Published: Sun, March 19, 2017
U.S. | By Monique Johnson

US Republicans working on Medicaid, tax credit changes: Ryan

US Republicans working on Medicaid, tax credit changes: Ryan

Yoho, a member of the House Freedom Caucus, said earlier this week that he opposed the American Health Care Act (AHCA), U.S. House Speaker Paul Ryan's, R-Wisc., effort to repeal and replace Obama's law.

The ACA uses a sliding scale based on income and the price of a standard plan to ensure eligible Americans never pay more than 9.5 percent of their annual income on health insurance premiums.

"I am going to take care of everybody". H.R. 1313 - the Preserving Employee Wellness Programs Act - would expand the ability of employers to require employees to disclose details about their family health history.

Dr. Tom Price, Secretary of Health and Human Services, explained in a recent HHS press release that CBO's numbers "defy logic" and that the analysis did not account for "the regulatory relief HHS can provide and the additional legislative reforms Congress is and will be pursuing".

"They're not always right", Rep. Todd Rokita (R-IN) said in an interview with FOX59 on Monday.

Republicans argue that work requirements better prepare participants to transition off government assistance and into jobs. Still, the ACA dramatically improved health care coverage for African-Americans.

In another warning signal, four GOP governors wrote congressional leaders Thursday saying the bill's approach to Medicaid would not work for states. It would essentially set in stone the reimbursement rate the feds now give to Illinois' Medicaid system.

Failing to pass a bill while his party controls both the House and Senate would be a devastating blow to his party and the premise of his presidency - that he was a dealmaker the country needed.

Under a block grant, states would receive a fixed amount of federal funding each year, regardless of how many participants are in the program.

The Republican bill would also put a per capita cap on all Medicaid funding from the federal government to states.

These changes to Medicaid would likely further reduce the number of people covered under the program.

"In Northern California, there's a more concentrated delivery system with a few major providers", said Peter Lee, executive director of Covered California.

A report by the Congressional Budget Office found the new plan would leave 24 million people without coverage over the next decade.

Duffy defended the tax credit provision, asserting the bill would end the kind of restrictions in the Obamacare marketplaces that mandate "the kind of insurance you have to buy". The older, sicker and lower income would face higher costs and/or less coverage.

So if you are older, or plan on getting older, beware of the Republican replacement for the ACA.

The CBO said that the Republican plan would make insurance so unaffordable that older people would be forced to go without, leaving mostly the younger, healthier people to join insurance plans. But under the GOP plan, his annual premium would be $14,600 since the tax credit would not offset as much of the cost.

The legislation has drawn the ire of influential groups, such as the AARP. But it's important to remember every one of these numbers is more than a balance-sheet tally, they are people's lives.

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