Republicans in US Senate unveil health care bill to replace Obamacare

Bruno Cirelli
Giugno 23, 2017

"I think we have to do it in a very measured fashion", said North Carolina Republican Sen. "We were happy to vote for it when it wouldn't pass, now it will actually pass so we're not gonna vote for it.' It's frustrating, it's maddening".

President Donald Trump praised the bill Thursday - though he acknowledged that changes were likely coming. Let's break down some key parts of the bill and see how it differs from the House version of the American Health Care Act. "They should be, in our view, as the near-term risks would be abated if the subsidy and Medicaid provisions hold through Senate and House negotiations.?"

And the Senate's proposal allows states substantial freedom in determining their own health care programs - but it's even more freedom than the House bill allows for.

Libertarian-leaning Sen. Rand Paul of Kentucky, whose vote may be tough for McConnell to get, warned that may end up costing more than Obamacare. "On behalf of the people of this Commonwealth, I urge President Trump and Republicans in congress to drop this assault on our health care system and our economy and take the simple steps needed to improve the Affordable Care Act".

Some conservative and moderate GOP senators, too, have complained about McConnell's proposal, the secrecy with which he drafted it and the speed with which he'd like to whisk it to passage.

"There is an urgency to get this done because of the continued collapse of the Obama healthcare law", senator John Barrasso, a member of the Senate Republican leadership, told CNN. More than 300,000 kids were on Medicaid in the state in 2014, according to the American Academy of Pediatrics.

"If the bill is good for Nevada, I'll vote for it and if it's not - I won't", Heller. These are the sad realities of the decisions being made today in Washington that will gravely impact our town and many others like it if AHCA becomes law.

The nonpartisan Congressional Budget Office, a federal agency that provides budget and economic information to legislators, is expected to release an analysis of the Senate's bill no earlier than Monday.

Under Obama's law, "many of those people would have gotten much more generous plans", she said. The Senate plan would reduce that to 58 percent. The budget office said the House bill would cause 23 million to lose coverage by 2026.

However, there are strict rules in place - what health policy experts call "guardrails" - stating that states getting those waivers must provide coverage that is "at least as comprehensive" as they would be otherwise, as the Centers for Medicare and Medicaid Services explains.

But it would allow states to waive the federal mandate on what insurers must cover, known as the essential health benefits.

Medicaid: This has been one of the central sticking points in the debate. Crowds chanted "No cuts to Medicaid - save our liberty!" among other things.

The Senate bill would cap future federal aid to states for Medicaid, fundamentally transforming a safety-net health insurance program that now covers about 70 million poor Americans. However, starting in 2025, that inflation metric would switch to the consume pricer index-urban consumers - an even slower rate than the House bill, which stuck to CPI-M - meaning that the cuts would be further compounded in the long term.

It is not clear how much of the bill Schumer read before making those statements.

Senators opted to keep Obamacare's subsidies to prevent the funds from being used for abortions. It still changes the subsidy payments to tax credits, but it bases the amount of assistance on age and income, rather than just age.

The bill would also aim to shore up the existing Obamacare market by allocating funds for the cost-sharing subsidies until 2019.

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