Heller, a Nevada moderate, is facing re-election in a swing state that expanded Medicaid.

House GOP bill: No additional money for the opioid epidemic. That would leave the care provider short half a billion dollars and leave more than 2.5 million women without access to affordable birth control, reproductive exams and STI treatment. Rob Portman of OH said it doesn't provide enough funds for the opioid epidemic.

The bill makes dramatic cuts to Medicaid and overhauls the program's structure, scales back Obamacare's subsidies for the individual insurance marketplaces, and slashes some of the taxes that nearly entirely hit the wealthy.

House bill: Planned Parenthood would face 1-year Medicaid funding freeze.

McConnell, a veteran Senate tactician, may have made some intentional omissions in the "discussion draft" he released so that senators can be seen securing public victories in return for their support. It appears to reduce the extent of federal subsidies for insurance plans that cover abortion.

Such changes in costs and regulations affect millions across the country, who might be led to believe that the debate is only about the poor. The Senate plans are set up like bronze plans under Obamacare. In that case, Senate leaders plan a workaround.



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