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stopbush

(24,395 posts)
Mon Mar 6, 2017, 07:36 PM Mar 2017

Rs actually release specifics on ACA reform

Last edited Mon Mar 6, 2017, 08:09 PM - Edit history (2)

No more employer mandate.

Medicaid expansion allowed to continue thru 2020. Afterward, no further expansion. States that did expand grandfather in.

Kids can stay on parents insurance until 26

Subsidies for coverage will be phased out and replaced by tax credits

Can't remember the rest. Saw it on CNN.

Four R Senators for states that did the Medicaid expansion sent a letter to McConnell saying they would vote against the entire package if it fucked with Medicaid. That leaves Rs 2 votes short of passage in the Senate if and when it gets there.

12 replies = new reply since forum marked as read
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Rs actually release specifics on ACA reform (Original Post) stopbush Mar 2017 OP
MedicAID, not Medicare n/t MichMary Mar 2017 #1
Yes. Auto correct strikes again. stopbush Mar 2017 #5
Re: pre-existing conditions: DeadLetterOffice Mar 2017 #2
Is this Bill subject to filibuster? Proud Liberal Dem Mar 2017 #3
Not in the House BumRushDaShow Mar 2017 #8
I know that doesn't apply to the House Proud Liberal Dem Mar 2017 #11
That's how they intend to do it BumRushDaShow Mar 2017 #12
Thank you, stopbush.. I know Obamacare has helped you among Cha Mar 2017 #4
Still helping our kids who are on the expansion in CA. stopbush Mar 2017 #7
Good for the dental plan and your kids. Cha Mar 2017 #9
Tax credits blows it angrychair Mar 2017 #6
I'm confused about the tax part Rstrstx Mar 2017 #10

DeadLetterOffice

(1,352 posts)
2. Re: pre-existing conditions:
Mon Mar 6, 2017, 07:41 PM
Mar 2017

"also largely would keep Obamacare's protections of those with pre-existing conditions, but allows insurers to charge higher premiums to those who let their coverage lapse."

http://www.cnn.com/2017/03/06/politics/republicans-public-obamacare-plan/index.html

BumRushDaShow

(128,748 posts)
8. Not in the House
Mon Mar 6, 2017, 09:09 PM
Mar 2017

The Senate has that type of rule but some in the Senate are already pretty much declaring this House version DOA.

BumRushDaShow

(128,748 posts)
12. That's how they intend to do it
Tue Mar 7, 2017, 07:06 AM
Mar 2017

but it still needs a majority in the Senate (51-49) and right now, they don't have it with 4 GOP Senators indicating they may not support it.

stopbush

(24,395 posts)
7. Still helping our kids who are on the expansion in CA.
Mon Mar 6, 2017, 09:04 PM
Mar 2017

My wife and I are on a crappy high deductible plan these days.

Funny, but we added a dental plan @ $21 a month to our crappy health insurance, and that dental plan is really good.

angrychair

(8,690 posts)
6. Tax credits blows it
Mon Mar 6, 2017, 08:14 PM
Mar 2017

No need to discuss it any further. Nothing else matters.

Tax credits don't pay monthly premiums.

Rstrstx

(1,399 posts)
10. I'm confused about the tax part
Mon Mar 6, 2017, 09:51 PM
Mar 2017

My understanding is that if (and that's a huge if) it's a refundable tax credit that's also advanceable it should act in a similar way that the current subsidy based system operates; i.e., the government is essentially sending the money from your tax break straight to the insurance company as to lower your up-front monthly payment.

I would hope that that is how the current proposal would work, any other way of structuring it would be DOA for all intents and purposes.

But there's something else bothering me about the House proposal, and I haven't been able to find an answer to it. Basically the question is what happens to someone who doesn't enroll in anything at all since there's no longer a mandate? Will there be a sort of default buy-in policy that happens to cost exactly what your tax credit is? And who then decides which company would get the tax credit for such a default policy? Wouldn't this make the individual mandate kind of a moot point? (surely the money wouldn't be returned to deadbeats?!! Some Rs might be crazy enough to want to do that but the insurance companies are not going to let that happen, not ever).

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