GOP unable to replace ACA with better plan
- Author: Annette Adams Apr 15, 2017,
Apr 15, 2017, 1:13
"But 2018 and beyond are still uncertain given potential legislative changes to the US health insurance market and the pending legal battles over the cost-sharing reduction subsidy".
Just weeks after President Donald Trump called on Congress to table repealing and replacing Obamacare and instead move forward on tax reform, he has reversed course, saying health care reform should once again be GOP lawmakers top priority. I believe working to make the ACA better is something the Democrats and Republicans could do jointly. It overlooked the fact that there are a lot of people who are relatively healthy and who didn't want the increased benefits. "What I think should happen and will happen is the Democrats will start calling me and negotiating". How would the American Health Care Act have accomplished that? "This is not leadership".
Added Schumer: "Our position remains unchanged: drop repeal, stop undermining our health care system, and we will certainly sit down and talk about ways to improve the Affordable Care Act".
Last month, AHCA was at the center of a turbulent legislative process.
Now with Congress on recess, voters are asking "whats next?"
Challenges that continue to face the ACA include "dysfunctional state exchanges" that have seen major insurance companies withdraw from markets after suffering large losses, he said.
Even though the GOP's proposed health care bill to replace the Affordable Care Act was withdrawn, it raised a great deal of concern for some who rely on support from the federal government for in home care. (It exempts certain silver plans for low-income consumers from the change.) So, for example, a bronze plan might cover only 56 percent of costs and silver 66 percent.
As members of Congress debate the future of the health law and its implications for consumers, how are they personally affected by the outcome? Or they could opt for a student health care plan through the UGA, which costs $2,076 for the 2016-2017 school year. However, people are not eligible for a federal tax credit unless they make between 100 to 400 percent above the FPL, or $12,060 and $41,320 per year for a childless adult.
"Despite decreases in unintended pregnancy rates, nearly half of pregnancies still in the US are unplanned, making advance enrollment less likely for many women", said Gretchen Raffa of Planned Parenthood.
Critics say the Trump administration's policies and actions have also helped destabilize the markets. This provision has always been a sticking point with insurers, who have maintained that too many customers acting during the special enrollment period were sicker and costlier than average. A vote was scheduled for March 23 but House Republicans canceled the vote and withdrew the legislation after determining they did not have enough votes for the bills to pass. However, there is a small population of women who are in a bind - they either have no insurance, or find that their current insurance does not cover pre-natal care and their pregnancy does not coincide with the ACA enrollment period. Bronze plans, for example, now must cover an average of 60 percent of costs, while a silver one is 70 percent. Silver plans, now covering at least 70 percent of costs, could cover 66 to 72 percent next year.
The rule also decreases the percentage of each state's "essential community providers" - those that serve low-income enrollees - that insurers must include in their networks from 30% to 20%.
"We intend to conduct outreach to consumers to ensure that they are aware of the newly shortened open enrollment period", according to the document. While the health law sets a maximum cap per year on such payments, for many people those deductibles are already thousands of dollars annually.