If you bought your own insurance from the federal marketplace or a state health insurance exchange and you got a federal tax credit to help pay for that coverage, you have to take another step before you can file your taxes. That means Obamacare, in one way or another will survive, perhaps with a different name but too many parts of the law are so popular that repealing and replacing the Affordable Care Act is a losing proposition.
The AHCA largely drew on the pro-insurance company underpinnings of Obamacare, further shoring up the for-profit private insurers while cutting costs for the government and corporations. This provision has always been a sticking point with insurers, who have maintained that too many customers who made a change during the special enrollment period were sicker and costlier than average.
The SRP completely failed to encourage young adults to enroll, which effectively doomed most insurers to losses. That's no quick task when a patient has several doctors, insurers are leaving exchanges, and those that remain have narrow doctor networks. It shortened the 2018 enrollment period from three months to six weeks, from November 1 to December 15.
Without their participation, millions of people who now rely on the ACA exchanges will be left with no choices and suffer the consequences. These people would have access to medical coverage but the cost would be prohibitive for most of these people. And if you're going to force healthy people to sign up, then you need to help them be able to afford it. That's about half as long as the current open enrollment season. In 2016, in Otsego County alone, 5,274 people gained insurance coverage under Medicaid, and a total of 7,787 county residents were newly covered through Obamacare.
Trump took to social media to threaten to support primary challenges for members of the House Freedom Caucus shortly after the vote was cancelled, but has since retracted his comments, saying he has a "renewed confidence" in the powerful conservative group. "So we're going to have a phenomenal tax reform, but I have to do health care first".
It defunded Planned Parenthood, where 20 percent of American women have gone for basic health care (only 3 percent of the health care it dispenses is for abortions).
"It has all of the problems of the proposed rule", Timothy Jost, a consumer representative with the National Association of Insurance Commissioners, told Bloomberg BNA April 13.
"Health plans and the consumers they serve need to know that funding for cost-sharing reduction subsidies will continue uninterrupted", said Marilyn Tavenner, CEO of America's Health Insurance Plans, a main industry lobbying group.
Here's the situation and it's complicated: There are two kinds of subsidies under the ACA: funding to help individuals pay their premiums and about $7 billion in subsidies paid directly to insurance companies to help lower co-payments and deductibles. Democrats are now demanding that the issue be addressed and that the Trump administration must continued to make cost-sharing payments to insurers as it weighs options. A federal judge ruled in favor of the Republicans past year; the Obama administration appealed the decision. It's not clear what the Trump administration intends to do. Second, the law continues to force them to set premiums for the key Silver plans based on the cost-sharing reductions in the law. Ceci Connolly, president of the Alliance of Community Health Plans, said that if the funds were to go away, the nonprofit insurers that her group represents have said they would either have to make a hard decision about staying in the market at all, or hike premiums anywhere from 7 to 21 percent.
A million dollars for a weekend trip to Florida is actually chump change for the Pentagon, with its annual budget of $600 billion, but Gallego says that isn't really the point.style="text-align: center;"