Morning Briefing
Summaries of health policy coverage from major news organizations
GOP Plan Scraps Mandate, Rolls Back Medicaid And Replaces Subsidies With Tax Credits
House Republicans on Monday released long-anticipated legislation to supplant the Affordable Care Act with a more conservative vision for the nation鈥檚 health-care system, replacing federal insurance subsidies with a new form of individual tax credits and grants to help states shape their own policies. (Goldstein, DeBonis and Snell, 3/6)
The bill would replace Obamacare鈥檚 income-based subsidies with tax credits based more heavily on age, wipe out the individual mandate, cut federal funding for local public health programs, bar Planned Parenthood from receiving federal money and phase out enhanced funding for newly-eligible Medicaid recipients. (Pugh and Daugherty, 3/6)
The House Republican bill would roll back the expansion of Medicaid that has provided coverage to more than 10 million people in 31 states, reducing federal payments for many new beneficiaries. It also would effectively scrap the unpopular requirement that people have insurance and eliminate tax penalties for those who go without. The requirement for larger employers to offer coverage to their full-time employees would also be eliminated. People who let their insurance coverage lapse, however, would face a significant penalty. (Pear and Kaplan, 3/6)
The House plan calls for age-based tax credits ranging from $2,000 to $4,000, replacing the Affordable Care Act's income-based subsidies. Credits for a single household would be limited at $14,000. Subsidies would be phased out for individuals earning $75,000 and at $150,000 for families. (Demko, 3/6)
Insurers would be allowed聽to charge their oldest customers more than they do now. Under current law, they can charge older people three times the amount they charge their youngest customers. That would rise to five times the amount they charge young people. (Hackman, 3/6)
Gives states a $100 billion fund over a decade to help lower-income people afford insurance, and to help stabilize state insurance markets. The fund could be used to help lower patients鈥 out of pocket costs or to promote access to preventive services. (Tracer, Edney and Dennis, 3/6)
[The bill]聽would still allow adult children to stay on their parents' plans until age 26. And the bill would聽not repeal the popular provision barring insurance companies from denying coverage to people with pre-existing health problems. Instead, to keep people from buying coverage only when they need it, insurers could raise premiums 30% for those jumping back into the market. (Groppe, 3/6)
"Today marks an important step toward restoring healthcare choices and affordability back to the American people," the White House said in a statement, adding Trump looked forward to working with Congress on replacing Obamacare. (Cornwell and Abutaleb, 3/6)
House committees planned to begin voting on the 123-page legislation Wednesday, launching what could be the year鈥檚 defining battle in Congress. GOP success is by no means a slam dunk. In perhaps their riskiest political gamble, the plan is expected to cover fewer than the 20 million people insured under Obama鈥檚 overhaul, including many residents of states carried by President Donald Trump in November鈥檚 election. (Fram and Alonso-Zaldivar, 3/6)
The GOP bill that would potentially repeal and replace the Affordable Care Act will be taken up by two U.S. House committees on聽Wednesday, U.S. Rep.聽Lloyd Doggett聽said聽Monday. ...聽Republicans released new legislation Monday evening that effectively repeals Obamacare and introduces a health care payment system based on monthly tax credits. The credit amounts depend on a person鈥檚 age, with individuals over the age of 60 receiving $4,000 a year, the maximum amount. Under the new bill, federal funds will used to expand Medicaid will be suspended by 2020 and people will no longer have to be on an insurance plan. (Alfaro, 3/6)
House GOP leaders have also yet to release the official budget score that details the cost of the plan and how many people could lose insurance, a huge issue for moderates who fear blowback in their swing districts. 鈥淲e are concerned that any poorly implemented or poorly timed change in the current funding structure in Medicaid could result in a reduction in access to life-saving health care services,鈥 wrote the four Republican senators to Majority Leader Mitch McConnell (R-Ky.). Signatories included Sens. Rob Portman of Ohio, Shelley Moore Capito of West Virginia, Cory Gardner of Colorado and Lisa Murkowski of Alaska鈥擱epublicans from states that expanded Medicaid under Obamacare. (Bade, Demko and Haberkorn, 3/6)
The bill released by House Republicans on Monday night doesn鈥檛 have an official CBO score or coverage estimates yet, so it鈥檚 hard to measure its full impact on Americans needing coverage, or health plans and providers. But there are several groups that stand to clearly gain 鈥 or lose 鈥 under the plan to repeal the Affordable Care Act. (Diamond, 3/6)
Sources said previous versions of the plan faced unfavorable coverage numbers from the CBO.聽(Sullivan, 3/6)
To pass the bill through the reconciliation process and avoid a Senate Democratic filibuster, Republicans will have to convince the Senate parliamentarian that all the provisions of the bill are germane to the budget. And the bill can't be deemed to increase the federal deficit 10 years or more from now. Some of the bill's insurance market changes may have a tough time surviving those procedural tests. (Meyer, 3/6)
Monday's release is the first time a replacement plan with backing from House leaders has been prepared for a floor vote and put into legislative text, rather than merely a broad blueprint, in the seven years that Republicans have called for a repeal of President Barack Obama's signature domestic achievement. (Williams and Mershon, 3/6)
The ObamaCare repeal bill unveiled by the House Monday includes language that would defund Planned Parenthood for a year. It鈥檚 the same language included in the 2015 repeal bill that passed Congress but was vetoed by President Obama. The language, if passed, would block Planned Parenthood from receiving Medicaid reimbursements.聽Defunding Planned Parenthood has long been a goal of Republicans because it provides abortions, even though they are already legally prohibited from using federal funds for the procedure. (Hellmann, 3/6)
Here are highlights of the legislation unveiled Monday by House Republicans as they move to dismantle former President Barack Obama鈥檚 health care law and replace it with a system designed along conservative lines. (3/7)
This is House Re颅pub颅lic颅ans鈥 plan to re颅place the Af颅ford颅able Care Act, also known as Obama颅care. They re颅leased the pro颅pos颅al Monday. (3/6)