There was some buzz this week that the AHCA, as passed by the House, might actually run afoul of Senate budgetary rules that would invalidate the bill. Potentially, this could mean having to revise and re-pass the bill in the House, separately from any process going on in the senate. The potential issues appear to stem from requirements that laws not add to the deficit. I have seen some skepticism that this potential scenario would actually play out; Vox.com offered an explainer.
“Depending on what the CBO says, the House might have to change the American Health Care Act and pass it again or even start over, according to Bloomberg…Experts have wondered if the House bill would work under the Senate’s rules, which are supposed to restrict a bill considered under “budget reconciliation” to make sure it affects only federal spending and revenue. If those strict conditions are met, then the Senate can advance a bill with just 50 votes. Republicans are using that process because otherwise Democrats could block the legislation.”
Continue reading Health Policy Updates: May 20 2017
With the AHCA’s passage of the House, the Senate remains a serious hurdle. Some members have made it clear that the senate will start from scratch, and not base any of their health care reform plans on the House AHCA bill. How this will move forward, and play out in a hypothetical future reconciliation process, is yet to be seen.
“On the Senate side, where several Republicans have long been deeply skeptical of the House effort, the bill is expected to undergo sweeping changes that might leave it unrecognizable — perhaps stripping away some of the provisions that helped earn the support of hard-right House members and ultimately secure its passage.”
Continue reading Health Policy Updates: May 14 2017
In an interview with CBS, Donald Trump was noted to tell several blatant lies about the contents of the current version of the AHCA:
- Pre-existing conditions will continue to be required to be accepted for insurance.
- Premiums will be lowered by the law.
- That the bill includes the popular conservative idea to allow interstate insurance markets.
This article, with excerpts from interview the interview, is quite revealing. It’s almost as if the president doesn’t know anything about health care, or is very comfortable lying about it. Or, both.
“This part of the interview is a bit bizarre…Now Trump appears to be saying that he’s ready to reverse course, that this part of the Republican bill is currently “changing.” So either Trump is announcing a big policy shift that would likely lead to Freedom Caucus opposing the bill — or he’s misunderstanding what is actually in the bill. From the interview, its hard to know.”
Continue reading Health Policy Updates: May 6 2017
The GOP has finalized a new version of the AHCA, with the goal of getting enough votes from the party membership to ensure passage. The broad structure of the bill appears to remain largely unchanged.
“The GOP’s new proposal would allow states to opt out of many of Obamacare’s requirements, allowing health plans to charge people more based on their age and health status. States could also opt out of enforcing a 30 percent surcharge imposed on people who don’t maintain insurance coverage, which was part of the original GOP proposal, according to a brief update sent to Energy and Commerce members. That’s the policy that the Republicans would use to replace the Obamacare individual mandate…In exchange, states would have to set up a high-risk pool where older, sicker people could buy coverage, likely at much higher prices.”
Apparently, the most-conservative Freedom Caucus members are now starting to support the bill. However, the delay of the proposed House vote yesterday likely means that sufficient GOP support still isn’t there.
Continue reading Health Policy Updates: April 29 2017
Like a phoenix rising from its own ashes, Republican health care reform is alive again. Vox.com’s Sarah Kliff runs through some of the features of the new version of their bill:
“What we do know is that this latest proposal doesn’t do much at all to assuage concerns about the older proposals. While it meets many of the demands of the party’s far-right wing — namely, the deregulation of the individual insurance market — it does nothing to address concerns about massive coverage loss. Instead, it likely makes those problems worse…
…This GOP amendment to let states waive community rating would once again allow insurers to charge people based on their expected health care costs. Insurers would not be able to deny coverage to people with preexisting conditions, but they would have free rein to charge them especially high premiums.”
President Trump demonstrated his expertise in the complex details of health policy, with his analysis of the changes to this new version of the health care reform bill:
“‘The plan gets better and better and better, and it’s gotten really, really good, and a lot of people are liking it a lot,’ Mr. Trump said.”
Continue reading Health Policy Updates: April 22 2017