GOP senator says Iowans might not lose Medicaid

Postado Junho 25, 2017

That could mean weeks to come of negotiations to craft a bill that would not only satisfy the hardline conservatives in the Freedom Caucus, but also moderate Senate Republicans who are already wavering on a Senate bill that is less conservative than the AHCA.

Four GOP senators have expressed their opposition to the legislation in its current form, which would eliminate Republicans' chance of passing the bill.

The Senate bill would phase out extra money Obama's law provides to 31 states that agreed to expand coverage under the federal-state Medicaid program. "Remember, ObamaCare is dead", Trump tweeted late Thursday.

Realizing they're outnumbered, Democrats and their liberal allies were planning events around the US over the next few days aimed at building public opposition to the bill. He said "small tweaks" during the upcoming debate "cannot change the fundamental meanness at the core of this legislation".

"We have a responsibility to move forward, and we are", said McConnell, R-Ky.

The nonpartisan Congressional Budget Office is slated to release its review of the GOP plan next week.

The proposal released Thursday calls for a slower phase-out of the Medicaid expansion than a bill adopted earlier by the House.

The Senate bill needs 51 votes to pass through a reconciliation process.

Any new Senate bill would have to be reconciled with the House version.

The Senate legislation drew support from the U.S. Chamber of Commerce, which said it would "stabilize crumbling insurance markets" and curb premium increases.

It however delays cuts to the Medicaid program and maintains for two years the tax credits included in the Affordable Care Act (ACA) - commonly known as Obamacare - to help lower-income Americans purchase coverage. The American Hospital Association released a statement saying it urges the Senate to go back to the drawing board and develop legislation that continues to provide coverage to all Americans who now have it. Those additional funds would continue through 2020, then gradually fall and disappear entirely in 2024.

Sandoval, a Republican who chose to opt into expanding Medicaid, said 210,000 received health coverage because of the decision. It would also slap annual spending caps on the overall Medicaid program, which since its inception in 1965 has provided states with unlimited money to cover eligible costs.

It would preserve the law's ban on denying people coverage because of pre-existing conditions or charging them more due to their illnesses. The subsidies help reduce deductibles and copayments for people with modest incomes.

Democrats said the bill would result in skimpier policies and higher out-of-pocket costs for many people and erode gains made under Obama that saw roughly 20 million more Americans gain coverage.

States could not get exemptions to Obama's prohibition against charging higher premiums for some people with pre-existing medical conditions, but the subsidies would be lower, making coverage less affordable, Pearson said.

That was a reference to other provisions of the Republican plan that would cut taxes by almost $1 trillion over the next decade, mostly for corporations and America's wealthiest families. It would repeal Obama's signature health care law, including its requirement that all Americans sign up for insurance or pay a penalty for not doing so. That language could be forced out of the bill for procedural reasons, which would threaten support from conservatives, but Republicans would seek other ways to retain the restriction.