How The Senate Health Care Bill Could Disrupt The Insurance Market

Posted June 25, 2017

The four holdouts in a joint statement said that the draft represented an improvement in the current system, "But it does not appear this draft as written will accomplish the most important promise that we made to Americans: to repeal Obamacare and lower their health care costs".

ROVNER: It's somewhat similar to the House bill, although the cuts would go even deeper.

The Senate proposal wouldn't cut Medicaid spending in real dollars - spending would continue to grow - but it would slow the rate of spending for the program, phase out extra money the federal government has given to states that expanded Medicaid under the Affordable Care Act (also known as Obamacare) and leave states to pick up more of the tab. Unlike the House bill, the BCRA also forces states to mandate health insurance companies charge the same prices to people applying for coverage, regardless of health status, a concept called community rating.

Although the Senate bill includes a waiver process for states to opt out of most of Obamacare's regulations, it does not allow states to deviate from Obamacare's rules forbidding insurers from treating any customers differently on the basis of pre-existing conditions. They could cut who's eligible. "Cuts to Medicaid would be a devastating change".

McConnell wants a vote before his members head home to face their constituents over Congress' Fourth of July recess - maybe even before they have a chance to fully digest the bill, which would shake up an industry that comprises one-sixth of the USA economy and safeguards the health and well-being of more than 300 million Americans. He's stuck mainly to simple sloganeering - who could forget his campaign line about how he'd rather drink weed killer than support Obamacare - and in a New York Times interview, said that the Medicaid cutbacks hold particular appeal.

Trump tells "Fox and Friends" that "we've a very good plan".

"I believe that the bill that the Senate will vote on, assuming they get to that point, will have some sort of mechanism to cause participation in it", said former GOP Senate staffer Rodney Whitlock. "Until I have the information where I am certain this is ... in the best interest for the folks in Wisconsin - that this puts us in a better position tomorrow than we are today - I'm not going to be voting yes". Since its inception, Medicaid has been an open-ended entitlement, with Washington matching a share of what each state spends.

"We have no interest in playing the games of identity politics, that's not what this is about; it's about getting a job done", a GOP aide said in response to criticism about the makeup of the group.

"It's going to be very hard to get me to a yes", he said, noting that conservative Republican senators would likely be reluctant to add spending back to the measure.

The Kaiser Family Foundation provides non-partisan health policy analysis.

Like Morrow, Rep. Elise Stefanik, R-Willsboro, who voted "yes" for the AHCA said, "Obamacare is broken". In 2016, Medicaid spending accounted for $368 billion out of $3.9 trillion in total federal spending, according to the Congressional Budget Office. "We encourage senators to reject this harmful bill, and instead ensure Americans receive the mental health care they need to lead healthy and productive lives". Addressing the out-of-control costs of Medicaid is the only way to ensure that the program is around to help people in years to come.

"We have concerns about what the changes in Medicaid may mean to those with disabilities", Moran said in a video posted to YouTube. The Senate plan was immediately slammed by Democrats, and several Republicans also were wary of embracing the suggested changes.