House Passes ACA Repeal BillSo What Changes if the ACHA Passes?
Here's What the Current Bill Would Change if Enacted 'As Is'
May 5, 2017 - Yesterday, the U.S. House of Representatives passed the GOP’s proposed American Health Care Act (AHCA) plan in a 217 to 213 vote. The plan, commonly referred to as Trumpcare, would repeal and replace several provisions of the current Affordable Care Act (ACA) by amending contribution limits to HSAs, returning the medical expense deduction AGI threshold to 7.5% and repealing certain taxes enacted under the ACA.
If passed in its current form, it would also:
- Terminate the tax penalty against people without coverage.
- Eliminate the Medicaid expansion funding.
- Change Medicaid from an open-ended program to one that gives states fixed amounts of money per person.
- Replace the ACA's consumer cost-sharing subsidies with tax credits that grow with age.
- Repeal taxes on the wealthy, insurers, drug and medical device makers.
- Charge a 30 percent surcharge on consumers who let their coverage lapse for more than 63 days in a year, including consumers with pre-existing medical conditions.
- Allow states to use waivers that would allow insurers to charge older customers higher premiums by as much as they'd like.
- Provide states $8 billion over five years to divide up to finance high-risk pools that cover those with pre-existing conditions.
- Give states $130 billion over a decade to help people afford coverage.
- Keep the ACA provision that children can remain on their parents' insurance plans until age 26.
The U.S. Senate has sent mixed signals on its intent for the bill, with senators from both parties expressing concern with various parts of the legislation. Majority Leader McConnell has yet to announce the chamber's plan or a schedule for holding hearings on the bill. It is important to remember that this bill cannot be filibustered by the Senate and only needs a simple majority of 51 votes to pass.
MTAP will continue to keep members updated and informed as the bill circulates in the Senate. In the meantime, here is some more suggested reading on the just-passed House bill:
How Trumpcare Could Affect You
SBAM Analysis of Trumpcare Legislation
House Passes Healthcare Repeal and Replace Bill
May 4, 2017 - 2:30 p.m. EST -- By a 217 to 213 vote, the U.S. House of Representatives passed a bill that repeals and replaces the controversial Affordable Care Act, sending the legislation to the U.S. Senate where it faces an uphill battle to pass in its present form if it passes at all.
Passage sparked immediate ill-will on the House floor as Democrats admonished Republicans with shouts of "Shame! Shame!" as Dem leaders predicted political consequences in the 2018 mid-term elections. Republicans stuck to their message saying more people took the Obamacare penalty than complied with the law while millions saw their health insurance coverage diminish as their rates skyrocketed. GOP leaders also reminded the nation that insurance companies were abandoning the insurance exchanges and not offering coverage in many predominantly rural areas because costs were too high.
MTAP again reminds members that the Affordable Care Act is still the law of the land and must be adhered to until a replacement is passed by both congressional chambers and signed by the president. We will continue to update members when necessary on this controversial issue.
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