Morning Briefing
Summaries of health policy coverage from major news organizations
Issues And Impacts: What If The House GOP Health Plan Were To Become Law
The bill, as it stands, would replace swaths of the Affordable聽Care Act, a signature legacy achievement of President Barack Obama. It would eliminate requirements that individuals maintain health insurance at all times and that larger companies provide it to employees, while keeping provisions allowing children to stay on their parents' plans until age 26 and prohibiting insurance companies from denying coverage based on pre-existing conditions. But it would also reduce tax credits for individuals buying private insurance, as well as the amount of money provided to states for Medicaid. The nonpartisan Congressional Budget Office predicted last week that it would also increase the number of uninsured Americans by as many as 24 million over the next 10 years. (Korte and Slack, 3/22)
Former Vice President Joe Biden on Wednesday joined congressional Democrats on the Capitol steps to defend Obamacare and deride Republicans鈥 proposal to repeal and replace the 2010 health care law as a tax cut for the richest Americans. In his first appearance on the Hill since leaving office, Biden said 鈥渢he costs are enormous鈥 if the Affordable Care Act, President Barack Obama鈥檚 signature policy achievement, is repealed. He said the GOP plan amounts to a 鈥渢ransfer of about a trillion dollars鈥 to wealthy Americans in the form of tax benefits. (Yokely, 3/22)
House Republicans' health care bill provides massive tax cuts to the wealthy while increasing taxes for many lower income families, adding to America's big income gap between the rich and everyone else. Over the past quarter century, only one group of people has seen significant increases in income 鈥 those at the very top. Families in the middle or at the bottom of the economic ladder have seen little or no increase in wages. (Ohlemacher, 3/23)
In letter after letter, Republican lawmakers have reminded their constituents: Obamacare cut Medicare. Implied, and sometimes stated outright, was that the GOP鈥檚 own plan should instead bolster the program...鈥淥bamacare took $500 million from Medicare to pay for its infrastructure,鈥 Poe continued. 鈥淭hat was wrong, and Medicare must be strengthened so that it is still there for future generations.鈥 But the bill now working its way through Congress does not reverse those cuts. Instead, Republicans for now appear committed to keeping this reviled part of the law. (Scott, 3/22)
The Republican health plan would聽allow聽Americans聽to聽put a larger slice聽of their paycheck into tax-exempt accounts for paying their health-care bills, but while the plan's authors聽are celebrating the change as a victory for consumer choice, health policy experts and Treasury Department data suggest the benefits will land mainly in the laps of the wealthy. Under the GOP plan, the cap on these聽鈥淗ealth Savings Accounts鈥澛爓ould nearly double, from聽the current family limit of $6,750 to a proposed聽$13,100. (Johnson, 3/22)
Workers dreaming of early retirement are getting the jitters as Washington debates replacing the Obama-era health care law with a system that could be a lot more expensive for many older Americans. The uncertainty over the cost of coverage in the individual market has caused some in their 50s and early 60s to put plans on hold. Others who already left jobs with health benefits before reaching Medicare age are second-guessing their move to self-employment. (Johnson, 3/22)
No matter what happens to the Republicans鈥 troubled health bill in Congress, Trumpcare is here to stay. The Trump administration has already begun to transform the health insurance market, wielding executive power to rewrite coverage rules, slash Obamacare鈥檚 marketing budget and signal an all-out assault on his predecessor鈥檚 health care law. And Republicans have high expectations the administration will take additional measures to unwind Obamacare, such as targeting its contraception coverage requirement at the center of two recent religious liberty cases at the Supreme Court. (Diamond, 3/23)
One of the most popular features of the Affordable Care Act is a provision that prohibits insurance companies from denying coverage or raising premiums based on a preexisting condition. Among health-care wonks, this is known as 鈥済uaranteed issue.鈥 In 2010, one of the key intellectual architects of the ACA, MIT Prof. Jonathan Gruber, described guaranteed issue as one of the three legs of the 鈥渟tool鈥 holding up the law. The two other legs were the requirements that everyone buy insurance (the widely disliked individual mandate) and tax subsidies that make insurance affordable. (Kessler, 3/23)
If the bill passes the House, it must still go through the Senate, where many changes are expected to be made. But if the American Heath Care Act were to become law, it would mean big changes for millions of Americans. Here is a rundown of what would change and what wouldn鈥檛 under the House plan. (Levey, 3/23)
Is repealing Obamacare going to kill people? If you're one of the millions projected to聽lose your health聽insurance under the health care law's proposed repeal, that's the big question. And Washington has plenty of politicians, partisans and wonks ready to answer it for you. (Johnson, 3/22)
Former Dean of the House of Representatives John Dingell took to his and President Donald Trump鈥檚 favorite medium 鈥 Twitter 鈥 to tell the story of health care reform and what will happen if the 2010 health care law is repealed. Dingell started his tweetstorm by paraphrasing Trump, who was derided when he told a gathering of governors earlier this month that 鈥渘obody knew health care could be so complicated鈥 before telling the story of how his father, former Rep. John Dingell Sr., proposed the first attempt to increase health care coverage for Americans in the 1940s. (Garcia, 3/22)