The tricky part was that they needed to find a way to help people immediately upon the bill going into place, but not risk pushing Americans out of insurance plans they could not afford without government aide that the Affordable Care Act helped to provide them.
“We are writing to remind you of the statutory objectives of the Medicaid program put forth by Congress and to express our deep concern with approval of waivers based on ideological and misguided policies that are not in line with Congress’ longstanding intent for the Medicaid program”, Sen. In essence, the plan would expand government assistance to encompass many who don’t really need it – in order to avoid targeting help toward those who do.
Another major difference is the tax credits.
Hard-line GOP lawmakers want some of the Medicaid changes to kick in earlier, while some Republican governors are vigorously protesting them. Old fashioned, static analysis does not result in accurate estimates. He told Fox News that the reason numerous 14 million Americans who would lose coverage when the bill takes effect in 2018 is not because they won’t be able to afford it, but because the mandate requiring people to be insured will go away.
The House GOP measure would greatly curtail the financial incentives for individuals to buy insurance on state exchanges while all but eliminating the penalties for not doing so. As noted by CNN Money, there’s a hefty tax break for heath insurance companies under the Republican plan that could translate into higher pay for top executives. Pressed on the merits of the bill by George Stephanopoulos on ABC’s “This Week”, Office of Management and Budget Director Mick Mulvaney shot back, “You’re anxious about getting people covered”. This hugely benefits households with incomes of $1 million a year or more.
Under Obamacare, some 20 million people gained coverage.
In fact, the legislation could make those high-deductible plans more prevalent. The CBO’s report indicated 24 million Americans would be uninsured by 2026, including 14 million by next year under the GOP proposal.
The proposal would also phase out funding for expanded Medicaid by 2020, leaving states to pick up the difference or to drop enrollees from their Medicaid programs. The first piece is Trump himself and people like his most distressing press spokesman Sean Spicer, as Trump has already disassociated himself from Ryan, and now refers to his number one item on his agenda, as Ryan Care.
“We have done a good job of closing that gap”.
“I just want to let the world know, I am 100 percent in favor”, Trump told reporters brought to the Oval Office to see the tail end of his meeting with about a dozen members of the Republican Study Committee.
The defunding of Planned Parenthood is also a sticking point for the state.
“When I hear a lot of the discussions questioning ‘Well why should I have to pay for maternity coverage if I never use it, ‘ those same types of questions could be posed in the context of public safety or national parks”. The usual way for Congress to negotiate over legislation is for the House to pass something and the Senate to pass its own bill and then both huddle in a conference committee, but GOP senators aren’t keen on that idea.
In a softball interview with Fox News host Tucker Carlson, Trump acknowledged that the Republican health care overhaul will actually hurt his core supporters the most. If the headline-grabbing numbers from the CBO don’t prompt the GOP to realize this, nothing will. Making the tax credit in the Republican plan more generous further down the income scale would be a start.