Obamacare vs the revised Republican healthcare bill
BY Agencies4 May 2017 11:41 PM IST
Agencies4 May 2017 11:41 PM IST
House Republicans look to have the votes they need to pass their embattled health care bill. All it took, apparently, was adding a few billion dollars to the bill, to provide cover to moderate lawmakers who had been reluctant to support it.
This latest change, added to the American Health Care Act on Wednesday night with a vote expected fewer than 24 hours later, adds an additional $8 billion to reduce insurance costs for people with preexisting medical conditions.
The number of people left uninsured. The Affordable Care Act (ACA), also known as Obamacare: The nonpartisan Congressional Budget Office (CBO) predicted that if the ACA continued, the number of uninsured Americans – currently 28 million – would remain stable for the next decade.
The revised Republican healthcare bill: The CBO has not had time to estimate the impact of the revised GOP bill, so the House will have to vote on Thursday on the basis of the previous analysis of the version of the bill that in March failed to get enough support to come to a vote in the House. The CBO predicted that that bill would lead to nearly double the number of uninsured – 52 million – by 2026.
Individual mandate
ACA: Requires people who can afford health insurance to get coverage by acquiring a health policy if one is not already supplied via their employer. Failure to do so brings a penalty.
GOP bill: Would repeal the mandate and penalty, but if an individual is uninsured for more than two months, they will have to pay a 30% surcharge on their premiums when they seek coverage again.
Taxes
ACA: Imposes higher taxes on those with incomes above $250,000, on insurance companies and on the makers of medical devices, to help pay for the new system. It gives some tax credits to middle-income earners to assist with out-of-pocket health expenses such as deductibles and copays.
GOP bill: Would dismantle the bulk of the extra taxes that the ACA imposed and would repeal the above tax credits in 2020.
Expansion of Medicaid, the social healthcare programme for low-income Americans ACA: A total of 32 states – including New York, Ohio, Kentucky, Indiana, Iowa, Arizona and California – provided extra public money under the federal Medicaid program for health insurance and expanded eligibility, allowing millions more to afford coverage.
Major states that did not expand Medicaid include Texas, Florida, Missouri, Virginia, Tennessee and the Carolinas.
GOP bill: Would allow the status quo to prevail temporarily, with the extra federal money for the Medicaid expansion continuing – but only until 2020. It's unclear what would happen after that.
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