Toomey says GOP striving for middle ground on Medicare expansion

But those gains may end if the American Health Care Act - the Republican-sponsored bill to repeal and replace the health law known as Obamacare - creates spending caps for Medicaid, according to the consulting firm Avalere Health in a separate report this week.

The Virginia-operated high-risk pool government program and associated new bureaucracy, which would likely have to operate indefinitely, would be funded to a significant extent - just like the Virginia-operated Medicaid program - by federal government funds. "We must continue investing in children's health, Ohio's most precious asset, by protecting Medicaid funding, coverage and benefits for kids". In its first incarnation, House legislators took the bill off the floor, once it became clear it didn't have enough support. But if states are allowed to get waivers that allow them to charge more, those with pre-existing conditions are priced out.

Bill Hammond, the Empire Center's health policy director, said rising medical care costs and President Trump's vows to repeal and replace Obamacare will fuel the increase. Another 10 million got coverage through the expansion of Medicaid. Democrats, of course, are unified in their opposition to any of the Republican proposals so far. The Congressional Budget Office estimated, on the March version of this bill, that a 64-year-old who earns $26,500 would see her post-credit annual premiums increase from $1,700 under Obamacare to $14,600 under the AHCA.

Some insurers have already announced plans to drop out of other state Obamacare health insurance exchanges. However, the House bill does not require states to set up an alternate source of coverage for people who face higher premiums based on their health.

"Using the most recent National Health Interview Survey (NHIS), we estimate that 27.4 million non-elderly adults nationally had a gap in coverage of at least several months in 2015", the Kaiser team wrote. And they, barely, if at all, had time to even read the bill since they received it only the night before the vote. Under certain circumstances, the AHCA would do away with that requirement, effectively pushing sick people into subsidized "high-risk pools" meant to isolate the most expensive patients and thereby reduce premiums for the healthy.

"Things like the Fair Standards Act or Worker's Compensation have been around for a very long time but there hasn't been a lot of thought given to how those laws might apply to workplace wellness", she says. It would depend on how many states opt to waive the provision and how many consumers let their coverage lapse.

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