Posted by: maboulette | December 6, 2016

GOP and ObamaCare


healthinsurance

Now that the GOP controls both houses in Congress as well as the presidency their threat to repeal the Affordable Care Act is no longer just a daily talking point.  The part that is going to be hard for them is to change to a new system that does not take away things that 20 million Americans who have signed up in recent years.

OBAMA ACHIEVEMENT

President Obama’s signature legislative achievement was signed into law March 23, 2010, but didn’t come into full force until last year. Republicans hate the mandate that requires all adults to obtain coverage or face fines, they hate that the federal government has become the primary regulator of healthcare, and they hate that the law specifies what insurance companies need to cover.

REPEAL THE ACA

On Wednesday, Republicans said that they intent to repeal the ACA by early next year but might possibly delay the effective date 3 years in order to figure out what they want to replace it with.  Part of this balancing act entails convincing the insurers not to bail out on the healthcare marketplaces.

60 VOTES

House Republicans have voted 60 times to repeal the ACA since it was enacted. During the campaign, President-elect Donald Trump repeatedly said the law would be repealed and replaced with something “much better.”

PRESERVE

After the election, Trump said that there were some elements of the ACA that should be preserved such as the guarantees of coverage for those with pre-existing conditions and allowing children on their parents’ plans until they are 26 years of age.

KAISER STUDY

To make this even more complicated for the GOP is a study released by Kaiser Family Foundation that indicates only about a quarter of Americans want the law repealed entirely.

REP. TOM PRICE

Health Secretary-designate Rep. Tom Price, R-Ga., is a longtime critic of the ACA — and a doctor. Among the changes he has proposed, the Fiscal Times reported, are eliminating the state-run marketplaces, individual mandates and federal tax credits for low-income participants. Instead, he would like to see tax credits pegged to a person’s age, ranging from $1,200 to $3,000 to partially cover premiums and out-of-pocket costs.

PREVENT COVERAGE GAP

For a pre-existing condition or chronic illness to be covered, consumers would have to prove they had continuous coverage for the preceding 18 months to prevent people from obtaining coverage only after they become ill.

REPLACEMENT

Senate Health Education, Labor and Pension Committee Chairman Lamar Alexander, R-Tenn., said he’d like to have a replacement plan in hand before the ACA is repealed, an approach favored by Price.

REPEAL ASAP

But House Speaker Paul Ryan said Wednesday he’s in favor of taking care of repealing the law immediately.

PIECES

One approach under consideration is to take the law on in pieces rather than by passing one massive bill, an approach that likely would drag out the process and possibly produce a backlash from voters who want to see action after six years of bluster.

PROPOSAL

Ryan has offered a proposal he says would give patients and doctors more control and foster competition among insurers.

STATE EXCHANGES

Like the ACA it would set up state insurance exchanges and protect those with pre-existing conditions. It also would auto-enroll people at points of service and give states the power to form multistate high-risk pools.

TAX CREDITS

The proposal would provide tax credits for obtaining coverage and improve Health Savings Accounts by allowing premiums to be paid from them and increasing the amount of before-tax money that can be contributed to them.

The plan also calls for improvements to Medicaid and privatizing Medicare.

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

Categories

%d bloggers like this: