US Republicans working on Medicaid, tax credit changes: Ryan

Thursday is also the seventh anniversary of President Barack Obama signing the Affordable Care Act into law. “Wait one year and then even the Democrats will come say, please, please, you got to help us”.

“I think all bets are off in a downturn”, she said.

A House committee on Thursday approved the American Health Care Act, moving it closer to a floor vote.

Representative Charlie Dent, a Republican moderate, said the House bill should be crafted to win support in the Senate, where numerous Republicans have voiced skepticism. This will lead to patients who have no insurance being cared for in hospitals that are understaffed to meet their needs. But some cities and states are making contingency plans to continue coverage for vulnerable residents.

The method that Trumpcare uses to gut Medicaid (in addition to rolling back the Affordable Care Act’s Medicaid expansion) is a benign sounding policy called “per-capita caps”.

Ryan said Congress was proud to have passed the Cures Act previous year, which calls for additional NIH money for “breakthrough discoveries on cancer and other diseases”, so he expects the proposed NIH cut to be revised. “That’s why these cuts coming down from the ACA repeal bill are very concerning to us”. These populations make up 96 percent of people on Medicaid in Texas.

On Sunday, Ryan said he believed the CBO analysis was not accurate because Obamacare wouldn’t be able to last 10 years. Ted Cruz of Texas said Sunday he wouldn’t vote for it as is. “We stand united today to move this forward for the American people”. Citing lawmakers’ town hall meetings that have been jammed with activists opposing the GOP bill, he said, “This bill is not what the American people want”.

Through Obamacare there were 31 states that expanded Medicaid to low-income adults, including 16 run by Republican governors. Walker said he now supported the bill. About $3.5 billion comes from state funds.

It’s already getting tough pushback from governors, advocates, hospitals and even the health insurance industry.

With tax credits for workers earning up to $215,000, the Republicans’ health care plan would push the incentives for companies not to offer benefits further up the income spectrum, said Elise Gould, senior economist at the Economic Policy Institute. For many, it will likely be less. The most any individual can get back in tax credit is $4,000, and the most any family can get back is $14,000.

President Donald Trump has been talking with GOP lawmakers about potential changes.

Trump says the press is misrepresenting the legislation. Here’s Ashley Lopez of our member station KUT in Austin. Rep. Bill Flores, R-Texas, said it’s important to get the legislation passed before Congress leaves for a two-week spring recess next month.

ANNE DUNKELBERG: I’ve worked on Medicaid and uninsured and health care access issues in Texas for well over 20 years. But I will say that NIH is something that’s particularly popular in Congress. It would essentially set in stone the reimbursement rate the feds now give to Illinois’ Medicaid system. The proposal expands health savings accounts, adds some funding for community health centers, and gives states more support to assist “high-risk” individuals.

Harris said lawmakers would need to find ways to fill the $4 billion-a-year hole. They would be subject to the 30 percent surcharge if the GOP plan becomes law and they later chose to repurchase health insurance. There is no money in the state budget to replace these funding losses. Instead, we will see wait lists and unnecessary placements in nursing homes and other institutions. As details of the Republican bill’s impact become known, public opinion will favor the status quo over the insecurity of change. This includes doubling down on the individual mandate to bring more people into the pool, and expanding subsidies to higher income people – at least temporarily until a larger and healthier individual market can right itself. For NPR News, I’m Ashley Lopez in Austin. And that would be a drop in the bucket for a state as big as Texas.

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