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Wednesday, Jan 18 2017

Full Issue

If You Like It, You Can Keep It: GOP Senator Proposes States Decide If They Want Health Law

Sen. Bill Cassidy, R-La., is championing a plan that allows states that like the health law to keep it if desired, while others can adopt something different. In other health law and repeal news, insurers push for Congress to rollback a particular tax, Health and Human Services Secretary Sylvia Mathews Burwell plans on signing up for Obamacare, 6 lesser-known provisions that are on the chopping block, why interstate health insurance sounds better than it is, and more.

Republican Senator Bill Cassidy is making an offer to Democrats he hopes they won鈥檛 refuse: If their states like Obamacare, they can keep it. A doctor who worked for decades in charity hospitals and clinics before joining Congress, Cassidy plans to introduce soon an updated version of his health-care plan aimed at giving states flexibility to keep Obamacare, nix it entirely or transition to a new system of health savings accounts and automatic health plan enrollment. (Dennis, 1/17)

There鈥檚 one aspect of the Affordable Care Act that health insurers and other groups are loudly calling for Congress to repeal: the law鈥檚 health insurance tax. And while the GOP wants the law to be repealed in the coming weeks, it鈥檚 unclear if all taxes will be undone in a repeal measure. (McIntire, 1/17)

HHS Secretary Sylvia Mathews Burwell will be signing up for Obamacare. Burwell, who has led implementation of the Affordable Care Act for more than two years, plans to sign up for coverage on D.C.鈥檚 health insurance exchange when her federal employee plan ends 鈥 even as Republicans wrestle with how to repeal the law. (Haberkorn, 1/17)

On NPR鈥檚 Morning Edition, Kaiser Health News correspondent Julie Appleby discusses some lesser known聽parts of the health law that could be repealed by the GOP Congress and Donald Trump. (1/18)

President-elect Donald Trump has repeatedly pledged to allow health insurers to sell policies across state lines to spur competition and lower premiums. On his campaign website, Trump proclaimed that, 鈥渂y allowing full competition in this market, insurance costs will go down and consumer satisfaction will go up.鈥 He also touted the idea during the second presidential debate, and since the election, Vice President-elect Mike Pence has made the same argument. The implication is that federal law prevents insurers from selling policies across state lines. That isn鈥檛 the case. (Ollove, 1/18)

Previous KHN coverage:聽

Separate reports released Tuesday offered differing strategic advice and policy recommendations for lawmakers grappling with the repeal and replacement of the Affordable Care Act. A new report by The Committee for a Responsible Federal Budget says any repeal-and-replace legislation should embody three basic principles: Reduce the national debt, replace or strengthen the health care law鈥檚 cost-control measures, and maintain or improve Medicare solvency. A similar report by the Urban Institute urged lawmakers to address complaints and correct problems with the health law through legislative fixes rather than the disruptive process of repealing and replacing the law. (Pugh, 1/17)

Healthy meals are the cornerstone of the small business that Gaby De Jesus of Miami founded in 2015 to help people struggling with weight gain and heart conditions. But affordable health insurance is the key to the company鈥檚 survival, she said Tuesday. Speaking at a press conference opposing repeal of the Affordable Care Act, De Jesus said she launched the private chef service and catering company, Fork & Knives, because the health law better known as Obamacare had given her the option of starting her own business rather than finding a job with health benefits. (Chang, 1/17)

An estimated 120,000 Minnesotans are in a similar position to [Sheri] Sexton: facing premium increases of 50 percent or more but earning too much money to qualify for federal subsidies that can offset those hikes. Divisions over the best way to deliver relief continue to delay the final passage of that relief this week, the third of the 2017 session. Democrats and Republicans disagree about who should administer the 25 percent insurance discounts and whether that relief should be bundled with long-term reform. They鈥檙e facing a ticking clock. The open-enrollment period for the individual insurance market ends Jan. 31, so a relief package needs to become law before then for Minnesotans to take any discounts into account when choosing insurance. (Montgomery, 1/17)

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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