Chris0nllyn
Well-Known Member
https://www.budget.senate.gov/imo/media/doc/SENATEHEALTHCARE.pdf
After Mitch McConnell claimed "Obamacare is collapsing around us", he leads a bill that is largely Obamacare.
This plan keeps in place Obamacare's market structure. The plan, along with the House version, keeps in place insurance regulations such as the requirement to cover pre-existing conditions. It differes fromt he House plan in that this bill does not allow states to apply for a waiver to opt out of those regulations. This plan also gets rid of the health insurance mandate.
This didn't work in 1993, and likely won't work now.
This bill offers cost sharing reductions (CSR), which are subsidies to insurance comapnies to cover instabilities in the market through 2019. Obamacare actually tried this but the payments to insurers were in the bill, but not appropriated. You all may remember the case where House Republicans sued on the idea that Obamacare paid out those subsidies, but didn't get Congressional approval to do so. A federal judge ruled that the Obama adminsitration was violating seperation of powers.
The Trump administration has continued to make those payments, and this bill simply makes it official. In a sense, exanding Obamacare.
This version, similar to Obamacare, also includes income-based subsidies, just not as much. Obamacare was 400% above poverty line. This Senate version is 350% (starting in 2020). These income-based subsidies are attached to the low cost plans, likely leading to more high deductable plans.
This bill slowly rolls back Medicaid expansion, like the House version. It eventually converts Medicaid into a per-capita system with matching federal funds. This wouldn't begin until 2021. By 2025, it caps growth of Medicaid spending (the House version does as well, just less strict).
These late dates obviously mean that a GOP President must be in place during that time in order for them to go into effect. The CSR payments would continue through 2019. Subsidies wouldn't begin until 2020, Medicaid expansion rollback wouldn't go into effect until 2021, and the growth cap wouldn't kick in until 2025.
After Mitch McConnell claimed "Obamacare is collapsing around us", he leads a bill that is largely Obamacare.
This plan keeps in place Obamacare's market structure. The plan, along with the House version, keeps in place insurance regulations such as the requirement to cover pre-existing conditions. It differes fromt he House plan in that this bill does not allow states to apply for a waiver to opt out of those regulations. This plan also gets rid of the health insurance mandate.
This didn't work in 1993, and likely won't work now.
This bill offers cost sharing reductions (CSR), which are subsidies to insurance comapnies to cover instabilities in the market through 2019. Obamacare actually tried this but the payments to insurers were in the bill, but not appropriated. You all may remember the case where House Republicans sued on the idea that Obamacare paid out those subsidies, but didn't get Congressional approval to do so. A federal judge ruled that the Obama adminsitration was violating seperation of powers.
The Trump administration has continued to make those payments, and this bill simply makes it official. In a sense, exanding Obamacare.
This version, similar to Obamacare, also includes income-based subsidies, just not as much. Obamacare was 400% above poverty line. This Senate version is 350% (starting in 2020). These income-based subsidies are attached to the low cost plans, likely leading to more high deductable plans.
This bill slowly rolls back Medicaid expansion, like the House version. It eventually converts Medicaid into a per-capita system with matching federal funds. This wouldn't begin until 2021. By 2025, it caps growth of Medicaid spending (the House version does as well, just less strict).
These late dates obviously mean that a GOP President must be in place during that time in order for them to go into effect. The CSR payments would continue through 2019. Subsidies wouldn't begin until 2020, Medicaid expansion rollback wouldn't go into effect until 2021, and the growth cap wouldn't kick in until 2025.