The Republican-controlled House of Representatives voted this afternoon 217-213 (1 not voting) to pass an amended version of the American Health Care Act, moving Congress a step closer toward repeal and replacement of much of President Barack Obama’s Affordable Care Act.
There is very little prospect that the American Health Care Act in its current form will be passed by the Senate – even Republicans there have expressed doubts – so only a radical rewrite could save it. A core principle guiding the AMA’s discussions on health-system reform is that proposals should not cause people who have health insurance coverage now to lose it. “So when we talk policy with something of this magnitude, getting it right is more important than getting it done immediately”. The bill ends open-ended entitlement and puts the program on a budget, cutting $880 billion dollars over 10 years.
While saying “the status quo on health care is unsustainable”, Portman added: “I don’t support the House bill as now constructed because I continue to have concerns that this bill does not do enough to protect Ohio’s Medicaid expansion population, especially those who are receiving treatment for heroin and prescription drug abuse”.
It would let insurers mark up premiums by 30 per cent for those who have a lapse in insurance coverage of about two months or more. “So I can tell everybody I went charging up the hill and we shut it down but it’s gonna be on their doorstep, the implications of this, most specifically, the sickest people but then the taxpayers”. They would be placed in “high-risk pools” set up with federal subsidies to help defray the cost of premiums. These would be replaced with age-based tax credits ranging from US$2,000 to US$4,000 per year that would be capped at upper-income levels.
The Republican American Health Care Act eliminates Obamacare taxes, including a penalty for not purchasing insurance.
Those taxes paid for Obamacare. Once it passed, they all joined in with a rendition of the 60s pop song Na Na Hey Hey (Kiss Him Goodbye) – seen as a suggestion that Republicans will pay at election time for repealing such major provisions of the law. “This is a repeal and a replace”. For example, he supports expanding association plans, which could help large groups buy health insurance.
In particular, they are alarmed by the ability it gives to insurance companies to ramp up premiums for people with pre-existing conditions.
“I continue to have concerns that this bill does not do enough to protect Ohio’s Medicaid expansion population, especially those who are receiving treatment for heroin and prescription drug abuse”, said Sen.
Halts extra payments Washington sends states to expand Medicaid to additional poorer Americans, and forbids states that haven’t already expanded Medicaid to do so.