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The Congressional Budget Office Has Scored Trumpcare 2.0, And It Wasn't Kind

The Congressional Budget Office Has Scored Trumpcare 2.0, And It Wasn't Kind

The Congressional Budget Office, Congress's official scorekeeper, found Wednesday that the Republicans' bill is no such thing.

As lawmakers trooped out of the U.S. Capitol on Thursday and headed home until early June, Senate Republicans told reporters they were making progress, but were still nowhere near finalizing a deal on a major overhaul of the Obama health law.

"This CBO report again confirms that the American Health Care Act achieves our mission: lowering premiums and lowering the deficit". "We got to get premiums down and we got to make sure that people with pre-existing conditions can get affordable coverage".

The Republican plan allows insurers to seek waivers to set premiums on the basis of an individual health status-e.g., a preexisting condition-if the person has allowed his or her coverage to lapse for more than 63 days. The House Republican plan provides several ways to try to do that, including so-called "high-risk pools" - insurance of last resort that has not worked well in the past.

"The premium might be lower but there will be benefits missing", said Gary Claxton, a vice president of the nonpartisan Kaiser Family Foundation, a clearinghouse for information about the health care system.

"Over time, it would become more hard for less healthy people (including people with preexisting medical conditions) in those states to purchase insurance because their premiums would continue to increase rapidly", the CBO wrote.

However, the report acknowledges that insurers have reduced their participation in the exchanges, leaving some Americans with no options for buying insurance. "This means many small firms would close up shop while others would never get off the ground", said John Arensmeyer, founder of Small Business Majority, which represents 55,000 small businesses.

Philippines' leader warns of 'contamination' by Islamic State
He said there may have been confusion because a former Malabang police chief was killed in the fighting — but he was not beheaded. Catholics in the Philippine capital have attended a Mass for people in the southern region now under martial law and in Marawi .

And no wonder. It would gut protections for pre-existing conditions, reinstate annual and lifetime caps on coverage, eviscerate Medicaid, gouge seniors, and block women from going to the provider of their choice.

"The questions that need to be addressed are what do those premiums buy, and what other costs besides premiums do consumers pay?" said Riley. "Otherwise, it's like giving someone half a bulletproof vest".

The budget office projected that premiums in those states would be lower for healthy people than under current law because their coverage would be narrower, but did not estimate an amount. "While CBO projections on enrollment numbers remain in doubt, it's clear that the MacArthur Amendment will bring down premiums and make health care more affordable". "Some people would have increases of thousands of dollars in a year".

At the same time, the GOP plan slashes financial aid to help folks afford insurance, replacing the ACA's subsidies with much skimpier support that doesn't take the cost of insurance into consideration and provides the same help to a woman earning minimum wage as one who earns six times as much. The credits would be based on age instead of income and would be capped for higher earners. "I can not support a plan that results in 14 million people losing health care coverage next year, cuts $834 billion from Medicaid, significantly reduces the critical subsidies that tens of thousands of West Virginians rely on and ultimately reduces health care access for thousands more". At an income of $68,200, the same person's out-of-pocket cost for premiums could go down slightly from $15,300 to as low as $13,600, if state had a waiver, or increase slightly to $16,100 without a waiver.

However, younger Americans would see little change in their premiums, or even declines.

"The CBO score of the House bill is one factor, but I think in any universe the Senate bill will be significantly different from the House bill", Cruz said.

The association's report concludes that children's Medicaid would be slashed between $43 billion and $78 billion over the next decade, depending on the exact way the American Health Care Act is implemented. The American Medical Association concurred, noting the CBO score confirmed that "last-minute changes to the AHCA made by the House offered no real improvements".


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