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Wednesday, Nov 23 2016

Full Issue

Heritage Foundation Urges Congress To 'Go Further' On Repeal

The conservative think tank lays out a "repeal and replace" plan that would roll back the ACA's rules around plans' age rating, essential benefits and actuarial value limits. Its experts also say Republicans should institute "sensible rules" to maintain protections for patients with pre-existing conditions but prevent those patients from gaming the system.

Two health policy experts with the Heritage Foundation are proposing that Congress repeal Obamacare in 2017, but wait to implement a replacement until the 2019 plan cycle. In a report released Tuesday, Heritage鈥檚 Nina Owcharenko and Ed Haislmaier write that the incoming Trump administration and Congress should take steps to stabilize the marketplace in 2018 and pass a replacement plan for 2019. They also back lawmakers passing a fiscal 2017 budget early next year, creating two opportunities for lawmakers to pass reconciliation bills in 2017. (McIntire, 11/22)

A new Heritage Foundation report urges Congress to "initiate repeal" of the Affordable Care Act in January, but wait until 2018 to begin implementing a replacement plan. ... The Heritage authors recommend that Republicans take immediate steps to roll back Obamacare-related regulations and push states to develop alternate insurance reforms. However, they say that it's too late to push through a replacement for the 2018 plan year since insurers will be finalizing 2018 offerings by the spring. (Diamond, 11/22)

In other health law news聽鈥

[T]he GOP鈥檚 crusade to finally destroy Obamacare has the health care industry in an uproar, with strong indications that major insurers could accelerate their departure from the ACA exchanges. At the same time, hospital administrators are in a panic, fearing that they will incur massive financial losses if millions of Americans lose their health care coverage under Obamacare or expanded Medicaid. (Pianin, 11/22)

Anticipation is swirling around a case involving funding for an Illinois ObamaCare co-op as the Department of Justice (DOJ) seeks to delay a number of similar cases with other insurers.聽Land of Lincoln鈥檚 $73 million lawsuit was an early win for the administration when a federal judge聽dismissed聽it last week, and now the DOJ is pushing to hold off on other cases until Land of Lincoln鈥檚 appeal is resolved. Republican lawmakers have termed the 鈥渞isk corridor鈥 funding 鈥 designed to help soften the financial blow of insuring sicker members 鈥 a 鈥渂ailout鈥 for insurance companies, and have introduced legislation to block any potential settlements. (Clason, 11/22)

The federal healthcare overhaul could be one of the first casualties of President-Elect Donald Trump, who has joined the Republicans controlling Congress in vowing to dismantle the law. ... Still, Trump鈥檚 election has California healthcare advocates on high alert, not to mention the state鈥檚 new U.S. senator. California could forfeit billions of federal dollars that support Medi-Cal, the insurance program for poor Californians, and subsidize private insurance purchases. (White, 11/22)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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